Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 20 months.1 week ago he had high fever and 2 days later he had something on his tongue like kind of blister followed by bad breath..when i took him to the hospital,the doc said it was viral fever n cuz of that his tongue is infected n gave a cream to apply on the tongue. it has been 3 days.no improvement at all.his gums are kind of swollen ..bleeding when he chew or munch something..especially his breath i would say...very smelly kind of rotten eggs smell...is he theething...?or wats wrong with him..??but he eats well...likee soup..porridge ..wat canlt  be?any help ### REPLY: Thanks for your query, I have gone through your query. The swollen and bleeding gums could be because of the herpes viral infection(herpetic gingivostomatitis) or it can be because of deposits. Nothing to worry, you just take symptomatic treatment like topical anesthetic and analgesic like Anabel gel and topical antiviral .  Usually the lesions will heal within a week. Do saline gargling and maintain oral hygiene. After 10 days once the infection come down get your teeth cleaned. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I am 22 years old female... I have hair loss problem... Not only its falling while taking bath and combing also its getting to fall normally... I got it while looking of my kusine chair... I dont want a long hair I want my hair has to be thick and string... I wont take food properly and I have lots of pressure in my mind... What can i do? Plz help me... ### REPLY: Hi, It may be halogen effluvium most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take tab biotin along with vitamin E. Apply minoxidil solution on the scalp. Get investigated for anemia, vitamin deficiencies, and thyroid dysfunction. And get treatment accordingly. Avoid worries and anxiety related to hair loss. 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 have Uvulitis what can i do for it.....this is the second time in a little more then a year.  i have severe allergies to just about everything from trees and grass to foods.  i have been talking allergy shots.  do you think this could have something to do with it .   also can predisone help with this..... ### REPLY: Hello, Welcome to , As you are having some allergic manifestations for more than a year, you should be very careful with the symptoms as it may be dangerous to the life. I would suggest her to undergo absolute eosinophil count (AEC) which will be raised in the allergic condition. For the present symptoms you can give her Tab Monte LC which helps to control the symptoms, but it is temporary. She needs to avoid the allergens to protect herself from getting these allergy symptoms. I would suggest her to undergo skin prick test (SPT) to identify the type of allergen causing these symptoms and can prevent herself from exposing to these allergens. Otherwise, she can be given immunotherapy either with subcutaneous immunotherapy (SUIT) or sublingual immunotherapy (SLIT). Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,Iam kellie im 25 year old my health question is im shortness of breath, i cant really breath that well its been like this for 2 weeks now, i do have an heart murmur which ive had since i was about 12 years old, and i have had 2 depo conception injections but ive stopped them now i didnt go back for my 3rd shot which was suppose to have been 2 months ago, could u please give me some information to why im feeling like this, because i do feel very unwell. thank you for your time. ### REPLY: DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN.HEART MURMUR USUALLY INDICATES A UNDERLYING VALVULAR HEART DISEASED EPO INJECTIONS CAN INCREASE CERTAIN HEART PROBLEMS BUT AS YOU HAVE NOT PROVIDED INFORMATION OF THE EXACT DISEASE YOU ARE SUFFERING IF YOU COULD MESSAGE ME THE DETAILS OF THE DISEASE OR CONSULT A CARDIOLOGIST FOR THE SAME HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can a GP prescribe clozapine? I only ask because I do not have health insurance that I would worry about them paying according to the ICD9 coding for type of Dr. Do you think they would? Does one usually require a mood stabilizer on top of the clozapine? I am on mirtazapine right now for stabilizer. Thanks ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. The answer of your question depends on the diagnosis. If it is mood disorder then yes, mood stabilizer may be required in certain cases. Otherwise not. GP cannot prescribe clozapine. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello Dr..my baby is 15 months old she is having white spots on face they are becoming wider her dr is saying dat she is growing very fast her growth rate is fast due to which she is not getting sufficient vitamins...she is giving osteocalcium, vitcofol n visyneral drops....please advise ### REPLY: Hello, Welcome to ChatDoctorAccording to history provided by you its seems problem is not a grave. White spots in many paediatric patients is common, Most of the time it is because of vitamins deficiency. Such spots usually fade away with increase in age. But if these spots persist say after 5 years or age or if it increases very rapidly then its matter of concern. In such case I would advise you to visit nearby skin specialist. Happy to help you outflank you, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. Grief, I had a Lumbar spine MRI done today for lower back and leg pain. My report states that L5-S1: Grade 1 retrolisthesis. Minimal disc bulge without significant canal stenosis. Mild right and moderate left foraminal stenosis. Can please explain to me what this means? ### REPLY: Hello Thanks for writing to according to report, you are suffering from mild degenerative disc disease of lumbar spine. Degenerative changes occur in spine due to aging and development of weakness in annulus fibrosis.1. At L5-S1 level, there is grade 1 retrolisthesis(means posterior movement of S1 vertebra) and minimal disc bulge without significant central canal stenosis. Disc bulge is causing mild right and moderate left neural foramen stenosis. Majority of the cases of degenerative spine disease are benefited by physiotherapy, so physiotherapy should be tried first. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurosurgeon. Get well soon. 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 stepped on something in the grass and cut the bottom of my bare foot about 24 hours ago. Now the wound is red-rimmed and there are two lines radiating away from the wound. It s obviously infected, but it s also Memorial Day, and the ER at Cape Cod hospital will be the stuff of nightmares. Can this wait until tomorrow..? ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you that, you can wait for tomorrow there is no harm in waiting rill tomorrow, but you can't wait more than that. Til tomorrow you can start with any of the antibiotic ointment present at home. Also maintain hygiene by cleaning and . I will be happy to answer your further concerned can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.today morning my father had severe pain in left chest radiating towards back,neck and forehead.he is 48 years old and diabetic.but his diabetes has always been in control.recently he took medicines for stress related skin disease.kindly help with the pain.thanks ### REPLY: Hello Left sided chest pain with radiation need proper evaluation. It may be due to cardio pulmonary causes, reflux etc. Your father may need clinical examination and investigations like routine hologram, random blood sugar, liver function test, renal function test, lipid profile, urine RE/ME, upper GI endoscopy, ECG,ECHO, TMT,ultrasound of abdomen. Proper treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir I m Vijay Chauhan.My father is having some kidney problem.We consult doctor in Burla(orissa) for his treatment.His diagnosis report shows the following:Blood haemoglobin level: 10.5 gms%Blood urea: 80serum creatinine: 3.83 mg/dlsir I want to know how he can be cure,is there any serious problem with him?Can you prescribe any good doctor for his treatment? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your father is suffering from kidney disease. You should go for complete kidney function test and ultrasound abdomen. You should consult a nephrologist. Consult your doctor and take treatment as soon as possible. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year developed small, red bumps on the bottom of his feet. The day before I took him to the doctor he broke out on the top of his feet, hands, elbows and knees. The bumps are mild and he says they do not itch. He will be seeing a dermatologist next week. He was on antibiotics for several weeks prior to this rash; twice for strep and then for a tick bite. My husband and I have been noticing his stool is a bright green as well. He is not a big vegetable eater. Is there any connection with the antibiotics, stool, and rash? Could he have killed all the good bacteria in his body? ### REPLY: Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY .  This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. But as you say antibiotics were not indicated in this condition as it is viral illness. Antibiotics could have been the reason for this antibiotic associated diarrhea. I suggest you use probiotic with Saccharomyces boulaardii in it like Eco norm or G-Norm. THE RASH IS NOT RELATED TO ANTIBIOTIC - IT IS RELATED TO VIRAL ILLNESS. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 8 yr old daughter was attacked by a rooster, with him pecking her in the inner thigh. the wound was spurting blood from hitting an artery & it punctured the muscle as well. she was rushed to er and treated. it has been 6 weeks and there is still a lot of bruising. What artery do you think was hit? and can this cause any permanent damage? ### REPLY: Hello, As this looks like an injury to the branch of the femoral artery. As this will heal with time as the body is a medicine of its own. There is nothing major to worry for now. The pain and bruising will take some time to heal and also the artery will be healed by the bodies protective mechanism. I will advise making her do some simple thigh muscle strengthening exercises as due to injury to the branches of the femoral artery there is a possibility of muscles to become weak in the initial stages and now allowing enough strength to come now which can help her perform Activities of daily living. Once the muscle becomes stronger there will be no trouble faced. Hope I have answered your query. Let me know if I can assist you further. Jay 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: Hi I m imran 25 years old and my weight is 65 kg.I have been suffering from fever since last two days because of sinus infection. I had suffered one day from sinus infection and after that two days from fever therefore I can say that I m sick for last three days. I want to tell you one thing more that sometimes fever goes high and sometimes it comes down so tell me what are the solutions(home remedies) of it? ### REPLY: Cellophane You for contacting . As you are having Acute Sinusitis so I would suggest you following things:> Take amoxicillin/clavulanic acid 625 mg thrice a day for 7 days> Take acetaminophen three times a day> Take hot water in a cup, add 1 tablespoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID:> Chilled water> .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...Hi Today just few hour before I find some problem in my 11 month old son s penis some after urine there was some white discharge when I was appling johnson power. Please suggest ### REPLY: Hi, White discharge or Sega is collection of skin debris epithelial cells in tip of penis due to fibrosis (as penile skin is non-retractile in kids). Don't worry while bathing make the skin retracted and clean with fresh water it will clear. If child is in severe pain with painful urination requires urine test for UTI and local Tb act ointment. 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: Hey, I have been depressed for the last couple of years but it has always been relatively obscure.. Lately (a year), I have started becoming extremely anxious and depressed every time I wake up and it slowly reduces--normalizing at night, and it starts all over again if i got to bed. What worries me is that I cant seem to remember things like before--it is affecting my morals, studies, vision and determination. What shall I do? ### REPLY: Hi, I read your query and can understand your concern regarding your symptoms. From what you have mentioned, it is highly likely that you are suffering from depressive disorder. The daily variation in sadness with more of it occurring in the early morning hours are typical in a type of depressive episode. I suggest you should seek psychiatric consultation for complete evaluation and stating treatment. Treatment for depression will include medicines like sertraline, Escitalopram, etc., (which are prescription .  These anti-depressant medications are safe and effective. In addition, you should start exercising daily which will help you relax and feel better. Hope this information was helpful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: some of us cannot afford to pay to see doctores, and that is me, I am on a tight budget so I do not go for blood tests etc. I think you lot could help hard up people at times. Everyone is money mad. I would never ask for money to help someone even though as poor as I am. ### REPLY: **1. Since blood tests require specific reagent to show whether the levels of different substances in your blood fall within a normal range, thus they can help you and your doctor learn more about your health and can help find potential problems early, when treatments or lifestyle changes may work best, but blood tests alone cannot be used to diagnose certain medical problems.2. Blood tests allow a doctor/physician to see a detailed analysis of any disease markers, the nutrients and waste products in your blood as well as how various organs (e.g., kidneys and liver) are functioning, so if examination or history doesn't reveal much about patient ailment thus laboratory tests are tools helpful in evaluating the health status of an individual3.  Since the most common tests are done using a blood sample, or with use of portable machines thus search in your area where the rates are low. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 seen in the er last night after I vomitted and passed out.  squad took me in to er and I was unresponsive in squad and I dont remember any of this,  I start having full body tremors in the squad and er and during the tremor my heart rate was as high as 163 (per my mom) they did blood and urine tests all came back normal. I developed a severe headache and they treated me for a virus.  Stated that I could have a virus in my blood stream that would cause the tremors.  sent me home with pain pills and nausea medication and told me to follow up with my PCP.  I dont think the diagnosis was correct? No head ct was done and they did not seem concerned about the tremors at all.  This is a new symptom for me.  any ideas? ### REPLY: Hello! Welcome and thank you for asking on ! I carefully passed through your question and would explain that your symptoms could be related to different causes: - anxiety- electrolyte imbalance-epileptic seizures-fever or an infection. Do you have fever? This would indicate a possible infection (probably viral as all the tests resulted normal). Coming to this point, I would recommend performing an EEG to exclude seizures and thyroid hormone levels to exclude possible dysfunction. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, If you are an orthodontist, please help. I have been wearing retainers for almost a year. Nonstop aside from when I eat. My last visit, I was advised to wear them only at night. I noticed significant change 2 weeks later after doing so. My teeth kept shifting. So I switched to wearing them all the time again. The shifting doesnt stop. Did I mess up? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint Orthodontic Retainers are advised to maintain the changed teeth position after achieving proper alignment of teeth post completion of orthodontic treatment. But in case if the teeth movement has started occurring and not being controlled even after increasing the time duration of wearing retainers, there is a possibility that the retainer wires have become loose and not providing sufficient pressure over the teeth leading to relapse of the maligned teeth. I would therefore suggest you to consult your Orthodontist and get evaluated and a thorough clinical evaluation and x-rays can help in diagnosis and treatment can be done accordingly. You might need a fixed orthodontic treatment followed by repeated wearing of the retainers. The orthodontist might also advise you removable orthodontic appliances for re-achievement of alignment. You should also not delay the treatment or else there can be complete relapse of misalignment and then treatment can take a long time. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i ate chips then licked my fingers then pulled back my foreskin and wiped the area with the spit covered fingers. After a month or so i noticed white clustered bumps along the area i wiped the spit on. Please help me I dont know what to do is it a stdNo itching No redness just a little burning very rare ### REPLY: Hi, Thanks for posting in . What you are complaining of appears that you have a mild bacterial infection of the foreskin. Nothing much to be worried about it. This can be managed in the following way: 1. Wash the area with warm water and mild antiseptic like Salon solution twice daily. 2. Apply Aureomycin Skin cream following washing after it .  3. Wear loose fitting underwear till the lesions heal completely. Keep the area clean and in good hygiene. Hope the information provided would be helpful. 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: Hello doctors please could you advise me on this urgently. I have had cysts and fibroids for the past 25 years. I am waiting to see consulltant shortly. I am now having lots of pain in my arms back and legs. I am having problems with my bowels sometimes I go to the toilet about 3 to 4 times a day and other times I am constipated and need to take laxatives. I was on provera because I was bleeding alot and the bleeding would not stop after two weeks.I also take votorol and co-codamol for pain . I take iron tablets and I was given menefenic acid tablets as I had heavy bleeding and clots. I have stopped taken the provera and I had a period for a week this time. I had swellen on my neck and I have now got swellen on my wrists. My blood pressure is extremely high.I feel low in energy.. The swellen on my wrists is happened all of a sudden.Iam taking one piriton tablet which I was given at the Emercency unit. I was not given any to take home with me . I was told to see my G P. I am not able to see him till Monday and I am getting increasingly worried I am not sure if I have had a reaction from the chocolates. I don t normally suffer nut allergies. I am not sure what is going on I have pain in my shoulders and neck. The swellen on my wrists is tender and painful to touch and has not gone down after two days. Please help me with advise Thank you. ### REPLY: Hello friend, Thank you for posting your query through . Strange for me- you appear to be very anxious and worried on Sunday because you cannot wait till Monday! And that too about a trail of symptoms you have for 25 years! You knew you had cysts and fibroid for 25 years. You did not sit for a moment to ask yourself or even to your doctors why you are getting the lot of symptoms while most of the other ladies of your age do not get them. Furthermore, you have mentioned irritable bowel syn .  I am a Homeopath and so there will be thoughts in my answer that are apparently strange for you, because you have been under the conventional method of treatment for a prolonged period. You took proverb for bleeding, Motorola and co-codamol for pain, iron tablets and mnemonic acid tabs for heavy bleeding and clots, prior for arthritis etc. I have to say that you are on a wrong path. After the consultation on Monday also, you will be getting some more medicines to relieve some of the symptoms you tell to the doctor. You have confessed "I am not sure what is going on". Yes I am going to give you some food for your thoughts. Till date nobody has told you why you are suffering and going from bad to worse in spite of taking treatments. First understand that all these happened and are happening because you have a genetic tendency to develop this sort of diseases. Genetic manifestation is not only in your body but also in your mind. Just look back to the query, you have not mentioned a single word about your life situations and your mental reactions to them. Because you are made to understand that your health is only physical. We Homeopaths hold that your health and so your sickness also is both physical and mental. The cure also has to occur in both mind and body. Instead of getting cured, you are continuously becoming more and more seriously sick under the present method of treatment. You become more and more worried also. Because your genetics is not considered. Your constitution is not taken care of. Only the symptoms are managed just as the tip of the iceberg. You were not cured in any instance in the past. Your symptoms were only suppressed with strong chemical  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 circular rash on top of both feet, central lower back, back of arms, outside of legs and thumb joints. Low numbers on blood tests for Lupus and hodgekins lynphoma has come up at doctors offices. no one seems to know what it is. Rash is red, itchy and scaley. Sometimes painful. Even cool showers make them flare up. I ve had it for 1 1/2 years. ### REPLY: Hi, The rash could most probably a fungal infection (Tina infection). But there are many other differential diagnoses such as urticaria, contact dermatitis etc. If you are too busy to consult your doctor, you could take an antihistamine tablet and apply antifungal cream. If you do not get any improvement or if your rash worsens, you should consult your Dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have swollen ankle, discoloration of the leg, above the swollen ankle for 6inches, the area of skin has turned black almost a band around the entire leg,above that the entire right leg is swollen and painful.I was advised to take motrin for the swelling. i have taken ibuprofen and the pain has eased. i am a black man in my mid 50es. what the cause. ### REPLY: Hi, thank-you for providing the brief history of you. As there is no mention the mechanism of injury in the history it appears more of the systemic issue and needs a thorough clinical assessment. As you are 50 years old this could be degenerative changes happening in the body. This is a normal human physiological process. Also, checking the kidney function test and vascular insufficiency will make understand the cause of the discoloration of the skin and swelling. The swelling without any Injury can occur due to two factors like kidney issue or the vascular insufficiency. Kidney function Test and Doppler scan Will help understand the possible causes and treatment will be guided accordingly. Regards Jay 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: hello doctor, I would like to know few things. I took arcoxia, neurobion and famoditine given by an orthop for back pain on 24th dec drank wine. On 26th dec strange thing happened and till now happening. I was not able to breath suddenly in sleep almost collapsed. Heart beat fast palpitations, bac pain. Did ecg and heart rate was high. Also did blood test for thyroid and turned negative. Did 2d echo no blockage. But now suddenly i have heart attck/stroke symptoms left chest sudden stabbing pain, travelling to left arms wrist and neck. I feel nerves are moving everywhere and swelling in my throat as well and till now breathing difficulty. Wat could be tge cause? ### REPLY: Thanks for your question on . I can understand your concern.First, no need to worry about heart diseases as your ECG and 2d echo are normal. Possibility of HERD (gastroesophageal reflux disease) related symptoms are more likely. GERD is common in alcoholics, and it is aggravated by painkiller given by orthopedic doctor. So take pantoprazole and levosulperide combination (instead of famotidine) twice daily on empty stomach. Quit alcohol immediately. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Go for walking after meals. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 8 year old along with several classmates has a virus. Threw up 2 days ago badly and has had fever continuous for 2 days. Tried to feed a little and he threw up again. Hes hungry but what is the best thing to feed him he could hold down. Able to drink water and has no loose stools. ### REPLY: Hi, Welcome to , As you have rightly pointed that the symptoms are surely suggestive of a viral illness. These problems are commonly seen with viral illness. Not able to eat is also associated. The appetite decreases and child feels very lethargic. Best treatment in such situation like this is to support with as many liquids as possible. Fruit juices, rice oatmeal, tender coconut water, bread etc. are usually liked. He needs to be given paracetamol round the clock and rest. He should recover in a couple of days. If still fever persists after 5 days, get his blood and urine tested. Hope this helps. Happy to clear any further queries. 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 a lump under my skin on the left bicep area, it started out like a pea, but has started growing where it is quiet prominent, going in next week for a consultation with a dermatologist, I have regular checkups because I had stage 4 melanoma, they watch me very closely. ### REPLY: Hi, I Reviewed your query. The lump on your biceps being a pea sized with rapid growth in its prominent area, could be melanoma with a blood blistering in the vascular melanoma. One has to rule out a peripheral spreading melanoma in biceps. Possibilities of other such tumors in the biceps needs to be ruled out. As you are established stage 4 melanoma case, the above possibilities need to be ruled on priority and only after that other such biceps tumors needs to be ruled out. HPR biopsy would resolve the issue if melanoma is not there, to rule out any other malignant tumors.Hence, I would advise you to consult ER Surgeon and ER Dermatologist, who would treat it after physical check up and would rule out other causes of such biceps tumor in your case. Still I would advise you to have a check-up from your doctor to get the worry ruled out by a direct physical check up. Hope this would relive your query satisfactorily. Write excellent review and hit thanks if this has helped to resolve your issue. Welcome again further for any query in this regard. Have a good day. . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 do not feel sick, but I recently acquired a cough. I have to clear my throat, like my sinuses are running. But when I cough I get a sharp pain in my right temple. Sometimes it hurts very much, but does not last for more than a couple of minutes. I take medication for high blood pressure but my BP has been pretty good. I had an angiogram last august and my doctor doubled my BP medication. A few days later my vision went blurry. When I look down, to the side, or try to look at something close up I see double. I have been to two different eye doctors and they said I had temporary paralysis of the nerves that control the muscles that control the movement of my eyes. They said it should improve in time because they said my eyes were healthy. A month after my angiogram my doctor changed my BP medication, which helped stabilize my BP , but vision has not improved in 8 months. I get headaches towards the end of the day, almost everyday. I take aspire or Advil to relieve the pain. I don t know if the new pain in my temples when I cough or sneeze is related to my vision problems. When I get the pain it also radiates into my neck and my vision even gets worse. ### REPLY: HelloWelcome in . Regarding your query for headache, cough and throat pain while you are already taking treatment for high blood pressure. As you said that you are having sinus issue that may be responsible for your throat problem as post nasal .  Another very important cause of cough in your case may be the role of antihypertensive medicines. Because the ace inhibitors are very commonly use for controlling blood pressure, and they are well known for giving rise to irritation in throat. Your next query is for pain over temple may be because of venous congestion due to increase intrathorasic pressure by vigorous coughing, and same may be responsible for blurring of vision too. Probably you got the answer of your queryRegards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cebacious cyst on my chest it was about the size of a pea, but has become infected and is now the size of a grape, i am on antibiotics and am having it removed in 4 weeks, the cyst is in the centre of my chest slightly to the left, i am a female and am worried about the size of the scar, and will i be able to go back to work afterwards, i work in an operating theatre ### REPLY: Hi, Good Evening. Thanks for the query to . I studied it in depth and I understood your health concerns.-Treatment -for sebaceous cyst in center of Chest-1- I would advise you to let the infection subside and cool down first.2-So I would treat it with proper antibiotics with Metronidazole and NSAIDs tbs.3-I would Excise the sebaceous Cyst -in a planned way-so as to avoid more scarring. I would be able to put "Subcuticular Cosmetic Stitches" as to avoid any disfiguring Scar-in the central chest area between the breasts.3-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to  with more queries till you are satisfied. Have a Good Day...!! . N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my baby is 10 months old, she is on bottle feed few days ago she was doing lose motions we consulted doctor he changed her milk for 10 days and gave lactose free milk, now after 10 days i have again swtiched her to normal formula feed she was having before, but still she is doing 4-5 motions daily but not loose , they are thick, sometimes green, plz advise, also advise about what i should feed her foods. ### REPLY: Let me assure you that in a baby of this age, passing stool 10 times a day is quite normal and not alarming. Greenish stool occurs due to rapid transit of fecal matter through the large intestine where the bile pigments do not get adequate time to get converted to the yellow pigment of stool. It is not a cause of concern. I think that you can continue with the older formula but the importance of giving semi-solid food is much more than giving milk formula which is now just an optional component of diet provided that the nutrients can come from other food items. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 16-year-old female. In March 2014, I noticed a swollen lymph node in the right side of my neck. I didn t think much of it. This lymph node is still swollen, and I can still feel it. However, recently, I started having pain in my right groin area. I haven t been able to feel a swollen lymph node in the groin area, but I am worried that I may have a form of lymphoma. Is it abnormal for a lymph node in the neck to stay swollen, and is it just a coincidence that I have pain in my right groin area (where there are also lymph nodes? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have enlarged lymph nodes in neck and groin. There are many reasons of enlarged lymph nodes. Simple viral infection or other infection causes reactive hyperplasia of lymph node. Tuberculosis or lymphoma can also cause multiple enlarged lymph nodes. You should go for fine needle aspiration or biopsy of your enlarged lymph node. It will give you exact diagnosis. Then you should take treatment accordingly.  Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I lost my significant other 3 years ago and can t seem to get through grieving. We were having quiet time together and then he went to sleep on the sofa and I went to bed. The next morning I found him dead. I keep reliving this over and over again. I feel I might have missed something or he tried to get to me but was unable to. I cant get this picture out of my head and I can t see me loving someone else. I dont know how to move on. I feel my life has been turned upside down since then. I have family I am around yet I feel so alone. I feel like I don t belong anywhere. I am not suicidal; I cannot do that to my 3 children and grandchildren. Yet life is hard for me. I am also unemployed and having a hard time finding a job. I am experiencing things I have never dealt with and am having a hard time. What can I do? I am already taking antidepressants, which are not working. I have talked to my physician and she is trying to get it changed. But due to this new Obamacare, my old medication is not on the list and the new one is not working. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are doing great. You went through a traumatic and depressive ordeal. For sure. No amount of consolation can equal your fate.  But you also should understand that such things happen with almost everyone. Everyone loves their better half or spouse. When such things happen, even when they were at young age, it is normal for them to go through some depression. But they shall understand that they have to move on. They have duty to do. Secondly, you were doing the same for the last three years. That is great. If you have any mental disorders, you cannot do so. You must add to your self-confidence. What you can do now is, understand what life is. Even you are a guest here. Your spouse went because his time had come. When your time comes, you shall also join him. That is life. Depression is normal, but we should overcome our emotions. Everybody, every human being does. Then why not you? If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. I have recurring yeast infection. all possible tests were done but I recently searched on internet and found out that what I have is candida overgrowth as per systems described. what should I do? I m on candida diet, no sugar, no carbs or grains. but I did this diet with cleanse once already and the yeast returned once o began to eat food that included a bit of carbs and sweets. now i m lost and scared and tired from dieting ad not knowing what to do/ I do not believe in antibiotics. can you pls suggest smth? thank you. ### REPLY: Thanks for your query at ! What are your symptoms? What investigations you had got done? Kindly mention. If you have vaginal candidiasis then:1. Keep the vaginal area .  2. Avoid wearing tight dinnerware.3. Change out of your wet swimsuit immediately after swimming.4.Don't use scented or dyed soaps, detergents or other personal hygiene products.5. Choose condoms without spermicidal agent.6. Ask your sexual partner or partners to seek treatment or testing for yeast infections if you are experiencing recurrent yeast infections.7. Consider switching from a high-dose to low-dose hormonal birth control method if you suffer from frequent yeast infections.8. Add milk products containing the bacteria acidophilus Lactobacillus to your diet.9. Reduce the amount of sugar in your diet. 10. Antibiotic or corticosteroid use can also cause frequent yeast infectionsMake an appointment to see a doctor if you experience recurrent yeast infections and your suffer from HIV, Lyme Disease, Diabetes, Lupus or any other condition which affects the immune system. Visit a doctor for prescription of (antifungals) to control your condition and the overgrowth of yeast. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is Cyndi. I am writing this regarding my father. He had hernia repair surgery Jan 11, 2014. Has been back to the specialist three times and had just been told to be patient and give it time to heal. The doctor had never once done a physical exam. Since the surgery. My fathers complaint is that his scrotum is the size of a small watermelon, it has gone down in size a little since the surgery but the extreme pain has never stopped. He sweats and cannot even sit properly in a chair yet. He describes the feeling like there is a rod or piece of wood inside closure to the top of the scortum. If he sits or moves a certain way it pokes in and the pain is stabbing. He did have internal bleeding after the surgery. Which eventually stopped, but was discovered when his scortum expanded and he couldn t even walk. What should we do, I live a province away, he is in so much pain he can t communicate his problems anymore. Only that he is in pain. My mother is not well, and having a nervous breakdown because of all this. (Not her first ). My dad is suicidal and I am very worried. Please help if at all possible. ### REPLY: HelloThanks for query. The pain and swelling of the scrotum is due to infection of the testicle and spermatic cord (Orchids). Please get following basic test done to confirm the diagnosis 1) Ultrasound Scanning of Scrotum2) Urine routine and urine culture. He needs to take broad spectrum antibiotic like Augmenting along with anti-inflammatory . If problem persists even after taking medicines for 2 weeks and if he is in severe agony I would suggest to testicle get removed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 itchy red bump like rashes on my hands and fingers for 10+ yrs. It would appear on my elbow , ankles, calves, and the side of my thighs sometimes. When scratch , they turn into blisters. My rashes usually last for a few weeks. Really itchy at night time. What do you think this might be? I m scared because I never got it checked out and now I notice that my 2 yr old has a rash on stomach ### REPLY: Hi there meaning. 10 years is a long time to have these rashes & to not have gone to a dermatologist. I am afraid that if I speculate further, you may not visit a dermatologist. Please visit your nearest dermatologist & if these rashes are lasting this long, will require a skin biopsy & /or allergy testing. Your sons rash may not be linked at all as the site AT THE OUTSET IS DIFFERENT. Relax. Get a good dermatologists' opinion on the ground & proceed further. If you don't find the time, you may contact me on this portal in private, but please provide photographs & further details describing the lesions & use the ask-a-doctor feature. Take care & look forward to hearing from you.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have IDC Left Breast stage 2 HER Positive, 1.5 cm Cancer was removed, 2 lympthnodes removed, they were negative. I have clear margins. Pathology report states I am in Low recurrence catagory returning and the cancer is confined to the left breast only. It was at 1:00. I am currently taking 33 Radiation. Im on # 17 with 16 more treatments to go. I went to F/up with my Oncologist today. He prescribed Anastrozole for me to start taking. Possibably for the next 5 to 10 years. I am 73 yrs old, in good health and very actice. With all the side effects stated for the medication prescribed, I don t want to take it. My PET showed I had no cancer elseware in my body. My qustion is, If I choose not to take this medication what are my chances of recurrence and would it be ok if I choose not to? ### REPLY: Hayes with .  Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. Hot flashes, headache, trouble sleeping, dizziness, stomach upset, nausea/vomiting, constipation, diarrhea, loss of appetite, weight gain, tiredness/weakness, increased coughing, or sore throat may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease (such as history of heart attack), bone loss (osteoporosis), liver disease, high blood pressure, blood clots. I will advise you to take one anastrozole tablet per day for 5 years. Its side effects can be managed symptomatically, 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: The sun was out all weekend around 85 degrees.  It was definitely a change in weather.  My son was out all day in it and we put sunscreen on him where he was exposed.  He has red rashy bumps on his arms and the top of his ears and where he was wearing a shirt he has small pin sized reddish bumps on his front torso ( not his back).  He has no fever and says it really doesnt itch.  I put aquafor on it and also some aloe.  This was three days ago and it has not gone away.  What else should I be doing?  Is he always going to have this type of reaction? ### REPLY: Hi, Welcome and thanks for your to . It appears from your query that your son probably have "sun burn" and "prickly heat" due to continuous and excessive exposure to sunlight. You have not mentioned the age of your son. Even then it is important to mention that anybody can get these eruptions or rashes if exposed on higher side, child . Kindly do cold compresses multiple times a day, apply calamine lotion in thin layer two time day. Ask your son not to scratch the areas and avoid further sun exposure strictly. Despite doing that if he is not getting better than can apply mild steroid like "fluticasone" and give "antihistamines" under medical guidance. Hope this information will help you. Wish good health for your family. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 using Viagra sucessfully for about 4 years . Over the past year I have begun taking metformin for a diabitis diagnosis back in 2011 . I also take enalapril ( 5mg) once a day for blood preassure for the past year .  About 6 onths ago I began having difficulty witChatDoctorpleating sexual activity (ejaculating) and over the past week have not been able to acheive an errection at all using Viagra 100mg .  I heard that slower acting Cialis might be a more appropiate medication for me  ? ### REPLY: HelloThanks for query. You are facing problem of Erectile Dysfunction since 4 years and have been taking Viagra 100 mg as on demand.However, you are unable to get the same desirable effect since very recently which you think it to be due to Earl anti-diabetic and ORL antihypertensive . Ideally diabetes and hypertension per Se are two major important conditions that contribute to have Erectile Dysfunction. You need to investigate further by doing color Doppler Scan of the Penis to rule out or confirm that problem of your Ed is not due to vasculogenic in origin (Either arterial insufficiency or Venous leak). As regards taking Calls on daily basis it has more potent action compared to Viagra. You mat try 5 mg of Calls daily along with 10-20 mg of Calls prior to planned sexual activities. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 61 yo F and have high blood pressure & GERD and take diltiazem 360 and spironolactone 25mg as well as Zegrid (2xday). My pulse usually runs in the 60 s. I ate lunch about 45 mins ago (tuna salad) and am feeling lightheaded with a funny sensation in my chest....not pain....more like a bubble . I took my blood pressure it s 117/64 and my pulse is 58....slower than usual. These sensations have been going for about 15 mins. Shoud I be concerned? ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart related diseases for blood pressure of 117/64 and pulse of 58. These readings are normal. Since you are also having HERD, your chest discomfort is mostly due to HERD. So take antacid (pantoprazole) and anti-Emetic (risperidone) combination on empty stomach before meals. Avoid hot and spicy food. Avoid stress and tension, be relaxed and calm. Avoid large meals, instead take frequent small meals. Don't worry, you will be alright with all these. No need to worry at present. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I use 15 mg daily dose of Enalapril, 1 baby aspirin and 5-10 mg Zolpidem. I also take chondroitin/MSM/glucosamine combo daily.   I have occasional attacks of low peripheral circulation with cold hands and feet.  Is this the synergistic effect of the drugs I am taking and what would be an optimal drug use. ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best way possible. The .  You are probably having Reynolds phenomenon, I suggest you consult a physician for a diagnostic workup and management plan. You may need additional medications like calcium channel blockers to prevent such episodes.In the meantime avoid cold exposure, keep your hands and toes warm and keep good care of your skin of hands and feet. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just trying to track my symptoms to see if what I have is something I should be worried about because of my 2 yr old daughter. My symptoms include: Extreme Headache, neck stiffness on the back of my neck, bad nasal congestion that has been happening for about a week now, and all the other symptoms just develope in the last day, the congestion is like way deep in my sinus s and I cant just blow my nose to clear it, and its like I am swallowing big clumps of mucus all day.. very gross, whenever I do cough it up it is green, mild cough, nothing serious, my eyes are watering and swollen, and my body aches, and I have had the chills for 2 days off and on, and my temp has stayed at 100.1 for 2 days now as well, my head including my ears are just stuffed up so bad, its like I can barely hear, and nausea comes and goes but I never actually vomit. I can still eat so my appetite is not totally gone, just not normal...... is this just the regular flu???? ### REPLY: Hi dear...first I would like to tell you that these symptoms that you mentioned doe snot mach with the regular flue....u said it begins since week.and if it is regular flu you would feel some improvement...but it seems like get worse...we have two possibilities.it may begin as regular flu in the being then 2ry infection occur...or it was bacterial infection from the beginning ...almost your symptoms lead to meningitis...or other bacterial infection...so you need to take it seriously with specialist to take antibiotics.and you will improve shortly....hope that I helped you....thanks for contacting us ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a pitcher and got hit by a line drive off the bat that im guessing was around 90 mph. I was hit just off center of my shin. The area swelled for a while but almost immediately went away after icing the area. To my surprise the area never so much as bruised even a little. I now have this hard mass that is probably 3 x 5 and hurts to touch. The incedent was 2.5 weeks ago. should I be concerned? ### REPLY: Hi, i appreciate your concern.it seems you developed blood collection at the site of hit on shin. When it is hit by hard object with a high speed, possibility of injury to bone, as well as covering of bone called periosteum is sure. This blood clot starts consolidating and calcification is started. After few weeks time it will be calcified more and periosteal reaction will lead to new bone formation. This new bone when calcified in due course of time, hard bone like feeling will be there.thanks.I will be happy to answer more future quarries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I recently and randomly fainted yesterday. After I awoke and realized I couldn t breath normal, move my body, and hardly open my eyes. My sibling checked my blood pressure and it was 144/109. I am 20 years old, 5 1, and weigh 115 pounds. I am healthy, but this fainting has happened three times before. What could be wrong? ### REPLY: Dear Patient, Thank you very much for your question. Your blood pressure 144/109 is absolutely high because arterial hypertension starts from BP over 140/90. However, many factors affect blood pressure include diet, medication, physical fitness, stress or excitement are some of them. By reaching once your BP 144/109 none can say that you have hypertension because your condition can be situational; stress or excitement, heavy physical exercises can really elevate your blood pressure and above-mentioned symptoms seem to be related to your high BP. Your Body mass index is 21.7 and that is absolutely within the normal range which means you weight is normal for your height.  However, my recommendation is monitored your blood pressure for a week and if it remains as same consult your family physician. If you are stressed, try to reduce your stress level by doing meditation or breathing exercises. If you are a smoker, quit smoking because smoking has a great negative impact on blood pressure. Also visiting your family physician is mandatory if you remain with same above-mentioned symptoms and persistently high blood pressure. Your family doctor may ask you to do an ECG test if he or she finds it is necessary. Also, he or she will go for further testing if they are required. Therefore, check your BP for a week and if symptoms remain same visit your family doctor. Also, If you find your symptoms becoming worse, then do not waste your time. See your family physician immediately. Hope I answered your question. Good Luck! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife and I have been married for about a year and a half now, we bought a house and are living stable. But, she has PCOS and worries constantly that we will not be able to have a baby. She has very light PCOS. She is a bit overweight , but she is working very hard and losing it, and doing a good job, because we have read, and her doctor has told her that that will help. I have read many success stories about women with PCOS who have just taken metphormin and been fine. Doctor asked semen report for me. I don t know how to take sperm out by hand . I tried by hand its not temper. But intercourse time penis will come big size. please give me the suggestion. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. What you should do is to have intercourse. Just before your orgasm, remove your penis from the vagina, and then you can collect the semen using a small vessel. Another way is to learn masturbation while sitting naked with your wife and fondling her breasts and vagina. The procedure is very easy, and you do not have to try hard to have erection and ejaculation. Don't try. Do it. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some Sexology related psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my gall bladder was removed 6 months ago by laproscopy.my blood picture was normal at that time.a few days back my liver function test results are: serum bilirubin 1.41, serum alkaline phosphase 435, serum ALT(SGPT) 77,serumAST(SGOT)54, GGTP gamma glutamyl transpeptidase 528,serum globulin3.9, albumin-globulinserum ratio1.0. all other values normal. i am male 78 years,indian. i have no symptoms at present. what are the likely causes and .remedies. ### REPLY: Hi, Welcome to , You are asymptomatic and undergone laparoscopic cholecystectomy 6 months back. These liver function test show high level of alkaline phosphatase 435 and GGTP 528 and other enzymes are borderline raised. Indicative of homeostasis you should get a fresh ultrasonography of abdomen and visit the surgeon and Physician for proper treatment which depends on cause.GTP (gamma-glutamyl transpeptidase) could also indicate alcoholic injury to liver so by chance if alcohol use is there please stop. Many cases of minor injury to the common bile duct can be managed non-surgically. Please take care. Good Luck. . D. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 im Navaneeth,my problem is in the age of 17 i had lot of pimples and i have pressed becoz of that holes r formed on my face and my face looks ugly,and now im 19 yr old.,how to overcome to remove holes from my face ### REPLY: Hi Nazareth, Welcome to  Forum, There are two best ways to treat you. One is either lasers or second DERMAROLLER.kindly let me know where you belong to, so that I can suggest you the best laser. Dermaroller is a small instrument which is rolled over the skin, and it causes collagen remodeling to improve your pits. No cream would work on pits. Kindly consult a dermatologist for same. Regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my entire life, I m 51, whenever I get a cold and swallow nasal mucus , I get a very localized stomach ache that has intense pain. It feels like a small, condensed gas bubble. I m incapable of belching for some reason. The bubble is palpable and is located on the far right (my right) side of the front of my abdomen. HELP! ### REPLY: Hello and welcome to . Thanks for your query. It is possible that whenever you have a cold or fever, you could be having hyperacidity, probably because of the poor intake and stress. This is the probable cause for having stomach pain during such times. During such times, I would advise you to take an adequate intake, eat a bland diet and .  You can also try an antacid for symptomatic relief. If the problem is persistent or severe, please see a doctor for further evaluation and investigations. 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: hello doctor iam expecting for a baby for more than one year i am also going for treat ment i have pcod,thyroid,an excess prolactin harmone and my husband has low motility problem 40%.is we have chance to have baby only with tablets or we have to try any other method ### REPLY: Hi welcome to . I have gone through your question.POD polycystic ovarian disease is hormonal imbalance in which an . These conditions are managed with medicines. Thyroid problem is also managed with medicines. So for thyroid and pod consult your gynecologist.40% motility is sufficient if it is active motility and if count is normal. So with medicine your pod and thyroid problem can be cured. Hope I answered your question. Would be happy to help 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: For some time now I have been experiencing wet underwear and discoloring on the seat of my underwear. Been tested for stds and everything came back negative. Thought it was my ph balance so I used the vaginal gel and now taking the pills. Symptoms still are happening. I think the cause of the wet panties is from slowing leaking urine. Do you think you can help me out ? ### REPLY: Dear patient, If you think the wet panties have a urinary tract origin instead of vaginal mucus, than I would recommend you to visit a Urologist. There are different types of urinary incontinence, which a specialist will be able to determine the right one after a thorough medical examination. It can be a:- Neurogenic bladder. Small amounts of urine loss both day and night. It can be treated with . - Fistula. Continues loss of urine day and night. Treated with surgery. And then there are some conditions which I don't think apply to your case such as Hypertonic bladder. Regarding the discoloration, if STDs are not the cause, I would like to know more about your menstrual cycle. Often, what we call estrogenic cycles are the cause of irregular menstruation associated by intermittent uterine bleeding that end up as spots in your underwear. In this case, progesterone contraceptives are the recommended treatment. In case of a desired pregnancy, please consult an ob/gun. You will need to stabilize your cycle or help the ovulation, and the spotting will disappear during pregnancy. I hope I have helped you dear! Wish you health, Manoku ENI, M.D. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 many very small slightly raised flesh colored bumps on my hands. There s no itching. I have only noticed them recently so I do not know when they began but it was in the last year that I either got them or that they became much more numerous... ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Cause of multiple fleshy red lumps on hands-These lumps seem to be skin papillomas due to herpes papillomavirus. History of 1 yrs to spread and develop in number corroborates HPV papilloma of the skin hands. I would suggest consultation with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to  and be comfortable to resolve your health issues. Welcome for any more query in this regard to . Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was told I had a mild prolapse a while ago.  I am now having lower back pain and a constant aching and dragging feeling when I stand and only improves when I lie down.  I do find I have to lean back on the toilet to use my bowels.  I have had a hysterectomy, but still have my ovaries. ### REPLY: Hi, as you are already diagnosed with prolapse, the cause of your back pain is the same. Due to prolapse the internal organs sag down causing a pull-over internal structures. This causes stretch and may lead to lower back pain. If the prolapse is mild n back pain Is less than u may take medicines for your symptoms but if its more and causing disturbance to your daily work and urinary retention then I advise u to consult a doctor n take his advice regarding surgery. 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 Dr. Over the weekend with no injury I have a very itchy at first and then also swollen wrist. It frist I thought it was a mosquito bit that was inflamed. The area effected increased in size it spread from the base of the palm to the thum and the itchy area also become hot and more swollen and red. As late Sat night I took some (phanergan) sorry about spelling. That eased the itch and I when to sleep. The next day Sunday, it appeared in the left hand the same way as in the right but to lesser extant. This morning Monday, my palms feel a little swollen but no rednes or itch. However I have red swollen, itchy lump about the size of 50c on the wrist in the centre just below the prior effected area on the palm. Please help with ideas ?? Thank you ### REPLY: Hi, dear thanks for the query. In my opinion its urticaria. I would advise you to consult an ER doctor. This may because of many reasons-but for your query it appears to me as the contact -allergy -induced urticaria- or idiopathic urticaria, which needs urgent treats from ER doctor, where you may need treatments for 1 week time. Thnks for query to  services. Wellcome again. Hope you got satisfied with the answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, just about an inch away from my ear in one particular point my cheekbone. Feels badly bruised. I only feel it when I press down. The other side is fine. I have no sinus problems, colds. I had a wisdom tooth out a couple of weeks ago but that was the opposite side of my face and I had the soreness in my cheekbone before the tooth problem,,, do you know what this could be??? Thank you very Much Teresa ### REPLY: Hi, What you are trying to describe is tenderness and not bruise. Their could be anything ranging from trauma to neuritis responsible for pain over the cheekbone. Sleeping over one side only on hard pillow might be a cause too. You need to do warm fomentation along with local application of diclofenac gel over the site with light hands. Avoid pressing over the tender part and sleeping over that side. If pain not relieved in a week or two you need to get an C-ray along with blood investigations done to rule out other possibilities. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have not been feeling good the last few days.  I have been on my period for 10 days. I am taking birth control.  The last three days I have had diarrhea and feel a little sick to my stomach.  When every I try and stand up from laying down.  I have severe cramps.  The only way to describe it is by saying it feels like my lower insides are hard and stiff and when I am trying to stand up I am bending them a way that they should not.  I may not be explaining it correctly.  I am not sure if is just a bad period or if I should be worried ### REPLY: Hi. Thanks for your query. Read and understood your history. You have explained this nicely. You have a problem of gastroenteritis, the intestinal component is so much that you are loosing precious fluids and electrolytes through the loose stools. This may help the periods to extend as your hormones go into imbalance. I would advise you the following:First get the blood tests for : CBC, PCV, electrolytes, Urine and stool tests. Ultrasonography for the abdomen and pelvis, also helps for knowing the probable reasons for the extended periods a course of an antibiotic, Metronidazole, probiotic, symptomatic and supportive like Electoral powder ID there is no vomiting. If the vomiting starts or is the deny .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a problem with my gum. Have a rednes on the left two front toths for about a year. have been at the dentist have my gums clean have an x ray atc. no one can help me. I also have venires done on my top. Can you please let me know what can cose infection ### REPLY: Hello, thank you for consulting with . Actually the redness in the gums are caused by infection in the gums. In your case there can be two chances- first it can be possible that the veneer you have got done on your tooth is causing the allergic reaction. -second it can be possible that you are a mouth breather, actually in mouth breathers the gums are red because of constant irritation from air and constant exposure to air. You have to consult a good periodontist who will examine it properly and treat the problem accordingly. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m feeling pain in my lower AAAAAAA i sleep alot i eat plenty i have itch over my breast and my teeth hurts whats wrong ### REPLY: Hello, Thanks for posting your query.  At the outset your complaints seem to be unconnected. Lower abdominal pain can occur due to a urinary tract infection or in women pelvic inflammation.  You can do a urine microscopy to rule out infection.  .  Check the skin over your breasts. Is there any rash or swelling? If there is a rash, you can try applying an antifungal skin cream. If there is any swelling it is best to see a doctor who will examine the swelling and decide if it needs to be further evaluated with tests like mammogram or ultrasound.  Bad dental hygiene or gum inflammation can lead to toothache. For relief of pain you can take some over-the-counter painkiller, but get tested by a dentist to rule out cavities that need to be treated. Take a diet rich in vitamin C by including plenty of fresh fruits and vegetables.  Wishing you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, im a 42 yr old man, facing some dental problems off late. My molar tooth in my left lower part underwent a root canal treatment about 8 years back. 2 days back while eating food, my false tootChatDoctore out exposing the filling area & i guess a pin like thing, which was meant to hold it i guess. I am a heavy smoker & I am not living away from my homeland and am not in a financial state to get any treatment done. Pls tell me if theres any risks involved in keeping the exposed area untreated for 3 months or do I have to immediately treat it? ### REPLY: Thanks for your query, I have gone through your query. As far as I understand, the crown has come out along with some part of the tooth leaving the post or pin in the tooth. If I am your treating doctor, I would suggest you to get it recemented immediately so that the tooth will not further break since it is very weak. Once you can meet your dentist, you can get the post and core repeated with new crown. Regimentation will not cost you much so for time being got it recemented. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husbend age is now 47. he is suffering from scezofrenia  since 7 years.he suspect me with so many persons about the age 10to 80 years.he use to take medicines.some time  he stopped to take medicines. it will come again and iam not able to maintaine all these problems did these type of illness is urable or not iam suffering so much badly ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The treatment to schizophrenia totally depends on the symptoms the patient show and the severity of the case. Most of the cases, schizophrenia is curable with a combination of psychiatric medicines and psychotherapy. In your husbands' case he is also a paranoid personality. Schizophrenia with paranoid personality disorder is so common and every psychiatrist shall have experience in treating such a problem. Your psychiatrist should be able to tell you whether the case is curable or not. Please take your doctor into confidence. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have pain to the right of my belly button. it feels bruised on the inside. i also have pain a bit higher on my right side which sometimes moves straight through to my back. i have had gallbladder removed two years ago. the pain still exists and in fact it is worse. ### REPLY: Hi, How are you? My name is .  I am a surgical gastroenterologist and I hope to answer your question today. I am sorry to hear about your pain. I am sure that you have undergone a Laparoscopic Cholecystectomy. This usually involves making an incision below the belly button to insert the camera. This usually ends up being the biggest incision of the 3/4 incisions made to remove the gall bladder. Normally, this incision is closed using suture material after the surgery is over to prevent a hernia through the incision. Sometimes, some surgeons leave it open, especially if the incision was a small one. The pain and bruising you talk about could be one of two things. You might be feeling the "knot" of the suture material which was used to close the incision (Rare if absorbable suture was used, a definite possibility if non-absorbable sutures was used) or it could be a small bit of "momentum" which has herniated through the incision. A simple ultrasonography scan of the belly will make the problem clear, so you can manage it appropriately. Hope this helps and hope you start to feel better. Please do not hesitate to write back for clarificationsHave a great day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been taking Ibiliex and metrogyl 400 x 3 per day each for 6 days for a tooth abscess. Subsequently had a wisdom tooth out three days ago. Infection appears to be gone and no evidence of dry root.I do, however, now have oral thrush, nausea and diarrhea. Could I be experiencing overdose of metrogyl ? ### REPLY: Hello, thank you for consulting with . As you are mentioning that you were taking metro, and now you are experiencing nausea and diarrhea, yes it can be possible that because of metro you are experiencing this. But it does not cause oral thrush, it can be possible that because of infection you were not able to clean your, mouth, and now it has caused oral thrush. Better that you should stop taking medication now and visit your dentist for follow up. Hope it will help you. ### END