Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: last night I felt like I had fever in my gums the area where my tooth was extracted 2 years ago is still sensitive I took 2 generic Tylenol p.m. and it helped some I also went to the ER 3 nights ago they gave me some numbing mouthwash for my cankersores they said I might have some virus or vitamin defency what is the problem because I always have them ### REPLY: Hi. Thanks for the query. As per your complaint you are suffering from RECURRENT AUTHORS ULCERS which is causing you the eruption of ulcers frequently in mouth. It can be caused due to a number of reasons like Stress, Nutritional Deficiency [Iron, Vitamin B12 and Folic acid], hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, uncontrolled diabetes and other immunocompromised conditions etc. You need to consult an Oral Physician or a general dentist in this regard to get evaluated and treated. For authors ulcer you can do warm saline garglesGargles with 1:1 solution of Ben . . Apply numbing gel over the sore for relief from pain especially during eating. Take a multivitamin tablet for a period of 15 days. Avoid spicy, sour and acidic foods. In case if still the condition does not subside the physician can prescribe you to take a Steroid course as it the ultimate treatment in case if nothing else works. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I take Crestor 5mg daily and for raised cholesterol, three weeks ago I started taking Fusion "Menopuase" 2 tablets twice a day. Two days ago I started a  multi vitamin high in B - Tresos-B one in the morning, plus 2 magnesium tablets at night [ Fusion -magnesium advanced ] I have had hot flushes for 10 years and my last menstral period was Feb 2013. The last two months hot flushes have really hit and I am having trouble concentrating. Sleep has also been a problem for years with the hot flushes.I was advised by my doctor the HRT was not an option so have decided to try an alternative, yesterday and today I have very puffy eyes which are an allery ,the supplements state no artificial colours, flavours or additives. Therefore could there be an ingredient in there which Iam allergic to ? I have taken an antihistamine. Any advice ? ### REPLY: Hello;You were suffering from per menopausal symptoms like hot flushes and insomnia for the last 10 years. Your last LMP was Feb 2013. Now hot flushes have increased along with difficulty in concentration. You were advised as HRT was not the choice for you. Why?. You are already taking Creator 20mgm for your raised cholesterolFusion menopause free was started 3 was actress - B & Magnesium tabs started 2 days agony you have puffy eyes - which you think may be an allergy to the recently added medicines/Additives. You are taking Fusion menopause free for the last 3 weeks. The Multivitamins, minerals and antioxidants were started only 2 days back which corresponds to your puffiness of the eye. Fusion menopause free - a Chinese herbal .  If it persists stop the Fusion menopause free and observe similarly. Even after checking all these if the puffiness persists you need a complete investigation along with your kidney functions. Peri menopausal symptoms may remain even after menopause, then discuss with your  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: okay i have like really bad acne on my back and i really dont like it ive had this problem for a couple years and its been really depressing with all the scars .....so what can i do to make then kind of go away or just less noticeable ### REPLY: Hi! Lucia Salgado, Welcome to  forum, Acne is very common on back and there it usually leaves scars and marks too. There are various treatments available, but the best of the lot is (esp if you are getting scarring) is isotretinoin tablets. These have to be taken strictly under a dermatologist supervision. You should discuss all the side effects of the same.It's a wonderful . Along with this you can also go for chemical peeling and micro dermabrassion at some reputed skin clinic. If there are black spots on the back then you can also apply retinoid cream locally at night. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Eosinophil differential count of 08. MCHC of 35.8. 2 years ago, I had a Eosinophil differentil count of 11 which resulted in my right eye having retinal vitreous degeneration.This time too, ive some eye problem. Why does the count go up and how do I control it ### REPLY: Welcome to . I am . My dear friend, eosinophil counts of 11 alone is not a cause for your vitreous degeneration. I think there are other cause for this vitreous degeneration like Parasite infection -Ocular larva migrant. These parasitic infection cause high eosinophilic count. You need to ask your treating consultant for complete blood count with serology test for toxocariasis (enzyme immunoassay). This will very helpful for further management. No need to worry, you will be fine soon. Thanx for query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My son is of age 1y4mnths.For the first day he was vomiting the mucus substance.He was having stomach infection and was vomiting whatever he intakes.Doc Prescribed  Ondem before food and we gave it for 2 dys still no effect and had to opt Taxim and now vomiting has gone.But my worry is his stomach still is like an inflated balloon and his motion is also not in  a controlled manner.could you please assist me.Also cough has started. ### REPLY: Hi, Welcome to . Young infants are more prone for viral diarrhea than bacterial causes. But stomach infections are common in child .  ODEM is an antiemetic and is useful for vomiting. Taxi is Lifetime which is a broad spectrum antibiotic useful for bacterial infections. Side effects could be bloating and loose stools. I suggest you complete the full course of antibiotics prescribed, HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have bumps on the back of my tongue.They dont hurt or anything just found them there..I have been having tooth pain..Plus i have bumps on the front of my tongue but i burnt my tongue bad last night so i know where there from..Plus my newph has strep..but i dont have tongsu anymore.But has not ran a high temp but my toaht does burn but just random times not when im eating or sleeping.. ### REPLY: Hi, Bumps at the back of the tongue if not painful or annoying then they are not due to any pathology and can be most probably due to a normal anatomic structure that is Circumvallate papillae. Circumvallate papillae are large papillae present at the back one-third of the tongue and are present in typical V shape. They are raised and large and can at times be misunderstood to be due to some pathology. So you need not worry as I do not think there is anything pathological. However, a clinical exam can further confirm so please click pictures and send it to me so that I can advise you more precisely. 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 am 44 years old and have a memory issue. I cannot remember a lot from my past. I have heard of people blocking out bad experinces but I don t remember happy occasions either such as the birth of my children or my wedding day. I can t remember some past relationships. My short term memory is fine and I can do daily functions perfectly so I don t think it falls into dementia category. Should I seek medical attention or is this normal aging? ### REPLY: Hello. I have been through your question and understand your concern. Dementia generally begins with short term memory. Any way you should get a neurological consult, and more important have a brain MRI. If that comes out normal, then you should not worry about. You are too young to have dementia. Still, since you are concerned, you better have a brain MRI. Hope this helps, please feel free using MHC again ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a 41 yr old male in good health. The bottoms of both my feet turned numb. Over the next 24 hours I became numb from the waist down. 5 days later I m not better. I went to a Neurologist and was examined. My eye sight is good, my reflexes are good, I have not had any muscle weakness, I have no pains, I don t smoke or drink and I have not been sick. I had blood taken at the hospital and the only thing was my glucose was 132 which I was told was a little high. I did eat and have a large soda 2 hours before. I went and had more blood drawn at a lab after fasting the next day. I m currently waiting on the results. Also my neurologist schedule me another appointment for a EMG in 10 days, because he thought if we did it any sooner it would not show anything. Is there anything else that should being done? ### REPLY: Hello, You may be suffering from an acute desalinating event which would be most likely occurring in the brain (and sounds to be purely sensory in nature) by your description, although the spinal cord would also be a possible location to look for problems.  In my opinion, what you really need that would be obtainable NOW are imaging studies of the brain and spinal cord (MRI with gadolinium contrast) to rule out a type of desalinating process in the brain or something such as transverse myelitis in the spinal cord.  Frankly, I don't understand the purpose of the EMG since you say you have normal reflexes and no muscle weakness.  Nothing will show on an EMG in 10 days from now that won't show up today BUT more importantly I wouldn't do that test anyway by the first intention simply because it is invasive (i.e. not very comfortable) and not likely to show anything more than you could diagnose with good clinical judgment if a solid history and examination were done.  EMG/NCV studies are MOST helpful when muscles are WEAK or reflexes are severely altered not as helpful when only sensory changes are occurring.  I would do the preliminary imaging studies, blood work is fine, waiting for a little time is fine as well but I don't think an EMG is something I would plan for unless you became noticeably weaker. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with H Pylori. I have been precsribed ESO KIT a 3 drug therapy. I have been vomiting and find I can t eat anything. Also, I have this bitter taste that seems to never leave. Had sleepless nights for the past 2 days because of the bitterness and throwing up. What can I do to make this better?Is there something I can eat/avoid to eat. I find myself hungry but afraid to eat anything. Please Help. ### REPLY: Hello, THX to contact us. If I am your treating doctor I would like to advice you that I never heard H.pylori will cause a bitter test in mouth. Never I heard that the .  I feel that the bitter test may be because of something else. I suggest that keep the chocolate that you like most with you. Whenever you feel that there is feeling of bitter you can eat the chocolate. If you have anything else to ask please contact me. 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 am a 30 year old female.  For the past year or so I have been in a birth control pill study and the nurse takes my blood pressure at each appointment.  My blood pressure has been measuring in the pre hypertensive category.  Typically 130s over high 80s.  Every appointment my blood pressure has been taken in the morning.  Today I received my Ozeri blood pressure monitor and my BP read 119/74.  I am baffled as to how it could be normal now after so many months of being high.  Is this normal for BP to be high in the morning and low in the evening?  I am going to test out in the morning to see if its high again. ### REPLY: Hello, Thanks for the query to . Forum. Let me explain the things, The normal Blood pressure value is 120/80 mm of Hg. ± 10 mm in upper B P and as age advances this goes up so need not worry. Your 130 B P Is also normal and every time it was normal. The 130 reading was a sensitive reading and this comes due to stress (of B P checking). B P in the evening or morning remains same however fluctuation in upper B P (systolic 10 -20) is absolutely normal and this is not prehypertension stage. Don't be in panic you are normal. 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: x ray chest PA   age- 41 yrs Female1 trachera is central2 Broncho vascuar markings ae prominent in both lungs fields.3 Both hila are dense and prominent.4 Mild haziness is noted in bilateral mid lower zones. pls suggest me is it serious, what is the treatment.  +0000   e mail:  YYYY@YYYY ### REPLY: Thanks for your question on . I can understand your situation and problem. If you are not smoker and not having cough or breathlessness than no need to worry about this prominent bronchovascular markings (BVM). In lung, blood vessels run along with alveoli (airways). Alveolus contains air and hence appears black on x-ray. Blood vessels contain blood and hence it appears white on chest x-ray. So when blood supply in vessels increased, they appear slightly more prominent and hence known as prominent BVM. Following are the possible causes for this. 1. It can be seen in normal person if x-ray is taken in expiratory phase. 2. Viral pneumonia. 3. Bronchitis if you are smoker. So if you are nonsmoker and not having any chest complains than no need to worry about prominent BVM. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had tinnitus and flu like symptoms for months...After 2 blood tests my doctor advises me I have low white blood cell count and has since referred me to a hematologist. I take the odd echinacea pills to boost my immune system but is there anything I can do to feel better until I see the specialist ? ### REPLY: Respected user, thanks for using .come have evaluated your query thoroughly.* There are many causes of tinnitus, need to be evaluated with expert ENT specialist and necessary tests as audiometry or else according to clinician concern.* Till then can-Take Tylenol (500) mg morning and evening after meals.- Plenty of liquids to maintain BP- Keep cotton plugs applied to both ears.- Avoid exposure to excess cold or windy, dusty environments.- Avoid smoking or alcohol.- Walking in fresh air, deep breathing exercises, YOGA without failure.- Avoid listening to high-pitched music, long mobile talks.- Inhalation of boiled water vapors with preferably added tincture Benson and blanket applied over head help a lot if done 2 times a day. Hope this will help you. Always welcome for any further guidance. Regards dear. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 12 year old female started vomiting today. no food....just watery . Then an hour ago she was hanging over the water bowl, but not drinking. She drooled a little. She is now under the bed. I worry about the onset of kidney disease or diabetes. She is a good eater...about 8 pounds. ### REPLY: Hi...it could be the starting stage of a viral diarrhea. I suggest you take her to the nearest emergency room. At this rate she might soon start to have diarrhea and if she is deny .  I don't think this is a kidney disease or diabetes. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 40,weigh 85kg and im 5ft 8inches tall. I had a myomectomy a year ago and my periods stabilised,though ive been trying to conceive without success.I was given ovacare and ive been using it for 3 weeks now. what do I need to do to increase my chances of conceiving? ### REPLY: Hi, Thanks for writing to . To increase chances of pregnancy you can discuss with your doctor the following mode of treatment. I suggest you to go for ovulation inducing .  This will help multiple follicles to mature and rupture.Also, I suggest you to go for GUI along with Josephine.  This is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. This will increase chances of pregnancy. Before going to GUI get your tubal patency done. If it is normal you can try 4 to 5 cycles of GUI. Hope I have been helpful. 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 diagnosed with IC and over active bladder, I have had hydrodystention, and also a d&c done in Aug 2013, I had polyps in uterus, that is why d&c was done. But I have lower back pain, hip pain, bending over pain. In January had cortisone shots, not much relief or lasting. I believe Pelvic Floor dysfunction is the problem overall besides the over active bladder, there are so many other symptoms with IC I don t have, I have had m.r.i. and it showed some degenerative on my lower disc and some arthritis on my sacral joints. I have pain all the time, I need some relief and I need to find a doctor that will help. I have seen an ob gyn. doctor, I think I need to find another that will follow up with symptoms ### REPLY: Hello, I read carefully your query and understand your concern. Your pain seem to be related to arthritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. Furthermore, I recommend physical therapy and gentle stretching exercises. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a blister come up on my cheekbone under my right eye the other night, it was gone within 2 hours, tonight I have another one come up, same place but under left eye this time, twice the size. Entire cheek is very warm to touch and blister area is itchy. Am on no medication. No allergies. Do suffer from psoriasis and IBS though. It doesnt look like psoriasis, it looks like a water filled blister. Its already going down again. Just curious as to what it might be. ### REPLY: Ibs and psoriasis are now taken as allergies and both are due to chronic irritation by one of food we take daily as allergy extends it effect other system snow is effecting the eyelet blood term test for specific antibodies for milk wheat potato Chaney rice nuts egg and other food you take go fort elimination diet and every problem will be solved after 3 was - 3 months of elimination till then if want can show to doctor and take symptomatic Rx ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 degenerated disk disease c5,6,7 and middle of back and lower plus vertigo so I have fallen several times last fall month ago I hit lower back then shoulders and head it dazed me plus I m heavy and concrete my friend who massages back all the time tells me I have broken blood vessels around the area I hit but it alway hurt so I did not notice I have on my legs not bad their being removed in September why the back ### REPLY: Hi, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate . Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. - Improvise your posture while sitting. I do hope that you have found something helpful, and I will be glad to answer any further 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: How to increase concentration in reading books (study) and not thinking other things while studying ? Specially things which is not under my control and thoughts which worry me ? ### REPLY: The usual and best remedy for this is in the past....read only those books that you are interested in i.e. do not take up studies which you are not interested in and most of the time, this helps. But if your studies are in the field that you are interested in (which differs from the field that you may have chosen for a variety number of other reasons) and still this is affecting you, then you need to find out why you are thinking of so many other things this could be due to social problems (like not having enough money to feed the family whilst spending time instead of earning a livelihood) which could/could not be helped by you or due to psychological problems (lack of attention is a common feature in many of the mental health problems like depression, psychosis, mania etc.) So, finally it will be up to you to decide what is the cause of you lack of focus and act accordingly. Apparently, yoga and meditation help to increase focus and concentration, so you may try them. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir;I am from Kerala..I am in 25 now..I have done my graduation in B.TecChatDoctorputer Science and Engineering .But currently I have backpapers.And after that I have done MBA in  as correspondance.Till  in +1 I was one of the top scorers in the school.I used to participate in dance,music,sports,writing and other competitions.When I was in school one of my friend told me..I am a very talented person...having skills at all the levels...studying,singing,dancing,drawing,sports and other extra curricular activities . I know I am a person with great grasping power....My parents also felt very proud of me..In +1 I was awarded as the class topper..Eveyone felt vry happy..I also thanked God for giving me such a wonderful life with very lucky days.I used to teach my friends who are weak in studies..Actually I found my success through their happiness and satisfaction..My expectations in life flew higher..I confidently believed great heights are waiting for me... Days gone..One day when I studied with one of my friend suddenly I was distracted with the shadow of my pen felt on paper.I tried a lot..but Iwas not able to concentrate back in studies.We were doing Maths...I was afraid...I dont know what is happening ..I am not able to concentrate in my writing..as days gone I stopped writing and tried to concentrate in my reading..again I am getting distracted...now it is with the sounds...sound of fan,beetles,motor,machines,fridge,crows sound(birds and animals),vehicles..etc like something is compelling to    search sounds to get distracted from studies..I didnt understand what it is?I told my parents..They also felt afraid.+2 exam was coming..Everyone is with great expectations..However I wrote exams..I was sure that I will not pass for even a single subject ,because in the exam hall fan is running in its maximum speed,many sounds are distracting my concentration..Moreover I cant write a single sentence perfectly dut to the shadow...but with Gods grace I passed ..After knowing the result not even a single teacher talked with me..I cant blame them.and myself..We consulted one famous neurologist here..He referred to a psychiatrist..and without getting any result we consulted several doctors..and finally I was shocked understanding the reality..I am having OCD.But my hope was it can be cured easily within months and can be the old evershining person as before..Thtaswhy I joined enginnering, because I was that much aware of my abilities.For 4 years I had taken medicines for ocd continuously..But problem of the sound and shadow remained as before.Intensity sometimes reduces but cocentration problem was very big..But one thing when I had under treatment there was no tensions with me..always happy whatever the situation is...I was carrying large number of backpapers at at that time..As per my old character I wouldhave come across suicide going through these kind of academic failures..I was not at all sad..After 4 years parents planned for marrige..in between I have gone through an affair..But fortunately came out of it suddenly..After B.Tech I had a crush with  one of my best friend..He too loved me a lot.He knew everything about me..about my disease.and all..But my family is against it because of caste problem..so we are  moving as friends itself..Now my condition is very worse..Now my whole life is flowing in OCD..I feel guilt  of my intrusive thoughts..I cant speak properly thinking how tongue is twisting very fast as our wish..sound and shadow problems are still there.Guilty problem is one of my present big problem..not only that  very very very bad  thoughts that even cant told to a doctor...sometimes feel to call bad words to people..sometimes dont feel to step down in the stop while I am in bus..lot of thoughts and behaviours are disturbing my life daily..I have forgotten the days I smiled from the mind..Now What my rule is to whomever I speak I shold tell my whole life story..otherwise I feel guilt..my relatives dont know about my disease and not everyone know about backpapers..but I feel guilt in hiding it..and I used to tell sometimes when I am not able to control..and my parents are in very depressed stage due to my behaviour..They dont know what to do..Now I am consulting one good psychologist..Doctor said,it isbetter not to take the medicine thinking about the side effects.I was in good shape in my study time... .Now I became very fat after having the treatment..My thoughts are disturbibg me very much..With great confidence I am trying to jump out of it..but not able to do so..I am not able to control myself..When disturbed with these thoughts my character is changing...my whole talents are breaking daily due to my unwantd thoughts.......plese reply me...I hopefully beleive that you will read this and give me a reply for my following questions... 1)Will my disease cured forver?..I want to live as before.within this age I suffered a lot from the age of 16...I am scared of my future..2)Is there any surgery for this disease to be cured completely?3)why it is happening?What is its root cause?4)Will I be able to marry?5)Should I prefer to marry a person who knows abut it?will anyone marry after knowing it?Here in Kerala broad minded people are very rare..6)I heard it is a genetic disease..After marriage will it affect next generation?I dont have the ability to see another one too who is suffering from the same because of me..7)Should I start the medication once more?should it be continued for the whole life through?8)What are the best medicines preferebaly used presently?9)will I be able to succeed in my future?will I be able to live without medicines and with my confidence..that I tried a lot..but..not able to control..10)Is it a severe psychiatric disorder?                                                                                Thanking You                                                                                Chithranjali.G ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. OCD is a mental disorder of course, but that is not severe one. The cure to the OCD lies on your attitude towards the disorder and working with your psychologist and psychiatrist. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Cognitive Behavior Therapy is one way to ad .  In any case you should learn to ignore those obsessive thoughts, which is possible only if you distract yourself. Play games, write, read, do what ever, be busy. Slowly being busy becomes a habit. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have had a cough since the week after Christmas. My PCP put me on 10 days of antibiotic treatment even though the strep test she did was negative. I am still coughing and have a really red and sore throat, Now it hurts to wear a bra and I am having difficulty taking deep breath. ### REPLY: Sounds like a progression perhaps from a common cold towards either a bronchitis (infection of the upper airways) or a true pneumonia (infection of the lower airways). It would help to have a little more background on you, for example do you smoke? Do you have asthma or allergies? The red throat can be explained by persistent irritation to your inner lining of your mouth due to persistent coughing. Taking a cough suppressant medication like Phenergan Dm + Codeine is a good idea, as well as Lesson Perls to stop the cough reflex and allow you inner throat lining to heal. Are you coughing any phlegm up or is it a ?  You should, at this point, have gotten a X-ray to evaluate for lung pathology. I would start here and follow up with your PCP and report back. Marco Heidi, M.D. Family Medicine ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ive falling off a chair and landed on my tailbone(coccyx) and at first I couldn t feel anything after about 10-15 minutes I felt throbbing and I discovered a bit of a bruise and with the symptoms when I sit down, my back will start to aching, how long until this pain we ll be gone? ### REPLY: Hi, Thanks for your query. From description, it seems to be soft tissue injury over coccyx. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Meanwhile, use a well-padded seat when sitting and avoid long periods of sitting when possible. You can take anti-inflammatory . Apply diclofenac gel on the affected area. I do hope that you have found something helpful, and I will be glad to answer any further 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: Im 60, hypoT, controlled. Also have asthma. Controlled. I have been exercising an d watching my food intake. I have lost 30 lbs and feel great. However, Im now have difficulties breathing, but it does not feel like my lungs. I have difficulty breathing when I bend over from the waist say to tie my shoes or pick something up. Im walking an 8 minute mile with no wheezing and without using my inhaler. This used to happen when I ate too much. ### REPLY: Welcome to ChatDoctorGreetings of The your symptoms could possibly be due to Gastroesophageal reflux causing reflux of gastric contents in airways and causing them to be hyperactive -l---- leading on to bronchospasm and breathing difficulty especially any mane-our which prompts reflux like bending down. I would suggest you following1. Frequent Small meals2. Avoid oily/spicy foods3. Avoiding sleeping immediately after eating4. 2 weeks use of proton pump inhibitor .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Blood pressure is often 125/89 today its jumped to 138/100 should I tell my doctor she can finally write the rx for hypertension BTW Im 43 and female and take no medications but have just gotten over a cold but am still coughing could that raise my pressure? ### REPLY: Howell come to ChatDoctorI really appreciate your concern, I always advise my all the patient to go to Doctor for reading blood pressure, if you are going to read it on your own then it may show error and most of the time it comes elevated. If you do not have any clinical symptoms then it is nothing to worry, looking to blood pressure reading is given here it may not fall in hypertensive category, still you can see the physician 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,i ahve done root canal for my left upper firsat molar 2 mtnhs agao as i was having sever pain, and the doctor said it was infected.then he fixed cap for the same. but the pain didnt subsidzed. i was on contrionus pain killers.then he removed teh cap and he called a endodontist. he also did soemthign on my tooth. but yet pain was not going. one day it will not be tehre next day it will cumat last teh doctor decided w ell remove the tooth. and he extracted the same.1 week wound pain was there and after that it was better. i was not eatign that side.but these days i do slight sensitivity and pain over there.i feel pain over the next tooth also. but whne took xray he said ther eis no infection in any other tooth.after extraction how many days the pain will be there. ### REPLY: Hello there, Thanks for writing your query, Extraction of tooth often ends witChatDoctorplications like pain and swelling post extraction.  Usually it takes 7 to 10 days for the extraction wound to heal and close completely provided if there is no infection.  After extraction antibiotic and analgesic coverage is must prevent infection of the extraction site and to promote healing.  I would suggest you to start with an antibiotic and analgesic course consulting your dentist, which helps in subsiding the swelling and relives post extraction pain.  Follow all the post extraction instructions and rinse the mouth with lukewarm saline or antiseptic mouth rinse.  I hope this helps, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 53 years old I have been dizzy for 7 days, I take blood pressure medicine my blood pressure isn t that high!! My doctor put me on a z pack, I ve only been taking it for two days ,but when I seen him he said it didn t look like a ear infection, he thinks? I had some blood test done they said kidney functions were good everything else was fine, but I feel like something wrong,still dizzy? ### REPLY: HelloI am . I have read your question. I think I can help you. Ideally, I would have liked to talked to you in greater details about your symptoms and would have liked to examine you. I would suggest testing with an MRI Brain scan. There may be a brain related problem that OS making you dizzy and vertiginous. This will be detected in the MRI. As for the BP, low BP can also cause the same symptoms. Since you have not mentioned the exact BP. I cannot comment on that. Again, some BP medicines slow the heart rate and cause similar symptoms. Again, the details are not mentioned, so I cannot comment on it. I have tried to make it as simple as possible. Best of luck,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter had a lesion removed with general anestesia. Her oxygen saturation was low and heart rate high. We were released when her heart rate was 120 and her oxygen level was 98. Should I worry about her heart rate? She is complaining about naseau and vommitting. ### REPLY: Greetings. Welcome to , and thank you for your question. I understand your concern. Well, our main concern, as doctors, as the side effects of general anesthesia. It is commonly known that a large amount of risk in perioperative period can come from side effects of anesthesia. My opinion is that this is the case. You see, during general anesthesia all the organism is controlled basically by machines and vital parameters are controlled externally. It is more than understandable that there will be a slight disturbance in organism equilibrium after weaning off from anesthesia, such as blurry vision or speech, high heart rate or low saturation, due to intubation applied during anesthesia. I am glad that surgical removal of the lesion went fine. The other effects may be easily attributed to general anesthesia, and normal gain of function is just a matter of little time. My opinion is that there is nothing to worry about, and these symptoms will abolish in no time. I hope I was helpful with my answer. Take care. Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc, may i know what is the effect of putting toothpaste on the anus/anal, coz i noticed a have a little bit of flesh that came out from it i just noticed it yesterday,is it dangerous? may i know what is the thing came out..may i know the natural remedy or medicine for this? thank you. godbless. ### REPLY: From your history possibly it is an internal piles.It's likely to be 1st degree internal piles. Kindly have bowel habits very clear. Every morning you should clean your bowel. Should not get constipated. Take more fiber foods like spinach and fruits.(reddish, banana,etc.)your mode of work-should not sit for prolonged time. Have some break and go for a walk. Things like persistent cough, Constipation will increase your problem. You can take handful of .  Thank you if need Ayurveda medication. Kindly inform more details about you and symptoms ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Every morning I wake up and it feels as if my bones are stiff mainly in my back, arms and chest/collar bone area. I have to strech to loosen them up again, but when I do I can hear them clicking. Its not painful but it can be uncomfortable. I used to have this problem if I slept in beds with very poor matresses, however now it seems I get it no matter what type of bed I sleep on. I don t have arthritus and would like to know if there is any reason for waking up with sore/stiff bones and joints? ### REPLY: Hello, Sometimes, the overuse of the muscles can cause such stiffness when waking up. Even the contrary, the lack of physical activity can cause such stiffness.  The key solution is to keep your joints in movement, exercising, walking or jogging are of good help, especially when it comes to exercises for the muscles of the spine.  Take magnesium supplement for these days, once a day, non more than 300 mg per day.  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a sudden onset of bilateral knee pain. pmhx of left knee OA but pain fairly well controlled w/ NSAIDS. Now my right knee is screaming as well as increased left knee pain. 440 mg naprosyn non effective. No trauma.Recent obervation of left upper abdominal firmness/swelling as well as also now right upper firmness. Increased fatigue. difficulty sleeping, nausea and diarrhea. ### REPLY: Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As mentioned the symptoms due to the OA of one side, the other side was taking weight more during the gait. So now, both legs are giving equal pain. Taking an MRI or CT will help understand the soft tissue status. Post which with simple painkillers and physical therapy you should get maximum benefit. In my clinical practice, I see OA and recommend them physical therapy. They respond well and get 99% of benefits. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pea sized lump under the skin that has suddenly appeared in the crease of my leg near my pelvic area. I had yellow discharge for several days leading up to it. It grew to a grape and I was able to squeeze it back to a pea size and it was just clear liquid and then blood. Feels like an underground zit but now I question if it is?! ### REPLY: Hi, Dear , thanks for the query to . I studied your query in-depth and I feel concerned about it. In my opinion-the discharging painful inguinal lump in groin is due to the ?LGA. Your suspicion may be right. I would advise-a-bubo smear for LGV study, b-Cap -doxycycline-100 mg, Tb NSAIDs, would take care of the lump and the LGV. Hope This would solve your query. Wellcome again for any more query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My son is sixteen and has struggled with his health since I care to remember,he is tall when hes exerted or under preasure he burns out,his wbc count is low he is always cold has no energy and isnt a typical teenager it pains me to see him like this ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. He may have some viral fever. Body pain and fatigue is common in viral fever. You should go for complete blood count and peripherals smear examination. Check your platelets count regularly.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I forgot to take the last two active pills on yaz and Now I am on my last white pill (inactive) I thought I took the last two but When I actually checked it, it was still there. Im suppose to get my period since im on my last white pill before my new pack... Do I still take my new pack as ususally? what will happen with my period? ### REPLY: Hi, Since you have missed the last two active pills, the pill free interval is more than 7 days. So there is a possibility of ovulation occurring, and you will not be completely protected by the pills. As you are already on the last white pill (inactive), start the new pack tomorrow.  In addition, you should use an additional method of contraception like condom for the first seven days of the new pack, if you have intercourse. The other alternative will be not to have sex during the first 7 days of the new pack. In all probability you should be starting your periods in a day or two. I hope this helps hop ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 been recovering from a bout with the flu the past couple weeks...........accompanied by COPD.     Yesterday and today my stomach is bloated and my solar plexus area is sore to the slightest touch......as well as an "uncomfortable" heaviness in the chest area.   Have been experiencing deep brochial coughing.   Could I have pulled a muscle during coughing spell. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion you are having mostly HERD (gastroesophageal reflux disease). Uncontrolled HERD is the common cause for worsening of COPD. And chest heaviness with bloated stomach are the features of HERD more. But better to rule out cardiac cause first as COPD patients and at high risk for cardiac disease. So get done ECG.  If ECG is normal then HERD is likely cause. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So try to follow these steps. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. 7. Avoid alcohol and smoking if you have these habits. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having manic and deppressing moods for Months and I keep asking my Dr over and over if she think I am Bipolar and she just says oh no and puts me on wellbutrin 100 mg.  I actually have people even my own mother ask me why I am so angry and people ask what I am on, they say it is like I am on some kind of speed. I have NEVER taken any illegal drug in my life. What should I do ? I feel as if my insides are screaming. And I cant take it anymore !!!!!!!!!!!!!!! ### REPLY: Hello, Bipolar disorder responds greatly to sodium valproate 250 mg twice a day and build up to 1500-200 mg daily dosage (as required by the patient to remain stable). Quetiapine is also a mood stabilizer but the dosage you are taking is very low. It should be increased up to 300-500 mg or more (till 900 mg) for effective response. One should also get some basis blood tests-liver, kidney function tests, blood counts, TSH, Sr. Calcium and lipid profile. It is good to monitor weight- as all of these .  Do follow a healthy dietary region from the start to remain healthy.Don't worry, you will surely get better with proper meds and correct dosage. Wish you good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had rectal bleeding off and on since I was 15, and I m 50 now and have been bleeding almost everyday for a month now. Its bright red and my stools are very hard and constipated. I can feel 2 little grape like things on outside of anus .is this hemorrhoids or cancer polyps? You can see blood on toilet paper in the toilet and running down side of stool. I m on a lot of narcotics because of injuries from bull riding,so I know that s why I m constipated. I m afraid of cancer but can live with hemorrhoids.What do you think it is? ### REPLY: Hi there, the description suggests that you are suffering from 3rd degree hemorrhoids and the bleeding in from that. The constipation is making matters worse, and you may also be having concurrent fissures. But it would still be wise to visit a surgeon and get a colonoscopy done to rule out anal polyp and cancer as you fear. You could take some stool softeners and laxatives to relieve you of the symptoms at present and include lots of fibrous food in your diet. Avoid refined and stored food products and take plenty of fluids. Discuss with your physician about the continued use of narcotics and if they can be avoided. Get your hemoglobin levels done and if you are anemic start on iron supplements, and you have to compensate for the loss of blood in stools. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m a future dentist in the third year - faculty of dentistry - egypt . one of my relatives (17 years old) suffering from tongue ulcer on the lateral aspect of the tongue, it was painful so i adviced her to use a mouth wash after brushing her teeth then i prescribed antibiotic ( flucloxacillin 500 mg ) + analgesic ( ibubrufen 400 mg ) a week ago . the ulcer is now enlarged & appears at the other side of the tongue & become painless ( onset : about amonth ago ) i suspect that it may be malignant ulcer & i want to know how to make a biopsy for this ulcer ? i need your help ### REPLY: Hi.there can be many cause of ulcers. Such as sharp tooth edge, vitamin deficiency, stress, medication, due to systemic diseases(such as tuberculous ulcer).as the age of patient is only 17 years, so the chances of malignancy is less, but if the lesion persist for a long time then incisional biopsy should be performed under local anesthesia. Go to your nearby oral surgeon and get proper check up done. Take multivitamins, and if any sharp edge is there it should be smoothened. Wish u 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: 58 year old female in good health. Fell from ten foot ladder. Landed on right side. Didn t go to dr because no insurance. So sore couldn t get comfortable to sleep. Pretty sure cracked wrist and a rib. Wore a wrist brace five weeks and just resting. Arm bruised everywhere. After five weeks I still have a pain behind my right breadt that goes front to back. I always feel just slightly nauseated. Then suddenly hunger pain. My elastic waisted shorts are now very uncomfortable at waist. ### REPLY: Hello, Thank you for using . I read your question and understood your concern. I think you had fractures of the ribs with internal bleeding in the lungs or pneumothorax (air in the lungs). That may cause you the nausea feeling. Normaly this would be complained of the first days after the injury. After 5 weeks now, the fracture of the ribs is healed already but you may have blood collection remained inside your lungs that is causing this problem. It may require more time from your body to absorb the blood. I wish you quick recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had mrsa infections on and off for about 8 yrs. A year ago I learned I have hepatitis c. Six weeks ago I had pyelonephritis, kidney infection. And now at two and 1/2 weeks ago I had mrsa infection that s not completely gone. What am I supposed to do wait for the infection to come to a head again or go to the ER for testing to see if it s the same infection or a new one? ### REPLY: Hello, As per your clinical history is concerned, please follow like this:1) Do a physical examination by your family Doctor and to confirm do few investigations like [CBC with differential and culture of tissue samples or nasal secretions].2) Your Doctor will add specific antibiotic for the infection and sometimes no antibiotics are required only . Do follow lifestyle modifications like this:1) Wash your hands. Careful hand-washing remains your best defense against germs. Scrub hands briskly for at least 15 seconds, then  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mother who is 55, has been diagonosed with slight fatty liver .the ultra sound report reads as follows....Diffuse increase in fine echoes with relative decrease in echogenicity of portal vein radical walls... FATTY INFILTRATES..Increased Span..IHBR- not dilated. Please advise what are the recommendations from your side in order to bring it to the normal level,,in terms of diet schedule,, exercise .....we want to avaoid using medicines and control/cure it with the diet control/exercise etc...please advise.... ### REPLY: First make sure she is not taking any sort of alcoholic beverages, because that can produce a "fatty liver" as well. If she does not .  Exercise recommendations are at least 30 minutes of cardiovascular exercise (walking, jogging, bicycle, elliptic, etc.) 5 times a week. Diet recommendations for fatty liver are basically to have a healthy diet, avoiding foods high in cholesterol and fat (no fried food, no shrimp, lobster;  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 leslie im 21 years old and about 2 days ago i got home from work and i think i might have had an anxiety attack. my chest started to hurt really bad and it felt like someone was squezing my ribs and lungs. then after the pain went away my right arm started to tingle and feel like my blood flow wasnt going right. now randomly ill get that feeling in my arm. just want to know whats wrong with me ### REPLY: Thanks for your question on . In my opinion it is stress related only. But as rule we have to rule out cardiac cause first in chest pain. So get done ECG to rule of heart related problems. If this is normal than your symptoms are mostly due to anxiety and stress. So I advise you to avoid stress, anxiety. Keep calm and be relaxed. Avoid work related stress. Spend more time with family and friends.  There are many GID nonhabit forming anxiolytic are available in market. You can also use them after psychiatric consultation. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is 67 years old and now he has heart related problem since two months. According to our doctor (Dr. R.K. Caroli) his two artries are shrink and one is 90% block. He is taking reular medicines but two times in one month he face some problem like sweating suddenly and then vomittng. Acoording to my father this situation is very painful for him . Can you suggest what is actually is this and why this happens with him. Please Doctor can you also suggest good doctor for us. ### REPLY: Hi thereafter going through your query I understand your concern. I would like to tell you that your father needs an urgent medical attention because he might have a Heart attack, and now he has unstable Angina. His Symptoms, Vomiting and Perfuse sweating with 90% blocked arteries, are typically suggestive of Heart attack.It's advisable for you to personally consult a Cardiologist and get His angiography done to evaluate the disease. He will require an angioplasty to save his heart function and to relief the symptoms. Hopefully this will answer your query. Kind Regards: ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, While I was playing football I landed heavily on my left hip. I cannot lie on that side (happened yesterday) but have been ok pretty much all day (just pain). This evening I turned awkwardly and it felt like I was being stabbed in the left side of the hip which is and always has been very tender. Now when I walk when my leg reaches a certain position it feels very painful. The muscle is very very tender in a specific point. I work in theatres as a charge nurse and so have had football injuries before and so am reluctant to go in for an x-ray as my colleagues have told me to stop playing ever since a knee injury. What I really want to know I suppose is what is the likelihood that this is muscular? Will It do any harm leaving it a while. I m guessing if it is a fracture it would be acetabular as opposed to femur as the pain has not been severe when walking? Thanks ### REPLY: Hello, I have studied your case history. Traumatic hit injury can lead ligament or muscle injury. If there is fracture in your leg bone then it is difficult to walk on you will need X-ray of knee and hip. Clinical examination is important to rule out ligament injury these symptoms analgesic like ibuprofen and chymotrypsin medication can be started. Do ice fomentation and rest to joint. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had total knee replacement on Jan.23,2013 my doctor could not tell me why I was still in pain all the time and could been my knee so went 2 other doctor. I am going to have a knee revision on June 4,2014. I was told that the knee is the wrong size it is to big!!Does this happen alot in knee replacements? ### REPLY: Hello, Welcome at . I have read your query. I feel sorry that you are going to have too early revision surgery, most probably you may already have revision surgery. During the knee replacement surgery a surgeon have to take care of soft tissue balancing around knee, appropriate size of implant, appropriate cuts at femur & tibia bone & a proper post-operative rehabilitation. All things if taken care appropriately will lead to a good outcome. Complications are part of surgery and sometime even does happen even after taking complete care. Such early revision is not too common but vary between 2-4% per year of total knee replacements. In reference to your surgery you should also read following article. This will help you to have a basic knowledge of muscles around knee & how to build them after complete recovery.http://quarieps.blogspot.in/Please do them under supervision. 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: I am a 18 year old female who smoked marijuana two nights ago, and this morning awoke with a red rash on both of my arms.  I am not sure if it is from the Marijuana or something else.  I put hydrocortozone creme on the rasha and it has disappeared. Should I have any concerns? ### REPLY: Hi, Marijuana smoke might cause allergy like skin rash, urticaria, swelling, respiratory tract inflammation, chronic bronchitis, airflow obstruction etc. You have taken HY . My advice is that if you have come to know about something allergic to your health then you must avoid exposure of it and of course marijuana smoking is more injurious to heath than cigarette smoking. Hope you understood very well. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was working in a house that hadn t been cleaned for a long time and had a massive amount of spider webs and nest with eggs, the house is under a lot of big fir trees, the next day i woke up with a sore neck and didn t feel right I was very nausias and weak. It is now a weak later and i have restless leg and my arms and hand are feeling numb and kind of like paralized, after i rub the paticular place where my neck is sore it makes it worse, kind of like a bee sting swells if you keep itching it. Also it is very hard for me to type, i just feel paralized. I m not sure what it is and it s pretty scary, I don t feel like i will be able to go to work and type or use my arms at all. do you have any idea if this could be caused by a spider? ### REPLY: Here you have symptoms of sore neck along with numbness in palm and legs. Also associated with nausea and weakness, itching at neck level. I suggest all these symptoms can be due to a couple of causes like spider bite, or dust allergy, or neck issue related to spine, or generalize weak immunity and health. Now here you need to check is this happening every time you do cleaning of dust then it can be related to allergy with dust, if it's there from long time along with neck pain then it can be due to issue with cervical spine and I suggest visiting orthopedic doctor for proper examination and treatment. And in general if you always have one or other health issue means your immunity is low for this you should take regular multi vitamin and multi minerals along with balance diet and regular exercises. If there is an issue with spider bite then you need to take anti dose and need to visit doctor for it. You can also use cold pack at your neck level for some more pain relief. As well do check your blood pressure and sugar level. And do symptomatic treatment if needed. I have given here generalize guideline, but I suggest visiting a doctor for proper examination and diagnosis if it is not becoming well. And take needed treatment. 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 newly allergic to both wheat and dairy and have many pre existing allergies. It seems that if I eat too much of anything right now, I am reacting to those things too. My reactions consist of redness and swelling of my face, mouth, and chest, itchiness, sometimes hives , sometimes wheaziness(I also have asthma ), lots of times diarhea, I have been using about 100 benedryl a month.what is going on? I have reacted to almonds, cashews, oranges, and avacadoes. ### REPLY: Basic allergy is wheat or miscall other things exaggerates the symptoms advise you to get blood serum tested for food specific antibodies for milk, wheat,nuts, rice,potato, eggGo for elimination diet Taking antiallergics is no answer this can be temporary control the Noor treatments of food allergies is Sublingual immunotherapywhich has been tried by many researchers have treated many patients of food allergies like this You take temporary antiallergics till you get result if you can post the results later I can guide you for SLIT THERAPY FOR FOOD ALLERGIES ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m experiencing pain around both my knees. I can t bend my knees in a baseball catcher stance. I work as a track worker and I m concerned I may not be able to bend down to do my work. I ve tried Vicks vapor rub. It only takes away the pain to help me sleep, but the symptoms are still there. What can I do? ### REPLY: Hi, The location and movement of a pain give clues as to what is going on cannot say in your particular case, but generally, one can tell if the knee problem is on the inside out outside and the severity and treatment is totally different. I examine legs and knees all day and kneel with the knee on the concrete many times a day. The outside is sore, bruised, locally tender and responds to simple Aspirin. But the movement is fine, and the knee is stable. If there is movement with a lax knee joint, then the inside is messed up and surgery might be helpful, but it is a much more serious condition. 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: Over the last few weeks I have experienced discomfort in the right side of my jaw in as much that when I open my mouth the jaw feels as though there is something that has to flick out of the way and sometimes it cracks, this is quite uncofortable.Last night  the discomfort woke me and I noticed that the right side of my face felt as if it had got a pins and needles sensation together with my tongue.Although my face and ear are now uncomfotable like a mild ache the tip of my tongue is still tingly, any ideas or suggestions? ### REPLY: Hello dairy condition seems to be related to bruise i.e. grinding your teeth in sleep. This condition hurts your jaw joint in front of your ear and if you get more severe can compress your adjacent nerves, and you might feel tingling or needle prick sensation in mouth. This condition is basically related to stress and excess workout in gym. So just be relaxed, start meditation for at least 10 minutes daily, have lukewarm milk before sleep, and start taking OTC available muscle relaxants or painkillers twice daily. If possible do warm compressions from outside on area in front of your ear. Wait for one week if you feel relaxed then continue this for 1 month otherwise see your dentist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 21 year old girl....i seem to be tired a lot and moody. i feel quick to get irritated especially by people i am close to. in fact anger/ sadness are the only emotions i show. it gets really bad the week before and the week of my period. maybe this is normal but i just want to feel happy and have more energy to enjoy life. help! ### REPLY: Hi, You seem to be manifesting symptoms of depression. Feeling low, sad and irritable, getting tired easily are all symptoms of underlying depressive episode. Worsening of symptoms before and during menstruation occurs commonly in depression and can be associated with premenstrual tension. I would suggest that you should consult a psychiatrist for initiating treatment. Medications like Escitalopram or sertraline would be highly beneficial for you. In addition, you should start exercising daily. It will help you feel better and relax. I do hope that I was able to answer your query. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, for the past couple weeks i have been noticing black spots either on my gums or teeth, but its in between my teeth so i cant really tell. everytime i brush my teeth i bleed. in the middle of the day i start to bleed alot randomly. earlier i drank some water and i stared bleed alot. there is no pain but its very scary. ### REPLY: Hi, Thanks for your query. What you have described seems to be tartar as it may look black due to stains. It sits in between teeth, on teeth and gums as well. Presence of tartar causes gingivitis i.e. : inflammation of the gums resulting in bleeding. I would suggest you to visit your dentist for a thorough clean-up i.e.: scaling and polishing which will resolve your problem and make your gums healthy. 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 had a salpingectomy 6 days ago, seemed to be healing ok but I just started bleeding again which had stopped a few hours after the surgery. I also am still on 1000 mg paracetamol and 400 mg ibuprophene but have developed more pain on the left side of my abdomen where the laparascopy was than in the last few days. ### REPLY: Hello! Thank you for the query. Increasing pain a week after a surgery and bleeding can be caused by fluid collection in the surgery area. Most probable is hematoma (blood accumulation). Such fluid collection can be a source of infection and turn into an abscess. That is why you should not wait with it. I suggest you to visit your gynecologist right away. Blood work, CRP, abdominal ultrasound and transvaginal ultrasound is necessary. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am married since 1.5 years and have been trying to concieve. This is the second cycle i have been on tablets for onovalutory cycle. I was given letrozole 2.5 mg for five days twice a day . Today is my 9 th day and as per my ultrasound , there is no follicle seen . i just want to know why am i not ovaluting with letrozole that too with twice a day prescription ... I have been asked to take HMG injections 75 mg now for next three days and ultrasound on day 12... is there anything relly gone wrong that i am not ovaluting with tablets .. does this make my chance of concieving less ?? why is tablet not working on me ?? what are my chance of ovaluting and can it be a success? should i follow any specific diet chart to ovalute .. ### REPLY: Though you have not mentioned your age, you have been married for only 1.5 years, so just chill. You have been put on metronome as you have ovulatory cycles. Metro should help. The tablets are to be taken together. Moreover, it's just your second cycle. Minimally, 6 cycles are advised. Addition of HMG should help. Follow the gynecologists' advice carefully. Ovulation is necessary for conception. But you need not worry now. Carry on the future cycles to know the response. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ashma,diabete and tb for several years.  Lately, I lost 8 pounds in a year and have diarrhea, swelling ankle and my blood test so that my eosinophil is high (1279 cells/ul).  Should I worry about it? what kind of test I should take further to verify my condition?  thanks ### REPLY: Hello, Thank you for asking at . I would like to know more about you like age, duration of each of the diseases and all symptoms in great details. However, at present, I would like to make suggestions for you from your given history as follows:1. As your eosinophils are high, and also you have asthma, I would suggest you skin prick testing for common allergens. This helps to identify your allergies.2. For confirmation of asthma, to rule out other lung disorders (as you had Tb also), I would suggest you spirometry with post-bronchodilator reversibility testing which measures your lung capacity as well as type of obstruction in lung airways.3. Usually diarrhea, weight loss and ankle swelling are not related to asthma. So please consult a physician who will examine you in detail, will review your medical history and medications in great detail and then decide the cause of such symptoms. Such symptoms can also be due to side effects of some medications, poor nutrition, etc. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been having ulcer-like developments on my tongue its been continuing for the past three days. I had been taking B-Complex but since it was not effective, i visited a doctor who prescribed Metrogyl400. I do not face any bowel and stomach problems, should I still take this tablet for my tongue ulcer? ### REPLY: Hello, Yes, Metro is effective to eradicate the anaerobic bacteria that may cause infection in the presence of an authors ulcer. You may continue to take a course in it. Besides this, you should also have Sporadic powder and local anesthetic containing gels that are usually prescribed along with metronidazole for the effective treatment of authors ulcer. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,i m 24yrs old, i almost masturbate daily from the AGE of 18 and never had sex......now i m finding that my sperm is not as thick as it used to be and the volumes are also very less.........i am just confused, i just wanted to know why is that so and is it possible that sperms can get over or there could be a problem in having a baby from my wife...... pls no joking on this i want a good answers from u ### REPLY: Thanks for asking in  forum In short: Sperms are produced daily(takes total three months for a sperm to mature) But do not get confused. Explanation: Please do not go by your volume, thickness it can vary from time to time. Sperms are produced continuously so if you are a normal male your sperm will not get over till you reproduce. So, do not worry if you have so much of doubt then go for semen analysis, and you will find the answer for your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Sir . I am Rohit ,i am about 18 year my height is 5 foot 5 inch and weight is 44kg . i have lot of problem . (1).my sperm is leaking 4 to 5 times in a weak i have this problem from  1 year . (2). having habit of hand-pump to get enjoy the sex feeling but after sperm leakage i feel very bad and aggressive on yourself .(3)my sperm leake in night. (4)sometime my stool is oily. kindly help me how i solve this problem..have a nice day sir ### REPLY: Hello, Usually vasectomy won't cause semen leakage. After vasectomy only pre-cum or prostatic secretions may be ejaculated.  Yet, semen leakage may be seen in pathological conditions like 1. Nocturnal emissions2. Medication side effects3. Prostate problems4. Nerve injury Please consult your doctor, he will examine and check for it then treat you accordingly. 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 out of the back of a jeep today and landed on the middle of the back of my head. I don t really have a headache but I felt dizzy after and the place I got hit hurts a lot. It also hurts to open my mouth or chew. Could I have a concussion? The car wasn t moving it just jolted and I fell out ### REPLY: Hello thanks for asking from  for your health related queries can understand your concern. You got injury to back of head following sudden fall and now have heaviness in head and dizziness. It is common to have some headache after trauma to head. But associated dizziness should not be ignored. If the dizziness is persisting, and you also develop any discharge from nose or ears, vomiting then report to an ER immediately. Sometimes even minor trauma may result in headache. You are having pain during chewing also, so I'd advise you to visit a doctor to get yourself examined. CT scan of head would rule out any trauma or concussion to brain, and you can relax yourself then.  .  Please visit a doctor for prescription of these  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Over the past few days I have been experiencing a tingling, skin creeping sensation underneath my chin and front of my neck. It is not painful, but it is definetly noticable. I also have a tingling feeling along my left hand and arm. I have not had any recent trauma or accident and I am healthy otherwise. What are some possible causes. I am a 43 year old female. Thanks ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that your symptoms seem to be related to a pinched nerve. The main cause of all these symptoms could be a cervical intervertebral disk protrusion. For this reason, I would recommend consulting with your doctor for a physical exam, a cervical spine X-Ray study and a nerve conduction study. A cervical spine CT scan or MRI may be necessary to make the right diagnosis. Hope you will find this answer helpful! Best wishes,  ### END