Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Son is 26yrs old, and caught a cold/flu? friday night.  sunday night we took him to the hospital to find out he had kidney stones. they gave him pain medication and today we saw his regular doctor who gave him antibiotics for his cold. However he has had a persistant fever that goes away and returns. After the fever has gone down he sweats enormously, sheets and blankets are left soaked? Should we be worried? is there something we can do that will make the fever go away? ### REPLY: Hello, As per your description, your son might be suffering from Urinary Tract Infection. As he developed fever with rigor followed by sweating along with stone in kidney. So he may have infection in urine that causes fever. First, get some tests done to confirm like Urine routine microscopy with Urine culture sensitivity. Along with that kindly rule out other causes of fever like Malaria and Typhoid. According to report, treat the patient with proper antibiotics. If its UTI then better you start Tab Nitrofurantoin 100 mg twice a day with Cronin 650 mg SOS for 7 days. And for renal stone, don't be panic. If stone size is less than 10 mm then better treat conservatively and give plenty of water. If more than 10 mm size, then contact Urologist for further management. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor,  How are you doing?. On 6th June my father was admitted in MMM hospital for RFA treatment referred by Apollo Hospital Where he was underwent treatment for ANGIOGRAM.One of my office colleague referred Dr.Ulhas Pandurangi for RFA Test. After He had gone through patient history of heart palpitation, My father was advised to undergo EPS Study + 3D mapping which was performed successfully by him by next day and discharged on 8th June 2011. But He is often complaining of having chest pain. Currently he is taking Seloken xl .25 mg that had prescribed by the Dr.1)Can you please explain me what could be cause of this pain? 2)Is it due EPS study?. If yes, then how long will it take to cure completely?. ### REPLY: Cellophane you for asking. I read carefully your concern. According to the history in my opinion if I were his doctor I would exclude the lung diseases to. And the next step it is controlling the lungs with the tests as follows:Chest X spirometry with b/dilatatorsD-DimerArterial blood gamester having these results the pulmonologist will decide for the follow-up of the patient. Thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am currently on my third cycle of clomid and my doctor has called me to say that my last day21 blood test showed my progesterone was 118.4nmols so he thinks I should be pregnant. Done a home test and it s negative though. Could I still be pregnant or is there another reason why my progesterone is so high? My previous day21 results were 58.7 Thanks Laura ### REPLY: Hello, welcome to . Urine pregnancy test kit may give some time false negative results. Please do it with other brand kit and with first early morning urine sample. In first 3 months of pregnancy, progesterone level ranges between 15-90 NG/ml. It may be due to pregnancy, but other factors are also there which change the level of hormone. Please consult your gynecologist for vaginal examination. Hope this will help you. Thanks for contacting. Have a healthy life ahead. 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: Howdy,I have got a lump under my right armpit that is swollen and red. I have had it for about a week now and at the start skin flaked off of it. It now appears inflamed. The lump itself does not continue far underneath the skin and is really just a surface issue. Prior to that, my lymph node had been slightly swollen. My left arm pit is now beginning to become very stiff whenever I try to raise my left arm. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have enlarged axillary lymph node. It may be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. Or you may have some soft tissue tumor like lipoma.  You should go for ultrasound study. If needed go for biopsy or FNAC.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have suffered for the past 10 years with psoriasis in scalp now i am using detoxifiying machine for reduce the psoriasis but there is no permanent cure please help i consult with so many doctors at all top class hospitals but no remedies. can you tell me the suggestion to cure this psoriasis ### REPLY: Hello, psoriasis is a chronic problem.esp of scalp...if u have met skin specialist I am sure u old have tried methotrexate tab also, otherwise it's a good med...latest is NB UVB LIGHT therapy .there are hand held combs available which can be passed directly on scalp...this is safe and good... Apart from methotrexate there are other meds also like accretion which needs to be taken under dermatologists' guidance...otherwise just try to maintain what ever results u have gained by using specific shampoos and topical lotions...regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my little girls are 10 and they have been having a fever just come on out of know where and a bad head ache and they say they hurt all over with stomach pains. what is strange they will be feeling fine for a few days and then it just hits, this has been going on for 2 weeks now. just want to knowwhat it could be. theres no throwing up or anything ### REPLY: Hi...frequent fevers are common in this age group and in this season. Mostly they were viral illnesses. I will explain to you how a viral illness behaves so that you can be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been suffering from chronic constipation from the age of 12, laterly diagnosed with IBS when i was 17. I am now 22 and suffering with, what i believe to be an severe IBS attack that i have never experienced before. 1 week ago i was severly constipated and took over the counter laxitives ( Ducolax) to try and relieve my bowels and ended up off work for 2 days with severe diahorrea coupled with excruciating stomach cramps which i had already been experiencing. other symptoms include nausea, dizziness and light headedness, shooting pain in either the inside of my upper right arm, outside of my left upper arm, just above my knees (right or left) hands or feet. ( the only way i can describe it is intermittent pulsating shooting pains that come and go with no triggers) constant fatigue, feeling the need to empty my bowels constantly and when i do its very ressurinsed pain, black foul smelling stools. for 1 week now i have hav a hot water bottle constantly on my stomach, been taking merbeverine IBS tablets and drinking peppermint or cammomile tea. this is something i have never experienced before and even changed to a low FODMAP diet to try and tackle what i think is an IBS attack. no change. Maybe related, i am on a contraceptive implant and have been for 2 years, i am now onto my 3rd week of a menstral cycle which is also unusual. any advice would be very much appreciated. Laura ### REPLY: It seems that you have been suffering from deny .  Also keep in mind that if you take delivering it will result in slowing of your intestines hence again causing an episode of constipation. You need to follow up with your doctor and get proper prescription written for you. I hope you will understand the importance of getting regular medical check up for your IBS issue with a gastroenterologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 noticed a rash on my inner thigh. at first it was little with little red bumps and it was a little itchy. the next day it got bigger and became more inflamed and started to get swollen and the little red bumps got bigger and started to begin to fill wit puss. i thought it wasjok itch so i got an antifungal jok itch creame and started applying it to the rash in one day its seems to have become more swollen and more puss filled bumps have seem to appeared. the location of the rash is right next to my groin on my inner thigh. please help me to determine what it is. ### REPLY: Hello, Thanks for the query, You might have developed fungal infection. Most probably candida infection. Please get a KOH mount done, This can confirm the fungal etiology. Treatment can be with oral antifungals as well as with topical antifungals. You might have developed an allergic reaction to any component of cream, Use an antifungal powder, You may get relief with that. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ . 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: well  when i was in childhood i used to watch porn movies at the of 10 to till now 30 but when i reached my 21 i was totally diseased by my habbit of fucking a pillow layin on it and with watching porn. As i was so shy and a stutterer i dont even dare to talk to girls, this habbit started because i was so shy and stammberer and tried watching porn movies and the with nightfall now a days i dont see dreams but nightfall happens without any dreams i  had spent lot of money for this but there is no real treatment that i have received till yet which can fully secure my comming future ### REPLY: Hi greetings You are absolutely normal. There is no harm in night emissions or masturbation. It is a sign of virility and proves that you are perfect. One important factor is about any infections in your genital organs like STD. If any history of STD then you need to treat that completely. After that it could be the secretions from your Penis making you feel as semen. Even if semen nothing to worry. Now anything in excess is bad, so you should be restricting watching porn.limit to 5 to 10 min only. Masterbation can be done weekly twice or thrice so that you can enjoy better. You can start some sort of exercises daily to improve your physique and try to learn meditation. You can also concentrate on your studies or professional to divert your mind. Hope my answer helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i took ipill  as our condom broke on the 3rd of february 2013. . I got my period on 10th feb and it lasted till 17 feb. I had sexual contact againon the 18th  and as it was unprotected i was forced to take an ipill again on the 18 feb.This made the bleeding restart which continued till 25th of feb.now it is 21 of march and still no periods.? Pl help.Took two preganancy tests both negetive. ### REPLY: Hello, Taking I-pill within first 24 hrs gives protection more than 95% against unwanted pregnancy. It may cause earlier or delayed period up to 7 -10 days in next cycle and occurs mostly due to hormonal imbalance. If you do not get your period 7 days after due date, you need to undergo one blood test for beta  to confirm. Early pregnancy test is less significant. Following test report, you need to consult with gynecologist for next line management. Practice safe sex in the future. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi this is AAAAA from bangalore. My friend got some problem . He is 38yrs old. 2 days back he got sudden rashes on his left part of face and it is burning. 2nd day it bacome red coluor. and 3 rd day ie., today it become complete black colour. only on his left part of face and slightly passed to left side of neck . Still it is burning. and it is severe in day time when exposed to sun light and even in house. This is first experience to him. what could be wrong and why it is so. ### REPLY: Hi, Thanks for writing here. It seems your friend has got severe sun allergy. Ask him to stay indoors as far as possible. Do not apply any soap over affected area. Ask him to apply ice or cotton cloth soaked in water. Start applying a steroid cream like mometasone over affected area two to three times daily. You can also give him anti-allergic tablets like cetirizine at night. In case there is no improvement it will be better to consult a dermatologist. Hope this will solve your query. 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 52 year old female and am an active runner I was just diagnosed with mitral valve regurgitation and calcification on the tricuspid valve through and echocardiogram.   I have high blood pressure and take lisinopril 10 mg.  Is it safe for me to continue my running, and also...what are the options I have for taking care of these to valve problems. ### REPLY: Dear Mrs, At first you have your blood pressure controlled to continue running. Regarding valve problems, it depends highly on severity of regurgitation, in case of very sever regurgitation, only moderate physical activities are encouraged. If the regurgitation is mild or moderate and you don't have any complaints while running, you can continue it safely. You should control your blood pressure and cholesterol levels to prevent further calcifications of the valves. Hope I could help nourishing you good health In case of further questions don't hesitate to ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a child born with amniotic band syndrome i had a usual anatomy scan at 18 weeks and then about three weeks before i delivered he stopped moving as much so they did another ultrasound on both ultrasounds they did not see the abs is that even possible?Shouldnt they have seen it? ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion there is surgical treatment available for this condition, consult a Plastic Surgeon in your area Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good doctor,it s been four month now i have spinal cord surgery in this prestige hospital,after the surgery it seems that my condition has improve after a month but now my leg or the way i work is becoming weak.please advice me. i m from nigeria.thanks ### REPLY: Hi, Spinal cord surgery can lead to delayed complications like you due to fibrous scar / thickened ligaments or tendons / slipped discs from other sites due to weakened spine. Any of these could have caused you the post-operative problem. Physiotherapy would be ideal management in such cases, also, give results. In case of no relief, repeat surgery may be needed, but such surgery has more risk of complications. Please consult your surgeon for personal advise. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc,,, is it possible to make baby after family planing, i did family planing 8 yrs before, i have two kids, they are now 10 and 8 yrs old, both were caesarean, now i would like to have one more baby so i m curious, plz help, i hope you will understand my english, ### REPLY: Hello.thanks for trusting the  doctors for your health related queries. I guess your concern is about.chances of getting pregnancy post family planning.right.well...YES. there are chances of getting pregnant after post family planning. According to you.family planning means tubal ligation. I think. But the chances of getting pregnancy after tubal ligation is depends on the methods u had for family planning. If u had done by laparoscopy,there are high chances. If u had done by laparotomy, then chances are there, but it is less comparative to the laparoscopic methods. The surgery which is done for reversal of tubal ligation for getting pregnancy is called- TUBOPLASTY.with the above discussion u can try out my suggestions-1. If u want TUBOPLASTY then visit to nearby infertility specialist. He/she can help u.2. Feel free to ask about the prone n cons of the procedure. I hope the above information is useful, informative and helpful for u.regards- .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I have been married since 6 months. My menses cycle is normally 30 days or so but since last 2 months.. I am not having proper periods, and not even pain for that, just few brownish spots and some dark colors clots. I feel deficiency of Blood too.. I have had negative pregnant test. What should I do to conceive??????? ### REPLY: Hi, Thanks for the query. There could be some hormonal deficiency. So you once consult gynecologist, get examined and go for investigations like hemoglobin levels, hormonal profile, ultrasound etc. By these the possible cause of your problem can be identified and treated. And then with doctors advice you can take tablets for with . After that you track the ovulation and take plan unprotected intercourse around that period which will increase the possibility of pregnancy. For more details you can ask me through: 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: dear sir there is swelling in my mouth left side n i have consulted with three dentist and all told me the reason is wisdom tooth n today a doctor suggested me for ogr x ray n after seeing that xray doctor told me that i have rasoli under my left side teeth no 6,7,8 n suggested me for surgery n told me that may b my left side teeths get damaged . so pls guide me sir ### REPLY: The jaw swelling is a symptom of wisdom teeth growing in, and it can also happen due to infection of gums which is basically due to either less space for eruption of wisdom tooth or due to wrong angle of growth of wisdom tooth. This swelling of jaw is very painful and patient is unable to open the mouth. It is not always that wisdom teeth causes problems but if they are impacted they can be really .  So getting the treatment for wisdom teeth is very important, and the treatment is extraction of wisdom teeth. In addition to this, you must be open with your dentist regarding any reservations that you may have about the procedure. You have to discuss the dangers as well as the advantages of doing the procedure. Furthermore, you also have to decide whether you feel that the procedure would be good for you. After the discussion, if you are still not satisfied with all the information that the doctor gave you, it is best to have a second opinion about the matter. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter has recently been dxed with lymes disease by one dr who uses a more comprehensive testing and it showed up. my daughter went to a infectious disease dr today and he looked over the results and said that she does not have it. we know of people that have lymes disease that have had the same experience. we are so confused. could you give us your expert opinion along with a really good dr recommendation for thave them look at the results. we live in Winfield il and need to have some answers to this dilemma. thanks ### REPLY: Hello, Welcome to , I understand your concern. Regarding your symptoms you could have early symptoms of Lyme disease. Lyme disease has early signs and symptoms and later signs and symptoms. The early once appear within a month and include rash on the place where you have been bitten and flu like symptoms. So if you've been bitten and experience signs and symptoms of Lyme disease, contact your doctor immediately. Treatment for Lyme disease is most effective if begun early. However, diagnosis can be confirmed by ELISA for Egg against Cordelia and can be confirmed by a western blot test. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had the same problem except I haven t eaten fish as it disgusts me and I haven t had nuts for a long time now. The problem I m having is, although the bowel problems have subsided I now have and also had during the bowel problems is that I have a nagging pain in my right side under my ribs where the liver, and pancreas is. Can you tell me should I be alarmed? ### REPLY: Hi. Thanks for your query Yes, you should be alarmed as you have pain in the right upper abdomen. This needs to be checked:-By physical examination by a Doctor, preferably a Surgeon.-Ultrasonography of the abdomen to start with.-Blood tests of amylase, lipase, liver function tests. -Urine: for bile salts and pigments. -Upper GI Endoscopy to rule out gastritis and ulcers. This will give you the correct diagnosis and a plan for a proper treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 29 yrs old.Married before 2 years.im planning for baby for 2 years.I went to gynacologist and taking treatment for 6 months.I have PCOD and endometrium.And i Have done TransVaginal aspiration before 4 months.After that 2 dosage of Lupride injection is given. Now periods came and doctor prescribed me Letroze tablet for 25 days from day 4.I was came to know from online that Letroze tablet is unsafe and could not be used for infertility for women. Please tell me can i take that tablet.does that tablet cause severe side effect?.I need baby naturally without any sideeffect doctor.Please help me. ### REPLY: Hello, Latrobe (metronome) is commonly prescribed as an infertility treatment especially in women with polycystic ovary syn .  Let me explain its mode of action so that you can get an insight about its possible side effects which are well tolerated. Metronome works by inhibiting aromatize thereby suppressing estrogen production.  Aromatize is an enzyme that is responsible for the production of estrogen in the body so when this enzyme is inhibited by the metronome, estrogen levels are suppressed.  This results in the brain and pituitary gland increasing the output of FSH (follicle-stimulating hormone) which helps in ovulation (release of egg from the ovary). As far as the side effects are concerned, generally, it is well tolerated by most women however low estrogen levels can cause hot flashes, headaches, and breast tenderness. There is no documented evidence of any harmful effects on the growing baby. So, in view of the above you can take it safely as prescribed by your doctor for the treatment of infertility associated with POD. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir, my wife is suffering a lot with coughing in night Time she is not able to sleep entire night due to this although i am giving her medicine like Azethromycine OD 500 and Augmentin 625 BID , and she is also taking care of her with warm water and avoiding sweet and cold but situation of her getting worsen day by Day , plz help and suggest. ### REPLY: Thanks for your question I completely understand your question you need to consult a pulmonologist who can get a chest X-ray and a sputum culture and sensitivity to diagnose accurately the causative organism and the certain drugs can be started discuss the above modalities another reason of cough can be herd steam inhalation three times a day can help thanks feel free to ask more questions may god bless you with 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 think I might have whooping cough and have been coughing very hard recently. I now have a pain in my right side around my 11th and 12th ribs. It feels partially like muscle because it hurts when I walk or move that side of my body, but it is also very painful to the touch on those ribs. Could I have cracked my ribs? ### REPLY: Thanks for your question on . I can understand your concern. Vigorous coughing itself causes musculoskeletal pain. So we should first stop your coughing. So get done chest x-ray. If chest x-ray is normal then no need to worry much. Take antihistamine (levocetrizine or fexofenadine) for coughing. Apply warm water pad on affected areas of chest. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant . Don't worry, you will be alright with all these in 1 week. No need to worry about fracture rib. 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: hello sir dr. i m 26 year old and i got married 4 month ago and still i cant be a hopefull for a father my volume is 4.0 ml, reaction is alkaline, liquification time is 30 min sperm count is 65 million/ml sperm motility is excelent 35, good is 10, poor is 05, non-motile 50, morphology head piece defect 30%, mid piece defect 05%, tail defect 20% , pus cells 2-3 /hpf, red blood cells nill, epithelial cells nill, ### REPLY: Hello, Welcome to , I am  Look, your semen analysis report indicates normal sperm count (normal is > 15 ml as per WHO 2010).  The motility is within normal limit (as per WHO 2010, grade a should be >25% or all total >50%).  The Normal sperm count is also within normal limit (as per WHO 2010, normal sperm should be > 04%).  The pus cells are present (as per WHO 2010, normal semen should contain no pus cells).  So, overall, your report indicates possibility of genitourinary infection. For which you need a broad spectrum antibiotic.  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: Hello I ve been experiencing back pain in my lower back burning tingling sensation itching , dizziness spells fatigue , and under my left rib cage its a burning tingle itching sensation as well this has been going on for the last three months maybe more please could some ideas be sent my way of what this maybe im so scared of the hospital ### REPLY: Hello, Thanks for writing to us. The symptoms that you are having are likely to be due to a nerve root compression most probably at the level of lumbar spine. You need to get an MRI scan of the area done and consult a neurophysician for proper diagnosis and treatment. For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc.Meanwhile, for pain control take anti-inflammatory . Hope this will help regards.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husbands blood sugar tested at 575 at 11 pm. He changed his insulin pump site and I s trying to go to sleep now. Our plan is for me to wake him at 1 am and test his sugar again. He is a type 1 diabetic, 60 yrs old, and a 6-bypass survivor. What should I expect for acceptable improvement, and what signs of danger do I need to watch for? He has been very irritable and was a bit confused earlier, but was able to clear up his thinking. I am worried about the possibility of his having a stroke, plus, we don t have any strips for testing for ketones - he was never educated on those, and I m new to all of it. Thanks for any advice you can offer. ### REPLY: Hello, Your husband is diagnosed with Type 1 diabetes, so his blood sugars control totally depends on Insulin and diet. He must regularly check blood sugars at least 2-3 times in a day and adjust the insulin dose as advised by your Planetologist or physician. Also, you must be aware of symptoms of low blood sugar sometimes irritability, and confusion is part of this only. Regular monitoring of blood sugars, low carboy . 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 mate,A week ago I had screws and bands put into my jaw to re-align a break.Today, while spitting out toothpaste after a brush, I noticed that there was a significant amount of blood in the toothpaste. Would this be anything to be concerned about? ### REPLY: Hello, thank you for consulting with . As you are mentioning that you noticed bleeding after a surgery, while brushing, then you should visit your dentist again, ad this bleeding can be an indication of infection in the wound, or it can just be a bleeding of gum infection. You should visit your dentist and get it examined properly as then you will be confirmed. Hope it will help you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have a picc line inserted last friday because of difficulty getting a vein, and have a foot operation coming up next thursday.  Am home, but now feel like Im getting a cold or flu.  Should I get the picc line checked to make sure its not a blood infection? ### REPLY: Thank you for following up. It is very smart to ask this query. Any kind of the PICC can cause penetration of bacteria. You should be very attentive to your health.  If you observe inflammation:hyperemia, swelling, high temperature then you should replace it. If your doctor take care about PICC very correctly then everything will be normal. The PICC should not be in vain for a long time. Wish you good luck and sturdy health you and all your family.  Kind regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 6 year old has been dealing with elevated enzymes since November of last year?? Its been off and on & its making me absolutely crazy worried! We just got his hepatic checked on Tuesday but the time before that was around the 15th of March & they were normal now they are slightly elevated. We have a liver specialist and he does check ups we will be seeing him again in August. My question is why are they going from normal to elevated over & over?? ### REPLY: The human liver contains thousands of enzymes. A wide range of health problems can lead to elevated liver enzymes like.1. Inadequate levels of hormones released by the .  Alpha-1-antitrypsin deficiency 3. Autoimmune disorders of the liver and bile ducts, such as autoimmune hepatitis4. Fat tissues5. Excessive use of certain herbal supplements, such as camera, lava, penny royal, and skullcap6. Infections such as viral hepatitis and mononucleosis7. Metabolic liver disease such as hemochromatosis and Wilson's disease8. Muscle disorders9. Obesity10. Tumors of the liver or bile ducts You must investigate it properly and get to a diagnosis. It can be easily treated by natural herbs and some lifestyle modifications such as low fat diet, using liver tonics, Weight loss(if overweight) and no fatty and spicy food. Than  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 trouble breathing and I get tired when I exercise...  I thought it was asthma.. um...but like.. also have weird thumping sounds in my chest.. hey a while back I drank 15 beers.. in one go.. what problems can arise from drinking 15 beers even though I only did it like a few times years apart like 2 times really.. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having acute gastritis due to large amount of beer intake. Beer is known to cause acute gastritis and hyperacidity. They will cause burning chest pain and acid reflux. This reflux can't sometimes cause breathlessness. So better to avoid large quantities of beer at a time. Avoid stress and tension. Avoid hot and spicy food. Take pantoprazole tablet on empty stomach. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i had some pain at my back which later detected as cold abcess, doctor asked me operate it ,which i did in the month of April. i observed that my wife got pregnant while i was suffering from this problem, will my baby have any problem from this because doctor had given me medicine for tuberculosis. ### REPLY: Cellophane you for writing to us on . Based on your history the response to your question is as follows.1. Tuberculosis is a chronic inflammatory disease. It usually affects people with reduced immune system.2. At present, based on details, your wife should be healthy and without any infection. As she is not infected, there is no possibility of baby being affected.3. Try to improve her and your nutrition, so that immune system is improved. Protein rich diet along with vitamin supplements is essential.4. You need to continue medications, till you complete the course. Not to worry, baby is safe. Hope this is helpful to you. Do write back to me for further questions. 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 recently had an issue where I was driving I went to the ER and they could not answer my problem. My sister got me to pull over I was repeating I M Fine over and over and she put car in park and I was still acting like I was driving. she also called my husband they said my eye were extremely wide and dilated and they talked to me and asked me my name and I would say I m Fine. They got me to eat a cookie thinking my blood sugar dropped. They got me out of the truck and I staggered around like I was drunk laughing and then they got me in to my husbands car which I then started to cry. At first he thought he would take me home and that is what he did and went to take me out of the car and I collapsed and they put me back in the car and by that time I was coming around and asking how I got in my husbands vehicle and how I got a cookie and where we were going and why and what happened because I could not remember. ### REPLY: Hi and thanks for questions. As per description of your symptoms I thought u have ?convulsion episodes in which u lost your mind control, u repeat the thing that u do at the time of episodes. Because in disorientation u didn't find where you're? What r u doing? Second thing after convulsion episode a post octal confusion state start in which same thing occur. U should rest for some times, do your lab test like HE, CBC’S.NA and S.k+level. Consult psychiatrist first. 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: Hello a few days ago I noticed a bit of a rash on my arms and my eyes where a bit red above the pharmacist said I was having an allergic reaction . The next day I woke up and my hands where stuff and swollen and my rash had spread. I went to the dr she gave me a referall to the allergy dr and a mild steroid cream for the rash and told me to take an antihistemine twice a day. Now my rash has spread even more its all over my legs, arms feet and hands. The swelling in my hands has gone down but the joint pain is still there. I m starting to get very concerned and can t sleep cuz of the itching. ### REPLY: YOU NEED TO KNOW CAUSE WHICH CAUSED MAY BE MEDICINES TAKEN FOR OTHER DISEASE PCM IBUPROFEN VITAMINS CALCIUM DIET SUPPLEMENTS CALCIUM CAN CAUCASOID COCONUT WALNUT GROUND NUT ALMONDS AND SODA OIL USE OLIVE FOR COOKING AN APPLICATION NO FATTY OILY GREEDY FOODS EE ANY CHANGE OF SOA SHAMPOO CREAMS LENA DYES AND OTHER BODY APPLICATION MATERIAL SUSE NON-TOXIC SHAMPOO REAMS MISTAKE FEXOFENADINE 120 MG BD AN ATARI 10 MG MISAPPLY CALAMINE ON ROYALS NEED TO ADD SOME NONALLERGIC OINTMENTS MOMETASONE ON AFFECTED SKINNY TAKE 3 WK ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fell and somehow twisted my foot. My ankle does hurt, but the top part of my foot hurts and cannot bend the foot without it being painful. It has been almost a week and I cannot walk correctly, still limping because it hurts to walk on my foot. But it has gotten better as the days pass. It hurts more in the morning after getting out of bed. ### REPLY: Hello, After twisting your ankle and foot, chances are you have ligament injuries and the possibility of fractures in small bones of the foot may be there, which needs to be ruled out.  Considering all such possibility, you are advised to consult an orthopedic expert to get it assessed clinically and X-rays to rule out fracture. Accordingly, treatment will vary from splinting to pop or surgery.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Approx 2 months I started suffering from dizziness, noticed my pulse was irregular. I have had 2 ecgs the first said abnormal qrst contour consistent with old inferior mi and non specific st depression. the second showed pvcs and prolonged qt. I have just had a 24hr holter which showed over 3000 pvcs, sinus tachcardia with some bigeminy and trigeminy. My gp told me this is nothing to worry about and is referring me to cardiology as routine. I have also been having left arm pain and pain radiating into my left neck and shoulder. the last couple of days I am experiencing a severe stabbing pain upper left chest below collar bone and the arm pain is worse. The pain is intermittent but lasting atleast 30 mins, sometimes hours. Should I be concerned? or should I wait for my appointment which will be around 2 months?many thanks Jackie ### REPLY: Hips more than 300o in an ECG are to be taken seriously, 3 or more PCs taken together in succession are called nonsustained ventricular tachycardia, if duration is less than 30 sec, if duration is more than 30 seconds it's called ventricular tachycardia. Most common cause of PCs in ECG are ischemic myocardium, that is when blood supply to heart is less or compromised, inferior wall me also signifies it. Yes you should be very concerned about it few baseline investigations like 2d echo tread mill test should be done as early as possible to identify ischemia to heart. Medicines like beta blockers and nitrates could be started initially by GP before you reach a cardiologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 male friend 73 years old has had prostrate cancer approx 4 years it has spread in the last 3 years . He has lost a bone in his leg, has had two tumors in knees now it appears to be in the base of his spine. has lost substantial weight and in great pain. what is his lif expecance he has had chemo and radiation, ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  He has widespread metastatic carcinoma.  So it is stage 4 of prostate cancer. Surgery will not helpful.  Treatment options are chemotherapy and radiotherapy. Despite treatment prognosis remains very poor.  Life expectancy is not good.  ONR should not expect much front his case.  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor, i am of 30 years of age and for last 2 years, i get a choking of my throat, i have gone to almost 13 doctors they prescribe me the same medicine such as parit-20, roseday-10, beplex forte tablets, i do get relief, but for sometime only, now i am beginning to think that i may have some sort of cancer and i am fed up of my life due to this diease, so if you can help me, i will be very greatfull to you. ### REPLY: Thanks for your question on . You are taking part which is omeprazole(antacid), rose day which is rosuvastatin (lipid lowering .  So if you are not having high lipids than no need to take rose day at your age (30). In my opinion you should consult gastroenterologist and get done1. Upper GI scopy2. Esophageal manometry and motility study3. Barium swallow4. CT neck. This all is needed to rule out esophageal pathology. And if everything is normal than no need to worry as you are not having any 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: Hi my name is Alex and I am experiencing intense pain just below my right knee cap. When I stand and put pressure on it the pain is so intense I cannot walk properly, it seems to have gotten worse over the last few days could you tell me what might be causing this? ### REPLY: Hello, I have studied your case and I think you are having pre patellar bursitis. I would suggest you to follow these steps.1. Hot water fomentation.2.tablet Broken 400 mg twice daily.3. If these methods are not successful then you can get needle aspiration. And steroid injection can be given in the bursa.  I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, :) In the past year, I have been plaugued with a constant infection..or so I think. in april I was diagnosed with PID, was deathly ill...was not caused by STD. was on 3 iv antibiotics for a week..5 weeks on oral. In novemer. Lymph node in my neck ( clavicle ) was the size of a tennis ball. In november the pain returned..it always starts in my hip, and makes me unable to walk...again was treated with antibiotics. . Jan 1st of this year, woke up screaming in pain in my hip..my husband took me to emerg...they treated me for the same thing...5 days off of antibiotics I am sick again...lymph node in my neck swollen..my blood work......normal..cat scan..normal..ultra sound to neck..says its a swollen nerve..............I somehow feel...I have lymphoma...but would the swelling go down..and come back again... the dr just keeps feeding me antibiotics..help!! ### REPLY: Hello, Your presentation does not seem terribly consistent with that of a chronic infection but rather some type of INFLAMMATORY PROCESS which could be autoimmune in nature.  The constant use of antibiotics is something that I would question unless an actual agent of infection can be demonstrated through blood cultures and ultrasounds which could demonstrate pockets or collections of pus if the swellings you mention just happen to be sites of occult infection that then, get worse in the absence of the antibiotics.  I would recommend being sent to either an INFECTIOUS DISEASE specialist or a HEMATOLOGIST/ONCOLOGIST.  I believe additional diagnostic testing (as opposed to more antibiotics) would be a better approach to elucidate the underlying cause.  This, in turn, would more appropriately point to the best plan of care. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell on the ice Friday. Since then I am much more bloated than before the fall. I landed on my left side.  I have abdominal pain on my right side. The doctor at the er pushed around in me and make me feel like I was going to vomit. Should I have it checked further? ### REPLY: Hello! Thank you for the query. After an abdomen injury some swelling of soft tissues (including mesentery and intestines) appear. This can temporarily impede bowels movements and result with pain, bloating, nausea. After such injury it is good to have abdominal ultrasound and blood work to rule out more serious injury and bleeding inside the abdominal cavity. If this test haven't been done, or you feel your symptoms get worse, please have it checked. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: have had testicle pain, focus problems, nausea . Doctor says creatine score is slightly high and had passed 1 cm stone on left ureter still after 10 months the ureter kick and spasm. did 3 rounds of antibiotics and on veggie and fruit diet, symptoms are better but will this improve more very scary and hard to live with ### REPLY: Hello and welcome to . As a Urologist, i can understand your anxiety. Your symptoms are those of a stone causing a block to the kidney. If your symptoms are persisting, its best to repeat ultrasound scandium. That will show if a stone is present and its effect on the kidneys. If your creatinine is high, you should avoid fresh fruits and repeat creatinine. You should take anti-inflammatory tablets for pain, as advised by doctor. If you've any doubts, send the reports to me, as a direct question. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was in a car accident at the end of february last year and had severe back pain . my doctor could not diagnose anything and I was sent to a physiotherapist who said that the hard tisue in my back was still soft when I got in my accident after having a child in 2009 and that it got damaged, its been a year now and I am 7 months pregnant and the pain is really bad and that tissue should be soft again which you would think that it would go back to normal. Could this be something else? ### REPLY: Hi :Since it has been more than 15 months from your car accident, this is good news. It indicated that no major issue but pains and wane. Now you are 7 months pregnant, this will further increase your weight by default for the baby sake. This is theoretically will increase the pressure on your back too and especially when you start pushing and even post delivery. (These are possible expected consequences might not happen). It was not clear for me what is the soft tissue, I may understand the hard tissue (vertebrae and spine)... I need more clarification. The soft tissue or may be swelling on your back can be hematoma (meaning collection of fluid or blood etc...) This is having to be attended by a specialist to find a tool o prove it or disproved. I do not think this swelling something bad. 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 Spine MRI shows : T12 L1 Mild disc height loss and mild noncompressive disc bulge. No spinal canal or foraminal stenosis is seen L1-L2 Mild disc height loss. Mild circumfrential disc bulge. Indential L1 vertebral body hemangioma L4-L5 Circumfrential disc bulge. Mild to loderate bilateral facet OA. Right sided foraminal zone annular tear. Moderate bilateral lateral recess stenosis is seen with possible impingement of traversing L4 nerve roots right greater than left. No foraminal stenosis is seen. Mild congenital spinal canal stenosis. Mild disc desiccation. L5-S1 Moderate disc desiccation. Circumferential disc bulge. Right paracentral disc protrusion contacting the traversion right S1 nerve root. There is a suble right paracentral annular tear present. No spinal canal stenosis i sseen. Mild bileteral facet OA. Mild interior neural foraminal narrowing is seen but no definite impingement of the exiting L5 nerve roots. ### REPLY: Hello, Welcome at . I have read your complete question. It looks from your details that you are having subtle disc changes IN MRI at different levels. The good thing is that at any level you are not having compression of nerve or spinal canal stenosis. At present, you should do exercises for strengthening of spine. You may view that at following link- http://orthoperson.blogspot.in/ Hope this will help you. With best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,My name is Jenny, I am 35 years old.  I am with my grandmother who is 88 years old.  She had a stroke almost 2 years old.  She reecently became ill this past week.  Her symptoms were: swollen belly, wheezing, iron build up, very fatigue, along with a few other things.  The hospital sent her home with more medication.  She seems to be getting worse and we are not sure on what to do.  Please help!!  Give us some guidance on what to do.  It would be greatly appreciated! ### REPLY: Hello Jenny ! The age group of your grandmother demands prompt and detailed investigations on her swollen belly. You have not mentioned whether she is ambulatory or bedridden post stroke. In bedridden patients, we have to exclude fecal impaction, which may give rise to abdominal swelling. Wheezing is due to her respiratory infection/allergy which needs to be taken care of by a medicine specialist. Apart from this, you have to think of a chronic urinary tract infection in non-ambulatory patients, which has to be taken care of. If the above are excluded, then consult a medical specialist, who may advise her for a complete evaluation of her kidney function, liver function and cardio vascular status all of which may give rise to swollen belly and the last one can give rise to weeping as well. She may also need an ultrasound abdomen to exclude accumulation of fluid in the belly/or any space occupying lesion. So, without any delay take her to a specialist clinic for clinical evaluation and treatment. We all wish her 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: Man has stage4 pancreatic cancer spread to lungs and now liver with platelets of 50 heart resting of 104 blood clots in legs with infection on oxygen with pneumonia in right lung no appetite rapid weight loss extremely fatigued taken to hospital what is life expectancy so people can visit weeks days? ### REPLY: Thanks for your question on . I can understand your situation and problem. Stage 4 pancreatic cancer has the worst prognosis. Life expectancy is less than 4-5 months. In the case you are referring, this would be even lower. Liver and lung metastases with blood clots in leg veins (deep venous thrombosis) (DVT) In pancreatic cancer carry the worst prognosis. In such cases life expectancy is less than 3 months. So better to discuss end of life issues with him. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed a small, pea sized lump on my forehead between my eyebrows about 1 1/2 to 2 months ago. It doesnt hurt but does not appear to be going away. I had no major injury but might have bumped in on a small corner while cooking....not enough to stop my preparation. Do I need to see a Dr . It is visibly noticeable. ### REPLY: Welcome to . 1. The possible causes in this case could be a tiny collection with in the subcutaneous plane. Sebaceous collection in the first place and next possible cause will be hair follicle inflammation.2. Possbilty a small hematoma after the hit to the area - which will take some time to resolve.3. Local anti-inflammatory cream application to the area will be helpful with monitoring the size.4. In this case I would recommit not to squeeze, press,scratch the lump - by that you will complicate and rely on the healing process.5. Suggets maintain local hygiene, clean with antiseptic liquid and monitor the lump with local anti-inflammatory cream Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes I am a ff paramedic here in jax Fla. My GF has small kids girl 3 and son 18months. we just got them from the father and in transition having some topical issues. Need to R/O exema v/s Hand foot mouth Sx?? he had some exema issue before he came back to florida then it spread to her. patches exacerabted with itching but the oatmeal and topical cremes checked it. Now the little guy is having them on his armms and wrists but not particually on his palms and soles of his feet. typical/atypical can you advise?? ### REPLY: Hi... I understand your concern. But skin conditions are best diagnosed and treated only after seeing them directly. I suggest you upload some pictures of the same lesions on this website and get back to me, so that I will be able to get you more scientifically. By what you say this looks like a simple viral exanthem. But unless I see them, I will not be able to rule out or rule in, hand foot mouth disease or any type of specific viral exanthem. 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: My mom had breast cancer 5 year back that was cured but now cancer has again happen lever and food pipe now her treatment is going to be start again, want to know what should we give her to eat and avoid to eat so that it helps her to digest and relief from pain ### REPLY: Hi, Thanks for writing in to us. Your mother requires close treatment keeping in mind possible cancer in esophagus (food pipe) and liver. Cancer spread is difficult to treat and unfortunately spread of cancer to liver and esophagus can have a survival of 2 years with recommended treatment and supportive care. Please give your mother nutritious soft diet which is rich in protein. It is important to know how much of the esophageal lumen is occluded. In this case please try to give her semi solids which can be digested easily. Foods which are good for her includes oatmeal, sheer, DAL which is not spicy, soft fruits mashed, boiled potatoes and eggs if she can swallow. Also give vitamin supplements and lots of fluids and fresh juices to keep her HY .  Avoid giving spicy food which might get stuck in her throat and cause choking and always feed in sitting posture. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have got big ance all over my face i avoid eating oily food and stuffs of outside i only prefer home food..... i squuezed sme of my pimples and spots are left behind how to remove all this things from my face? ### REPLY: You may use CNIL SOAP to wash your face 3-4 times daily to remove the sebum collection over the face. Then you may use local application of Clindamycin gel in the night, rub it deep in to the skin. You may use more of fresh fruits and vegetables. . The acne stake at least a month to get fully cured. Applying lemon juice or rubbing raw garlic over the acne once in a while are good home remedies. But watch for any ALLERGIC REACTION TO ANY OF THE MEDICINES AND HOME REMEDIES I have said. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is sandeep ekka i am having fever from 4 days , so yesterdays i have done widal test , so it show that salmonella typhi "O" .1.160 , salmonella para typhi "ah"1.80 is it i am every much infected with typhiod , i am having he medicine mahacef tm plus, rekool -20 and sumo tablet , i had malaria 6 months back i need some advice for it ### REPLY: Hello, Welcome to . Thanks for writing. I am .  I have read you question completely, I understand your concern and will try to help you in the best way possible. The kind of symptoms you have mentioned, and then belonging to South Asia, makes Enteric fever aka typhoid, a most probable diagnosis, however it would have been more appreciable if we had known whether, any history of altered bowel habits, or any suspicion of a concomitant infection, whether urinary or respiratory exist or not? Provided the information, you have shared, I would like to clarify one thing that tidal test is considered obsolete in many parts of the world now, and the most reliable test would have been a blood culture, even typhoon has also got a lower specificity to the Enteric fever. An associated decrease in WBC count along with some other cell lines in your CBC, can also rise the possibility of typhoid. Here I would suggest that you may need a repeated Lots monitoring, as enteric fever has got the tendency to have complications like enteric hepatitis. If you were my patient, I would have recommended you tab. Ciprofloxacin 500 twice daily for 10-14 days, even if the fever subsides, to avoid chronicity of the infection. If no response is achieved in 5-7 days, then addition of azithromycin 250 mg twice daily to the current regimen has shown to increase the efficacy and better clearance rates. Along with that, use of antipyretic, and motility agents, like risperidone would have been more comforting. If god forbid, the infection persists, and there is no other signs or laboratory findings suggestive of any other organ system involvement, based on the history, Indoor treatment with IV ceftriaxone 2g twice daily would have been the next relevant thing to do, but ii hope the things will not go to that extent, hopefully. Stay connected to your doctor and keep on seeking regular advice and checkups. I hope this answered your question. If you have more queries I am happy to answer. Otherwise, rate and close the discussion ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i m a 34 years old girl with NAs score- 6 and liver fibrosis 1B, stiffness of liver 10.5, AST- 78 and ALT- 75 with VLDL cholestrol 42.2 what has happened to me ### REPLY: Hi Welcome to ChatDoctorRead your prob, you have been suffering from liver fibrosis, this is a chronic liver disorder in which matrix proline like collagen accumulate on liver cell, this is pre stage of liver cirrhosis. This is primary stage you can cure it at this stage by taking antibiotic .  Along with it, you should start spy LIV-LIV 10ml three times a day. It helps unstopping it from further progress. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear consultant,My name is Nana-Oye Koranteng and I am enquiring about hair-pulling and tricophagia.  I have had this disease since I was about three years old and I am now 32 years old.  I am from Ghana in the West of Africa, I am 5 "6" inches and about 62kg.  I have no details of hair-pulling in my family and do not know whether there is a gene, I have read about the gene SLIT... There are problems with high blood pressure and cholesterol in my family.  I would like to know where I would get very good treatment for hair-pulling and tricophagia in India and specific doctors that can treat this disease.  I have been pulling hair all my life and I do not want it to continue, which is why I want treatment.  I am sure there is something terribly wrong with the chemicals in my brain.  I really want to grow my hair, instead of having large bald patches all over the place that cannot be concealed.Kind Regards,Nana-Oye Koranteng. ### REPLY: Hi, You may be having trichotillomania and trichophagia. The conditions may occur due to psychological upsets. And it may be OCD .means obsessive compulsive disorder. Consult the dermatologist as well as psychiatrist. After thorough examination and investigations, they may give perfect treatment. For other symptoms, you may consult the physician. In India dermatologist and psychiatrist are available in all cities. So, you may visit them in any city...hope this helps. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What would or could cause a 54 yr old man with multiple mialoma,renal failure and heart valve damage to have sudden intense internal body heat? Like a female hot flash,soaking his clothes,feeling like he can t breathe but his oxygen level is fine and his heart rate is steady.He s got a cardiologist,nephrologist and an onocologist. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have multiple myeloma. It is known to cause renal failure and your symptoms may be due to multiple myeloma itself or due to complications. Treatment depends on stage of disease. Realized and dexamethasone is the treatment of choice for newly detected cases. Bortezomib can be given along with dexamethasone in some cases. Consult your oncologist and 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 have this dry hacking cough that comes up sometimes like mucus, it basically looks like snot, I do it more in the morning then anything, is this a sign of an allergy? I take allergy medicine and it seems like it takes awhile to work or either I can t even tell if it is working. I need an answer as to what this could be, I do not smoke or drink, please help me. ### REPLY: Hello Welcome to , Your history are suggesting me that you may be having some chronic allergic manifestation which should be evaluated properly for adequate treatment. I would suggest you to undergo absolute eosinophil count to know the presence of allergic reaction. You may be allergic to allergens like dust, pollen, mite and food. You may require skin prick test to identify the allergens causing these symptoms, there by you can avoid it, or you may go for immunotherapy. Furthermore, you can select either sublingual or subcutaneous immunotherapy. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 30 year old and I have darker upper lips and chin. can you tell me a home remedy or a medicine that will really work and I can easily available in Germany. because it looks really bad on my face. and one more problem I have dark black under eye circle and it is not heriditary. please give me a solution. ### REPLY: **1. In best Interest it will be wise to see a Dermatologist for proper evaluation and management, prior to appointment you can/may incorporate following guidelines:. Stay away from the sun during peak hours [11 AM to 4 PM] or ensure a good sunscreen applied on the area to limit damages. Wash your face with Began and Luke warm water after coming from outside ( the best natural bleaching agent), removing excess sebum and dead skin cells, and acts as a deep cleanser.i. Use fresh vegetables and fruits, stay HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Direct 0.3 ( normal .02 and below) Indirect 1.3 ( normal 1.2 and below) Total 1.6?( normal 1.2 and below) All other liver tests came back in normal range. Also all other blood tests came back perfect . Should I be worried? I just had another private test done today ### REPLY: Hi there, Thanks for using . This mild increase in bilirubin is not significant and may not indicate anything serious. So you need not worry about it. If there is fluctuation of the bilirubin levels with normal liver enzyme levels, then the likely cause is Gilbert Syn . Sometimes increased destruction of the red blood cells can cause similar picture. Hemoglobin level, a peripheral blood smear picture and a reticulocyte count may be done to see if destruction of red blood cells is the cause. Is this answer helpful? ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have developed a twitching in my right foot over the last 3 weeks. I woke on Sunday morning 3 weeks ago, my foot was very sore on top as if some stomped on top of it, right above my toes in the thin bones on top but I cannot account for this I did not injure it. Since then it has developed his twitching and jerking which is getting worse each night and becoming painful and keeping me from being able to go to sleep ### REPLY: Hello ! I read your question and understand your concern. In my opinion the symptoms you have may be related to a possible nerve dysfunction. It may be a nerve entrapment like tarsal tunnel syn .  I would recommend you an electroneurography of your lower limbs to examine the function of the nerves. A X-ray of your foot would be helpful to rule out other problems related to the bones, but usually they don't come out during night.  If it is abnormal you may need surgical decompression. 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: Ortho MD. Needed Female, 48, successful ACL reconstructing 11/16/11. 2 months ago I started doing high intensity on ellyptical to build leg muscles, forward and backward movements. Played kickball with 10 year old and power walk. I noticed that entry wound started to swell and became painful, Ice would help so I only focused on power walk and icing after. 6 weeks ago I fell gently on knee now I can t bend it without pain and swelling above knee cap, pain left side of knee and back of knee when I attempt to bend knee, and swelling will not go Down neat entry where screw is. I lost job so no insurance since I have to pay cash I need best advise how to peruse treatment. ### REPLY: Dear patient You have got injury to knee which already has reconstruction of ACL 4 years back.  Pain with swelling and difficulty in bending the knee might be due to tear of reconstructed anterior cruciate ligament or recent meniscus injury. This must not be neglected. I would like to advise MRI of involved knee to confirm diagnosis. Visit radiology center nearby you and get it done. Meanwhile, wear long knee extension brace and avoid bending and taking weight on involved limb. Apply ice packs to reduce swelling. You need to consult expert arthroscopic surgeon with MRI report. 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: Hi, my partner and I have been trying to conceive for over 1 year. I am diagnosed with rhumetoid arthritis but I am on safe medication to get pregnant. Recent Pelvic ultrasound reaults show; Uterus is anteverted. Normal endometrium. More than 20 small follicles found in each ovary, measuring upto 1.2cm. Both ovaries mildly enlarged. What are my chances of getting pregnant?? ### REPLY: Hi welcome to  forum.  Thanks for asking a question to . F.  You are diagnosed with rheumatoid arthritis, still on safe medicines for getting pregnant.  Pelvic ultrasound show uterus is anteverted, normal endometrium, more than 20 follicles found on each ovary of the size of 1.2 cm.  The findings of the scan are favorable for pregnancy. For treatment of infertility both partners should be examined and treated.  I advise both of you should consult your doctor for diagnosis and treatment.  Wishing for a favorable recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELLO DOC.IM SONIA. MY 4 YRS. OLD SON HAD A NOSE BLEEDING SUDDENLY IN THE MORNING,AFTER HE S FINE PLAYING ALL DAY.THEN NEXT DAY SUDDENLY HE GOT FEVER.I GAVE HIM MEFTAL -P SYRUP & IT WORKED WELL, HE FELT BETTER THEN.BUT AGAIN AT NIGHT HE GOT FEVER WHILE HE S ASLEEP & SUDDENLY GOT FRIEGTENED,SLIGHTLY SHIVERING.THEN I MASSAGED HIS LEGS & HANDS,HE ATE SOME BOILED PLAIN RICE,THEN AGAIN I GAVE MEFTAL-P SYRUP 2.5ML.HE S ASLEEP NOW.PLZ KINDLY HELP& TELL WHY THIS NOSE BLEEDING & FEVER OCCURED.AND KINDLY GUIDE SIR.THANK YOU. ### REPLY: Howell come to ChatDoctorI could say that this is nothing to worry because such symptom is very common in this age group due to cold and cough, but this can be taken as granted the condition need to be differentiated with other etiology as long as the pediatric age is concern because certain diseases comes out clinically in such manners, the fever could be due to allergic condition and viral infection is likely, hope this information helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir,i had a mouth ucler last two years ago and it got cure but from that time there are some white red lines around my lips and also it makes night times itchings. kindly suggest to whom i sould consult a dentist or a skin or general docotor. Below are details.height-5.6weight=55 ### REPLY: Hi, I have gone through your question carefully and understood your concerns. The mouth ulcer you got in your mouth seems to be due to viral infection, especially, if you have had flu like symptoms at that time. If the ulcer appear again, I'd advise consulting with your family doctor and to run following diagnostic tests:- complete blood count to exclude anemia-culture of mouth swab to exclude fungal infection the moment, I advise keeping a good oral hygiene and avoid having too hot .  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 baby is 10 months old & has eczema. She recently had the big bumps & sores which mostly have cleared up..this is also in her vagina area & she has dirreah. One mother suggested monostat 7 be applied to that area. My question is how often do I use it? ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. 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: We just found mold in our bathroom floor from a water leak and I am 27 weeks pregnant. We beleive the water must have been slowly leaking for a month or so (not long but long enough to be concerned about myself and our unborn baby). While I am staying at our parents house until the mold is removed I was in the house for the last month until we noticed it tonight and I was also in the house for several hours while the wood was being removed and I am nervous about the exposure with spores in the air as well now. Should I be worried? ### REPLY: HI, Thanks for the query on  platform.  I understand your concern.  Some toxic molds have multiple health issues in mother. If you had allergic signs like stuffy / running nose/ cough/sneezing/ asthmatic attack, in last one month. That indicates you had health problems due to mold. Even if you had them.  But it may not affect your baby because of your resistance. Still you can have a thorough pregnancy check up to exclude your doubt.  In case of absent reaction to mold, rest tension free.  Actually, it's the mold treating medication which can be more harmful to baby than direct exposure of mother. It's good, that you are away from home. In these days of mold clearing.  Thanks. ### END