Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 28/M. I am using Levolin inhaler for the past 1 year. Although my physician didnt prescribed me this. 2-3 years ago my physician gave me Combitide 250 inhaler. After this I used to take Levolin inhaler. I generally never have any strong problems during working times. My problem only starts in Nights when I go to bed to sleep. Not only that, I dont take Levolin daily. I only take Levolin when I feel breathlessness. Is it dangerous to continue using Levolin? ### REPLY: Hello. Welcome to . Levolin has side effects such as tremors, palpitation, etc. I think you are having asthma. If you need to use leveling more than twice a week, it indicates that your asthma is not properly controlled and your bronchial tubes are staying inflamed, which will not be relieved by leveling only, you will need to use controller inhaler (containing corticosteroid) daily. One more suggestion is that as you are having more problems after going to bed in night, I would suggest you to consult an allergist & get allergy tests done. Possibility is that you might be having allergic to house dust mites & appropriate measures can be suggested based on allergy testing results. Hope this was helpful to you. Wish you best of the health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a question about pregnancy... Its a little bit complicated but i will try to explain it as easy as posible...so lets begin My gilfriend and i had sex,almost one week ago...we did not use protection,any kind,but...my whole penis did not got in her vagina ,just the head of it,i puted it 2-3 times and it was there maybe just a few seconds...before that maybe an our ago i was in the shower and i masturbated... I noticed some white liquid on my head of the penis,but i did not cum,so should i be woried,is she pregnang or? ### REPLY: Hello and welcome to  !!well given your history complete penetration has not happened, but it is not a necessity for pregnancy to happen, and the white liquid is what is called pre-cum which is produced to lubricate and may have active motile sperms my advice would be to wait for your girlfriends period if it doesn't happen get a urine pregnancy test and in the future be very careful about unsafe sex. 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: sir my baby is in 22 days in starting time he was very well in deliver motion but last week he went two days late and three days late so please say the reason and problem and how to cure this problem and this problem only for this time or else in future please say ### REPLY: Hi, can very well understand your concern. Infants passing motion once in three days to 7-8 times a day is considered to be a normal. If baby is accepting feeds well, no vomiting, no excessive crying then not to worry about motion. Feed the baby every two to three hourly. Burp the baby well by holding the baby in upright position. Baby shaving mixed feeding like breastfeeding and top feeding may have digestion issue. Feeding mother should .  Hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello...I have an 86 yr old gentleman that comes to see me for a relaxation assage twice a wk. He informed me that he has a 4mm abdominal aneurysm that his Dr. has been keeping an eye on through MRI. Just wondering what the affects of massage would be as far as it growing any bigger, and also would it be too much pressure on the abdomin for him to lay there for a 1 hr treatment?? ### REPLY: Hi. Thanks for your query for your friend.86 years old gentleman who comes to you has a 4 mm abdominal aneurysm under observation by MRI. Massage on the abdomen can have a negative effect as with age the things are different. No, laying for an hour should not cause any problem. I would advise him to visit a vascular surgeon to get further management, It may be possible to have a stent in place so that the problem is solved. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having flu symptoms last few days. This morning my shoulder started hurting and its to the point where i can t lift my arm and I noticed I have dark blue veins showing on my chest and in my arm, I haven t seen these veins before. Could this be caused by stress? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Flu symptoms are different. Pain in shoulder area could be due to flu or anxiety. Why are you anxious? About health? Being anxious about health is more dangerous because it could lead to somatoform disorders of Hyperion .  The purple veins are part of our body, they become prominent and visible due to so many external and internal conditions. If you want clarifications, visit a physician and clear your doubts. Please do not worry after that. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. 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: today after being in 90* heat off & on for 7+ hours (w/ some 30 min - 1 hr rests about 3 times), I ate a big italian meal & came home.  Withing 45 minutes of finishing eating, while home; I was having stomach pains --- Couldnt go to bathroom, but felt nauseous & sick....eventually threw up 5 times in a row & literally 20 seconds after first occurrence; I had a SEVERE headace on top of head, sides & also forhead --- Very Severe ....Stomach was 70% better; but headache was killing me for 1+ hours & then finally started subsiding.  Didnt feel better (95%) for over 4 hours; but exhausted basically....  Thoughts -- Heat Exhaustion ?? ### REPLY: HI. Thanks for your query. Yes, this looks to be due to heat exhaustion. Due to increased core temperature of the body all the system do get altered response. The Homeostasis (natural body mechanism to balance the body against such challenges) gets disturbed and one gets, what you suffered from. In such conditions to reduce the core temperature is very important and one gets only symptomatic treatment. Maintaining the HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 18 year old boy.I have been taking oxycodone daily for the last 9 months for a chronic back pain problem I have had for about a year and a half. This is the second time my tolerance goes up ( it started at 5mg a day, currently at 15mg a day) and Im scared to ask my doctor for a higher dose. I always follow my prescription, but Im scared that being young will stop her from giving me more.What should I do? ### REPLY: Hi, Having chronic back pain at this age is not common. It shows that you might be having sedentary lifestyle with lack of physical exercise. Do not go for oxycodone medicine as it might produce habit formation with tendency to increase the dose. Do regular physical exercise like running, jogging, swimming daily for 30-40 minutes for 5 days in a week. Quit taking oxycodone tablet gradually. Take some NSAID medicine like ibuprofen as and when required. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had 2 seizures in 2 years. The only diagnosis has been enlarged tonsils affecting my breathing, which would affect my brain waves, triggering a seizure! ( Removal of tonsils was recommended ) 2 MRI s have botChatDoctore back normal! Any recommendations? ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms and medical recommendations. In my opinion, enlarged tonsils are unlikely to be the cause of two seizures in two years (should have occurred more frequently, looking at the suggested mechanism of affected breathing). Normal MRI is quite common in people with epilepsy. You require detailed evaluation including long term EEG to confirm the diagnosis of epilepsy. I would have preferred startling you on anti-epileptic .  I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am trying to help a friend find a Doctor to see if her adult daughter who is 21 has a learning disorder or if something else is wrong with her. She does not seem to process information or be able to communicate information properly and has a hard time holding down a simple job such as the Dollar Tree as a cashier or a day care worker, she is also on meds for narcolepsy. Where do we begin with a proper diagnosis? ### REPLY: I do not know where you come from, but I am assuming the USA. Well, you can begin with her high-school or university education counselor; if she is no longer schooling, you need to visit with an educational counselor again, but outside the ambit of the school health services. The counselor would next send the child to a developmental consultant, then a psychologist with interest in LD child .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes my name is vnmbmrk and I have been having this burning pain in my vagina l, also a while back when I was pregnant my doctor told me I had cervical cancer/genital warts and I still have not been treated for it what shall I do? Please I need answers ### REPLY: Hi and welcome to . Wish you good health. I am sure there was misunderstanding. It is important to determine is it just warts or cancer. Cancer is very serious diagnosis which should be treated promptly and further investigations should be done. Both these diagnoses can cause vaginal burning. So go back to your gynecologist and do tests to rule out cancer. Everything else can be treated. Thanks for the query. 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 doctori have gland tb 2 years ago...and i have treatment....the gland was in my left neck....i had medicine for 8 months.....while i was having medicine another gland tb arise on my right side of neck which was really painful.....it pains a lot then i have enclave 625mg medicine and i was ok ....but after 1 year on i have gland tb on same part on my right neck and it pains alot....why have again gland tb after 1year even if i had treatment and have medicine...what is the reason behind it ? please help me...doctor ### REPLY: HelloThanks for writing in ChatDoctorI had gone through your query and understood your concerns. These can be following causes for occurrence of TB again1. Reinfection2. Reactivation of previous dormant bacilli Hope this guides you. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you do not have any clarifications, you can please close the discussion. Thank you. 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: hi I am an indian qomen aged 25 I have been under a lot of stress for a while now prompting 2 deaths in the family etc I have been trying to gain weight for ages now as being 25 and weighing only 48 kg s is annoying compared to the body I had 2 years ago please can you recommend something to help me gain weight asap. ### REPLY: Hello me, Good morning, I read your history in which you mentioned that you have depression... Here you directly say like that you have depression but still one counselling n visit is must to tempt as depression as you didn't mention any sign n symptoms... If after counselling or visit psychiatric physician feels like that than they start anti depression like Escitalopram or other anti depression or plus counselling... Now coming to wt gain...Then you must modify diet plan... N may be your depression may also culprit in going wt... So if once your depression is cured than you get wt also even antidepression also cause wt gain n counselling for depression also helps you in this matter... 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 choose to have the Mirena birth control inserted this past May. The insertion was painful but after a few days the bleeding and cramping stopped and I have not had a period since. The past four days I have been experiencing cramping along the left side of my lower abdomen, experiencing back pain, and passing extremely bright red blood and blood clots. I have also developed dizzines, fever, and a severe lack of appetite. ### REPLY: Hi ! Good afternoon. I am  answering your query. Some people do not tolerate the IUD, and the symptoms which you described occur in them. If they increase, then you might have to get yourself reassessed by your gynecologist who might decide to get the IUD removed and either replace it with some other IUD, or advise you on some other contraceptive device. I hope pregnancy was excluded before inserting the IUD. However, getting a serum  estimation and an ultrasound of abdomen done might prove to be helpful. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My sister in law is dying of terminal cancer. She has NF1 a disease of the nervous system. The first tumor was found in her abdomen and removed surgetically and the cancer has now spread to her lungs. Chemotherapy has not been effective so we are looking at homeopathy as a option to extend her life. Please help. ### REPLY: Hello friend,First, understand that she had a psychological conflict prior to the development of cancer in the abdomen. She could have come out without any problem provided there was no fear associated with the tumor and labelled as Cancer which is an icon of death for the public. The diagnosis when she understood made her to suffer half death. The surgical or chemo interference made her to suffer again. She had further conflicts that made her to suffer from a cancer of the nervous system. Now she has actual fear of death that made her to suffer from lung cancer. Mind is everything from where the causation of similar diseases originates. It is mediated through various parts of the brain and different parts of the body suffers accordingly. The conflicts were so severe and so shocking that she suffered similar complaints. Now what you can do is to approach a Homeopathic physician. He will give medicines to see that she does not suffer and that she gets calmer and relatively healthier days ahead. Even I can help you provided you get back to me with more details. In the meantime, you can talk with her about the shocking conflicts she has undergone in life especially before the onset of the diseases in the abdomen, brain and in the lungs. Make her to have positive attitudes to them and forgive those who pained her most. If she is a believer, make her to pray. It will give her peace. With Best Wishes for peaceful days ahead for your sister-in-law and for you, .  J. Varese, Homeopath ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 child last june 20 had a toothache,dentist advised to take co-amociclav for 7days to remove abscess.i gave it then warm compress.After a week,she developed 3 blisters on face,i went to the derma and she advised to put hydrocortisone and bactroban,twice daily,seven days;and also to take co-amociclav for 5days,twice daily. I gave it to my child.While taking co-amociclav,she developed colds and cough,then after 3days of stopping co amoxiclav,clarithromycin was given to her to heal the cough,125mg/5ml,2x daily,5ml each,7 days.Now is the 5th day,cough is fading,the problem is she has an upset stomach..stomach in pain after taking clarithromycin and she has diarrhea.she went to toilet 3x yesterday.loose bowel.What will i do?if i will stop clarith,then the cough will not be fully healed.any advice.thank you. ### REPLY: Hi, Thanks for asking the query, According to your clinical history I suspect that you are getting the above symptoms due to the use of antibiotics and analgesics prescribed to you. Visit the concerned Dentist and get the prescription changed. Antibiotics and analgesics will give temporary relief I would encourage you to get the treatment done. Also take your child to a child specialist and get the checkup done. Hope this helps out. 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 been having bad pains on my right side and stomach areas.  I can only eat about 4 bites and it flares badly. I have lose about 25 lbs.  I am being treatmented but my medicines change.  I have had a colon check and stomach .  They say I am losing blood.   Help, please. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some peptic ulcer or some problems like mass lesion in colon. That leads to abdominal pain and blood loss. You should go for stool examination, ultrasound abdomen and colonoscopy. Please give me follow up with your reports. So that I can help you further. 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: I am a smoker. I ve had a cold with coughing about a month ago.The cold seems to be gone now. But I am constantly having to clear my throat or cough and cough up thick clearish phlem. If I don t keep my throat cleared out by coughing, then I get wheezy and funny noises comes out of my throat. I have a slight sore throatMy neck has started getting stiff feeling and sore and my neckpain is making my head and ears hurt. My upper shoulders, front and backare real sore. ### REPLY: Hi, I had gone through your question and understand your concerns. There are two problems to deal. First I suggest you to consult your primary doctor and to discus with him possibility of imaging study of your cervical column. As initial imaging you can have plain radiographs of cervical column. If there is any suspicion of any damage you can discuss the possibility of an MRI cervical scan. Second thing to do is to consult an ENT Doctor in order to check up any throat disease that may cause your symptoms. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to the Dr. on Saturday for a sore throat which was strep. my blood pressure was 140 over 106. I had not taken my bp meds in a few months and thought I felt fine. my bottom number has never been this high. A few days before the drs visit i did have a tooth pulled by a dentist. I didnt know if this was just a one time incidence or if I have something causing this to happen. ### REPLY: Hi, Any type of mental or physical stress on body may be associated with fluctuation in blood pressure which may be high or low BP. In your case there might be following causes for high BP-1) Part of your high BP problem for which you were taking medicine previously but stopped since few months.2) May be due to present infection. I want to know-1) Since how many years you had BP problem and taking medicine for it.2) Which medicine were you on for high BP.3) Have you stopped BP medicine by your own or after consultation with Doctor.4) Have you regularly checking BP after stopping medicine.5) Presence of illness like diabetes.6) Family history of BP problem. I will advise you to monitor your BP regularly and consult your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ingrown on the upper back parts of my legs that no matter what I try does not seem to go away or even decrease, they become unsightly dark spots, I don t have great skin to begin with, I have mild-moderate acne on my face. I don t know if I am allergic to the soaps I am using or what but advice would be appreciated. Thank you! ### REPLY: Hi Welcome to  forum.  They appear to be the fungal infection, or may be some allergy to the ointment you have used for the previous spots.  I advise you to consult a dermatologist for diagnosis and treatment.  I usually prescribe to my patient with such symptoms grisofulvin500mg, and dexamethasone, Aureomycin, and fluconazole.  Take more of green leafy vegetables, pulses, sprouts and protein rich food, to help the .  Wising for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 24 years old male. I have no bad habbits except smoking. I smoke 4-5 ciggerettes a day. But now a days suddenly i started have constipation which continues from last month. sometimes i feel like going to toilet but nothing happens and i get up with a stomach ache on the middle of my upper stomach. and when i get up from the toilet, and come to my room it feels as if my stomach is full of gas and feels like going back to toilet. I have started farting alot now a days. Sometimes there is bloating. My urine is Dark Yellow as well as imy body is dehyderated. I feel WEAK the whole day. Feel Like lying on the bed for whole day. I am loosing my energy. I have lost 8 kgs of my Body Mass as well which typically refles on my Cheeks and THighs near my buttocks. They have started appearing Boney.Went to a doctor he said that i am suffering from colitis taken some medicines but after sometime started having heart burn and pain in the middle of chest from last week.please help me ### REPLY: Hello, This appears to be gastritis and reflux disease. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Eat lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 26, my sperm count was 2,700,000 cells/ml, 26 % Normal, Pin head is 6%, Big head is 10%, small head is 10%, No tail is 18%, short tail is 24%, long tail 6%, motile is 40% while non-motile is 60%. do i have chance to conceive? I currently taking 1/2 tablet of Ovamit and  1 table vigor ace i want to know if this medication will increase my sperm and produce a healthy sperm? ### REPLY: Thanks for contacting ChatDoctorYour sperm analysis is slightly low. To help improve your sperm counts I have my patients stop all alcohol or .  If you are overweight that can also impact sperm counts. You are currently taking omit which is a medication used in men to improve sperm counts. I recommend that you lost weight, stop all alcohol and take the omit. Hope this answers your question. Please contact us again with your health care concerns and questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I slipped and fell in the tub. I hit the lower side of my body about mid way from my arm and back. I can stand but cannot sit. Fells fine when lying on my back with the heat. I have taken Tylenol and Flexarel for pain. The injury happen Yesterday. I have a little swelling and slight reddish on my back where I fell. What is the process of healing. ### REPLY: Dear patient Bony injury to your back needs to be ruled out by X-ray of the dorsolumbar spine anteroposterior and lateral views. Swelling and redness may be due to hematoma formation. Apply ice packs locally. Start tab Aerosol SP twice a day for pain relief. Take rest on hard bed. Apply ice packs over the swelling. If X-ray is normal nothing to worry. If X-ray is abnormal. Please consult orthopedic surgeon nearby your area with report.  Take Care!   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am Puja form Kolkata,West Bangale. I have oily skin, 1year ago my skin is fairer but now my skin have lose fairness and my skin is very dull and dark,also I have dark sarcle arround my eyes,I used Garnier Eye Roll-on but it can not work in my eye rinkle. ### REPLY: Hello, Thank you for posting on . Dark circles under eyes or under eye pigmentation is a challenging condition to treat. Its seen commonly in people having stressful life and irregular sleep and diet. It's also seen among people having atomic dermatitis and asthma. Sometimes its genetic due to deep sunken eye sockets in skull. Most of the OTC products are not very useful. I would advise you to apply tacrolimus 0.03% ointment at night and AVA RTA eye cream twice a day. Take oral It C regularly. Additionally, a series of chemical peels like arginine, lactic acid etc. from a certified dermatologist can help a lot. Try to de-stress your life and maintain a healthy schedule. Hope you will be fine to 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, my baby is 2 month 24 days old.he had loose motion with fever from yesterday. yesterday he had it 5-6 times. today it happends 2 times from morning (right now its 1.37 pm) and his fever is 99 deg approx. he is taking formula from the very beginning of hi birth and does not want to take breast milk.from today i am giving him rice salaine. is it ok? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your baby have symptoms of loose motion and fever which is due to viral infection of body leading to acute gastroenteritis. It could be due to poor digestion, poor absorption or rapid movement through the intestines and all this leads to watery diarrhea. Need not worry. I would suggest you to take zinc supplements along with oral rely .  You should maintain the HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: doctor i have  problem started long ago in 2004.the problem is with mouth and the teeth bleed and this usually happens at night when am sleeping.i have been to the dentist and been given some mouth wash and antibiotics but it is getting worse now. what is the cause? ### REPLY: Hi! Welcome to . I read your query. Bleeding from gums can be due to several reasons main being Gum disease, vitamin C deficiency, etc. I suggest you to maintain good oral hygiene. Brush twice a day, specially at night to avoid any food left sticking in gums. Use mouthwash with tannin acid. Floss every day. Take good diet, lots of fluids, multivitamin supplements. Visit dentist regularly and get oral prophylaxis done every 6 months to a year as suggested. If bleeding persists longer, get blood test done for anemia, clotting factors and consult a physician. Hope the answer helps you. 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: We had a home made chicken and dumplings lastnight at a friends, my daughter complained (three year old) of a stomach ache. Had a low fever, threw up at 2:30, and at 3 I was ablt to get some tylenol in her, still working on pedialyte. Should I be concerned as that there were also small chicken bones that I myself had to pull out? ### REPLY: Hello, It is likely that your child is suffering from viral gastroenteritis due to consumption of contaminated food, or water. There is nothing to be concerned about at this stage as she is accepting fluids orally, and minute chicken bones are less likely to cause any harm. I would suggest you keep your child well HY .  The use of medication for stomach cramps and vomiting is not necessary as most viral enteritis is self-limiting. However, use of mediate is an excellent way to keep your daughter HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes . for the last few months I have had times where I felt feverish (with chills then sweating. mild joint and muscle pain, low energy) had mild lower back pain and also continually I have a thirst that cant be satisfied ( I drink almost solely water, very little coffee, tea or soda) I have been to the doctor on 2 occassions beleiving I have a UTI but my urine checks out with no detectable infection. also, at times my urine can go from extemely cloudy and strong scented to almost clear all in the same day. I was given antibiotics on my second visit but am still having these symptoms after completion. I don t understand why I can felt perfectly normal and energetic for days at a time and then end up on the couch for a day (occasionally 2 days) ### REPLY: Hi, It seems that you might be having chronic UTI giving this problem. Bacteria causing this infection might be resistant to routine antibiotic soot here is no relief. Go for,1, routine blood check up with TC, Dc, ESR.2, urine culture and sensitivity test for bacteria causing this infection and antibiotic working against them.3, ultrasound of kidney to rule out any other problem in the kidneys. After all reports go for treatment accordingly. Take plenty of water. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I m a healthy 46 year old woman and about 2 months ago I had my left ovary removed because I had a large cyst . Doctor removed the cyst and the ovary. During the surgern he came across a liver hemangioma which at the time he said not to worry about. I have the picture of the hemingioma. A moth later I went for my follow up and he sent me for an ultrasound which showed did not show hemingioma. He now wants me to go to an oncologist for a second opinion. I m very concerned because why now? I also had a pelvic ct scan with contrast and nothing showed up there either. ### REPLY: Hi and welcome to . Thanks for the query. If there was nothing on ct scan then I doubt that there is any lesion on your liver. Surgeon may have seen something like heamngiom, but it could have seen just darker part of liver or he just saw something else. So I think that you shouldn't be worried, just have regular LFT check-ups and watch for any new symptom.  Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had a physical where doc found trace protein and trace bllod (3-10) in my urine. I am diabetic type 2 and have a kidney stone. protein has been a trace for a while but occult blood is new. Doc is not concerned sonce i have a stone but I am worried. shoudl I go to kidney doc? ### REPLY: Hi, Blood in urine is definitely an alarming sign, and it needs to be investigated and ad .  As you have other issues like diabetes, stones and these can cause it. You are therefore advised to get consulted by a nephrologist for proper examination, and accordingly you would be treated. You may be required for an ultrasound, blood tests to see the level of urea, uric acid and creatinine to find functions of kidneys. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m 36 y.o. I m currently experiencing blood when I defecate. So, I had my stool occult blood test and I was found positive. I also had my ultrasound test and I was positive with gallstones. May I know your view on this considering that a lot of my medical literature readings on Occult Blood Test (OBT) positive cases; gallbladder stones is not among of the main causes of OBT. What would you recommend to determine the real cause/s of my OBT? Should I conclude now that gallstones is the main problem? If so, I wonder because I don t experience abdominal pain especially at the upper right portion of my stomach? Thanks... ### REPLY: Hi, Welcome to , You are having basically 2 medical issues first one is GIT blood loss and Gall stone. Usually GIT blood loss result in Iron deficiency anemia, this blood can come from upper portion of GIT that is stomach, Duodenum where Acid peptic disease and ulcers are common cause, other common cause is use of alcohol which can cause bleeding from stomach or also as complication to liver disease, esophageal varices. Other cause may be malignancy, adenoma, polyp etc. If fresh blood is passed then source could be lowed GIT colon or rectum, even piles. You must see Physician/Gastroenterologist and after CBC, Peripheral smear study, other liver function, Lipid Profile and kidney function along with Upper GI endoscopy or colonoscopy as required may be performed to know the source of bleeding. One very important cause could be analgesic use like aspirin/Diclofenac like NSAID. You should stop alcohol or tobacco if you take. You are not having symptoms of gall stones they are mostly made from cholesterol so Statin or Oral bile acid therapy could help(UCA)Please take care 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, the other day my whole leg went completely numb and i fell over, no warning like a pins and needles thingy. Then this morning i woke up again no dead leg feeling or pins and needles and i was falling every where. My balance seemed to have gone on one side and the whole of one leg seemed to feel wet yet every time i felt it it was dry. Hours later and it was still the same and i was having to pick my foot up and put it down purposely, , for if i didn t the foot/leg would stumble, no pain involved but feeling dizzy, and confused, and numb especially down one side. ### REPLY: Hello, If these symptoms occurred suddenly then you should be cautious because this can be due to:- Stroke-Sudden compression of nerve/s in your back as in case of disc prolapse-Diabetes- High blood pressure-Nerve injury or compression due to trauma Other unlikely reasons in your case may be due to:- Deficiency of vitamin B12- Naturopathies In your case I will advise you to not wait and have a consultation from your neurologist. He may advise you an MRI scan and some blood investigations to rule out the cause behind your symptoms. Till then, I will advise you to take rest and continue medicine (If you are taking for high blood pressure or diabetes). 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: good morning doctor, im rahul, iam suffering with severe sneezing from long back, i met so many doctors but there is no use, 1 year bac i met one doctor and he prescribed me MONTEC-LC,FLUDAC,OXYPUR, when im using these tablets im feeling good but when iam stopping again the problem araises so please help me what to sir, really im not able to work or go to office with this problem what to do sir, ### REPLY: Hello Rahul, Thank you for asking at . I went through your history and would like to make following suggestions for you:1. First, I would suggest you allergy testing, which will help you identify the substances you may be allergic to and also to know the measures to avoid them.2. Allergen specific immunotherapy is the treatment that reduces allergy symptoms gradually and nearly "cures" allergies. So I would suggest you to consult an Allergist-Immunologist who will prescribe you allergies specific immunotherapy based on results of allergy testing.3. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & 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, what could this be?,, I m 24yo female with a hard lump on my neck above the collar bone, I noticed this almost 2 years ago and had scans etc done, had a needle biopsy which showed up inconclusive so was operated to remove it, ended with the consultant puzzled by it but they weren t concerned, it came straight back after the surgery, now recently I ve noticed another ( possibly feels like it s attached to the original one ) I m also waking up most nights with coughing fits, having bad headaches and back pain..... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node or other mass.  Enlarged lymph node can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  You should go for biopsy of that lump. If needed go for immunohistochemistry study.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 32 years engineer,off late i have lost  my job due to alchol and seems to hsve lost interst in everything,when i get a new job i have lot of fears and keep on postponing my new jobs as aresult i have lost 2 jobs.am i suffering from depression or hyperchondria ### REPLY: Hello, You must get rid of alcohol and also start meds for depression and anxiety. Both alcohol and depression are closely interlinked in your case and this is a very common problem faced by people who take alcohol and develop depression. No antidepressant will work nicely till you donor stop liquor. So, you must meet a doctor, preferably a psychiatrist who can start the dead diction process and also prescribe an antidepressant. The dead diction process is needed to be monitored very closely and cannot be guided here. It requires seeing a patient in person. Also get your blood tests done. Your doctor would write them to you-depending on your physical condition. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor,          I nee need to ask abt my uncle. By reports we come to know that my uncle got stomach cancer and cancer cells are sped to liver.Now doctors removed the stomach of my uncle and they told us that they gonna cut the infected parts of the liver. but i need to know after doing this is my uncle will out of the cancer and can he lead the normal life...? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Your uncle has stomach cancer. If cancer cells spread to the liver then it becomes stage 4 cancer.  It is difficult to treat.  He should take chemotherapy like explain AMD other .  He should regularly check CEA level to check cancer cells.  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: My grandfather of age 80 years weight 43.6 kg , recently dignosed as tuberculosis and under medice macox plus 450 01 tablet (empty stomach) nulev-500 01 at night randec-150 bd with richnim 1/2 tab bd since last four days . He is suffering frm gastic issue and not hungry . He is afraid that started avoiding the meal. On consult to physician he has given Digestozym syp for three time which also not appears to resolve his issue. Kindly recommend possible solution considering his age and problem. With thanks om ji ### REPLY: Hello, I understand your concern. I am , infectious disease specialist, answering your concern. TB treatment can cause gastritis, it is very common phenomenon. In my advice your father should continue the medication, this treatment requires some time to get adapted. Once your father get adapted the treatment becomes very smooth. Prescribed medication was right and appropriate you can continue with it. Your father can take the medication with the cold milk, this can decrease the gastritis and helps in discomfort of stomach. Please do not discontinue treatment because once discontinued it will be very difficult to treat it once again. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ .  Thank you, ChatDoctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I served 1 year in Vietnam. I was exposed to Agent Orange when I was boots on ground in Danang, Vietnam. I had prostate cancer later in life. I have a disability claim with the VA for being exposed to Agent Orange. My question is, how long can cancer cells lay dormant before being detected. I was told by the VA, because I never reported I had prostate cancer within the normal 1 year period after leaving the military. I didn t know I was even exposed to AG, or started having problems until many years later. I am under the impression that cancer cells like this may not be detected until many years later. Thank you, John ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Occupational cancer take long time to detect. There may be gap of 10 to 20 years in exposure and cancer detection.  So in varies from case to case, but it takes long times to develop cancer and detection of cancer. 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 doc this is so embarrassing but I have a cut on the shaft of my penis and i think its because of too much masturbation and seems like its not healing quickly should i stop masturbating until it heals? And Ive been seeing some small bumps too is it because I have shave that area too is the cause of small bumps? ### REPLY: Degree understand your concerns went through your details and I suggest you not to worry much. Masturbation in moderation cannot cause any damage to either your penis or to your health. Masturbation is normal and natural. You can masturbate one per day at the most. Because above that brings you a lot of anxiety feeling and a bit of extra tiredness. The cut on your penis could have been due to your own nails, .  Stop maturation until it heals and ONT worry about it. Shaving with contaminated blade can cause bumps. Blades used elsewhere if used in pubic area can also cause bumps. Keep the area neat and clean and see for a couple of days. If no relief, please consult a physician. 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: 4yrs marrige i am no pregnent. every reports normal both.aiims doctor suggest laproscopic sergery, why?age 34,hgt 5", wgt 50.blood test hormontest normal tube test normal periods normal, no cyst seen.                      husband age 42.hgt 5.4",wgt 64.sugar tsh test normal. sementest result 85. ### REPLY: Hi, I think, you have been advised laparoscopy as you have tried for 4 years. So, laparoscopy sometimes can tell you the problem which HSG and ultrasound cant detect. If you don't want laparoscopy to be done, you can go for GUI. In this, you will be given some medicines for growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  GUI will be done the next day.  Progesterone will be happy for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 cycles.  If it doesn't work then you can go for laparoscopy or straight away to IVF.  Hope I have answered your question. 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 a uniformly echogenic 3.6 x 3.5 x 2.9 cm lesion is seen in the right hepatic lobe. Echogenicity of the remainder of the hepatic parenchyma appears unremarkable, but have pain and stomach issues along with the lesion, is it something I should have looked at? ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. In most cases these spots are benign growths such as cysts or hematomas. Hematoma is very small and this can't cause such symptoms unless larger than 10 cm. He should do MRI SCN or liver biopsy to find what type of lesion it is.  Less common this may be malignant issues such as hepatocellular carcinoma. His abdominal pain may not be related to liver spots at all. It may always be sign of some other issues such as IBD or gastritis. If these are just simple liver cysts then I don't think this is causing his symptoms. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi...i m a girl of 21 years....i m suffering from depression . i want to be happy....but i m always trying to be sad..i dont know why?i just irritate people around me...i m feeling like coward to face a little prblms of life...i m sick to going college and to talk my frnd nd classmate...i alwayz think about suicide how to kill myself...i want to live happy please help me ...i m sick ....please...please ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are feeling depressed and this seems to be affecting your routine life in many ways. There are different treatments for depression available - in the form of medication as well as psychological therapies. However, it is important that you first have a proper and detailed assessment to arrive at a correct diagnosis, so that the appropriate treatment can be initiated. So, I would advise you to see a psychiatrist in your place for a detailed evaluation and further treatment. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir,i am 40 yrs old diabetic women im allergic to b-complex,antibiotic and other vitamin pills and it leads me to formation of acne and white patches in my tongue.and doctors say that my wbc count is high.im afraid weather it is some kind of cancer and im unable to intake vitamin antibiotic tablets . ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You should go for differential count.  Total WBC count is high. It may BR due to infection or may be due to some other conditions like cancer also.  Go for complete blood count and peripherals smear examination. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Diagnosed with umbilical hernia and told to see surgeon. The er doc was able to push in on the bulge and gave immediate relief. I don t know the size. I am f age 55. Overweight What can I do personally to either reduce chance of not having the bulge pop out or whAt can I do to not aggravate it ### REPLY: HelloThanks for query. You have umbilical Hernia which got obstructed once. It is likely to get obstructed again whenever intro abdominal pressure gets increases while lifting heavy objects, coughing, straining to pass stools or urine etc. It is always advisable to get operated and to close the defect in Line Alba. Till then avoid any activity that will increase intro abdominal pressure. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. So I ve had unprotected sex on February 24th and a few times before. I am on the depo shot and have been having bubbles in my stomach and stomach pain. I ve had headaches and I ve been bleeding for about 3 1/2 weeks. Spotting sometimes and sometimes like its my period. Also my sides have been hurting when I breathe. Could I be pregnant or is it side effects from the birth control shot? I am only 16 and very worried. ### REPLY: Hello and welcome to , Depo injection consists of progesterone. Progesterone is associated with some side effects. Some of them are:1. Nausea, bloating, diarrhea, pain abdomen2. Dizziness, hot flushes3. Joint pain4. Breast pain5. Change in weight6. Acne7. Vaginal .  There is nothing to worry about them. However, if you experience symptoms like numbness, migraine like headache, pounding heart beat, fever with chills, breast lump, swelling of body, etc., you need to consult your doctor immediately. 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: Im a 33yrs female thats want to have a child. The doctor tested my husband Sprem say that he have a antibiotic in his Sprem I try IFv once after three months I have a miscarriage know I dont know what to do I want To have a child so bad I need to know what advance can you give me thx ### REPLY: Hello, I have gone through the query and understood your concern. If your husband has an infection, he needs to get the same treated completely and reanalysis is repeated after 72 days. Progressive motility and morphology are the important factors that determine the adequacy of sperm count. Your ovulation status also should be regular. Please do not worry, patience is very important when trying to conceive. Your doctor is going to go for further procedures once you are ready. Hope your query has been clarified. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has very high fever. He is 4 years old and has been having fever for the past two days..last night was bad as his fever went upto 103.6f . I gave P125 which didnt work. so gave a towel bath and gave ibugesic plus 8 ml(he weighs 13.4kgs). Now he is fine. but not sure how long and frequently i can give ibugesic. He also had shaking chills last night . We have been giving him an antibiotic that the doctor prescribed for the past 2 days...to be given for 3 more days.. Why did he get shivering chills..why is the fever not responding to normal paracetemal. how much more should i give this ibugesic, is it safe for a 4 year old kid? ### REPLY: Hello, Your baby is probably suffering with viral fever; it is associated with shivering when fever is high. High grade fever does not respond to paracetamol syrup alone; it requires combination medication. Syrup Eugenic plus can be given 6 to 8 hourly, minimum 4 hour intervals between 2 doses. High grade fever will probably persist for 1 to 2 more days. Then you may shift to Paracetamol syrup. All medication discussed here are safe for child . Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was taking Yaz for several years and gradually my periods got lighter and lighter until they finally stopped about 1.5 years ago.  I stopped taking them midpack 2 weeks ago and I still havent gotten a period.  Im trying to conceive and Im all worried that I broke my body! ### REPLY: Hi, I think you should do a urine pregnancy test.  If negative, you can take some medicines for inducing periods.  Also get some blood tests done like a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  Do a day 2 FSH, LH and AMH level.  These tests will tell you why you are not getting periods.  If everything is fine, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  Discuss with your doctor regarding this.  Hope I have answered your question. 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: hey...i had my chest x ray done today...the report shows no active lesions. but there is thick vascular markings in both lungs.....hila are enlarged..... other things are normal....i was having heaviness in chest, mild pain and pressure on the backside of chest.... and difficulty in breathing as if shortness of breath ( just like gastric problem in chest) ### REPLY: Hi. I can understand your concern. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sister has got an almost scale like pattern on her arm. its not a rash and we think its something to do with the blood because its underneath the skin. We have tried researching what it could be but arent sure. do you have any idea of what it could be? thanks. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You need examination about color, texture exact site and location.  You need examination and routine investigation. Go for complete blood count, sugar, creatinine and coagulation profile test. Examination plus above investigation help you find the cause.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Sir, I have dry cough problem since 1.5 months i consult many doctors but not diagnose very well and still suffer from this problem.I got cough after eating any meal and it continous whole day when i talk or take walk outside also so is there any serious problem ### REPLY: Hello. Thank you for asking at . I went through your history and would like to know more about you like - What is your age? Do you have nay complaint other than cough? Do you have regurgitation of foods/liquid after a heavy/spicy meal? Do you have breathing difficulties? Etc. However, from your current history, I would like to make suggestions for you as follows:1. Were I treating you, I would prescribe you montelukast, levocetirizine and an antacid like omeprazole regularly for 2 weeks. If there is improvement, I would continue the antacid for 4-6 weeks.2. I would suggest you regular warm saline gargles.3. I would also suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.4. A light, nutritious diet and especially a light evening meal will also help you in an early recovery. If above medicines do not improve your symptoms, I would think of some other more serious causes and would suggest you investigations like complete blood counts, ESR and chest X-ray. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is 80 years old and has dementia. His problem now is that is right knee is swollen and giving him a lot of pain. I think he should see an orthopedic doctor but I don t know if it should be a doctor or a surgeon. Could recommend what I can do? What doctor I should take him to? ### REPLY: Hello! I read your question and I understand your concern. In my opinion the swollen knee is not related to any neurological problem. I think the main cause of his problems is arthritis from degeneration of the bones and ligaments of this joint. I would like to know if he has had any trauma or fall. Furthermore, I would recommend you to consult with a rheumatologist first and have a full blood work, inflammation tests and a X-ray of the knee. If a traumatic injury or fracture suspected in the X-ray I recommend you to consult with an orthopedist. An MRI of the knee would examine better the problem. Hope to have been helpful! Best wishes  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi about a year ago I spent a little too long on self appreciation and wound up with irritation on the head of the penis.It took a while to heal but now it s scarred a bit and it seems like the area of the skin is thinnerand smoother but after it gets erect then goes limp it looks all dry and unappealing like burn scars or something.What can I do to fix this? Age-43 height 6 weight about 220. ### REPLY: Hi, Thanks for writing in. Since you know why it has happened, and it is not due to disease, discoloration of your penis is something you may accept as a part of yourself. Please do not get worried and do not let your mind get preoccupied with it. However, you may choose to consult a dermatologist and get an opinion on procedures available locally, but that is just to give it you a cosmetic advantage. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29 years old female.On 2009 I had undergone thyroid suygery followed by biopsy test resulted as papillary carcinorma.So as per the doctors advice I continue to take treatment of Radio active iodine treatment.After the 2 dosages I am completely recovered.So is it possible to me to start a married life? ### REPLY: Hi, Thanks for writing in. Cancer of thyroid like papillary carcinoma have good cure rate if treated early. As you have got surgery and are taking radioactive iodine, it will help in your recovery. Married life is one based on trust, emotions, love and faith. It is certainly possible to start a married life after recovering from papillary carcinoma of thyroid. Please be clear to tell your prospective spouse that you had a medical condition in the past and have taken complete treatment. It is important to note that cancers are difficult to treat, and you must keep a close watch on your health for some years and get regular health check done as a precautionary measure. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lump in my abdomen (right side) toward by naval, if I push on it or move it, my lower back hurts. I have had CT and nothing showed, except an old compoud fracture at T11. It feels like standing puts to much pressure on my stomach and lower back. FYI, I am 5 3, 115 pounds, so weight is not a factor. I m concerned. Thank you ### REPLY: Hello hope the answer helps you sir/madam. As far your concern for a swelling on right side of navel which hurts the back and when CT SCAN abdomen is unremarkable except old fracture you donor worry as swelling in the layers of abdominal wall which could be any lipoma, sebaceous cyst or benign skin tumors I guess you haven't mention in question the size even if large it cannot hurt your back as SCAN is unremarkable. You back pain may be neuropathic post fracture start using some topical analgesic as Ventral gel along with muscle relaxant oral preparation as paragon capsule twice or thrice. Also check your body postures in sleeping, sitting and . If these measures not working for 3-4 weeks at least than consult neurologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,How much is the chances of getting pregnant from rubbing penis and vagina.i ejaculated before and already wiped it off, and the i started rubbing my penis to her vagina. no penetration at all. i am so worried. this happens yesterday. her period stops 7 days ago. is it her fertile day ? if so should i take postinor pills to prevent pregnancy ?thanks ### REPLY: Hi and thanks for the query. I am sorry about the thoughts you are going through right now. The chances of becoming pregnant for and act like this are very, very minimal. Getting worried is normal. Though the chances are very small, you may want to take a morning after pill to stay more reassured. Her menses stop 7 days ago? It is more important to state when they started than when they stopped. You are normally most fertile about 14+/- 2 days from the beginning of your last menses. I cannot tell for sure when hers started since menstrual duration varies from one woman to another. Please, always consider having protected sex. Beside pregnancy, you can also transmit or contract STDs. Hope this answers your question. Feel free to come backwash you both 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 baby is nearly 7 months old. he has colic when he was 2 weeks old, and has always had trouble with feeding. It used to take me 2 hours to feed him a bottle. he is gassy and windy. The DR has told me he has a slow digestion and it will resolve by it self. I havent started giving him soilds. When will his system be normal and when should i give him soilds? ### REPLY: Hi... Thank you for consulting in . This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to .  Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is -1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. 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: My 16 year old son had his wisdom teeth removed five weeks ago and no problems until this morning. One of the sites is swollen (now like half a ping pong ball) and oozing pus and blood.  The site is one of the teeth that had to be cut out.  It is painful for him and he has been rinsing with both peroxide and warm salt water.  He never even needed any pain meds beyond ibuprofen or Advil.  Thoughts?  Is this outside the norm of getting food in the socket? ### REPLY: Hello, Welcome to  forum. From the details mentioned, i suspect hematoma has developed at the site of traumatic tooth extraction. I would advise you to apply cold packs frequently on the socket. Irrigate the socket with Iodine solution and apply Eugenol, Lignocainehy . Usually Amoxicillin has to be administered complete course. Maintain oral hygiene well. Avoid stressful job, take rest. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i`m 26 y i have hepato- splenomegaly i don`t have hepatitis C ,B my platelet count is 160.000 and my WBCs is 3.5 i have alot of petechiaes all over my body espicailly on shoulders ,back ,buttocks , legs also have bruising and epstaxis plz first how can i get of these petechiaes as soon as possible and what may be my Diagnosis my Doc ask me to do liver biopsy and i will do it next month ### REPLY: Hello, Ahmedabad, I am sure you are very concerned about this problem. At least I see that viral causes such as Hepatitis B & C have been ruled out. Your platelet count is not very low. This does not explain easy bruising or your rash, White cell count slow. Enlarged liver and spleen can be caused by a lot of conditions. These include, infections, parasitic infestations, cirrhosis of the liver related to heavy . I know, I am giving you a lot to think about. You do need to see a blood specialist. A liver biopsy or if you have enlarged lymph glands in the neck or groin area, these could biopsy. Wish you the very best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 35 and taking Tri-Previfem birth control pills after 5 years of an IUD. The IUD caused excessive bleeding.  I have been on the pill for about 6 months.  I am feeling lots of anxiety during the 3rd week of my pill pack.  I also feel much less happy about my relationship with my husband during this time.  I notice now my hands shake mildly, also at the 3rd week stage of the pill pack.  Is this a normal reaction to Tri-Previfem? ### REPLY: Hello, and I hope I can help you today. Anxiety is not normally a side effect of birth control, but if you are taking a traffic (pill that has a different hormone dose every week) pill your hormones are at the highest level in the third week of the pack, which may give you Pm symptoms.  So you may be having some type of reaction to the hormone fluctuations. I suggest you speak with your healthcare provider and try switching to a lower dose pill and also one that is the same hormone dose all month, called monophasic. There is a monophasic version of the pill you are on, called Preview (without the TRI) but I think personally you would benefit from a completely different kind of hormone if you have mood side effects. I hope I was able to answer your question today and that my advice was helpful. Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My staff meember (a teacher) came in this morning saying she started to feel extra warm on her drive in to school. She then noticed her bocy is covered in a rash -more like her sckin looks sunburned and feels hot to to the touch. It is -24 outside so it is definitely not a sunburn. Any ideas? she has no known allergies. and is not on any medication , is not wearing nay new clothes or using any new soap products. ### REPLY: Hi, Welcome to . The description given by you suits the diagnosis of urticaria. It can be due to food allergy, insect bite or other causes. Take antihistamines like tab. Zyrtec twice daily. Apply a soothing lotion like calamine lotion over the affected area. Visit to dermatologist or general practitioner will confirm the diagnosis and allow other prescription medication. Hope this helps. Wishing you good health. Regards.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a swollen lymphnoid on the right side of my neck above my collar bone for 4 days now. My ear is a little sore, my neck is stiff today and I have vaginal itching also. Ive had no fever and Im kind of worried. Also been having night sweats too. Can you help? Please? I went to the Dr yesyerday and Im waiting on my lab results to come back. PLEASE HELP! ### REPLY: Hello and thank you for your question. It is good that you have seen a doctor. The swollen lymph node is probably there because you are fighting off some sort of infection. Vaginal itching is usually due to an infection, so I hope your doctor checked you for that as well. Stiff neck can be from muscle strain or something serious like infection. I do not know that we can help you over the internet with all of these things. I hope you get your test results soon and get treated for whatever is causing your symptoms. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my boyfriend is bipolar and is currently taking paxil and rispidone and trazadone daily. he still suffers depression and anxiety. he sleeps almost all the time and lacks interest . i ve urged him to speak with his doctor about trying a new medication. any suggestions? he also attempted suicide 3 years ago and is in recovery from drug addiction. he has been sober for 3 years as well. ### REPLY: Hi, If he starts a mood stabilizer like valproate or lithium, it will help keep the bipolar disorder under control, by preventing mood swings. It will also enable his doctor to decrease the dose of other medicines, reducing sedation and other side effects. In fact, mood stabilizers are the first line of treatment for bipolar disorders. Please discuss this option with his doctor. Hope this helps him. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a grade 3 AC joint separation. I m reading that grade 3 is sometimes treatable by a sling. But I also read that the ligaments aren t able to repair themselves. So, how does wearing a sling until the pain is gone do any good? If the ligaments don t repair themselves wont the collar bone just come back out of place once the sling is removed? ### REPLY: Hello For grade 3 ac joint separation which is symptomatic then you may need surgery after clinical examination. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My doc asked me to stop taking Losartan Potassium HCTZ (50 & 12.5 mg) because of side effects like sleep problems, eye pain and increase in heart palpitations. I stopped 4 days so far after taking it almost 18 months and my BP now is 125 / 87. I m 40+. Any risk of stroke? ### REPLY: Hello, A daytime blood pressure above 130/80 (either one of those numbers) is considered to be high blood pressure, which is a known risk factor for stroke. So if your BP continues to have a lower number higher than 80, I would consider talking with your doctor about how to manage that. Diet and exercise can often lower it without medications as well. That being said, if this is your only risk factor for stroke, and your cholesterol is good, and no diabetes, I would consider your risk for stroke to be very low. Hope I have answered your query. Let me know if I can assist you further.  ### END