Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old has been tired and swollen lymph nodes. We have been to doctor twice and they have taken blood both times and they said his blood looks like a viral infection. He had blood in his urine at the last visit. This has been going on for a week and a half. He is not getting better but getting worse. They put him on an antibiotic and he is on 24 hours of it and still spiking fevers off and on. I don t know what to do please help ### REPLY: Dear user, your history suggest your son has a viral infection, most probably EB virus.  It usually causes high grade fever, lymphadenopathy, skin rash and tiredness. Blood film may show neutropenia. Fever may last up to two weeks. Antibiotic will not help in viral infection. It will be cured by itself with 2 weeks, only symptomatic treatment for fever is needed. Avoid aspirin use in this disease.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, and thank you. I have a soon to be 12 year old son who has complained of a stomach ache only in the evening after we have eaten supper. He sometimes says that it makes him feel sickish, but mainly hurts. He does not complain during the day at all. This has been for about 2 months. He has seen the doctor.....taking previcid lowest dose at night and taking Metimucil one time daily. THinking that he has irritable bowel or could be a ulcer. ### REPLY: His understand your concerns but don't worry. The most likely reason for recurrent stomach pain with no other symptoms such as weight loss, bowel disturbances, urinary problems, vomiting etc. and normal on clinical examination are functional pains. So, just go for CBC, CRP, urine and stool examination to rule out any organic cause. If absent then you may just keep him on placebo for a few days to check for response and functional cause. Hopefully it will be of help. 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: hii,Im22yrs  old and suffering from hair loss, I was using mintop forte usb 5 % and a dandruff shampoo!! while using it I thought the hair fall had stopped a bit but when I stopped using it, it started again. this is hereditary as my maternal grandfather was bald. Please suggest some treatment to stop hairfall and regain hair growth ### REPLY: Hi. Thanks for writing to us at  You seem to have an . You previously had been using topical Minoxidil alone. Minoxidil alone may not be sufficient. If I was the treating doctor I would have also started you on oral finasteride. Minoxidil and finasteride have approval for use in this type of alopecia. While Minoxidil is a non-specific hair growth promoter, oral Finasteride once daily is specific for an ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wasnt feeling very well 2 days ago , feeling very dizzy and worse when i went back to bed to try and sleep it off,im still feeling a bit dizzy now and sick , i checked my blood pressure with a home blood monitor and it was 116 over 57 this afternoon then checked it again and it was 116 over 67 is this a normal range , i am quite a fit person as i work out nearly everyday ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should take the treatment for hypotension (low blood pressure). The mentioned range of blood pressure was low. All your complaint is related to the hypotension. Once hypotension is look after your complaint will disappear. I advise you to visit the nearby hospital and look for the cause of low hypotension. Correcting the underlying cause cures your hypotension permanently. Till you visit the nearby hospital I advise you should take the high salt diet. ORS as a hone remedy is also a good treatment option. If you feel severe weaker than intravenous infusion is necessary. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have what started as a cyst on the left side of my scrotum along the crease of my scrotum and inner thigh.  it burst and now there appears to be an open wound with a very visible hole in the center of it. Drainage is constantly coming out of it without pressure.  I went to a urologist and he prescribed an antibiotic.  It is now worse. ### REPLY: Good Day and thank you for being with  ! It is important to get a culture of the fluid because depending on your location it might be tuberculosis of the scrotum. Culture will also help us with the antibiotic to use. If a trial of the antibiotic is not working an ultrasound might be helpful because there might be an abscess formation inside and a .  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my prostrate removed when my psa levels were 6.5. 8 years later the psa is slowly rising above 2, but somewhat stable within this range. The doctor suggests radiation therapy over 6 weeks. The cancer spreading to other body areas has been ruled out through test. The second opinion was wait until a psa level of .35 and that immediate and permanent erectile function would result. Is this true about immediate impotency? And, how long do does it normaly take for the cancer to go from .2 to .35 and am I wise to wait as the survival odds will be the same......70-90% thanks ### REPLY: Hi, Thanks for writing in.PSA is a marker for probability of prostate cancer when if shows a particular pattern of increase on consecutive blood tests. It should be remembered that PSA can also be raised in non-cancerous situations like infection involving the prostate. The PSA circulates in the blood in two forms either free or bound to certain blood proteins. If you have a high PSA level but a low percentage of free PSA, then close follow up and ruling out cancer becomes important. This test is used for men with a PSA level in the borderline range between 4 and 10. Research shows that if more than a quarter (25%) of the total PSA is free, there is less chance of having prostate cancer. I recommend you also get a free PSA test done to know the risk of recurrent cancer if any. There is no time limit for PSA to rise for 0.2 to 0.35. However, there is PSA velocity which is important and this is calculated as the increases in PSA on a monthly or yearly basis and gives a risk of disease. 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: Sir, I am Meenakshi Patel and I am facing severe problem of Lichen Amyloidoisis .There are dark brown patches all over the body with slight itching sensation.I am also having Thyroid problem for which I am taking Thyronorm tablet.Since last 8-10 yrs. I am suffering the problem of amyloidoisis.My skin specialist has given me some Vit.E medicine with some lotions but they are not enough.I want to get rid of the bad looking scars completely.Could you please help me .Will this disease have a bad effect on my married life? ### REPLY: Hi, Thanks for writing in.  Hyperpigmentation can be due to postinflammatory changes. Sun exposure can aggravate pigmentation. Keeping the sun protection is important to treat hyperpigmentation. Use sunscreen with SPF 50.  My advice to you would be to use steroid based cream with moisturizer. Few treatments like microdermabrasion and fractional CO2 laser can help to spot effectively.  Consult a good dermatologist who can provide you with these options along with effective oral prescription medicines. Lichen amyloidosis is treatable. It will not have bad effect on married life. Hope this helps. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i work in a kitchen that the temperature exceeds 120 degrees. i sweat alot around my thighs and groin. i have noticed a rash developing for the past few weeks. i will not go away and it is not getting any better. it is painful and raw. i try to keep the area well washed and dry and use medicated powder to keep dry. what should i do??? ### REPLY: Hello, Thank you for posting on . It seems you have got intertwine. Intertrigo is an infection which occurs over any opposing skin surfaces, mostly seen over groin folds. Its caused due to bacterial or sometimes fungal infection. Overweight can increase the friction and thus predispose to intertwine. I would suggest you oral antibiotics and antifungal tablets for few days along with application of antibiotic cream like juridic acid and antifungal cream like clotrimazole twice a day for few weeks. Use dusting powder containing clotrimazole on daily basis to keep area . Try to reduce weight and maintain hygiene. Avoid tight undergarments and use cotton garments as far as possible. Hope this will help YouTube 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 missed a vein while slamming meth in my forearm about a week ago and it swelled up my whole forearm bad. today the abcess popped and i squeezed out a lot of puss and blood and it even looked kinda oiley. now when i push on the skin around it what looks like a big puss pocket pops out of my skin and goes back in as soon as i let go,but the bubble looking pocket is black and when i pull on it, it will streach way out but wont come out im worried it might be dead muscle tissue what do you think? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No, its not dead tissue or muscle. But it is infection caused because of contamination at the time of injection. Contamination occurred because of the non-sterile skin at the time if injection. Please take definite 200 mg tablet under your doctors' guidance. This will treat the infection. Diclofenac can be taken under your doctors' guidance for pain. You can also use polypoid ointment over the wound. Please do maintain cleanliness with frequent .  You can use Betadine and detail for  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im 18 and ive been having a strange feeling in my heart.I didnt tell anyone because i dont want anyone to worry.The feeling is like i have a rock in my heart and my left side always feels funny.Also i have some kind on problems breathing like air is heavy it self.Maybe is axiety or stress right?thank you! ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that your symptoms don't seem to be cardiac related. Does this feeling change with breathing or body movements? This would be indicative of a muscle skeletal cause. Anxiety could also mimic this clinical scenario. I recommend consulting with your GP for a careful physical exam, a chest X-ray study, a resting ECG and some blood lab tests : -complete blood count (possible anemia or infection)-PCR, sedimentation rate (possible inflammation)-kidney and liver function tests -blood electrolytes. If all the above-mentioned tests result normal, the main cause of your troubles would be just pure anxiety. In such case I would advise consulting with a specialist of the field, to help you manage your anxiety. Meanwhile, it is important to avoid caffeine and energy . )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: i have a varicosele bilateral dianose 3 years ago, at the left side of my testes, and now i notice the inlargement of vain in my right side, how do i prevent from inlarging this vain and sometimes i fill pain afternoon come and when it cool climate. ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have Bilateral varicocele. Testicular veins have valves that prevent falling of blood in testicular veins. The varicocele is dilatation of these veins due to incompetency of these valves resulting from accumulation of blood in these veins, If severe This may cause infertility There is no medicine that can prevent dilatation of these veins once the valves become incompetent. The only option is to undergo surgery of ligation of these veins (Varicocelectomy). .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got a stabbing pain in my rt side about even with my belly button last night, it lasted a few hours and went away. Its come back now. I ve had sharp pain in that spot before but its only lasted a few moments and gone away. I am currently waiting on lab work for the possibility of adrenal system issues. My mother is worried that this might be an appendicitis and that we might need to take me to the ER. ### REPLY: Hi. With the history you have given you may be suffering from appendicitis. The pain of appendicitis starts at the umbilical region, lasts for a few hours, may follow by a period of few hours of silence, to reappear at the right Iliad fossa. This may be associated with vomiting, loss of appetite, fever and so on depending upon the severity of appendicitis. Ultrasonography is an investigation of choice and CT scan to confirm if necessaryLooks into issue of a .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had an infected tooth and couldnt get in to see the dentist for two days. My bottom right lip and cheek began getting numb....I ended up having a root canal which went fine. I still have numbness and swelling in my lip and gum area. I have been on Clindamycin 300 mg over a week and have began a second round plus received an injection of an antibiotic in my hip to clear up any infections which may be lingering. Im getting concerned this is lasting too long especially since Im taking antibotics. Any suggestions ### REPLY: Thanks for your query, I have gone through your query. The reason for swelling could be because of the persistent infection or its relative feeling of swelling secondary to the numbness. The numbness in the lip and chin could be because of the trauma to the nerve during injection of the local anesthesia, or it can be because of pressure caused by any cyst or tumor on the nerve ending. Clindamycin will clear the infection, but it will not solve the numbness problem. You can take nerve regenerating .  But you have to rule out the cause of numbness so consult your oral physician and get a radiograph done. I hope my answer will help you. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey docs im 20 yrs old and im not unfit, im about 12/5 stone my height is 5 10ft. i use do alot of sports untill i was 18 then sort of stop, i still play football once a week and for some reasons i keep getting these sharp pains around my heart and it feels like it just about to give out or something, anyway being a bloke i ignore it and it seems to go away. i was just curious to see what it might be? ### REPLY: Thanks for your question on . I can understand your concern. Left sided chest pain on activity is mostly seen with heart diseases. So we should first rule out heart diseases in your case. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes, simple musculoskeletal pain can also cause similar symptoms. So avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Take painkiller like ibuprofen if required. Don't worry, you will be alright with all these but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been feeling vey tired, had a low grade temp, middle to lower back pain and also some joint pain. I had a kidney infection a few years ago and I remember the symptoms being similar. I have also had headaches which is unusual for me but the main issue is the lethargy. Just wondering if I need to see my GP again. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some infection in urinary tract or other areas. You should go for complete blood count, urine routine and microscopic examination and ultrasound abdomen. This will give you exact idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had an extraction of #30 due to root fracture. A bone graft in extra site and gtr-resorbable barrier placed. There were 3 sutures placed and I lost one and the collagen barrier is now moving around and away from the extraction site. My dds is on vacation, so how serious is this to the healing process? ### REPLY: Thanks for your query, I have gone through your query. The socket healing will take around 7-10days. Nothing to be panic about the membrane. Usually the sutures will resort in weeks to months(if it is absorbable sutures). If it is non-absorbable sutures, then get it removed after 7 days. The problem associated with a mobile membrane is damage to the graft material and delayed wound healing and infection. Do saline gargling and consult an oral physician as early as possible. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I an on Cipralex for depression for at least four years I just found put I am pregnant and not sure how far along I am maybe 10 weeks max I really concerned as the tried to reduce my tablets from 20mg a day to 15mg and after a week I was in a very bad way. Should I stop this medication? Or is it safe to continue I don t know how I will cope with out them! ### REPLY: Hi, Citalopram, should not be discontinued without consultation with your psychiatrist as it can cause your depression to come back, which can affect you and your baby. It is best that you have a joint meeting with your Obstetrician and Psychiatrist regarding your pregnancy plan. Citalopram is more a cause of concern when taken in the last few months of pregnancy as it can cause a problem in a few babies where the baby can have pulmonary hypertension(heart problem). For this a fetal 2D ECHO(special ultrasound) is required for monitoring of the baby. Generally if your depression is under control then cognitive behavioral therapy sessions with your psychiatrist can be given and the . But in most patients it is safer to continue the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I just went to the dentist for a crown and not sure what happen, but when the doctor was putting the anesthesia I felt a sharp pain in my eye, the same side he was working. When he was done I felt my cheek was different, and yes, I have a big lump. Should I be worried it could be an infection? Is there something I can do to relief the swollen?Thanks for you help! ### REPLY: Hello and welcome. Thanks for sharing your concern. The lump that you are experiencing now, could be due to locally deposition of local anesthesia. It should diffuse within a few hours or so. Then the lump should go away. It is not an infection. Regarding sharp pain in the eye, it appears unrelated. But if you find persisting symptoms in relation to eye then please revisit your dentist.Also, please mention in which jaw the crown was placed upper or lower?so that I can suggest better in this regard. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am suffering from skin psoroisis for the last one nd a half year. i am 54 now and a high bp patient on medication. my blood pressure is under control by a mid dose of amtas 5mg. blood sugar is normal say 95 or 105 fasting. no other ailment except the skin problem right now taking folitrax once a weeek. but not yet cured pl. suggest remedy. thanx. ### REPLY: Welcome to , The response to treatment shown in psoriasis is different from patient to patient. You are currently taking solitary (methotrexate) which is a standard .  It will take some time for your condition to gradually improve, remember there is no complete cure for psoriasis. If your skin lesion worsen you will need to increase the dose or take light therapy (PVA). I will suggest you some methods which may help improve your condition.1. Choose your soaps and perfumes which are specially designed and labelled for sensitive skin, as they will not have strong dyes in them.2. Avoid red meat and a lot of fatty food.3. Eat more of cranberries and nuts.4. Use sensitive skin moisturizers.5. Primrose oil capsule once a day have been found to be beneficial in many patients.6. Take your psoriasis medications regularly. Hope that answers your question,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my father in law had a kidney transplant seven years ago and has had a weight problem since. The weight causes him to have on going back trouble and knee joint pain. Is was wondering if acai berries would be a safe to aide in his weight loss. Any advice would be greatly appreciated.Emma ### REPLY: **1. Although it is not supported by a generous amount of research, for many açaí berry seems to be a viable option for the treatment of kidney disease, as well as weight problem, since it is high in anti oxidants thus can be safely used to fight free radicals produced due to impaired kidney [joint pain] and also boosts the Immune system.PS.  It is important to exercise caution when considering the purchase of an OTC [over the counter product] which makes claims to cure of any physical ailment. It is also important to double-check that açaí berry will not interfere with any medications already taken. Because there is still very little research on the use of açaí berry for treatments of major disease, it is best to use it with caution.2. The most effective way of losing weight is only diet control and exercise. You can get a specialized diet [for kidney patients] from your dietitian. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 22 and male. I have a small (5*7) Becker nevus between my stomage and breast . It really annoys me so I want to get rid of it. What I heard from other people, Laser treatments are not really effective and complex. On the other hand I ve read from a lot of people that they got a Tattoo over their becker nevus and they are absolut happy with it. I also heard that Tattoo shouldn t be made over moles/nevus because after you can t see anymore if they change (for example cancer ). But I also heard that a becker nevus is a benign/innocent mole that shouldnt change into cancer. So I think the risk of getting a Tattoo over it should be small. What do you think? ### REPLY: Hi, Thanks for writing to us. Few lasers like q switched laser or ILL show good results in Becker nevus. However, a number of sessions might be required. If it's a small nevus and that too in covered area of body, it is better to leave it as such. How would tattooing the area enhance its beauty. If you get bored with the tattoo again you might have to get lasers done. Chances of a Becker nevus turning malignant is almost negligible. However, I would not advise tattooing the area as you said no change that may occur in nevi(even if It's highly unlikely) can be seen. 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 kidney problems in the past. My function has returned to normal range. I am aching in back again and today when I wiped after voiding I had some dark reddish colored blood. Is it my kidneys or somethibg else. I have had no period for about 10 years. Thank you... Phyllis W. ### REPLY: HelloThanks for query. Pain in back with blood in urine is most likely to be due to presence of stone either in kidney or ureter and needs to be investigated. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis.In the meanwhile take broad spectrum antibiotic like Definite along with anti-inflammatory . Get the prescription of medicines from your family Physician. Ensure to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been not feeling well since February 2010.  Been going through testing, etc. to try and figure out what is wrong.  For the past 5 or 6 days my heart rate has been low (as low as 49) and my blood pressure has been high (150s or so).  Blood pressure has been all over the place recently (one reading was 101/84, but my heart rate was 70).  Also, have been getting somewhat stabbing pains on left side of chest and now it is sore most of the time. Just want to know what exact questions I should ask my doctor in order to get to the bottom of what is going on.  Thank you!! ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, we should definitely rule out heart diseases in your case. So better to consult cardiologist and get done ECG, 2d echo, stress test and Holder monitoring (24 hours continuous recording of ECG). We have to rule out heart block, arrhythmia, coronary artery disease (CAD) in your case. So discuss these cardiac diseases and above-mentioned investigations to confirm the diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 25 years old and I ve two kids with a very little gap an infant and a toddler my daughter is one year and four months and my baby boy is now one and a half month old and is a result of an unexpected pregnancy my health is getting down and i want to opt copper T for safty now when should i go for insertion i mean how much postpartum time i should wait for this option ### REPLY: Hello, I have gone through your query and understood the concern. If you have had a normal vaginal delivery with no postpartum complications, you can ask your consultant for the contraception now as you go for your postpartum visit. This should be done after excluding any pregnancy and infections. Better forms of IUD are also available for prolonged period of contraception and with lesser complications, for example, the IRENA. You can discuss with your consultant. Follow up is essential with any form of IUD. Hope your query has been answered. 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 have a couple of hard lumps growing deep in my penis, one is the size of a BB higher up but deep in the flesh, the other is much larger and I think it is partially blocking me from being able to pee. Thank you for any help, I can t find anything on line ### REPLY: Hi, Possibly that can be a.lymphocyte. He has a hard swelling that suddenly appears on the shaft of the penis. It happens when the lymph channels in your penis are temporarily blocked.  The swelling should soon subside and won't cause any permanent problems. Kindly visit your physician for a further investigation like ultrasound to rule out the pathology behind the lump. 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 im george. Ive been having pain inbetween my collarbones and shoulder blade where it meets my neck... I am nearly 25 years old male. It started about 6 months ago and only occurred when breathing in whilst walking up a very large hill near my house. Over the past few days its doing it when relaxed, driving doing anything. Today i have noticed my chest is heavy and just now i noticed my right ear feels a little like ive been on an aeroplane... Please help ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have pain in between collarbones and shoulder blade while breathing in. Well there can be many reasons for symptoms you mention in query like muscle spasm, cervical spondylosis, cervical radiculopathy or working in one pose for long time. I would suggest you to apply warm compresses on neck and on shoulder blades, do not sit in one pose for long time and take ibuprofen or acetaminophen for pain. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order CT scan or MRI to confirm the diagnosis. Doctor may prescribe muscle relaxant along with anti-inflammatory and vitamin supplement for quick recovery. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 37 year old female and have had multiple dental issues in the last two years.  My current problem is I keep getting a white puss filled bump above my upper front tooth.  I will tell you that one of my upper front teeth was cracked and broken about a month ago and I had my dentist take impressions and order a partial denture for me he also prescribed amoxicillian and I finished that, then on 11/27/13 I had the broken tooth pulled and the partial put right in.  He prescribed another round of amoxicillian and a pain medication that I have also now finished.  I am still getting this bump though; I have to pop it about every two-three days, I squeeze it until all the yellow is gone and it bleeds but it keeps coming back.  Do I need more antibiotics or a different antibiotic, xrays do not show an abcess with any of the surounding teeth, what else could this be?  I am a tabacco smoker but not a drinker.  Any theories???? ### REPLY: Hello, thank you for consulting with . The trauma on your front tooth must have lead to an infection in the apical area of the tooth, which needs to be treated but after the extraction of the tooth the infection in that tooth must have gone. If still the pus is coming out it means the infection must have spread to another tooth or there must be any infected cyst left behind. So it will be better that you get an x-ray done in which it will be sure where the infection is present, and get it treated because taking only antibiotics is not the solution of the infection. I think you should visit another dentist for the diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 get anger when people dislike my words whether it is right or wrong. I have got the habit of talking to myself/scold others. Is it serious problem? Should i consult any doctor ? I am heart patient with cholestol problem also, i am 95 kgs ( 56yrs) ### REPLY: Hi Rebuke, It is perfectly normal to get angry when someone disagrees with us. It is a normal human nature. What is required is to learn to control our anger. The first step is to realize that our emotional response is not correct, for which we repent later. Our anger and irritation increases when we have a very stress full situation. Try to do some meditation, learn to smile with every one whether we like that person or not. Smile does not cost us anything, and we do not lose anything but the gain from it is tremendous. Even our enemies will learn to smile back, and in the process all our accumulated tension will disappear and with it our anger will also vanish. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pea size hard lump on my inner thigh for several months, and at the first beginning, it felt a little itchy and now it is not itchy anymore but the color is getting darker, please tell me what should I do about it. is that can develop to cancer? Thank you ### REPLY: Thanks for posting this question on ! Age and gender are not mentioned. However, with the history given I am of the opinion that pea sized hard lump is a mole that you had it for several months, since the fact that you have noticed a change in its color it might have become a malignant (cancer) lump. You need to be examined by a dermatologist to confirm the diagnosis and the treatment. Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: suspicious densities are seen in the left upper lobe pulmonary vascular markings are within normal limits. heart is not in large. visualized diaphragm and bony thorax are unremarkable. impression: suspicious densities as described, apicolordotic view suggested.. what does it means ?? hope you can answer..thank you ### REPLY: Thanks for your question on . Normal chest x-ray is taken in posteroantirior (PA) view. In this view, apical parts of lungs are not clearly visualized due to overlying clavicle and first two ribs. So any lesion in apex (upper lobe) will not clearly see in PA view. So proper reporting is not possible. To overcome this problem, apicolordotic view is advised. In this view,x-ray is taken in such a way that clavicle and first two ribs don't obscure apical region. So they can be seen clearly. And reporting of any upper lobe lesion will be easier and more accurate. So get done apicolordotic view ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother has been in hospital now for 5 days , she has swelling of the legs and they are red and really tight , they have gotten so tight that she screams when the doctor try to touch them to examine them , the doctor has ruled out cellulitis  because they have adminstered  the strong anti botic that the hospital carries  , per the doctor. They have ran CT scans and  have did ultra sounds and nothing has show up . My mother is a diabetic , she is taking the pills, but bein in the hospital the doctor has adminstered insulin. It seems like she has come to the hospital to get no answers. Please help me  !!!! ### REPLY: Hi common reasons for painful leg swelling are cellulitis and deep vein thrombosis of leg veins. Ruling out cellulitis based on antibiotic response is not proper thing. Organism that causing cellulitis could be resistant to antibiotic that was prescribed. Rule out any trauma to leg and better to perform Doppler of lower limb vessels along with high resolution ultrasound of legs may give u clue. 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: How dangerous is it to live with a herniated disc at C-7? I have had DDD for over 20 years and x-ray shows disc at c-7 is obliterated almost fusing with the next vertebra, c-8. I don t want surgery with such a weak spine, so to speak. I have pain and weakness on the right shoulder and arm. Take Dexamethasone once or twice a year x 10 years, to control pain. Is there any real danger of just living with the pain unless it becomes unbearable? ### REPLY: Hi Welcome to  After going through your query I concluded that you are having cervical spondylitis with decorative disc disease. You are not willing to undergo surgery. You can take conservative treatment such as Diapering and glucosamine. Analgesic such as ibuprofen for pain relief. If you have persistent neurological such as severe weakness of upper or lower limb and numbness in limb then you should undergo operation. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.I wanted to know if you could help me, since last night I have been feeling a ringing in my right ear, and when i get up or move my head i start feeling dizzy and everything around me starts to move. I have also been throwing up a few times throughout the day. I want to know if this will pass or if i can take anything or should i go to a doctor. Thank you. ### REPLY: HI Thanks for posting your query.  There are many causes of Dizziness. From Simple and easily treatable causes to serious ones. Common causes are :1. Low or High Blood pressure. 2. Low levels of Sodium in blood. 3. Anemia. 4. Vitamin Deficiency. 5. Problems in Heart. 6. Problems in Inner ear. 7. Problems in Brain.  In my practice I would recommend my patients to do one set of tests which are as follows :Complete Hologram, Serum TSH, Serum Vitamin B12, ECG and Blood pressure testing.  If these tests come normal then I would advise them to get an Ear check up by an ENT doctor and if that turns out to be normal I will advise for MRI brain.  You can follow the same method. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with Dengue. My IgM i nedative and IgG is positive. The antigen is negative as well. My platelet count was 125000 yesterday and is 75 thousand today. I do not have any fever or redness/eash. However I do feel very tired and have constant abdominal ache/cramps since yesterday. Is it related/ What do I do to relieve the pain/ ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No you are not having dengue active infection as suggested by the IG M negative and IG G positive. This report is suggestive of dengue infection of past. There is no need to take the dengue treatment as you are not having dengue. But your platelet count is going down which should be investigated as early as possible. Please monitor the platelet count if it .  Otherwise, massive hemorrhage can occur. For this down platelet count I suggest you to examine yourself personally at nearby doctors. You can take the dicyclomine tablet for abdominal pain it will relax your pain immediately. If the pain won't go down than you can think of mnemonic acid which is also s good pain reliever in a nominal pain. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 76 years old. We have been married nearly 50 years. He has been telling me for the last 8 years that this really big deal of some property he is suppose to own in Las Vegas is going to close soon! First of all, he doesnt have one piece of paper that says this and he always blames the economy for the delay! My best friend, with a degree in psychology, who knows my husband very well, says he suffers from a condition called Fugue. And she says that if I tell him hes lying, he just might leave the home, never to return! I think he lives in a fantasy world. My dads trust is supporting us for the last 10-15 years!! Before that, we lived a very comfortable life. However I think he has borrowed tons of money from Peter to pay Paul all these years!!! I think he has exploited many people out of their money! ### REPLY: Degree understand your concerns went through your details. Your psychologist friend may be right in diagnosis. There is another angle to look at these events. Do your husband has any other fantasies you are aware of? If fantasies are his habits, and you see them are general, then it is fine. In that case, he can be classified under a disorder called Fantasy prone personality (FPP). Fantasy prone personality (FPP) is a disposition or personality trait in which a person experiences a lifelong extensive and deep involvement in fantasy. This disposition is an attempt, at least in part, to better describe "overactive imagination" or "living in a .  But what is in a diagnosis? If he is happy, at the age of 76, with what he believes, let him be. Be judicious. Keep him happy and you too be happy. God bless you. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend was showing me that he has an indention in his chest under his sternum. you can follow his sternum from the top with your finger and it just dropps off to almost a hole about half way. (Or at least comparing myself to his). Could this be dangerous? He has never been to the doctor about it. He was telling me that if he gets hit in chest area , it is very easy for him to get the breath knocked out of him? ### REPLY: Respected user, thanks for using .come have evaluated your query thoroughly.* Mentioned indentation seems more likely due to trauma leading to part of cartilage destruction or insult in form of hollowing, although there are other cases of lytic lesions but it looks less likely.* Strongly recommended to undertake digital high resolution tangential view x-ray of the sternum. Hope this clears your query. Welcome for further assistance. 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: Behind my lower right tooth(my last tooth) it appears my gum is separating from my tooth. It started off as feeling if something was stuck like a popcorn kernel. I looked at it today with a tooth pick and when I poked it, blood and pus came out. That relieved some discomfort but it still feels swollen. I can like lift up my gums and sort of see what is under there. ### REPLY: Hello. Thanks for posting your query.  You are suffering from periodontal disease. You can go for scaling, root planing, Topical antibiotics are generally the treatment of choice. They can include antibiotic mouth rinses or insertion of threads and gels containing antibiotics in the space between your teeth and gums or into pockets after deep cleaning. Surgical procedure include Flap surgery (pocket reduction surgery), Soft tissue grafts, Bone grafting, Guided tissue regeneration, Enamel matrix derivative application. 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: yes 2 months ago i shattered my calcaneus sry if its mispelled anyway they put 3 screws in my foot the bone is healed but im still experiencing moderate pain and soreness and they told me to start putting weight on it man it gets sore as you can imagine. i dont know what to do i said to the doc i was still in pain and he looked at me like i was lying give me a break i guess i have to deal with this i dont know what to do any suggestions thank you for your time ### REPLY: Hello, In my opinion, it is due to the weakness of the muscles of the area after the immobility happened. I understand how bad it is, but it is common with this kind of injuries.  From my experience, I would tell you that the only way to get better is doing proper physiotherapy for about 8 to 12 weeks with Kinesis Taping, it has shown great results in more than a study.  Hope I have answered your question. Let me know if I can assist you further. Amman Darragh, Physical Therapist or Physiotherapist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 14 y/o son was diagnosed with having pneumonia 3 weeks ago. Given antibiotics and sent home. He is still dealing with a cough, and it doesnt sound like its any better. He has no fever, chills etc. just the nasty cough, with some white flem he spits up. ### REPLY: Hi, Most Pneumonia get well by 2-3 weeks, though cough may linger for a longer time. Do continue to give him the medications prescribed. Cold weather may trigger cough so be careful to keep him warm.  Let him have plenty of rest, he should have a lot of water, soups & juice for it clears out cough. He may need to need a sputum test & antibiotic if cough persists. Do not neglect as complications lead to bronchitis.  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 started having hives 2 days ago. Hives are covered my arms, legs and upper body. It comes and go as I take Benadryl. The urgent care Doctor prescribed prednizone and has not helped yet. It wakes me up 2:00 in the morning and I stay up most of the night. Its itchy and irritable. I started jugging and dieting so thats the change it has been in my physical. I have been tested for allergies and I had no allergies before I got hives. I was seeing Ent doctor for my sinus problem. I was prescribed antibiotic about a month ago for two weeks. I am 48 years old, female, weigh 133. I take synthroid for thyroid and Enjuvia for hormone replacement because of hysterectomi I had 8 years ago. I had a physical checkup six months ago and cholesterol was 229 and I noticed that my Absolute EOSINOPHILS was 585 H(15-500) cells. My doctor didnt mention anything about it. Could you please help me. Thanks, Leila ### REPLY: Hello Leila, Thank you for asking at . I went through your history. As you are having hives for last 2 days only, I would say at present you are having "Acute Urticaria". Were I treating you, I would prescribe you tablet cetirizine for 5-7 days depending upon response. If you still have nighttime symptoms, I would add table thy . Hope this will be helpful to you. Wish you a quick recovery and the 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 severe pain in my mid back and sharp pains in my sides and middle of my stomach, when I press on the place my back hurts I get sharp pains in my front. I am wondering what it could be, I have no fever, had some nausea but not vomiting, and an up and down appetite. It hurts when I take a deep breathe or walk or sit ### REPLY: Hi ! Good morning. I am  answering your query. If I were your doctor, apart from a detailed clinical examination, I would have advised you for an ultrasound of abdomen, some blood tests like CBC, serum amylase and lipase, blood urea, serum creatinine, blood sugar, and a routine/microscopic test of the urine. Till the reports come, I would prescribe you a proton pump inhibitor, an anti-emetic, and a probiotic .  I would also advise you not to have food from outside and avoid consuming alcohol/smoking if you do. Further management would depend on the investigation reports and the physical examination. 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: I have had every kind of hallucination that exists. Every day almost all day and night most days. Some days not as bad as others. I have had several different psychiatrists in the same company including therapists that do not believe me. In the state hospital my doctor gave me the meds I needed but after getting out my meds have changed. I have been taken off of the only med that helped. Resulting in worsening psychotic episodes. I was on geodon higher dose than normally allowed but it worked for me until I had been on it for a couple years. I am thinking of self medicating but that only helps for a short time before it makes things worse. What should I do? ### REPLY: His had gone through your query. Being a psychiatrist i m wondering why psychiatrist do not believe?/Hallucination is a part of psychotic illness. Detail evaluation of its content /frequency/type/duration/associated symptoms /reaction to hallucination etc. require. Hallucination mainly auditory is more common than visual.Anti-psychotic is the only treatment for psychotic illness. Certain resistant cases require lifelong treatment. So do consult the best psychiatrist and get proper evaluation. Wish you a very good health. Still have queried than feel free to ask. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a baby a year and half ago, i had a second degree tear..only Recently i discover a few lumps inside my vagina, only one side, about 5 different lumps diffrent sizes close together, they seem like soft growths bunched together. Could this be scar tissue? Or something to be worried about like cancer? I never noiticed this before so not sure if this is linked with the birth of my baby. Plz write back ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some scar tissue after second degree tear. Chances of cancer is low. Still you should go for examination. If needed go for biopsy once. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am having some sharp chest pain through out the day about 2 weeks ago i had alot of chest pain probably more aniexty and we called 911 and the paramedics came and checked and said that everything with my heart seemed to be normal and then i followed up with the doctor and he said everything is normal but i am still having slight to moderate chest pain throughout the day is this something i should be more worried about or life threating? ### REPLY: Hi. I can understand your concern. Ideally ECG and 2d echo should be done done first in your case. If both are normal than no need to worry about heart diseases. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. Take proton pump inhibitors. But along with .  Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont 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: Im having an issue and hope you can help.For about two weeks Ive been experiencing a sporatic sensation on the upper left side of my adams apple and inner left ear when I swallow.Im having sinus issues and tonsils are a bit red.It not tender anywhere in the area and there isnt any obvious swelling.I used smokless tobacco very lightly for about 15 years but was very consciencious about never swallowing and alwasy brushing twice daily and flossing.I was diagnosed with GERD a few months ago and was wondering if this could be another symptom .I had a scope procedure in April and the Dr. said everything looked good and my CBC came back clear.does this sound like something more serious like cancer? ### REPLY: Hi, HERD has got similar symptoms. Simply based on this symptom no definite diagnosis can be made. Earache can be explained as the nerve supply to the throat region and tongue are similar like that of inner ear and there are communications. Anyway an indirect laryngoscopy should be done by an experienced ENT specialist. If he/she can find any abnormality then direct laryngoscopy/ fiber optic laryngoscopy may be done. 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 thyroid 5.90 I have been told to take thyroxine25 half tablet a day,I got my periods last month on12th june,i had ealier done a coursr of diane35,after the course i got my perios 4days late,this month i have not yet got it at all,i have also done pregnancy tesy,its negative,I want to get pregnant ,me&my husband have started planning,I want your advice whether thyroxine tablet is correct and should I start taking folic acid,if so then what tablet to take for folic acid,I m very worried what to do for my periods,help me,im nt able to sleep in the night as well.i am taking thyroxine also regularly.i have yet nt got my periods,what to do to get it and what medicine should i take for folic acid ### REPLY: Welcome to  You can wait for 7-10 days late for periods to come as periods can delay even with stress. Firstly get your thyroid hormone levels checked. If it is normal, or you have hyperthyroidism also you can have irregular period or missed period like this. But since you are taking Thyroxine you should rule our Prolactin hormone elevation and Polycystic ovarian disease by thorough checkup by Gynecologist if your periods do not come. If Pregnancy test is negative, no need to take Folic acid but if you are planning for pregnancy you need to have regular periods first which ca be done by contraceptive pills provided by Gynecologist advice only. Get thorough checkup by Gynecologist to rule out any hormonal or ovarian problem. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I have had a pain and pressure in the bottom back part of my head for about 2 years. sometimes its ok, sometimes its painful. sometimes when I run it pounds and really hurts and then sometimes hurts without doing anything. I am a dancer and have been told I have lordosis, also my back and neck click dreadfully and my shoulders and back are sore quite a lot. I went to a physio a few years ago and he mentioned hypermobility??? I also get dizzy sometimes when i stand too quickly? ### REPLY: Hi and thanks for the query, What you describe to me deserves a keen attention form a rheumatologist. Screening for hematologic disease using appropriate blood tests, X-rays, CT scans and MRIs could be the best thing to do. Getting an appropriate diagnosis shall orientate treatment and avoid unnecessary expenses. Treatment could range from anti-inflammatory . I suggest you book an appointment with a rheumatologist. Thanks and kind regards. Bain LE, MD/. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was playing soccer and my foot stopped but my body kept moving sideways and my knee made a weird popping/cracking sound, like when you crack your fingers but louder. I couldn t walk initially but then it got a little better, still limped. However, as the night went on my knee became sore again, not too painful, but I can t bend it 90 degrees without it feeling like it will pop out of place. Is it just sore from the impact? ### REPLY: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you have hurt your knee, and there can be internal derangement of knee, which means that you would have torn your ligaments or meniscus, which are cushions in your knee, the best is to consult a knee surgeon and get an MRI done, to see the problem, these days arthroscopic surgeries are available to tackle these issues with very less morbidity. I hope that answers your query. If you want any more clarification, contact me back. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi im a 28 year old woman and I noticed in late August of 2013 that my teeth started to move and shift. I feel them move when I eat and speak and it has even affected my speech and the way my teeth fit together. The main teeth that are loose are my upper front permanent teeth and one of those permanent teeth sticks out or protrudes. I havent been to a dentist in 12 years since I was 16 years old and I was diagnosed with periodontal disease  at the age of 16. Can my teeth be saved or is it too late? ### REPLY: Thanks for your query, I have gone through your query. The periodontal affected teeth can be saved if the teeth have sufficient bone support. We can do scaling and root planing followed by splinting. If needed we can do bone grafting. Before that you need to find out the exact cause which has resulted in periodontal disease. It can be because of malocclusion or secondary to deposits. Consult an oral physician and get it ruled out. You need to get a radiograph done like OPG to check the status of bone support. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My, 35-40 lbs, 21 month old climbed up to where I was relaxing on the couch and went to sit on my lap... Then she jumps up and slams her butt into my stomach! This happened last night and had me doubled over in pain. Today my stomach has hurt all day and I ve also felt nauseous. Anything I should be concerned about? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. If your child is very healthy, or he jumps very heavily than you should be investigated as there may be more injury. I suggest you should be examined per abdomen to see for any injury. USG abdomen can help diagnose any injury caused by your babies jump. You can take the mnemonic acid and . Please eat small and frequent diet avoid heavy diet until your pain goes away. Spicy food should be avoided. Please take complete rest until you are cured. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 believe that I have a sinus infection.  I have a few pills from January last year when I had similar symptoms.  They are amox-clav 875-125.  I have five of these.  Is it ok to take them?  I originally was given 14 of these. I did take nine of them at that time. ### REPLY: Hello, Sinus infection is usually treated with a course of antibiotics and decongestant medications. Along with it, you need to take some supportive measures as well to get a quicker relief from the symptoms. Kindly take antibiotic course of Amox-Clav twice a day for 5 days. Along with it, you need to take decongestant medication containing Chlorpheniramine Male ate with Phenylephrine. You also need to take supportive measures like steam inhalation twice daily and doing salt water gargling with warm water twice daily. Kindly do not consume any cold items like cool . 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 had applied v care hair dye on my hair and within few days my entire face and neck became black and badly pigmented it is 4 months now and I have tried several treatments like peels, micrdermabrasion but the results are very slow still my face is looking very bad I feel very upset please give me some tips that will bring my face back to normal colour Iam 45 years ### REPLY: Hi, you seem to have developed contact dermatitis with your hair dye which later on healed with post inflammatory condition. To treat the same, I hope you discontinued using that particular dye. Secondly use a good sunscreen along with oral antioxidant and vitamin C tablets. Also prime your skin with good segmenting agents like glycolic acid cream or triple combination(HY .  Peels like glycolic acid or trichloroacetic acid can be used to lighten the pigmentation. As you have already taken peels with not much affect, is essential to know what was the concentration of peels used. You can also go with monotherapy sessions with vitamin C and glutathione along with peels to lighten your pigmentation. Lastly if nothing works, discuss the option of q switched ND YAG lasers with your doctor as they yield good results in stubborn pigmentation. 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 daughter is 13years old she is having giddiness, head spinning for past one month and she is also having cold frequently whenever she cries, dust allergies and even whe we wrap onion, we went to ENT specialist he gave T.Verting 8mg for one week and he told that may be in ear fluid will be less or it may be fits, i am scared on hearing this now i want to know whether its fits and why its coming ### REPLY: Hi, Had it been due to fits, the symptoms would have been episodic, lasting for only a few minutes. The description that you have given of symptoms persistent for last one month and associated with cold are more suggestive of inner ear dysfunction. The inner ear structures contain a fluid, and they are necessary for maintaining the balance of the body. Any dysfunction results in dizziness and vertigo. It should improve with Vermin (betahistine) tablets. Please do not worry. It does not appear to be fits. 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 Im 36 weeks pregnant, I have had a kidney stone since 8 weeks and now I have a urinary tract infection, on antibiotics but not feeling any better. I get massive cramping like Im on my period and sharp stabbing pains in my cervix. It has been going on for about a month now. I have a doctors appointment tomorrow is this something he might consider inducing me over? ### REPLY: Hi and thanks for the query, Other considerations are requires taking a decision to induce or not, and this could not be an absolute indication. The fact that you have been on anti biotherapy shall require that the presence of infection be evaluated, and that clinical signs of endometriosis (uterine), which are actually absent in your case, be considered. These is actually indirect clinical measures of threats to infecting the fetus and possibility of causing of premature labor. If the results of the obstetric ultrasound are normal and there are absences of the signs of urinary tract infection, there would actually be no need to induce. If you still continue being seriously in pain, or there is a risk on the baby depending on given clinical and para clinical criteria, the physician might decide to induce. However, induction in this case under appropriate medical supervision is very safe since the fetus is already greater than 34 weeks. I suggest a clinical evaluation is required, but there is no need to panic. Generally, after birth, symptoms greatly improve. Thanks and best regards, Luchuo, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Please describe the process of using a hypodermic needle to inject liquid methotrexate. I have done it once with instruction but I need a reminder on all the steps for preparing the needle for putting in the little bottle of methotrexate. Plus I need a shot of 8mg and the medication is 1 litre? I can get two full shots from the bottle. Can I do a 4mg with one bottle and move to a second bottle for the second 4mg and still maintain the sterile injection? Or do I have to do 2 shots of 4mg with separate needles? ### REPLY: If you need just 8 mg Methotrexate shot, it is recommended that you get yourself vials of Methotrexate with lower amount (weight in MGS) e.g. 15 mg. However, if you are having one with is 1 liter it would help to see the strength in terms of mg/liter. You have to be careful that you calculate and take the exact strength. While it is always recommended that you get the shot from a trained medical personnel to avoid any mistake, you can try to take it yourself under SUPERVISION. You need to ensure sterility and hence it is NOT recommended that you use the same syringe to take medicine from two separate vials. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad has lung cancer and just in the last two days he has become very confused and cannot put sentences together, cannot feed himself, walk, or go to the restroom on his own...does this appear to perhaps reached his brain or could this be from the strong pain patches that he has been on for just a few days now? Thanks ### REPLY: Thanks for your question on . I can understand your situation and problem. There are few causes for altered mental status and confusion in lung cancer patients. 1. Spread of tumor in brain.2. Electrolyte imbalance especially hyponatremia (low sodium).3. Acute psychosis from the fact of having incurable disease. So get done MRI brain to rule out brain metastases. Get done S. Na+ to rule put hyponatremia. If both are normal than consult psychiatrist to rule out acute psychosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went to the doctor 5 days ago and was told I had folliculitis on my thighs. I also have a few bumps on the shaft of my penis and one bump on the head of my penis! I was prescribed antibacterial soap and antibiotic cream. The redness and bumps along my thighs have subsided but the ones on my penis are taking longer to go away. Is this normal and should I be worried? Any help will be greatly appreciated! Thanks! ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have skin infection.  You have folliculitis on your thigh and infection on your penis.  Furthermore, you are taking perfect treatment. Antibiotics and antibacterial soap is adequate.  No further treatment is required right now.  Just continue your treatment.  Your lesion on penis will heal. If it doesn't respond to treatment then you should go for examination.  You may have sexual transmitted disease. 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: name:nikhil mahajan age:24 years Its been 6 years my brother is suffering from kidney problem,i.e high creatinine level which is presently 7.4,and doctors told him to transplant his kidney.....but we are scared from the operation.......as we dont want to take risk...we want anyhow his creatinine comes down without any medicine or operation.....but we are not able to do this.....so we have approached you......right now we are under medication of PGI and tking homoeopathic treatment side by side.......but we are not getting our results......kindly tell us your treatment....we really want to cure this.....as my brother is just 24 and his whole life is there..... ### REPLY: Hi Nikhil, thanks for query. Please understand that as per the history given by you the kidney of your brother is irreversibly damaged.This is the reason why the creatinine is getting elevated and not coming down. He has to take medicines for this and will require dialysis also. Kindey operations for transplant are done very successfully all over world including India. Please take a decision and discuss this with your doctor. It is not that you will get a donor as soon as you decide. There is long process of approval and everything from the government. Do not waste time. Wishing him 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, last night my boyfriend and i had sex and as soon as we were done i experienced extreme cramping in my abomnial area to the point where i couldnt even move, i also felt like vomiting. my stomach felt as if it was swollen/bloated. this didnt go away till about 20 mins after. this has never happened  before. ### REPLY: Hi ! Good morning. I am  answering your query. If you are active sexually all these days, I would like to advise you for a routine urine test and a culture sensitivity test if need be to rule out a UTI. Apart from this, you might have to go for a serum  estimation followed by an ultrasound abdomen to rule out an unsuspected pregnancy, even though you might be observing some contraceptive precautions. Last but not the least, it might be simply a spontaneous involuntary strong contraction of the uterus post coitus without any precipitating causes. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... Sir I underwent a surgery during 2002 for PUJ obstruction on right side in AIIMS, every thing went right. Now some times I feel some mild pain(akdan) in my back during sleep in night. I also got the ultra sound and obstruction was not there. ### REPLY: Dear patient Since recent ultrasound and was normal you need not worry about renal calculus and obstruction.  Mild back pain may be due to muscular origin. I would like to advise radiograph of lumbosacral spine anteroposterior and lateral views to be sure there is no bony pathology.  Start tab diclofenac plus thiocolchicoside combination twice a day for pain relief.  Do stretch of back before getting out from bed. 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: My MRI report states that Disc Desiccation noted at L4 -L5 and L5 and S1 Levels. and Central and bilateral Paracentral Disc Protrusion noted at  L4 -L5 and L5 and S1 Levels causing thecal compression with narrowing of bilateral lateral recess /neural foramina and impingement over bilateral exiting nerve roots at  L4 -L5 and right exiting nerve root at L5 and S! level.pls help me to understand my MRI report. i m very worried about my position .please tell me the medication so it ca be completely cured. ### REPLY: MRI shows nerve root pressure due to disc protrusion, You should be having root pains as well as pain radiating to legs. Brace for lower back, avoid forward bending and lifting of weight, take anti-inflammatory/analgesics, do back strengthening exercise. If pain increases over a period of time interfering with routine activity and unbearable, you may have to undergo laminectomy/discectomy surgery. Seems it is tolerable now, so you may remain on conservative treatment till otherwise. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 21 and this is the second time i had the implanon. Its been one month with it and im starting to feel numbness in my left arm. Also sometimes my arms starts shacking. I have also been getting symptoms like when i was pregnant. Should i be worry about this? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern, what the history given here it said that you have device implanted, and now you have numbness in your arm, and one more query is you had a somewhat same symptoms when you were pregnant in fact this is just your delusive state of mind otherwise this is nothing to take with your arm and the Implant, no need to worry about it the numbness may due to some functional elements, hope this information helps you, have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an 18 month old daughter. Last week she had a viral infection with a fever of 102.9 the fever lasted about 3 days and then she was fine. This morning I noticed a faint rash on the bottoms of her feet. It is only on the bottom and it doesnt seem to bother her at all. ### REPLY: Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY .  This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards -  ### END