Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 33 YRS OF AGE, IM 510 AND WEIGH 225 POUNDS. I HAVE AN INFECTED WISDOM TOOTH AND IM CURRENTLY IN THE ER AWAITING TO SEE THE DOC. I AM ALLERGIC TO PENICILLIN, WHAT OTHER MEDS ARE OUT THERE THAT WILL WORK JUST AS GOOD AS PENICILLIN FOR MY SITUATION. ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as you have infected wisdom tooth infection in tooth can be due to some reason like if tooth is carious or decayed tooth with Periapical pathology may be Periapical Abscess or due to Impacted or Partially erupted tooth with Periodontal abscess. If you have infected tooth I will suggest you to consult dentist and go for its treatment Root canal treatment or Extraction of tooth.  In meantime you can do warm saline rinses, you can take Antibiotic like Ofloxacine by consulting with your doctor and Analgesic like Paracetamol or Diploma if you are not allergic with vitamin B supplement. Hope this will help you. Wishing you good health Regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my brain ct scan report is like * small calcific density in the right posterior temporal subcortical region-calcified granuloma. * small hypodense lesion in the left temporal region(measuring size 3.5x1.5cm)with attenuation values of CSF. -a small left temporal arachnoid CYST. ### REPLY: Hi, These findings are almost always benign and must be correlated to clinical symptoms.  The arachnoid cyst has likely been present since birth and is filled with water as opposed to pus or being a tumor.  Again, depending upon the rest of your symptoms and WHY you got the scan in the first place I would send you for an MRI of the brain with Gadolinium contrast in order to better characterize the calcified granuloma and order blood work.  A chest X-ray and placing a PPD test on your arm to screen for tuberculosis would also be good things to get in this setting. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir /Madam My wife is suffering from hair falling in large quantities (in front of forehead) to previous two months as she is taking her IVF treatment so tell me what should she go to her in treatment to Allopathy or Homeopathic treatment. Or Ayurved . ### REPLY: Hi, 1. As you are undergoing IVF treatment which causes hormonal changes/ disruption leading to hair fall, but it should grow back once hormones are stable, also the so-called female pattern hair loss due to this hormonal changes during IVF and the stress associated with it can also contribute or work as provoking/aggravating factor(s) for hair fall/thinning. 2. Thus, initially in combination with your attending Physician, hair specialist, and relevant blood examination one can establish the cause of hair fall and whether it can be treated medically or not, till then - Soap nut and Sakai along with Bhangra and Feeling oil act as a natural conditioner, you can use it safely.- Apple, almond, banana, broccoli, cantaloupe, melon, carrot, cashew nut, corn, cauliflower, grapes, guava, lemon, mango, orange, pineapple, soybean, spinach have antioxidant properties so take them in plenty.- Vitamin B1 and B2, Omega-6 and Zinc, magnesium, biotin should be a part of regular vitamin intake, apple cider vinegar, Olive Oil or Coconut Oil, raw aloe vera juice applied directly to the scalp. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a rather large lump under my right arm and a smaller one under my left arm and it is only palpable when I lay down and put my arm over my head like I am doing a breast exam. It does not hurt and it doesnt move. the only time it hurts is if you push really hard on it. I am tired alot and wonder if I have to be concerend with breast or lung cancer ? ### REPLY: Hi there, the lump that you feel could be a lymph node or could be accessory mammary gland tissue. You should visit your physician and get a fine needle aspiration cytology done of the lump. This test is very simple, and it will be able to tell your physician the exact nature of the lump and whether you need to worry about it or not. Your tiredness could be due to lack of proper sleep or worrying about this lump. It is best to know its etiology and put your mind at rest then to speculate and worry about it Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a c section due to ectopic pregnancy, I had sex after 9 days and after 2 weeks, I wasnt informed until my friend told me that I have to hold sexual intercourse with my husband until 2 months, Im now 3 weeks of recovering after my operation and my lower abdomen still hurts, and it is also painful every time I bowel and urinate...is it because of my internal stitch? what should I do? ### REPLY: Hello and welcome to . Thank you for your query. It is unfortunate that you were not informed about sexual abstinence for at least 3-6 weeks after a cesarean section. But, nothing can be done about that now. Do not worry. The only reason why sexual intercourse is restricted for this duration, is because we need to give the body time to heal, and sexual intercourse delays that. So nothing serious to worry about, from the last date of sexual, I would request you to abstain from sexual intercourse for at least 3-4 weeks. I am sure everything will be fine by then. If you experience any other symptoms in between, feel free to write back to me or visit your doctor. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://doctor.ChatDoctor .com/doctors/ .  I would gladly help you. 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. I am 32 around 5 4 220 lbs female. my period is not due for about a week and I am on birth control pills. for the last few days (same thing happened last month) I have been having a brown fibrous discharge. it is not overly heavy and am having no pain...should I be concerned? is ita issue with my birth control pills? ### REPLY: Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. . .(MBBS, MS,MCH) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last night when I went to stand up it felt like I ripped something in my right thigh. It was a stabbing pain and took my breath away. Today it is very tender in the area. I have bulging vains in that area. Can I wait to see a doctor or should I go to the emergency room, or just wait to see if it gets better. This has happened before about 3 times in the last few months. I am on my feet all day on a hard concrete floor and am quite a bit overweight ### REPLY: A sudden stabbing pain in the thigh is not only painful, but it shoots through the leg causing discomfort. It could happen when you twist the leg, sit in a wrong position, or because of muscle dysfunctions. Early diagnosis of the condition prevents chronic conditions that can impede movement and routine operations. Some symptoms could be signals of serious infections. Clinical TreatmentsOften, when symptoms persist, it is advisable to consult a medical expert in the area. Such pains have different underlying causes which determine the mode of treatment. Prolonged severe pain is particularly a medical concern. A medical doctor will diagnose, and recommend the appropriate treatment. Some clinical solutions include:Pain Killers. For pain relief, an anti-inflammatory .  You can take aspirins or ibuprofen to ease the pain and reduce the inflammation. Thigh Wraps. A physiotherapist could recommend the use of elastic bands in the case of muscle pulls. This reduces the swelling and muscle strains. Thigh wraps are effective in sports related muscle pains. Injection. An injection to reduce pain is one solution to the inflammation. A corticosteroid injection reduces the risk of severe swelling and pain. It should be offered by a doctor. In case of severe pain, the physician can administer an injection of a corticosteroid preparation to reduce the risk of inflammation. Surgery. Sometimes surgery is an option in the treatment of thigh pain. It is often recommended for cases of growth, benign cancer, and compartment syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have some low back pain causing severe pain with ambulation and standing. I have had several epidurals and feel it it is time to get something done however I m very reserved about having any spinal surgery as I have seen over the years more hard done than good. Unfortunately here I am needing something done I m only 55 and was looking at neurosurgeons Dr .Gregory Nazar and Steven Reiss being new to Louisville I have no idea who has a successful surgery rate so I do have many questions. YYYY@YYYY ### REPLY: Still I would suggest that surgery on spine should be the last resort. Have you exhausted every other alternative. Have you exhausted Ayurveda's Agni karma treatment without invasion? Have you tried to manage by herbals or it's simply giving up? Pl. Do not give up. Hope is still there. Pl weight the pros and cons of spinal surgery. I would not allow my patients for this till other available channels are also exhausted. Hope it guides you even a bit ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my father is 78 years old . As he goes out and got exposure to sun or there is hummed then , he got resh skin and feel too much of eaching from inside of the skin . He is on homeopatChatDoctoredicine and also applying coconut oil. He got some relife but as he is not getting any significant relife. He as also taken levocitrazen Tab . Pl advise what should he do Thanks in advance. Sanjeeva Gupta ### REPLY: Hi, It seems that probably your father is having photosensitive dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. Tell him to avoid sun exposure. Tell him to cover the body while going under the sun. Apply sunscreen lotion on exposed parts to protect the skin.  Continue Levocetirizine if itching is there. Tab. HY .  Apply mild steroid cream on affected areas.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, thanks for taking the time to read and reply. I have a rash on my glans , small red dots to be precise. My Frenulum goes through varying degrees of sensitivity depending on the interval between retractions of the foreskin , the longer the interval the greater the sensitivity. Also, there is a usually quite a build up of what I assume is smegma (a white substance that covers the glans, but it is easily removed. There is also some degree of itching, but it is managable. I had unprotected sex once about sex months ago, but this condition only started occuring about two, maybe three weeks ago. And I am gay. I am really quite concerned, are there over the counter treatments for whatever ails me? Or should I see my GP at the first opportunity? Thanks UberConcerned ### REPLY: I feel your red dots are not any infection as there has been a long time between the incident and the problem. The sensitivity and Sega are normal. You should keep the glans clean with daily washes it will help to decrease the sensitivity as well. However, I would suggest you get tested for HIV, Bag, anti HCV and V .  These tests will rule out most sexually transmitted diseases and all are simple blood tests. But, always and always indulge in protected sex - Double protection would be safer. Its not worth contracting a disease that will mar your life. Feel free to contact again. 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 father just had a heart attack. He has water in his lungs and it is also very hard for him to breathe. He also has diabetes. The drs just did stress test for 2 days and told him his heart is to weak for bypass. What is the next steps and are there any other options? ### REPLY: Thanks for your question on . By your history and description, in my opinion your father is having congestive heart failure. In this condition heart fails to pump out fluids properly. So back pressure causes fluid accumulation in the dependent parts of body like legs, abdomen, lungs etc. So his breathlessness and fluid around lungs are suggestive of Pulmonary edema and heart failure. This is confirmed by stress test. So better to consult cardiologist and start diuretics and cardiac isotropic .  Diuretics will increase urine output and decrease fluid overload. Isotropic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feel nauseous, tired, light headed somewhat in a weird way, my stomach hurts, I have green poop, my lower abdomen aches and I have a slight headache. I try to sleep but I cant! I somehow feel as tho Ive done this to myself by overthinking my situation, I have a slight toothache but thats unrelated I think. Any idea as to what I should do or is this just my mind playing tricks on me? I have a crazy fear of puking for some reason it panics me when I feel this way. ### REPLY: Hi. Thanks for your query. The probable cause for all your symptoms of nausea, tiredness, pain in abdomen, headache and green poop is a severe Intestinal Infection called Gastroenteritis due to Waterborne infection with bacteremia. I would advise you the following:Get the tests:Blood-CBC for infection, blood culture and routine. Urine RoutineS tool- routine, culture and sensitivity. Visit a Doctor to see for vital and get an appropriate treatment in the form of antibiotic, metronidazole, activated charcoal, probiotics and intravenous fluids if there is deny .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bones at the back of my neck lump out, so it makes my head look like it is been pushed out a little. When I was younger I used to be overweight and slouched alot. Im not sure if I have lordosis but I dont want to undertake surgery. Can you help me? ### REPLY: Welcome to . 1. The history is not very clear with nature of lump and duration. But according to your words it seems like a long-standing and spinal lesion.2. The possible cause could be anything from a muscular lesion, lipomas, spinal lesions, tumors arising from spine, any disc pathology appears as a bulge, or bony pathology, degenerative growth and so on.3. At this point get an ultrasound to know the nature of the lesion its contents, sours of the lesion and its extensions.4. An lateral cervical spine exercise to see the bony pathology. But bet tool to investigate is MRI (if no issue with affordability that will be the best).5.Finally, if it's a mass lesion an FNAC - fine needle aspiration cytology for assessing the cells of nature. Treatment depends on the investigation findings. Good luck Hope I have answered your query.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: Dear Sir, I have been operated on 14th.June,2016 TURB T (Urine bladder tumor)since then, I am suffer from Klebsiella pneumoniae _100000 colonies/ml f grown. (Urine Culture test) on 24.4.17. I have also taken treatment of Discontinued sachet for 3-4 times (weekly) I have also taken Golden seal capsules, but to no effect, please guide me what to do. Here, I may add that I m a diabetic patient aged 62 yrs. Ajay Gupta. Email YYYY@YYYY . thanks and regards. ### REPLY: Hello, if your doctor believes that this is true infection then an angiogram would help to guide treatment. Previous exposure to antibiotics, recent hospitalization and other factors may increase the chances for resistant pathogens, which means that commonly used antibiotics won't probably work. So what you've got to do is to check whether an angiogram has been done and let your doctor decide for the best treatment option. It would be too risky to suggest any treatment right now without the angiogram as it is very likely to fail... I hope you find my comments helpful! Kind Regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m 33 weeks pregnant and was given Gertac 3 days ago for reflux. since then I ve had sharp pain in my right shoulder and chest when I swallow. When I lie down it feels like my gut is having spasms or something. When I wake in the morning I m fine and then I eat breakfast and it starts all over again. What can this be? It s very sore. Thank you for you help. ### REPLY: Hello, and I hope I can help you today. Many women get pain in their chest from reflux or gastritis. When your stomach starts to secrete acid, like when you eat, the pain may get worse. Acid reflux literally means that the acid from your stomach sloshes up into your esophagus, and that can cause it to spasm, which you are feeling when you lie down. Taking your German at the full adult dose (150 mg) daily will gradually help the symptoms, but I also suggest you purchase a calcium-containing antacid (like TUMS) and take two whenever you feel the spasms or pain in your shoulder.  Trying to only eat upright and staying upright at least 2 hours after eating will help to reduce the reflux as well.  If you always feel the pain when you lie down, try to prop yourself up on pillows, so your head is higher than the rest of your body. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had gastric by-pass five years ago. I have had a heart bypass 10 years ago. I have been having intestanal spasyms progresivly for a year. I had a colonoscopy, angiogram, CT scan Two ultrasounds and went to a Vascular surgeon to try and get a diagnosis. My symtoms dont match iscemic intestines. It only happens when I am doing something that I use my abdominal area such as washing dishes or fixing my hair. The pain is dibilitating. It does not happen after I eat, only with activity. Walking does not trigger it. This is so frustrating, does anyone have any idea of what it might be? ### REPLY: Hi. Thanks for your query. Read the history and understood your problem. Quite a rare occurrence - as the pain in abdomen occurs only if you are doing something that use your abdominal area such as washing dishes or fixing hair. Noted the history of Gastric bypass and Heart bypass; Intestinal spasms progressively for 1 year, Did all the relevant investigations like CT scan, colonoscopy, angiograms, and consulted the vascular Surgeon. But to no avail. Let us take a chance to get the MRI of the whole spine-which probably might show some prolapsed discs compressing on the spinal cord when you attain a particular position. Color Doppler of the abdomen whenever you are in pain may help to clinch a diagnosis. As also a therapeutic trial with medicines like Gabapentin or so. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a well raised 44 year old female, who grew up with good dental care.  In my adult life, I have my teeth cleaned every three months and practice good hygiene.  In the last 5 years, Ive been forced to replace 5 teeth with implants and another tooth has chipped.  Why are my teeth failing?  As a professional, this is crazy! ### REPLY: Thanks for your query, I have gone through your query. The loss of teeth can be because of aggressive periodontitis, even though there are no deposits. This is caused by aggregator batter which results in severe bone loss. Nothing to be panic, consult a periodontist and get it treated with root planing and grafting with bone graft. You can save the remaining teeth with the above said treatment, but the extracted teeth can be restored with implants or a bridge. 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 left hand shakes occasionally. When it started, I went to my Chiropractor, he adjusted me and it stopped for about 6 months. When it began again, I repeated and it again quit for 6 months. Unfortunately, my chiropractor died. My new one hasn t had any success. Are there exercises I can do? What should I do? ### REPLY: Hello, I have studied your case, and I am not convinced that physiotherapy can help in this because these movements are due to over activity of brain, so you need to discuss this with your neurophyscian, and You might need to get your clinical examination. He may advise you take either chlorpromazine or any other medicine after consultation. I hope this answer will be useful for you. Let me know if there is any other follow up questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i wanted to know whether i am in serious danger here. i recently had a root canal and a lot of fluid went into my nasal cavity[i think] and for the past 5 hours my nose has been letting brown stuff out.. and when i lay down i feel a nasty liquid being swallowed. I should add that i was in a weird position that forced those liquids to end up there.. what can i do to get rid of this ?? ### REPLY: Thanks for using . Read your query. It is very unusual for the fluids used in the oral cavity during the root canal treatment to enter the nasal cavity as you have mentioned. Even if the root of the tooth is in proximity of the sinus or have a direct access, small amount of solution used should not cause any damage. If there is sudden increase of swelling and pain, report back to the dentist and have it checked. Careful monitoring may be required to be followed by a dose antibiotic, nasal decongestants and more required treatment. Hope this was useful. 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 I am Ripu Daman I have positive widal test 20 days ago and doctor told me it was typhoid about 5 days ago I was feeling alright then again I was having fever again I consulted doctor and he gave some medicines and now I am having Vomiting also is this due to Typhoid still I am unable to eat anything due to vomiting ### REPLY: HI, thanks for using  Yes, the typhoid can cause vomiting, fever and loss of appetite. There are over the counter medications that can be used to help reduce the vomiting. You should concentrate on using small amount of fluids. If you use large quantities then you may continue to vomit. If the small quantities (1 tbs every 5 mins) is tolerated, then you can increase this. When the vomiting stops then you can restart solid food. 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: I ve been on a couple of high blood pressure med s. Lisinipril, had a terrible cough with that one, inderal, lowered my heart rate too much, now I am on losartan potassium, and I m noticing stiffness in my knees and overall, I ve only been on it for a week, do Hesse symtoms go away or should I try another one? ### REPLY: Hi, Stiffness in your knees and overall does not seem to be due to the side effect losartan potassium. Losartan potassium is an angiotensin receptor blocker commonly used to treat high blood pressure and heart failure.  Its common side effects include low blood pressure, increased blood potassium, and .  Stiffness in the joints could be due to inflammation of the joints which needs to be evaluated with certain lab tests to rule out arthritis. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. Im Eslam 21 years old. Im a computer professional. I spend more than 12 hours daily in front of my computer. My eyes are already weak ( sorry English is not my first language so I cant describe properly). I have glasses but I dont wear them because I dont like glasses. So sometimes by the end of the day, my eyes hurt so badly. But after I sleep and wake up, they become ok again. Also my back hurt me a little and my waist sometimes. I sit on a plastic chair. Should I get ride of it and get a more comfortable one for my back? or its not related? ### REPLY: Hi, Welcome to . After going through your query I think you are suffering from chronic backache. Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as attract three times a day after meals) is required. Consulting with treating doctor is advised.  Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to do MRI TO RULE OUT other causes. For eyes, you should use your glasses. If you don't like glasses then you can wear contact lenses, but eyes refraction should be corrected. I think your query answered. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, so im about six days late now and feeling really off. I have some pregnancy symptoms such as slight nausea, headaches, boobs are tender, feeling bloated, some cramping and moodiness (i have randomly cried about 3 times this week for no big reason). I have never been late before, if anything Im usually early. I am on birth control but we dont use condoms and I know its supposed to be 99% but Ive heard of others getting pregnant while on birth control.. also today i started getting light brown spotting but only when i go to the bathroom.Just wondering with all this information if theres a chance I could be pregnant? ### REPLY: Thanks for your question. It is important to realize that if you are sexually active, there is always the chance of pregnancy, even if you are using birth control. Oral contraceptives are, in fact, 99% effective. They are so effective that if 100 women used a birth control pill as directed, only one of them would become pregnant in any given year. However, that is still 1 percent of women pregnant using a birth control pill as directed. Birth control pill doses have gotten much lighter over the past twenty years, so formation of ovarian cysts is still possible. I did a study on this several years ago, showing that women may still form ovarian cysts on lighter dose birth control pills, although they usually do not ovulate. That is the mechanism for prevention of pregnancy. Ovarian cysts can make hormones which may produce symptoms in women that mimic pregnancy. A pregnancy test for you is in order and your gynecologist may also recommend an ultrasound of the pelvis to detect any ovarian cyst formation. Hormone production from the ovary may also produce the light spotting you are experiencing. Remember, however, that any amount of bleeding on a birth control pill may signify a menstrual period. Menstrual periods on birth control pills are .  I hope this answers your questions. I am available for further consultation if needed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hvew have psoriasis on legs . If not touched, the pimples tend to heal , but same  time causing a big deal of itching , and  once touched again, the sores  show up with more threatening    signs .Am I right , that  if  untouched , these shall vanish in a natural  way ? ( ie., without  need for  steroids ? ) ### REPLY: You need to revise your diagnosis. Psoriasis is generally a non-itching condition. Although koebnerization (lesion appears at the place of trauma) is distressing in psoriasis. Pimple like lesion as you told(maybe due to mutate psoriasis) which appears after some infection else where. Psorisis needs steroid, and it should be cautiously tapered whether topical or oral otherwise cause rebound phenomenon. For itching, you can take tab HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 experiencing an irritating itch on both my palms and fingers. It seems to get worse at night and the more I scratch these red and blotchy circles appear. Ive looked up online pictures of itchy palms but none of the results seem to match, I dont have bumps or sores, just these odd circular botches. Its awful itchy, if anyone has any idea of what this is or how I can treat it, that would be wonderful. Thank you. ### REPLY: Hello Patient, What you are describing is a classic allergic reaction of the skin to some substance that you have touched. Most people develop such eruptions, or blotches, as you call them, when they touch a plant, animal, some surface, and even some spices and flowers. The skin gets locally irritated, and you start feeling itchy. As a part of the allergic reaction, the skin then swells a little and becomes red, giving rise to the classic blotches or wheals, as they are termed. Wash your hands thoroughly with a mild antiseptic soap and cold water. Take APIs 30 three pills every 2 hours. It is a homeopatChatDoctoredicine and will control your allergy and itching. You can apply unmediated petroleum jelly or dab some olive oil on the skin to control the itching. All the best! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 35 yrs old male . have peyronie disease 1 year duration stage 2 on ultra sound . i have tried vitamin e & colchicine with no effect . there is partial erectile dysfunction. is there any non surgical treatment ever ? can acupressure or acupuncture be of help ? ### REPLY: **1. Parodies disease is calcification within the corpora of the penis [caused by scar tissue along the length of the penis, causing the penis to bend:making intercourse difficult, poor and painful erection. ] thus no alternative treatment will correct the deformity although may/ might alleviate the symptoms, since there is no single good treatment available.2.  You should avoid woman on top position while having intercourse, and if you have not improved with medications then you may have to consider surgical options.PS.  A new .  The  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 64-yr. old caucasian woman who had a mitral valve tissue replacement 8/28/14.  I have had endocarditis twice, in 2008, and in August 2014.  At the time of the valve replacement,  4 of my molars which had deteriorating fillings which were done during childhood, were removed.  My question is one which each of the doctors I have followed up with, the epidemiologist, heart rhythm, surgeon, have not given me the answer to the question I have:  If I have a replacement valve, do I still have mvp?  If so, why - that is what I dont understand.  How did I go 58 years with no problem with endocarditis, and for the first half of my life did not take antibiotics at the time of any dental work, and didnt acquire the disease until I was 58?  I live with the horror of the possibility of this happening again, and the fact that my new valve will wear out about the time I am in my 70s.  Can I undergo surgery for a third time while in my 70s? I am following everything the doctors have told me to do, including different methods and mouthwashes for my gums, which my dentist told me are very healthy at this time.  I dont think they were ever unhealthy, but my deteriorating fillings were causing me to use toothpicks constantly. ### REPLY: Hello, Please keep in mind that taking antibiotics prior to dental treatment is a prophylactic measure. Anytime there is bleeding, there is a chance that bacteria in the oral environment may enter the blood stream. Certain tissue and replacement valves are prone to affects of exposure to the bacteria. Consider having your oral bacteria analyzed to see your particular strains. Discuss this further with your dentist or visit a periodontist, gum and bone specialist. This is what I would recommend to my patient with your concerns. Your cardiologist should be able to discuss your condition with your dentist and advise if any additional precautions are necessary with your health history. Many surgeons require good dental health status prior to surgical clearance. I avoid nonemergency dental procedures for the first few months following surgery. Dentists follow a standard antibiotic prophylaxis regime prior to dental treatment. I follow guidelines set by the American Heart Association. Thank you for your inquiry. I am glad to answer any additional questions that you may have and hope you find my information 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: I was diagnosed with mild to moderate diffuse cortical thinning laterally. My kidneys are normal size. My creatine levels are normal. And my EGF are is 59. I m confused about my diagnosis. I don t know what it means to have cortical thinning. How serious is this? I m 47 with hypothyroidism but other than that I m healthy or do I thought ### REPLY: Hi, As a Urologist, I can understand your anxiety. Cortical thinning is suggestive of reduced kidney function, probably from UTI. Normal GFR should be above 90ml/min. An isotope renal scan shows accurate kidney function on each side. Moderate and diffuse cortical thinning occurs from recurrent UTI. You'll need to do urine routine and culture, blood creatinine, RBS and LFT. You can send me a direct question to clear doubts, with an expert opinion. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 23 and has been in Israel for 2months- she had an episode yesterday that caused her tongue to swell up and the insides of her lips to get blotchy. It was very scary and today she says the tip of her tongue is numb and the lips are still looking blotchy. She went to a doctor and he wrote a script for tests but they will run 1500 and the results will take 2 weeks. She is due home in 3 weeks. It sounds like allergy to me but she said she did not eat anything unusual. Any ideas? ### REPLY: Hello, By the very history it looks like angioneurotic edema which a form of allergic reaction. This type of allergic reaction is a cause for concern.Most of the time this type of reaction is related to food allergy. It is strongly advised to avoid any allergen which is suspected to cause the allergy. Due to edema of the tongue it may fall back and obstruct the airway. Keep her under constant observation. Sleep on her sides to avoid tongue falling back and obstructing the airway. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell and broke my right ankle in May, 2011, resulting in a six inch plate in that leg. I also had a severe sprain in my left leg. My left leg still is discolored from the ankle to the knee and the pain is increasing in my knee like it has been jammed. It hurts on the front/top of my left knee. Any suggestions? (I am 57 years old) ### REPLY: Hi, What I feel is, haven't you got checked your other limb as well? If it was then any diagnostic procedure wasn't done like X-ray? Now since you had got operated for right side, this is but obvious that the left side has to take the maximum weight of the body and will lead to damage to the knee and ankle joint. Taking a proper guidance from physical therapy and routine exercise to be followed should help you. The knee issue over the right could be the early signs of OA as per your age. Also, you haven't mentioned being having high blood pressure or diabetic? Well please follow some simple exercises guided by a physical therapist and also get yourself checked by an orthopedist in person. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, on november 2013 my mom throw up out her mouth blood, she went to the doctor after an ray x and a tomography the doctor said that she has scars in the lungs, my mom has never had TBC, just when she was young she got cough and just take pills, the doctor said that was the problem for having scars now, the doctor said that the scars will no cause any problem but sometimes the scars can get infected, well the doctor said she just to rest and give her some antibiotics, now is april 2014 and my mom is fine , she didnt have the problem again, but my question is, will that scars cause any problem in the future?? i read about pulmonary fibrosis, and that scared me a lot, i hope you can help me, please doctor answer me............sorry for my english i am writing from Peru. ### REPLY: Thanks for your question on . I can understand your situation and problem. Any lung insult either pneumonia or tuberculosis or lung contusion, after treatment heal by fibrosis or calcification. And this fibrosis or calcification appear as scar on chest x-ray. And it will appear throughout the life. So scar tissue on her x-ray is mostly due to past illness. But the worrisome thing in her case is hemoptysis (blood in sputum). We need to rule out infection (pneumonia or tuberculosis) in her case because of hemoptysis. So get done1. CT thorax2. Sputum examination for AFB3. Sputum culture and sensitivity. CT gives more information about scar tissue. It will also rule out pulmonary fibrosis. So consult pulmonologist and get done above-mentioned tests and start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi can you tell me. i have a burning pain in the right side of my body. It started one week ago in the upper outer arm area. Than i felt in the right side of my around the area of my nipple line to my illac crest area. In the last couple of days it has migrated down my arm all the way to my fingers and is now felt in my leg. What could this be? I have felt none in my face other than for the last 2 weeks my around the area of my moler (which is removed) has been burning. I am on no medication. do not smoke no birth control pills. age 46. ### REPLY: Thanks for your question on . In my opinion you are having sensory neuropathy. This can be seen in1. Diabetes2. It b 12 deficiency3. Zinc and magnesium deficiency. 4. Nerve root compression at spinal cord level. So better to get done1. HbA1c to rule out Diabetes.2. Get done it b 12 level.3. Get done magnesium level.4. Get done MRI of whole spine. You can start multivitamin having zinc and b 12. Start magnesium supplement. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hemochromatosis. Never really had a problem with it. I usually get my ferritin checked every 3 months and get a pleb with my numbers reach over 50. I have never had elevated levels when I ve had blood work done. Last time I went to my GP was about 1 1/2 yrs. All levels were normal. I ve recently been overly busy and haven t gotten my ferritin checked. I was sent for blood work from my GP. Ferritin came back at 209, but also my glucose is 101 and my AST is 45 and ALT is 56. He wants to send me for more specific liver blood work. Any ideas why my glucose, AST & ALT are elevated? Thanks ### REPLY: Welcome at it  I have gone through your query and being your physician I completely understand your health concerns... What is your age ? Have u suffering from diabetes?  Are u taking any meds?  Is your fasting blood sugar 101 or random?  Based upon the lab values you have mentioned it appears to be a slightly deranged liver functions which can be explained with hemochromatosis... Have you done your liver ultrasound? What is the texture of liver? You should meet Hepatologist so that you can be examined and investigated accordingly... As far as blood glucose levels are concerned I don't think it is worrisome.... If you are really concerned get your fasting blood glucose level done... Hope your query is adequately ad .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past few months i have indentations and bumps that are appearing on my head/skull. You can easily feel them, they are not cyst or acne type. my background: 47 female, failed back surgery 7 years ago for stenosis at l5,l4 and r5. Chronic severe back, pelvic and leg pain. Muscle atrophy and weekness of left leg. Neck pain. Costochridtis first on left side then on right side within last three months. Depression, fatigue, anxiety. Pernicous anemia. For last 3 years (worsening) mental fog , forgetfulness ### REPLY: Hello! Welcome on  ! Your symptoms could be related to osteoporosis or vitamin D deficiency. For this reason, I recommend consulting with your doctor and performing some tests: - a brain CT scan to examine the scull and the brain-complete blood count-blood electrolytes, including calcium and phosphorus-vitamin D levels-cortisol plasma levels, for a possible a .  You should discuss with your GP on the above tests. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor. a few days after my Gallbladder removal i had some pain from surgery area.. after i had bm it went away. but a few days after that i got some bad burning sensation going up my chest . it wasn t bad in the start but now it comes and goes, it hurts at times and doesnt let me sleep also. what is this pain? and how can i make it go away ? ty ### REPLY: Hello! Thank you for the query. In some cases the gallstones symptoms and peptic ulcer symptoms/acid reflux are very similar. That is why after gallstones removal, sometimes the patient still has abdominal pain. It is because the main reason of his pain was not gallstones but peptic ulcers. This has probably happened at your case. The other possible reason is the stone left inside your biliary tract. Chest burning always should be checked with heart condition. Especially if the pain radiates to the left shoulder or jaw. You should have heart ECG, abdominal ultrasound, liver tests (AST, ALT,GTP), amylase, bilirubin and if no findings in these tests, upper GI endoscopy should be performed. Hope this will help. 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 brother had an accident few months back and was treated but now he is suffering from lower backache x-ray report says "loss of normal lumbar lordosis-due to muscle spasmlumber spondylosismild superior endplate compression of the D12 vertebra anteriorly could be post traumatic. would recommend clinical correlation" ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  Your brother had an accident few months back, now getting backache, X-ray showing loss of normal lumbar lordosis, due to muscle spasm, lumbar spondylosis, mild superior end plate compression, of d12 vertibraanteriorly could be post-traumatic.  After few months means may not be related to the actual injury, the things to be treated symptomatically, to the present condition.  Besides treatment of orthopedic surgeon, you try to sleep in a hard bed mostly in supine position, minimize weight-bearing.  Avoid taking potato, other tubers, tomato, egg, chicken, and seafoods.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, from this years january i was having my periods in an 13 to 16 days gap, where as i used to have it in 28 days gap. Last month i had unprotected sex on the 4th day of my periods. A week later i had sex again but this time i took an emergency contraceptive pill. Bt still im not having my periods till now where 16 days is already over. Am i pregnent? ### REPLY: Hello, Unprotected sex during period is very much safe. Taking emergency pill within first 24 hrs gives protection more than 95%. Though it depends on ovulation time. Emergency pill can delay your period for 1-2 week or more. You need to check your pregnancy status by one blood test for beta-ChatDoctor. Please consult with your doctor regarding this. Take healthy diet, avoid stress, maintain genital hygiene, practice safe sex and use regular contraceptive pill instead of emergency pill. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. I have pain in my right calf below my knee ... i have had tests.. ultrasound came back negative for dvt ... blood test said that i have a clot but he wasn t worried because this can be false sometimes due to break down of the blood cells or something... anyways this pinching pain is driving me insane and seems to be getting worse.. i feel like an idiot because i feel asthough im going insane with this feeling... doctor stated he doesn t know what it is.. there is no redness or swelling.. so can you please help me to find out what is going on.. it wakes me up in the night and it is driving me nuts .. i have had this issue for over 2 weeks now.. ### REPLY: Hello and thank you for sending your question. It is possible that you had a small blood clot in a small vein. I would recommend that you continue local therapy to that area which includes warm compresses and take ibuprofen three times per day for the next 10 days or so. I would suggest that you talk to your doctor about having a repeat ultrasound performed within the next two weeks to reassess this area. Thanks again for sending your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ma 54 year old man, I am suffering of enlarged prostate, I have sugar in high levels , 120-160 or so. First dose Vodka gets to lower dow the sugar levels? My blood exam are okay but the HDL=28 MG/DLtriglycerides 175 mgs. Glycemia 140 mgs%, and the PSA 5,24 NG/ML ### REPLY: Hi and. As a Urologist, i can understand your anxiety. Your symptoms of enlarged prostate, shouldve been made by a Urologist. The diagnosis is made after following tests :1. Urine routine and culture.2. Blood routine, creatinine,RBS, LFT,PSA, and platelets.3. Uroflowmetry.4. Ultrasound scandium, with residual urine. Your PSA is marginally elevated, which needs a repeat test after 3 weeks. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fell down stairs last night and had excruciating pain in my right shoulder area just below scapula. I have a stabbing pain when breathing in deeply but not as bad as when I cough. I am able to move both arms around freely and whilst sitting down in an upright position all syptoms ease. Been taking Neurofen express every four hours. I also got hematoma on my right hip with friction burn from the stair carpet. I can raise my arms above my head and there is no problem. Would you suggest it is a muscular injury as opposed to ribs or lungs? ### REPLY: Hello, In my opinion, the symptoms can be related to a muscle injury. I suggest doing an X-ray to exclude a rib fracture. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. Furthermore, I also recommend cold compresses for local application. Rest is necessary for fast recovery.  Hope I have answered your query. Let me know if I can assist you further. Take care.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a 10 yr old girl and her school called me and said her heart rate was 180bps and she said her chest was hurting and she had a headache, then after she laid down and rest for a while it still stayed about 148 and didnt go much lower, Is there anything i can do to help her, or anyone have any ideas what this may be? ### REPLY: Thanks for your question on . I can understand your concern. Possibility of arrhythmia (rhythm disturbances in heart) is more likely for her fast heart rate. Resting heart rate of 148 is also very high. So immediately consult cardiologist and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hours continuous recording of ECG). She will need anti arrhythmia .  Don't worry, with treatment she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. 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: yes I am a female 25 years of age and I have a large mass on my left lung and I have been havin pain between my shoulder blades and under my left breast and rotating to my left arm also having difficulty breathing and painful breathing I am afraid this is lung cancer I need help ### REPLY: Hi! Good evening. I am  answering your query. Any mass in the lungs need not necessarily be a cancer. However, considering the difficulty in breathing, this should be investigated properly and earliest possible management be done. If I were your doctor, after a detailed clinical examination and related investigations, I would refer you to a higher center where specialist consultation and management would be possible. It might not be possible to opine on your problem over the net. For the present, you might go for some anti-inflammatory along with a proton pump inhibitor . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir my daughter is 2 years old. she had puss in motion( similar to that colour of nose puss) on sunday for about 5 to 6 time. And some times motion colour was like puss. Yesterday it was 4 times.  I want to know what is the reason behind that. What can i do with it. ### REPLY: Hello, Welcome to . I understand your concern. Pus in stool may be due to dysentery, malabsorption or eating diet rich in fats. Does she have fever, abdominal pain or vomiting? If yes, then infection due to shell or amoebic dysentery can be there. She should be given antibiotics, so you should visit your pediatrician. In absence of these symptoms, it can be due to malabsorption or high fat diet. Is she taking more amount of butter, cheese, cream, oil etc. recently? If yes then reduce the amount & see if the symptoms persist? Hope this will be helpful. 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 on my period and yesterday I had sex.  It is about the 4th or 5th day of my period.  It is a normal flow period.  He used a condom and waited for me to finish.  After I was done he got out of me still with the condom on, he was not near cumming.  Anyway he never came.  Is there any chance Im pregnant or no? ### REPLY: Hello dear, I understand your concern. In my opinion there is no chance of pregnancy in your case. Usually there is scope for pregnancy when the semen is ejaculated inside or around the vagina during the fertile period. Roughly a week before and after the periods and period days come under safe period which means there is no chance of pregnancy even with unprotected sex. This is applicable only in case of regular cycles as the period can be predicted. So there is no chance of pregnancy in your case as it was done during the period. So relax. Avoid stress. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has colon cancer and tumors around her stomach. About a week ago she started vomiting and cannot seem to eat. Therefore doesn t want to. What could be causing her to vomit so much. They have tried an anti nausea cream to her wrist and still nothing. I got her to eat chicken noodle soup and tapioca pudding over a 3 hour period. About 2 1/2 hours after the soup, she threw it all up. It was very brown. ### REPLY: Thanks for your question on . Yes it is the cancer itself which is causing vomiting. There are many causes for vomiting in colon cancer patient.1. Obstruction in the bowel. Due to this food does not propel further and cause vomiting. 2. Hyperacidity and gastric ulcers.3. Compression of stomach and duodenum due to surrounding enlarged lymph nodes.4. Chemotherapy .  So causes are many. But treatment options are limited. Try ondansetron tablet. As this is specifically used for vomiting associated with malignancies. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother-in-law has been weak, sitting in her recliner 24/7 (due to knee pain ) and not even going to the bathroom. She has been using the bedsite portable potty for about a month. She has a history of alcoholism . We just got results of blood work--no sign of hepatitis . Abdominal scan showed gallbladder was distended. She also has a silent UTI. Still has dark urine. Today we were told we were being referred to a gastroenterologist . What are they looking for? ### REPLY: Hi thanks for your question. Alcoholic,Knee pain, silent UTI and finally distended gall bladder. The treating physician has to fix a priority, which condition is more serious and needs urgent attenuation of a specialist. So I think you should have asked this question from treating physician who may be able to explain you better. In my opinion reason for referral to the gastroenterologist could be a very much listened gallbladder, which may rupture leading to biliary peritonitis with high mortality. The cause of distension of gallbladder must be the one which could be managed by non-surgical means. Hope this answers your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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... hi, i had sex with my girl friend on her first day of periods from very next day her bleeding stopped ,but i mastrubated out ,weather she will become pregnant . please tell can she take any pills , already once she has taken the pill with in 72 hours 6 months back she can take one more time ple tell me we had sex two times its alredy 69 hours over ple help ### REPLY: Hello dear, I understand your concern. In my opinion there is no. Chance of pregnancy. The first day of periods comes under safe period. So there is no chance of pregnancy even with unprotected intercourse.Hence, there is no need of any pill. There is no relation between the intercourse and stoppage of menstruation. It might be coincidence and due to some sort of hormonal imbalance. So nothing to worry. Relax. Avoid stress. Best regards... Gynecologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, this is my fourth month of pregnancy,and my thyroid level is much higher than normal.now i want to know what complications i could fac e in near future.is this also bad for the baby. what are the contolling measures for it. thanx ### REPLY: Hello, and I hope I can help you today. Overactive thyroid is actually normal in some women during the first trimester of pregnancy, because the pregnancy hormone stimulates the thyroid and its levels are highest in the first trimester.  It is not dangerous unless your levels are very high, and you have symptoms (like a racing pulse or heart palpitations). Severe overactive thyroid can lead to a condition called thyroid storm, which can cause heart failure and other complications; but again, this danger is only to the mother. Your OB provider should refer you to see a specialist if your levels are so high that you may need medication. When the baby is born, it is important for the babies pediatrician to know about your thyroid history, as sometimes the babies hormone level can be too low after birth because it has received so much thyroid hormone from you while it was inside. I want to reassure you that treating your thyroid hormone level really depends on how high it is, and many patients do not even need medication.  Discussion with your prenatal care provider should help in determining if you need medication. You may need to see an endocrinologist who can prescribe medication to lower your levels of thyroid hormone if they are at a dangerous level.  I hope I was able to adequately answer your question today and that my advice was reassuring to you. Best wishes, and good luck with the rest of the pregnancy, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good day, I am experiencing severe tooth pain, probably 7/10.  The standard 400mg motrin, 1000 mg tylonol mix isnt working (offset every 4 hrs) I have darvaset prescribed and have taken one, but am not sure if I can take another.  Time frame of meds is as follows:1000mg Tylonol  630pDarvacet             1030p ### REPLY: Tylenol and Margaret have the same active agent you can take tab Diploma for your relief but I would not suggest you to rely on these medications for tooth pain. Any pain in tooth arises due to an infection in the tooth which usually is a dental decay or a gum infection in either case medication only temporarily subsides your pain and the problem recurs again after few days in worse manner so much so that it is not possible for the dentists to save the tooth. So for any of the patients with dental complains who are reading this if you know over the counter .  You like your teeth don't 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: DOCTOR, PLEASE ADVISE ME ABOUT MY TOOTH ACTUALLY MY WISDOM TOOTH IS BROKEN HALF I DONT WANT TO REMOVE  NOW INER PART IS IN DIRECT CONTECT PLEASE ADVISE MY HOW CAN I TAKE CARE AND HOW IT WILL RECOVER AND BUILT UP ANY CREAN OR ANY SPECIAL MEDICINE WHICH CAN RE BUILT OR SEALED ? ### REPLY: HiT hank you for posting your condition at . Regarding your condition, you have reported that your wisdom tooth is broken, hence it would require treatment. The three treatment options available for your condition is1. Extraction of the tooth. (removal of tooth)2. Root Canal treatment (if the broken teeth have involved the pulp-pulp is the part where nerves and blood vessels are present)3. Removal of decayed area and filling (if the broken teeth have not involved pulp)Since you have opted not to get your teeth removed, either Root canal treatment or filling are the only options left for you. Your dentist will be able to decide whether you require root canal treatment or mere filling is sufficient. However, many times it would be very difficult to perform root canal treatment for reasons like poor accessibility, positioning etc. In such case removal would be the best option Hope I have answered your concernsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir,I have abdomen bloating, chest tightness, shortness of breathe and losing my body weight quicky since last 12-15 days. I also experience pain in lower stomoch a lot of times and gas problems.Please tell me the reason behind all these problem and what kind of treatment do I need to treat it. If possible, Tell me sone home remedies to treat myself. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of chronic lung infection like tuberculosis, fungal infection etc. or chronic bronchitis is more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3.  PUT (Pulmonary Function Test) to rule out bronchitis. If all these are normal than get done ECG and 2d echo to rule out cardiac diseases. Home remedies will not give you symptomatic relief. Better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 11 year old child has headaches everyday for past two weeks but she gets a sensation on her forehead before the headache starts, she says this sensation feels like a nettle sting. She takes painkillers and they go away but keep coming back, she is otherwise well ### REPLY: Hi... Thank you for consulting in . Headache in kids need to be considered serious only when the below symptoms are there -1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have extreme pain in my hip when I get up from sitting. Even a short time sitting. I can barely walk, but I walk it off for a few minutes, and outcomes away. It also hurts when I move a certain way. Almost brings me to my knees.I have been dealing with this for years, but it goes away for awhile than comes back. Now it is the worst it has ever been. What do you think is causing this. ### REPLY: Hello, How old are you??  Possible causes of pain in the hip are:1. Arthritis:osteoarthritis and rheumatoid arthritis are among the most common causes of hip pain, especially in older adults.2. Hip fractures. With age, the bones can become weak and brittle. 3. Bursitis. 4. Tendinitis.5. Muscle or tendon strain.6. Hip labral tear. Until examination is done, it is difficult to say what it is. Weight reduction, regular exercise, intake of calcium supplements may useful. If symptoms not improved get it done X-ray hip joint and treated accordingly. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just got a new blood test and my white blood count was 13.5 down from 15.3. I stopped taking lithium which was thought to be the cause of the WBC reading. There is still lithium in my system (.5). I assume that the decrease in my WBC is good, but still high. Also, I still have chronic nausea. Could the lithium still be causing this? Thanks for your help! ### REPLY: Hello, Thanks for the query to . Forum. If lithium level is more than 8 me/L than it causes toxicity, but in your case as level is progressively going down, so don't bother. 2nd point is white blood counts as this came down from 15300 to 13500/CMM, so it will come at normal level within 3-5 days. As nausea is there, so take some syrup (containing local anesthetic as oxytocin) for 2-3 days+ sanitizing once a day doe 2-3 days. 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 doctor, my name is himanshu & i am 21 yrs old ,i have suffered a habit of hast maithun since 4.5 yrs, and my mind has been totally changed ,i cant studies because focus has been lost on my studies..............please tell me the solution of this problem ### REPLY: Hi Himanshu, You are unnecessarily thinking about Masturbation and its negative effect. Masturbation is normal habit with people around and such feeling are absolutely normal in your age. You keep the worry aside and concentrate on your study. You should think only about the pleasure of sex, then jerk it off and leave it. Some things you can try1. Meditation2. Exercise and Yoga3. Keep yourself busy4. Do not stay alone for much time so that you get less time to jerk off5. Be happy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dad had gas trouble and got some pain near the chest i just want to know whether gastric trouble leads to heart attack.and he checked his condition near a doctor that to a cardiologist and the doctor had tested him i.e. ecg blood test and sugar test everthing is negative ### REPLY: Hello if your father is diabetic?? What is age ?? Smoker?? Obesity?? Gastric symptoms many times present as heart attack. ...these are not classical symptoms. But if you have these symptoms. And risk factor I mentioned earlier.... Don't neglect... Just do ECG... Which rightly done by you...u can go ahead with TMT and echo....once sure...these are not related with heart then can treat separately gastric symptoms... Need not panic every time ...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 hav high tryglycerides in my blood..is it herediterary ? both my parents hav high tryglycerides. i hav levels of 450 which is very high risk m on a wt loss means gettting fitter program becoz i m obese along side it what sort of medicines or drugs should i take to lower it . plz help.age 23 yrs wt 90 kgs ht 5 foot 8 inch. no other problems father is heart patient had angioplasty done last yr though he is fit wt ht wise perfect bmi ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Yes, 450 is very high risk and should be reduced.2. There are hereditary disorders with elevated levels of triglycerides. However, at present you are having obesity related hypertriglyceridemia. It's not genetic. Evaluation for metabolic syn . 3. Need at least 20 kg weight reduction. Regular aerobic exercises is also necessary. At this level, if you are not able to reduce, you can go for LDL apheresis for immediate reduction and future maintenance. Medications like vibrates and statins could help, however, at these levels LDL apheresis is necessary. 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: My husband wakes up each morning and also through the day always has the taste of blood in his mouth. He went to A DENTIST and he said it maybe a mild Gingivitis infection and to use a mouth wash . He is on Warfarin 9 mgs a day for a long clot he got in leg mid May. ### REPLY: Thanks for your query, I have gone through your query. The gingivitis or gum infection can present with bleeding gums and warfarin is a blood thinner it might aggravate the chances of bleeding gums. Consult an oral physician and get your teeth cleaned. And maintain a good oral hygiene by brushing your teeth twice daily and rinse your mouth thoroughly soon after eating anything. 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 SON IS 6 YRS OLD. HE DEVELOPED WHITE AND DARK PATCHES ALL OVER HIS BODY. WE ARE NOW USING PLACENTREX GEL AND TACROLIMUS OINTMENT. WHAT IS THIS DISEASE? WILL HE HAVE NORMAL SKIN IN THE FUTURE? THE PATCHES ARE NOT DISAPPEARING EVEN AFTER USING THE ABOVE CREAMS. KINDLY HELP. ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having this gum problem in my mouth on the left side by on the upper jaw and its very sore and very red and inflamed and it hurts a lot especially when anything touches it like foods or drinks and I have a wisdoms tooth that is trying to come down and Im wondering if that is it or a gum infection because where my gums a sore there a sore by it and its white on the outside of the sore well around it and I used oragel numbing stuff on it and it only number it for about 35 minutes and it just wore off ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint it seems that you have inflamed gum flap over the wisdom tooth leading to Peritonitis and inflammation can occur either due to infection or due to traumatic injury to the gum over the wisdom tooth. You should consult an Oral Physician and get evaluated, and a thorough clinical evaluation can help in diagnosis, and you can also be advised to get an x-ray of the area done. In case of peritonitis you will be advised to take antibiotics like Augmenting, anti-inflammatory painkiller like Ibuprofen, do warm saline gargles and take a soft diet. In case if the gum flap keep offending again, and again you can get the flap removed under local anaesthesiaHope 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: i have had lipo suction on a turkey gobbler im post op 4 weeks while i understand the healing process takes months i have developed a hardish pocket like bulge under my chin after the op it was not there an looked good my surgeon told me its deep bruising an sugested massaging and ultra sound is it safe to ultra sound in this area ### REPLY: Hi...you have done liposuction 4 weeks ago.sometime after liposuction there is blood accumulation(hematoma or Serbia) formation in the dead space created by liposuction.usually this is resolved in a week or two.in your case I would recommend doing ultrasound of that area.ultrasound is a very much safe investigation you can do it...there is no problem in doing ultrasound of chin and neck...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 ate dinner last night about an hour later i fely something thick on my gums. It felt to thick for food. I moved it with my tongue and it was clotted blood. My gun betweeb two teeth were bleeding but not profusely, kind of like when you keep flossing and picking trying to get that stuborn piece of food out. It finally stopped. This morning wheb i woke up i felt same thickness and it was another blood clot. Whats going on? ### REPLY: Hello, Thanks for consulting , Read your query, as you have blot clot in between two teeth don't worry this clot formation can be due to carious tooth present, may be cervical caries or root caries, or due to injury of periodontal ligaments due to flossing, picking, improper brushing technique, or trauma during brushing.  Don't worry so much I will suggest you to consult dentistnand go for oral examination and if needed go for investigations Iowa X-ray of tooth to evaluate the cause of blood clot formation. In meantime do warm saline gargle two - three times a day, you can apply ointment like gum plant on gum for relief in inflammation of gum. Hope this will help you. Wishing you good health. ### END