Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 20 years old and i had a laparoscopic gallbladder removal 2 years ago. yesterday i had allergies which made me sneeze a lot and today i woke up and my right lower side if my stomach where my surgery was hurts whether i cough or sneeze could it be sore or could it be appendicitis? i have no other side effects just that it hurts when i cough and sneeze ### REPLY: Hi.post-operative pain/discomfort, resolving spontaneously, can occur even after years of operation. If the symptom is persistent, and you are bothered by it, it is best to do a follow-up consult with your surgeon, to rule-out any other condition which might be present. Diagnostics (such as ultrasound and ct-scan, blood tests) and management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband is having a problem with his penis. It seem like a bladder infection but he has been to the uriologist and he scoped the bladder and he said there is no infection. My husband says that it feels like the head of his penis spasms. He is 67 years old and had his prostate removed 13 years ago. Can you think of any reason for this constant problem? ### REPLY: Hello really appreciate your concern and being your physician, I will try to help you out in the best possible looking at your description this could be suggestive of injury or inflammation, STI or other infection and an allergic reaction sometimes passage of concentrated urine can lead to penis spasm. I would like further information to help you better relevant medical history like diabetes or liver disease?is he having any kind of discharge or itching sensation? In my opinion he should keep it clean and apply antiseptic ointment If it gets worsen or doesn't improve than he should consult your doctor for physical check up and detailed evaluationMaintain good hygiene him to have plenty of fluids orally use condoms during sex until it heals completely Hope this answers your question if you have any more doubts please feel free to write back to me, I will be happy to 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: Hello Sir, am having a pain in my toes whenever i wake up early in the morning and i step my foot on the floor or after a break when i get up from a seat i get a tickling pain in my toes..And between i also suffer from pain in my knees too.I have been diagnosed with uric acid of 7.2 last year. I eat a lot of outside food and non veg. Please suggest me ### REPLY: Hi I am . .  In my opinion you have a kind of gouty arthritis due to increased uric acid that was mentioned in your given history. You may use painkillers like NSAIDs like Advil tab when needed, high fluid intake, proximal or allopurinol sachets, hot gentle massaging with topical gels, B12 vitamin supplementation physiotherapy and exercising will be helpful.  Try to avoid overweight, vigorous movements, high protein and salty meals, red meat, alcohol and smoking are the main goal of treatment. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i had surgery 2 yrs ago on my ankle, a car wreck caused fractured heel and 3 broken bones in my ankle. they did surgery but apparently it didnt heal correct. i have been to orthapedic dr he said i needed surgery by an ankle specialist. i currently have passport healthcare but will change health plans in order to have this surgery covered. thank you ### REPLY: Hi, thank you for providing the brief history of you thorough musculoskeletal assessment is advised. As mentioned in your history, it is good to hear that your feet is saved firstly. Also, post surgery, did you perform any exercises to regain the ROM of ankle joint and strengthening of the muscles? Also, do you have any current symptoms like, pain, swelling, discomfort etc. Now to understand the healing of the lower limbs, it varies from patient to patient and also from injury to injury. Lower limbs in theory can take up to 8 weeks, but when comes to ankle and foot, it may take longer. Since the patients keeps asking about the walking, they are made walk early with non weight-bearing and then full weight-bearing. The bones of the feet are smaller and then need adequate time to heal. In that duration, doing physical therapy helps improve the ROM and strength in the muscles which prepare the body for propulsion and weight-bearing. Most cases, due to pain avoid physical therapy and the ultimate result turns out to be dissatisfaction. I will advise you to undergo physical therapy as it will help you to regain the ROM and Strength. Also, the post fracture, the remodeling of the bone is provided by the muscles by friction of the muscles over the bones. You may not necessarily need to undergo a re-surgery for the foot, if the ROM and Strength are back. I have seen cases with similar complaints so I am aware that what helps to avoid the re-surgery. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with spinal stenosis and L5-S1 Spondolithesis after having an MRI of Spine. Dr. wants to preform a series of Epidural Injections. He said there was a 50% chance of improvement in pain as best result and worse case scenario could be paralysis or death! I don t feel comfortable with these odds. Of note I did have a Cortisone shot in my arm for a different injury and I felt very sick and nausea after for about a month. My arm did not improve. What other recommendations might you have for treating my back injury without injection? Thank you and I await your answer! Sincerely, Eva ### REPLY: Hello and thanks for using . I have read your question and understand your concerns. You can try physical therapy (traction lumbosacral exercises) and NSAID . Epidural injections may have some risks, but death it is a little exaggerated I think. However, definitive treatment about spondylolisthesis is spine stabilization surgery. I think you should get evaluated by a Neurosurgeon or a spine Surgeon in order to get a correct understanding of your condition and treatment. Hope you found the answer helpful. Greetings. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hepatitis b a month ago and was giving some drugs like liv 52,reducydyne and lamivir 150g containing 60 tablets which i have finished taking so suprisingly when i went for a retest i was told that the hepatitis is still there..so i was wondering what could have gone wrong and they are now refering me to liver function test ..????? ### REPLY: Hello and welcome to . Hepatitis b is caused by the hepatitis b virus and is transmitted through sexual contact or during childbirth. It has two possible stages : the acute stage and the chronic stage. In the acute stage you have now become infected with the virus. Symptoms occur 1 to 4 months after contact with the virus. Chronic infection is infection lasting longer than 6 months. About 5 to 10 % of people may go on to have chronic infection. In chronic infection you can be a carrier (the virus is there, but you do not have any symptoms, although you can still transmit to other people) or you can have active disease which require medication. Some persons with chronic active disease can develop cirrhosis and blood test will help to identify this. Most persons with acute infection the infection resolves, acute hepatitis is not treated with any antiviral medication like the lamivudine you seem to have been given because it is expected to resolve on its own. In cases where the person is deny . Antiviral medication is given in some cases chronic hepatitis in persons with active hepatitis and those likely to progress to cirrhosis. They are given based on the liver function tests which would let your doctor know how well your liver is working and blood tests to see how much of the virus is in the blood. Anti-viral medication stop the virus from multiplying, but not all persons given antivirals respond to them in the same way. You need to find out whether your doctor believes you have the acute or chronic infection ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a mirena put in 2010, no problems until last mth had a light period this month very heavy bleeding. went to obgyn he states mirena might be embedded, tried to retreave it but string was too short. set up for surgery to have mirena removed and tubes tied. had pre-op blood work done then was called back later the same day & told to come back to hospital my platlet count was 6!!!! ended up having to have platlets and immune globulin count went up to 80 in 3 days, dismissed from hospital period was very light, started bleeding medium next day went back to hospital had blood work up platlets were at 110 told could go back home & follow up with hematologist on Thursday. very scared, what caused this? ### REPLY: Hello and welcome to , Platelet counts can be very low due to two mechanisms. Destruction of platelets in peripheral blood or bone marrow or decreased production of megakaryocytes or platelet precursors in bone marrow are two common cause of decreased platelets counts. The platelet count has recovered with platelet administration and immunoglobulin, however, this recovery may be temporary. Viral infections are common cause of decreased platelets which recover with time. Consultation with a hematologist is needed. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...I have been told that I need either GTR or osteoplasty(which I believe is bone grafting to close a pocket around tooth 18.I have yet to do a formal consult with a periodontis. Do suggest one method over the other? ### REPLY: Hello, thank you for consulting with . Actually these are procedures of bone grafting only, in which the gums of the tooth which has pocket are raised by surgery and a bone graft is placed between tooth and gums and then again gums are repositioned back. By this technique bone is formed again and pocket is healed. So nothing to worry you should go for the procedure. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 year old daughter has a terrible headache. About 10 days ago she had strep throat. Then 4 days ago she had a virus. Both times she had a fever of 105. She seemed better as of yesterday but now she s complaining. She hasn t been around anyone. She hasn t left the house other than to see her doctor. She has a temperature of 99.8. What is going on??? ### REPLY: Hello, Fever of a few days without any localizing signs could as well a viral illness.  Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all.  Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. 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 took cytotec last friday, orally 2 tabs and vaginally, 2 tabs with 2 hrs interval. then i took another last sat, 2 tabs orally then on sun, i inserted another tab into my cervix. last night, i inserted again 2 tabs of cytotec, then took 6 tabs of it orally but still nothing happened. no abdominal cramps, no bleeding. im on my 6 eeks of pregnancy. hat does it mean ### REPLY: Hallow Dear, I sincerely feel you should have taken medicines for termination of pregnancy on an Obstetricians advice. Chaotic (Bisoprolol) works better if taken after Mifepristone. However, only Bisoprolol also can terminate the pregnancy. Usually, the termination process is complete within seven days. If this medicine fails, there is a possibility of congenital malformations in the baby and hence continuation of pregnancy is not advised. Please report to the Obstetrician to get this pregnancy terminated by suitable method. I hope I gave you the correct message, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 slightly bigger than pimple size, red, very painful bumps on multiple areas of body (both sides). The skin within an inch around them is also very sore. It feels like a stinging pain, but it also hurts like a deep muscle ache. I haven t changed anything in my daily routine as far as soaps, detergents, etc. I was recently at the beach in North Carolina and spent most of my time in the ocean. I also used a pool and a hot tub for a minimal amount of time. Some of these bumps almost look shiny like a blister and have a head to them. They have nearly doubled in size since discovering them this morning. I have 5 on my shoulder all within 1/2-1 inch apart, 5 scattered on my abdomen, 2 on both sides about 2 inches under my armpit and on my rib cage, one on my bicep and another on my forearm on my inside elbow, and two close together on my hip. What can they be? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You may have some acne on your body. You should take doxycycline tablet. Furthermore, you can go for local application of benzole peroxide & clindamycin.  .  Take citrus fruits. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have difficulty breahting when i try to inhale, i m a 16 year old male and i ve done sports my entire life, i was on a national swim team this year and have always been active. i experience a tightness in my upper chest when i try to breath in. i ve been on inhalers such as advair and a pulmicort flexhaler but none seem to work and i have no diognosis of breathing problems ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that it is necessary performing a comprehensive differential diagnosis between different causes that may lead to such clinical scenario: a lung disorder, a cardiac disorder, an allergic reaction or anxiety. For this reason, I would recommend consulting with your doctor and performing some tests: - a chest X-ray study and pulmonary function tests-thyroid hormone levels-allergy tests- a resting ECG and cardiac ultrasound. You should discuss with your doctor on the above issues. Hope you will find this answer 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 My name is Jon and I have strained some ligament in my knee six weeks ago and I am still getting pain in it. I think I ve done the Interior Ligament and now I am getting some pain across the front of my knee. Are there any exercises I can do to help the heeling process? Thanks ### REPLY: Hello, You must get an MRI scan of your knee to know actually which ligament has an issue and up to what extent. As few ligaments, the injury is healed by giving rest to the part and physiotherapy later on, but some require surgical correction. As already 6 weeks are passed its quite possible that you have some major ligament issue, so get an MRI scan first to plan the further management. 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: my mom had a potassium level of 2.4, she was hospitalized and given potassium intravenously. She still has a low level, please provide me some reasons for the low level and decrease in her levels & what can be done to help her maintain a healthly level? ### REPLY: Hello, it depends on the cause. Potassium replacement that fails to raise potassium levels is a finding commonly encountered when low magnesium levels coexist. She needs a magnesium measurement and potential replacement. The intravenous is the most efficient way to rapidly replenish potassium losses. If she's capable of taking . The most important thing though is to treat the initial problem that caused the low potassium levels. I hope I've helped! If you'd like more information, please let me know. I'll be glad to answer. Kind Regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I AM END STAGE RENAL.  I HAVE BEEN IN DIALYSIS SINCE OCTOBER, 2012.  WHILE NOW IN DIALYSIS, I AM CONSTANTLY ITCHING ALL OVER MY BODY, LOSING AND THINNING OF HAIR, MY PROTEIN IS ALWAYS LOW, AND THE CENTER STAFF IS ALWAYS STATING THAT THEY ARE PULLING OFF DRY WEIGHT AND EXCESS FLUID.  AS THEY P0ERFORM THESE PROCEDURES, MY BLOOD PRESSURE AND BLOOD SUGAR HAVE DROPPED QUITE A FEW TIMES.  GIVE ME SOME INSIGHT ON THESEMATTERS. ### REPLY: HiT hanks for the query. Here are a few suggestions for your problems:1) Itching: check serum phosphorus; if high it needs to be treated with binders and diet.2) For low protein : try oral and/or iv supplements both while on dialysis and off dialysis under the supervision of your nephrologist3) For low BP: increase the frequency of dialysis; decrease salt and fluid intake; avoid antihypertensive medications on the morning of dialysis. Hope this helps Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had a root canal last week on my upper pre-molar right side, now a week later I am still experiencing tingling, burning sensation on the affected tooth, pressure on the tooth behind it and overall feeling of jaw soreness. I have also experienced severe migrianes that appear out of nowhere and is different than a typical migraine that I have experienced before. It sends shooting pains up to the top of my head. I am on an antibiotic and painkiller/anti-inflammatory and nothing seems to help relieve this. I dont know what to do anymore with this constant pain... ### REPLY: Hello there, Thanks for writing your query, Dental pain is excruciating pain, and often it radiates to the adjacent teeth, entire jaw, head and ear regions. You may be feeling headache similar to migraine due to the existing dental infection in your oral cavity.  According to your history I can suspect some remnant of the infected pulp tissue has left unexplored during the root canal procedure or there is a missed canal due to which the infection has gone worse, and it has spread to the underlying tissues.  Because of the infection you are experiencing pain and discomfort. The infected tooth needs to be explored again for root canal procedure.  You need to get an x-ray done the affected area to confirm the presence of infection, approach a dentist for the treatment.  Antibiotics and analgesics will give you temporary relief, once the tooth is devitalized by root canal procedure all the symptoms will subside. I hope this helps, 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 was stricken with Bells Palsy nearly 3 years ago.  I did see my doctor to confirm the diagnosis, but was not treated with any medication.  For the past year or so, I have had problems with occasional moderate to severe cramping along my jawline on the palsy side (left).   Is this a normal side effect of Bells Palsy?  Thank you. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern.... As per your complaint Bells Palsy is caused when there is some disorder [like compression by a blood vessel, physical trauma, viral infection, compression by tumor or cyst, multiple myeloma] related with the seventh cranial nerve known as FACIAL NERVE which supplies muscles of face. Musculr spasms or cramps known as BIFACIAL SPASM is seen in many cases of bells palsy and the condition should be treated and is not to be left untreated. You should consult a NEUROPHYSICIAN and get evaluated and get an MRI done to rule out the exact cause of the nerve palsy and get treated accordingly. The physician may prescribe you with anti consultants like Gabapentin, Carbamazepine for preventing over firing of nerves which causes spasms. Muscle relaxants can also be advised. At times if the medical treatment fails surgery is the left out choice, and you need to be treated accordingly under supervision of Euro surgeon. As of now you can do warm compresses over the affected region. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. 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 within the last four days there are itchy red bumbs that have appeared on my stomach, they go all the way around it but mostly the middle and sides, at first they were small and itchy but now i see that they are more visible.  I am afraid that this may be herpes, but recently i did change my detergent to gain could that be it. I took two benadryl last night hoping that would help. I had the herpes scare but my doctor said all test came back negative, but still a bit weary what could this be and what can i use to make it go away. Thanks in advance. ### REPLY: Hello, Thank you for posting on . I can understand your concern regarding the skin lesions. It could be urticaria or scabies but It's difficult to point specific diagnosis in absence of clinical examination. Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way. You can reach me directly through the below-mentioned link.https://urldefense.com/v3/__http://doctor. ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, Name : HariPrasad Age 35 Sex Male Weight : 78, height:160cm Tested for sugar the count was 330. fasting count in the morning was 200. Not recognised any of the symptoms normally found on diabetes patients. Please suggest the required diet, exercise and medications if required. Can this be just get to normal level with only exercise and food? or Do i need to visit doctor? Thanks ### REPLY: helloRequired diet here is the diet without high sugar food. Avoid rice foods and .  Add wheat foods in your diet. Eat oats or fiber content foods. Avoid oily and very spicy foods. Exercise regularly but only mild -moderate exercises. Alcohol consumption should be stopped if you are alcoholic. Have a protein diet with egg white, Adam take fruits like blueberries, grapes, Rammstein McCarry out these methods and check the sugar level after 5 days. If u have any difficulties in between consult Endocrinologist. Hope this help Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have the skyla iud. Never had had a problem with it. I ve had it taken out because I had a leap procedure and when they said it was safe to have it re inserted I did. But I believe I have a yeast infection. I know I do not have any stds I ve been tested every time I ve been to the doctor this year and I ve been with the same partner now for 7 months. But every time we have sex and he cums in me I use the rest room but blood comes out with the semen and then after that it s a light brown almost barely noticeable but goes away within a day. Is this normal? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have IUD insertion. After sex with semen there is blood and brownish discharge. Mild spotting and discharge is common. If you have persistent discharge with blood then you should consult gynecologist for per spectrum examination. If required go for PAP smear test. You may have bacterial vaginosis or candida infection. But it requires examination to confirm or rule out. SO consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good night,My mom has a low grade lymphoma.  Shes suffering from fluid on the lungs which inhibits her to lie down and sleep.  She often times complains that shes cold - then hot, then cold.  Is that an internal fever?  She started her chemo treatment last Friday, but these symptoms were from before that. ### REPLY: Almost 80-90% of people with cancer will have low grade fevers. It is due to a combination of increased metabolic activity from the cancer and increase in substances released from the cancer, as well as the cancer itself. The fevers could also be from the fluid in her lungs. If she spikes a fever of greater than 101, you should take her to the emergency room. Otherwise, give her Tylenol for fevers to help make her comfortable. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 neck fusion c5 6 7 in 2011. I am still experiencing pain in my right arm. Tingling andnow my left arm is tingling and my neck feels like its being shocked or hundreds of needles being pocked. Im extremely tired and this is really taking a toll on me. Any suggestions? ### REPLY: Hi, I value your concern, and empathize with the fact that you still have pain, despite fusion surgery, but let us face it, fusion at one level does not do anything to prevent other disc from herniating.  Now what prevents, its strong muscles and good lifestyle. Second despite fusion nerve can show compression due to degeneration changes, which will need repeat surgery, consult a good spine surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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... my bladder feels really full n got a real pulsating pressure before n after i pee n stomach pains like period pains as soon as ive been toilet i get the pressure pain like i need to go again ### REPLY: Hello and thanks you for your query. I am  and I will try to help you as much as I can with my answer. This is suggestive of reinfection if you are female or prostate hyperplasia if you are male. You need to do monoculture and basic urine an analysis to rule this out as well as kidney ultrasound. Also, you should .  If there is no improvement you may need urinary catheter. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter has been experiencing pain in the lower left front and now back rib area.   It appears suddenly and last 1-3 days then goes away suddenly.  The  college medical just staff took xrays and said she has lots of excess gas.  where could excess gas be stuck and should she seek other medical help? ### REPLY: Hello! Thank you for the query. Such symptoms can be caused by urinary tract issues like infection or stones. Due to inflammation intestines can get irritated and stop working property. This can give bloating. The other symptoms present with urinary tract issues are fever, frequent urinating, burning while urinating. I suggest you to start with urinalysis, blood work and abdominal ultrasound. If she has any diarrhea or stools problems, stool tests should be also done. 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: Hi, I am having a really hard time to burp since yesterday and it seems like all the food that I ate was just stock inside my stomach. I m feeling a bit tight on my chest right now and there s this little feeling that I want to vomit. Can you give me a home remedy? I ve tried to drink sodas to burp but was unhelpful. Thank you. ### REPLY: Thanks for your question on . In my opinion you are having HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor and anti-emetic combination. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have habit. 8. Lose weight if you are obese. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby has had bumps all over his body for almost 2 weeks his dr said it is probably dry skin so I tried Vaseline she said if that doesn t work try switchin detergents and that isn t helping now they are even on his little bottom ands his temp is 100.6 what is going on? ### REPLY: Hi... I sympathize with the kid and understand your concern. The trick of the management is keeping the skin moist and never allowing it to be .  For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months. 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. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was in a car accident several months ago where my right breast and nipple area where brused from the seat belt, now the nipple has become inverted and skin has started to pucker I am also in alot of pain. I have had mamograms, ultrasounds, and an MRI, which doctors now think I have breast cancer also had biopsy ( waiting on results as we speak ). My question is could the accident have anything to do with whats going on now? ### REPLY: Thanks for consulting. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. The accident does not have anything to do with the breast cancer. Most of the breast cancers are genetic or runs in family. It can be treated by early recognition and treatment. don't worry you will be alright. Hope it helps. If you need further, detailed and quick assistance related to any health issues in the future, feel free to ask me a question directly from my profile. Have a wonderful time ahead. Best Regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am ashwin from bangalore im 25yr old and working in BPO night shift. 2yrs back i was in deep love with a girl & broked up when i was in love i couldnt concentrate on anything her face was in my mind.And my long term goal has been delayed so due to all these once in a month or twice in a week I FEEL LOW MOOD & DULL feeling rejected/no interest on anything/feeling lonely but after that next day i will be full sportive cool guy as iam always. Please help me out of this how to stop this, this is spoiling my career life cannot achive my long term goal which requires lot & lots of focus & concentrate...PLEASE HELP ME. ### REPLY: Hi dear. I had gone through your query. I understand your concern .low mood / loneliness / loss of interest in activities etc. may indicate depression. If it persists throughout day since 2 weeks then diagnosis is confirmed depression acc. To DSM IV. You need proper psychological evaluation and treatment. Depression can be treated with medicine / psychotherapy /behavior therapy / ECT choices depend upon clinical presentation. Medicines like amitriptyline / SSRI and benzodiazepine will help to reduce mood swings. In SSRI sertraline / Escitalopram / paroxetine will help. Exercise and meditation can help. Ensure proper sleep and diet. I hope I have answered your concern. Feel free to ask. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having high blood pressure. My Doc has given me the following medicineAmlokind-L , One daily in the morningZiram            One daily in the nightMactor -10  One daily in the night. Whar are the side effects of these medicine. For last 2-3 months I am feeling the problem of ED ### REPLY: Hello, As I start I would like to reassure you that none of the mentioned .  Now allowing L and Hiram are two medication for hypertension.  Allowing L contains a combination of amlodipine and losartan and Hiram is April.  In practice Losartan and April are not supposed to be taken together as than can deteriorate your kidney function an over a period of time and can increase the potassium to dangerous levels. So according to the latest recommendation they should be avoided.  You may consult your doctor about the same, so he can make necessary changes. Rest to keep the blood pressure under 135 / 85 should be the target. Actor is for increase in cholesterol or other component of lipids. It may cause muscle ache which is significant, you may report to your doctor.  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 previously had arthroscopic subacromial decompression withe distal clavicle resection and remove of one spur and arthritic bone from collarbone on myour left shoulder. Now my left shoulder hurts badly after sneezing. I am a 33yr old female and do have osteoarthritis. What could cause this issue? ### REPLY: Hi welcome to ChatDoctorI have gone through your query regarding pain after the removal of spur and arthritic bone. I can understand your concern It is very natural to feel pain & inflammation around the actual part, for quite some time, after a surgery, major or minor. Pain is not always in the body. A lot of it happens in the mind, and due to your depressed state, your pain cannot be resolved by surgery or medications. I would like to suggest you learn to be active with pain, reduce your .  Meditation gives you mental strength . Take a level spoon of Turmeric powder with a cup of hot milk in BF and at bedtime , helps alley pain and inflammation Application of Hot pack or hot water bottle wrapped in a towel on painful part helps alley your pains.water intake is very essentialAvoid constipation, sleeplessness, stress, tea, coffee, smoking, alcohol A  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, im a 27 yr old female and over the past 2 yrs i have been getting left sided chest pain, and pain in my left rib that also radiates to the back. my 3rd rib is protruding as thats what my doctor said. i feel breathless n i get skipped hb everyime i get pain in that rib. I have had x rays done but everything seems normal. ### REPLY: Thanks for your question on . I can understand your concern. Mild Breathlessness, skipped heart beat, left sided chest pain etc. can be seen in arrhythmia (rhythm disturbances in heart). So first get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. In my opinion, your pain is mostly due to musculoskeletal cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller like ibuprofen. Sit with proper back and chest support. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor! Im 22 years old, smoking for quite many years now. And I seem to have a receding of hairline appearing recently. Ive had a considerable amount of stress at one point last year and ever since, and I have always been suggestive to stress previously, resulting in constant psychosomatic tension in areas of my back, abdomen, pelvic area and head (inside and on the skin) that has increased since last year. Now I started noticing that my hairline has receded in front, in those corners of the forehead, you know. I associate it with constant tension Ive been experiencing in that area of the head on the surface like skin tension and under the skull too. Is there a chance for it to grow back when I quit smoking and work on reducing the tension? ### REPLY: Hello are 22 years old and are smoking for few years. You have considerable stress and also have receding hair line. Due to stress you developed psychosomatic complaints in back, abdomen, pelvic area and head. Hair loss may be linked to tension, but it has other causes like familial hair loss, male pattern baldness etc. But definitely if you quit smoking and reduce stress and tension. Try relaxation exercises, progressive muscle relaxation exercises, breathing exercises etc. for quick relief. Yoga and meditation will also help. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a buldging disc in my neck along with artheritis I(sp?) I work in fast food and always looking up at computer screens overhead. I have a dull burning pain that spreads from my neck to my shoulders and down my arm. I feel as if my head is too heavy for my neck. Have I possibly ruptured a disc? ### REPLY: Hello, The computer jobs have the risk of having cervical problems. The long hours of keeping neck at one place with stress lead to changes around cervical spine and muscles. You should do following to have relief:- Keep your posture normal during work.- Avoid sitting for long hours.- Take frequent breaks after working for 20-30 minutes.- Do exercises of the neck. Look for exercises online-Do warm fomentation with help of water bag for at least 3 times a day. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a cortisone shot by a physician asst on my shoulder today he said he was orthopedic doctor asst it is now in so much pain is he allowed to a procedure like that not being a medical doctor. I tried ice for the pain not working I don t like taking medicine it tears up my stomach on the X-ray my calival is coming up through top of my shoulder it started one month after physical therapy started ### REPLY: Dear patient thank you for your question. To start off it is illegal for anyone to inject HY . b.b.s degree. Either the injection has been put at the wrong place or it has penetrated a nerve leading to injection related neuropraxia. In that case ibuprofen 800 mg twice a day with pantoprazole once a day will help. This is a self limiting condition and will take at least 4 weeks for the pain to decrease."on the X-ray my capital is coming up through top of my shoulder". This is what you have mentioned in the question and o think you meant to say clavicle. Unfortunately unless I see the X-ray I cannot make a diagnosis as it would be ethically wrong. I suggest you show it to an orthopedic surgeon. I hope this helped ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Gud aft,doctor.....my father was bitten by a dog today morning.he has taken tetanus nd rabies vaccine today.should he change his diet????? Any dietary restrictions???it was a smal scratch mark.he has no pain .nor bleeding.injury site was left lateral side of leg ### REPLY: Dear Friend. Welcome to . I am . I understand your concern. There are no dietary restrictions after a dog bite.I would advise you to take the Rabies vaccination - full course. Also, get a tetanus vaccination. If you develop local swelling, see a doctor for antibiotics that might be required for cellulitis. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay HealthyChatDoctor, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I HAVE A SORE ON THE BACK OF MY NECK/HEAD THAT IS NOT BLEEDING BUT CRUSTY AND OOZING.  I THOUGHT IT WAS A SPIDER BITE OR PIMPLE AND WAS TRYING TO POP IT BUT ENDED UP WITH THIS SORE.  NOW THE OTHER SIDE OF MY NECK FEELS LIKE IT IS BRUISED BUT THE PAIN IS NOW SPREADING UP INTO MY HEAD BUT THERE IS NO BRUISE.  COULD I HAVE A STAFF INFECTION OR IS THIS SOMETHING ELSE?  IT DOES NOT LOOK LIKE RINGWORM. ### REPLY: Hi. I did review your concern the sore lesion on your neck could be an infection or an irritant dermatitis. Due to wearing some new necklace or ornament or shirt material or shampoo. However, to be exactly sure I would advise you to consult your dermatologist who can then look at the lesion personally, examine it and begin the treatment. If It's dermatitis, keeping the irritant away and steroid creams would help. If its infection like a boil or fur uncle or a carbuncle due to staphylococci as you suspect it would require local antibiotic cream application. Meanwhile, keep that area clean. I hope this helps Wish you a very healthy life ahead. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been having some pain in my chest for about 4 days now my heart has been beating hard and fast with it aswell also the left of my chest aces and the ace goes up to just under my coler bone. And my heart rate is it 105 to 108 when resting with my eyes closed but when I walked to my kitchen and back it went up to 131. My heart rate is normally in the 90s is this bad ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you should immediately consult cardiologist and get done 1. ECG2. 2d echo3. Stress test (trade mill test)4. Holder monitoring (24 hours continuous recording of ECG) to rule out cardiac causes. There are following possibilities in your case.1. Arrhythmia2. Heart failure3. Coronary artery disease. So above investigations are needed to rule out cardiac cause. If all cardiac investigations are normal, then no need to worry much for cardiac causes. Anxiety can also cause similar symptoms. So avoid stress and tension.Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4yrs old has been diagnosed to have an acute sinus after a continuous experience of on-and-off cough, running nose and sometimes fever for months. I thought it was a regular flu until i feel that it is too often. The doctor said it was originally caused by an allergy, i haven t check it yet. So now, the doctor gave my kid 2 bottle of abbotic clarithromycin 3/4 tbsp twice a day. Is it safe? He also suggest to get him vaporized and shine with a micro wave or something daily for about 2 weeks. Is it the way to cure sinus? Thank you. Cheers, Angel ### REPLY: Thanks for putting up your query at . I understand your concern for your 4-year child. Do not worry about the antibiotic azithromycin. It is safe and effective. Unfortunately, sinuses are air pockets deep inside our face and their blood supply is poor, and often the antibiotics cannot reach there to make an effect. So, at times no antibiotic is successful in providing good relief and hence it is difficult to cure sinusitis. But generally the ailment comes down with age. I guess that you have to be a bit patient and wait to see if they give your son relief. Steam inhalation is a very effective method where water vapor goes deep inside and dilutes the cough and eases the situation. I hope that helps. Feel free to revert in case of further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my grandson, 9 mo. has been projectile vomiting off and on for 1 wk....hydrated with pedialyte...had diarrhea, now has pale creamy white pasty stool...still proj. vom at least once/day, and during night. what could this mean....why is stool now pasty white ### REPLY: Hi, thank you for choosing . As your son had gastroenteritis, it takes time for his intestines to recover, and probably he was on wholly on milk based diet, that's why his stools are white and pasty. They may have residual gastritis for a few days so try to feed him regularly every three hrs, and you can give them anti gastritis medications for few days after consulting your doctor. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. 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 84 year old Mother went for a bone marrow in hospital. She now has golden stapf in her replacement hip. They are treating her with antibotics but she is having trouble with her red blood cells (had a transfusion) and her white blood cells - 2 wash outs of her hip. She has been in hospital for 3 weeks but can t seem to get good enough to come home ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You should go for complete blood count and peripheral smear examination to know what kind of problem with your RBC. Please send me your all reports of blood and bone marrow. You need treatment accordingly. Take antibiotics for your staphylococcal infection. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good evening Doctors.. I would like to ask for clarification and more ideas about cholelithiasis.. Why there is constipation during cholelithiasis?? whats the pathophysiology?? by the way im a student nurse and this is for my health teaching.. thank you :)) ### REPLY: Hi dear thanks for asking question... I appreciate you as you want to study of cholelithiasis. I can explain you in simple way..... See stone in bile duct or gall bladder is of two type cholesterol or pigment.... Liver secrete bile salt that in gall bladder help in dissolving cholesterol in bile by Micelle formation .... If capacity exceeded or supersaturation of bile ex....in obese, pregnancy, gall bladder stasis etc...then stone develop. If person having hemolysis then increase bilirubin in bile firm calcium bilirubin ate stone.... Ex.in sickle cell, that, phagocytosis etc.causes... In cholelithiasis pain in abdomen after eating present... By indigestion bloating and constipation can occur.... I hope my answer satisfy you... If still query you can contact us.... .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 slipped on the stairs and fell landing on my butt. Now I have extreme pain in the lower part part of my back; tailbone area. It has already been 5 days and the pain gets worse when I lay down on my back or sit up. What should I do to ease the pain? I don t have insurance and cannot go to the doctor. ### REPLY: hi Hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have injured your tail bone or d ligaments around. U shut get a X-ray done to find out what's wrong. Till then apply hot fomentation. Rest.analgesics and anti-inflammatory tablets. Avoid sitting on injured part.use soft pillow wherever needed. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime.  Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pap test done and my OBGYN discovered I have HPV. She took biopsies of a few areas and decided she wanted to do some kind of treatment to help the cells slough off. I just had a treatment done yesterday afternoon. They told me it was an acidic solution that they were putting on my cervix with large Qtips, but they didn t tell me specifically what the solution was. Today I feel a little nauseated and kind of fuzzy headed or dizzy. I ve also had very mild cramping off and on. Are these symptoms normal? ### REPLY: Welcome to . I went through the history you have provided here. It seems from the history that you are had treatment for human papillomavirus. The symptoms you are having now in the form of nausea, dizziness are not related to the treatment you have taken. You need to take anti-vertigo . Do consult your doctor to find out the underlying cause and treatment accordingly. Do write back to me for further questions. Thank you for writing to . Wishing you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: the guy i know is really attached to his mother and always compares me with her..however he doesnt hates his father as mentioned in the oedipus complex definiton. but he is never able to accapt my love completely because of his love for his mother. he overreacts at times and i can feel that he is torn between me and his mom.. i dont want to hurt him but cant leave him either.. where to seek for help ### REPLY: Idealization of parental figure and internalizing the primary caregiver is quite a normal phenomenon in development of any person. From what you are describing, it seems this has gone too far and is causing significant interpersonal problems between you two.  The first thing to do, I suggest, is for you to talk to him about this. This would not only start getting the process of getting help but also will let you know his reaction to getting help. Any kind of help offered will obviously work with the hard work of the actual people involved and hence this is very important. Interpersonal therapy appears to be a good form of talking therapy for you too but before anything of this sort is sought out, please have a preliminary assessment by a mental health professional to see if there is any need for you both to seek help or is it that it may be you that may be overly sensitive. Sorry for suggesting this, but a competent professional has to look at all angles of a problem. Guidance ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have been off work for 6 weeks due to anaemia. This is causing me dizzy spells and as a sales rep that spends a lot of time on the road, I felt unable to work after a dizzy spell whilst driving on the motorway shocked me into visiting my doctor and being signed off work.The cause of the anaemia is not yet known and is being investigated.However I am due to return next week as my company will no longer provide sick pay. I am still getting the dizzy spells and m quite concerned that they are still occurring despite taking ferrous sulphate. Please can you advise? ### REPLY: HiT hanks for query. 1. Most common cause of anemia is nutritional deficiency of iron, vitamin B12 and/ or folic acid. Dizziness is one of the commonest symptoms of anemia.2. When you are diagnosed with anemia, it becomes important to know the type of anemia as well. Get complete hologram done along with peripheral blood smear examination to know the type of anemia and take treatment accordingly.3. It takes at least two weeks for the symptoms to improve with oral therapy. If it's been more than two weeks get a reticulocyte count done to check for response, meanwhile discuss with your consultant the use of injectable forms of iron therapy as iron absorption might be hindered by worms sometimes. 4. Also get a deforming done for hookworm.5. Improve on your nutrition by having more cereals, citrus fruits, red meat(rich in iron and other micro nutrients). 6. Be regular on your medicines, take lots of fluids and avoid tea as tannins inhibit iron absorption. Hope this helps. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a a lima bean size lump on the side of my shin in the soft tissue area. It s hard and does not hurt. I went for an x-ray and ultrasound and they can t determine what it is. They said it is not fluid filled and the bone is fine. The technician said there are no vessels feeding it. They are now sending me to a dermatologist. Any thoughts? ### REPLY: Hi.based from your description, it could be a lipoma (fatty deposit), a fibrous (fibrous tissue formation), or a cystic formation (sebaceous or gelatinous type). It is not an emergency, but it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Other lesion types must also be ruled-out. MRI and a tissue biopsy may be requested as needed. Management (medical and/or surgical - excision) will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: a hard lump after mastactomy with arm and shoulder pain what is it going for regular phisiotharapy and pain and pull in arm towards shoulder arm can put straight now visible hard kind of lump plese help alredy had surgery 1and half month back. Thank you ### REPLY: Hi, Dear,Good afternoon. Thanks for the query to my  online-clinic. I studied your query in-depth. I can understand your concerns for a recurrence after a surgery 1.5 myths back.-In my opinion the hard lump post mastectomy -is mostly - local-node-metastasis or could be recurrence of the breast tumor. I would advise -Pet scan with FDG-18 F-radiotracer which pinpoints lymph nodes Mets, which may miss on CAT scan.FDP PET guided-FNAC Biopsy would fix the recurrence of cancer in local infra-clavicular-left out-nodes.-Alert-A review with Onco-Surgeon for the steps to be taken with his advice is a must and urgently advisable in your case.-Hope this would resolve your worry-some query. Wellcome again to . Have a good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 12 years ago I had a schwannoma removed from the spine at L4-L5 and now have another, which has been confirmed via MRI , located behind my left knee . It is large enough that it can been easily felt without much effort. Can you tell me how long the surgery would last? What is the recovery time? Is there a chance that there will be another schwannoma that will show up somewhere else? ### REPLY: Hi welcome to  forum. Surgery isn't Lon in most cases and last for less than 1 hours. Recovers is also rapid if there is no nerve or ligament involvement and usually there is no. it is possible to have another Schwann, but this is not common and you don't have to be worried at all. Just do this procedure and frequent check-ups and everything will be fine. Hope I have answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 8 month old son was diagnosed with Rhinovirus 2 weeks ago. He started getting a very nasty cough and then after a few days vomiting very large amounts and loosing weight, loss of appetite and not wanting to drink anything. he was admitted to hospital 3 days ago and yesterday morning i found a few little lumps on the back of his ears. i asked the dr and he said, its nothing don t worry. They left, half hour later i changed his nappy and it was all over his torso, it has now gone down his left and arms and have raised circular lumps, which is aggrevated by heat. he had a temp but its staying at 37.6 now. They said it is just a viral rash from his rhinovirus but it is getting worse and its now gone round his mouth. ### REPLY: Hello, I understand your concern. I would like to know a few more details before coming to a conclusion.1. On which day of fever did the rash appear?2. How is he feeding now?3. Is he irritable or playful and happy?4. Has he taken vaccine shots for measles and rubella? A picture of the rash would be very useful in diagnosing his infection. Rhinoviruses produce runny nose and cough, but are not known to produce a rash. Do get back with the above information, and we can come to a conclusion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hit my head on the wall the other night in the middle of the night. Went back to sleep but in the morning(yesterday) had headache and then throughout the day became very weak. I felt weird, like this high feeling all day I had nausea, numbness in legs and arms and very weak to move off the couch. Troubles sleeping last night because of tension in my head/face, and like my body wouldnt let me fall asleep when I was getting close. Today i feel fine, just a bit off but not all those symptoms. Should I go to doctors to get checked out even though i feel okay at the moment? ### REPLY: Hi, I am .  I have read your question with care and understand your concerns. Let me try to help you The following symptoms following Head injury require evaluation by a Neurosurgeon1. Headache 2. Vomiting 3. Dizziness4. Giddiness5. Double Vision 6. Blurring of Vision 7. Numbness8. Weakness 9. Fits10. Bleeding from Nose 11. Bleeding from Ears12. Bleeding from throat these, you have a) Headache) Numbness) Weakness You should go to doctors to get checked even though you feel okay at the moment Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. 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: my spleen is increasing 14.5 to 16.1 since last two years. before three years i was suffered with harpies roster. my alkaline phosphate is 186. no any tomour is seen in USG AND CT scan. the white blood test WBC 3500.. some time itching tendencies over abdomen. on right side of abdominal (MIDDLE) varicous vein are seen and  swelling like coin at the side. i get cough and cold easily. please digonest and let me know which test is required. Shambhu nath singh  age 57 years. ### REPLY: Hi, I have gone through your question. I can understand your concern. Your spleen size is increasing. Now there are many causes for that. But as you have no tumor according to your USG report. You have prominent vein on abdomen. So you may have portal hypertension due to any reason.  Which leads to increase the spleen size. Their is many sites for portrayal anastomosis.  One of which is around umbilicus.  So you need to consult physician. Investigate for that and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi , this is nitin from mp katni, sir from past 11-12 years i was suffering from backache, within this period when i wake in morning i had a severe back pain and as the day goes the pain becomes nominal but in this period i can t sit or stand for a long time,but from the past one month the pain has been more in backache and it is all the time, my left leg has all the time strains waist to ankle and in thigh joint the, now i cant stand for more than 2 minutes anywhere, i have been taking medicines and xray was done , as told by doc. all the things are fine my back bone are ok.But he consulted me to have a visit to nagpur and to have consult with rheumatologist,and have a MRI scan, sir kindly suggest me ur valuable guidance that what should i do ,as day by day my pain is becoming unbearable waiting for ur reply. 0000 ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely due to nerve compression which can be caused by osteocyte . A physical examination with an orthopedic will give clue for that and X-ray followed by an MRI will be needed to confirm that. In such condition I treat my patients with NSAIDs like diclofenac muscle relaxants like thiocolchicoside and neurotrophic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sharp stabbing intermittent pain on the left side of my chest. I had a spontaneous coronary artery dissection a year ago and stopped taking the beta blocker a week ago. When I asked my doctor about it, she said it sounded like musculoskeletal pain and to take Tylenol and wait it out. That was 3 days ago and it does not seem to be getting better. I m wondering what I should do. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should definitely consult cardiologist again and get done coronary angiography done. You had coronary artery disease 1 year ago and stopped taking beta blocker since 1 week. So there is high possibility that you may develop coronary artery disease again which is causing you this pain. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter sprained her ankle playing volleyball 3 days ago. x-rays showed no broken bones. the issue im having is the leg, past the knee is visably a couple shades darker than the other leg and is cold (ice) to touch. I took her back to er, they couldn t answer as to why it was that way. she has numbness, tingling, in the knee. and of course there is still a lot of pain. she will not put any weight on it. she is 15. Ive iced it q2hours at night and its been elevated during school hours...HELP! ### REPLY: Hello. Thank you for writing us here. The most common cause could be injury to her common perineal nerve on the knee joint which causes symptoms of tingling sensation and numbness of her leg. You can apply a bandage, so her feet is immobilized and give her diclofenac sodium for pain. Also, I would suggest you to see an orthopedic for proper management. She could be told for bed rest and application of a plaster for immobilization of the limb. 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: Recently while driving through the mountains in Pennsylvania I felt a strong tightness in my chest.  I was on HRT in the fall, but was taken off because of loss of eye sight in one eye...also had this tightening in my chest.  Since then I have been fine...up until now.  What do you think? ### REPLY: Respected user, hi I evaluated your query thoroughly.* Relates to decreased lung oxygenation at heights in mountains causing sudden tightening of the chest, a normal physiological phenomenon observed in the majority of people without any underlying pathology. Hope this helps you. Welcome for any further assistance. Thanks for using  .com & giving me an opportunity to assist you. Wishing you a very happy healthy life ahead. Regards dear 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 gone to the dentist to get new dentures made. While examining me, he found two white lesions and called them palomas. What does that mean? I am going to be seeing an oral surgeon, but I would like to know more about what these lesions are before hand. ### REPLY: HelloWelcome to ChatDoctorWhite lesion in oral cavity can be of variety of type like leukoplakia, lichen plans, candidiasis etc. It can only be seen by looking at lesion, so you should visit your dentist and get the local examination done meanwhile you should have started with anti oxidants go gem 1 tablet per day at least for a month and if you have any sought of habit like metal nut, tobacco chewing and smoking then you should immediately stop that. 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: ! year post chemo for breat cancer and doing very well. I had a bilateral DIEP flap procedure to reconstruct the breast and 2 other scar revision surgeries this year from the procedure. I still have some issue with the tummy incision line with some granulation tissue. It seems like there is a suture that is being rejected and trying to make it s way out. I do work out at the gym and play tennis on a regular basis and I noticed that yesterday I had a lump under my rib cage, right below it. It is hard a feels pretty solid. There is some reddening of this area from the outside and slight tenderness to the touch. Any ideas? Could it be a fatty deposit etc????? ### REPLY: Hello, I understand your problem, and you had surgery and chemotherapy. You have some infection in abdominal sutured area from where the flap was raised and seems to be a catgut trying to pass out through the infected area. If so once the catgut comes out of the body the wound will heal. Regarding the swelling except for the hardness, looks like an inflammatory swelling which can arise from the skin, sub cutaneous fat, fibrous tissue or an infected abscess. Rarely Post chemotherapy skin reaction, if radiotherapy was given it can also produce reactions It needs a clinical evaluation and treatment accordingly. Rarely excisional Biopsy may be needed. 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 fell in January and peel the skin on my leg about 6 inches down to the white meat. It didn t bleed at all. Cleaned it out antibiotic on it and it healed ( no scab) after 5 weeks. But now I m having sharps pain in that leg near the scar. Sometimes I feel heat in that area. It only last 2 or 3 second. Every other day or every two days. What can I do about that. Thanks ### REPLY: Thanks for posting your query to .Pain and irritation ion old injury site may be due to infection or inflammation. If you are having continuous pain, redness, heating with fever think about infection and consult immediately to your surgeon. If only occasional pain and heat may be due to some local inflammation .in such case you may take 1. Aceclophenac 100 mg two times a day .2. Serratiopeptidase 10 mg two times a day . Rabeprazole 20 mg two times a day .if symptom do not received contact to your surgeon for local examination .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 Sir, My son 4.6 years old is suffering from stomach ache from past 3 days. we went to doctor and showed him and they gave the injection (pantoprud 40 mg) , cyclopam syrup and Lanzol tablet and still he is complaining about stomach ache. it is coming very frequently. It will be great help if you can suggest some best medicine. Regards Sunil ### REPLY: Thanks for posting your query at . It is difficult to comment on the exact cause without putting my hand on his abdomen. Gastritis is a common cause of abdominal pain that your doctor has suspected and tried to treat. Gastritis can cause an ulcer that might be painful and might take some time to resolve. The location of the abdominal pain in case of gastritis is upper or around umbilicus. Central abdominal pain can also be due to an infection, but generally it is associated with diarrhea. In case of acute appendicitis, the pain is in lower right. Pancreatitis is another possibility where the pain may or may not radiate to the back. It may or may not be associated with vomiting. Bowel obstruction is another possibility. But without diagnosing the actual condition randomly treatment cannot be done. Your doctor would be able to help better. Hope that will take care of your query. Feel free to communicate back in case of further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: well when i was bout 8 i would wake up screaming and when i would touch things they would feal ratherly weird like if they were poking my hand after a while i started to see things that were only inches away from me but in my vision they were like 10 ft away then i would sometimes hear people talk really slow or sometimes really fast so my mom took me to a docotor and he said that i should stop eating late so i did years later went by i lost a lot of weight but the problem never went away i always wondered what it was but when i would get this problems at night i would so frightened but now its less but it still happens i was never able to find an aswer from 3 doctors i went to ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From your description I am sorry to say that proper diagnosis is not possible. Those 3 doctors you met could not find an answer possibly because your symptoms may not be evaluated properly. I suggest you to find and consult a psychologist. Only psychological evaluation can answer your query and proper diagnosis can be made. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, apparently I had norovirus during the past 3 days, I was feeling tired, I had fever, stomachache and chills all over my body. Now I feel much better and I have been drinking lots of Gatorade as I was recommended to drink lots of fluid. But today I have been urinating very frequent. Is this normal? ### REPLY: Hi, Thanks for posting in . Norovirus, also known as the winter vomiting bug, is the most common cause of viral gastroenteritis in humans. Norovirus infection is characterized by nausea, projectile vomiting, malodorous watery diarrhea, abdominal pain, loss of taste, lethargy, weakness, muscle aches, headache, and low-grade fever. There is no specific medicine to treat people with norovirus illness.  Treatments aim to avoid complications such as deny .  Hence, plenty of fluid intake is advised, and thus you are following it. Your frequent urination is mainly due to increased amount of fluid intake. Gradually, as you get better, reduce the intake of fluid to normal limits. That should get rid of your frequent urination problem. Hope the information provided is useful. 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 m a 62 year old female, 5 6 and 150 lbs. I had a recent liver ultrasound and the impression is: Slight coarsening of the hepatic echotexture without intrahepatic biliary ductal dilatation or mass. I was diagnosed with Stage 2, Primary Biliary Cirrhosis about 12 years ago. I m taking Ursodiol and my liver function tests were in the normal range in January. I also have Scleroderma, Sjogrens, Raynauds, GERD and Osteoporosis. I eat a low fat, gluten-free and dairy-free diet, and very rarely have a glass of wine. When researching on-line, it appears the coarsening could be related to fatty liver or cirrhosis. What do the results appear to indicate? ### REPLY: Hello, As per your history you have already been diagnosed with Primary Biliary Cirrhosis (on unsocial) and a number of other autoimmune disorders (like Progress, Scleroderma etc.). HERD can occur as a result of Scleroderma. PBC is a known cause for chronic liver disease which causes coarse hepatic echo texture on USG.  You would need to monitor the liver function tests including INR levels. I would suggest you to discuss with your gastroenterologist regarding a Transient Hepatic Cartography which can indicate the degree of liver fibrosis and damage.  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END