Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had bronchitis that led to pneumonia which led to pleurisy. Yet I have hhad the past week with my pleurisy a pounding heart and resting heart rate around 105. I have had pain in my left neck and wrist and hand. Should I be worried or is this something to expect with pleurisy? I am 27 and have otherwise been very healthy at a healthy weight. ### REPLY: Hello! Thanks for posting your query. Pleurisy is a common complication of pneumonia. The good news is, if detected in early stage, it can be completely cured with the right choice of antibiotic. I would prefer to start you on antibiotics like amoxyclav and azithromycin to start with, which generally work well for community acquired pneumonia.  Before the first dose of antibiotic, I would suggest you send a sample of your early morning phlegm for gram stain and culture sensitivity (the test that detects which organism has caused your phlegm to get infected and also tells which antibiotic will work to kill that organism). As far as your pain is concerned, it seems to be a musculoskeletal pain. The pounding heart is also mostly likely due to the pain. So taking analgesics, hot compress and physiotherapy should help. Do consult a physician in person for a complete check-up and evaluation.  Hope my reply was of help.  Do .  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hi i am a 35yr old male who smokes and has asthma lately i have been getting very short like one sec attacks in my upper respitory that feels like i cant breathe but i could breath ,maybe my stomach but it keeps coming on and off im very afraid bacause i dont even really know how to expain it ,can you help- ? ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. Although your symptoms are not exactly suggestive of asthma, I would think of possibility of either asthma or HERD.2. I would suggest you to use albuterol inhaler when you feel such attack. 3. I would also suggest you to take an antacid like omeprazole for 2-4 weeks before meals regularly.4. For exact diagnosis, I would suggest you a test known as spirometry with post-bronchodilator study.5. In fact, smoking worsen both of the suspected conditions - asthma and HERD. So I would highly recommend you to seek professional help for quitting smoking. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my third disc is abnormal would it cause me to walk funny or on the side of my feet? and also would it ever cause me to be in a wheel chair ?when u have a 3rd disc abnormal are you born like that? cause my lower back and some times middway of my back bothers me ### REPLY: Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. U seem to have compressed a nerve in the back somewhere that might be causing radiating pain in those regions. Possibility of a lumbar disc prolapse should be kept in mind. I suggest you get a X-ray as well as an MRI to find out the exact caused discs generally heal properly if treated appropriately. Physiotherapy, analgesics,anti-inflammatory . Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Am undergoing chemotherapy for breast cancer.  I have had 4 treatments of AC followed by 2 treatments of taxotere.  I will have 7 more.  The last two weeks I have been having diahrrea with bloody mucousy stools and when they are semiformed they look like raw ground beef.  I have been having severe cramping in my lower intestines. ### REPLY: Hi, Thanks for writing in. Certain chemotherapy agents are toxic to the bowel and might cause undesired altered bowel symptoms. It is possible that you are having such a side effect due to your chemotherapy. Please consult your doctor and keep them informed of your altered stools and also get treated for the same. The cramping might also be for the same reason. Please do not wait any longer and discuss with your doctor immediately. In some cases changing the chemotherapy protocol and adding additional treatment medicine might be required to stop your symptoms and continue with treatment. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my grandmother had a stroke a few months back.  she now lives with my mother because she is not strong enough to take care of herself.  there is now a lump on the back of my grandmothers neck and it is starting to turn black.  should we be concerned? what could it be? ### REPLY: Hi, DEAR,Good Evening, Thanks for the query. I studied it in details and understood your health concerns regarding it. Black lump caused at back of the neck -could mostly due to the-dying out of the boil, which is getting scabbed and died out.FNAC biopsy would fix the cause of the lump as she is old lady and possibility of cancer needs to be ruled out. Hope this would help you to plan your treatment with your doctor. Wellcome for any further query in this regard. Wishing you good health. Good Night. . N. From INDIA. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My blood pressure is spiking after I eat. It was 133 over 94 yesterday. My middle back area, shoulders and neck ache when my blood pressure starts rising. I have an appointment next week to get results from blood tests the doctor is having run. My family has an history of strokes and I am concerned that I will have a stroke by next week. ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that in your clinical situation, it is important excluding possible secondary causes of high blood pressure. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some lab tests: - a resting ECG- a chest X-ray study-blood work (complete blood count, thyroid hormone levels, blood electrolytes, kidney and liver function tests, fasting glucose). I would also recommend performing a fibrogastroscopy as the pain in the middle of the chest after eating could also be related to hiatal hernia or fibrogastro-esophageal reflux. 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: My daughter has what we have assumed was a birthmark since she was a baby. It is a slighty raised bumpy patch of skin ever so slightly darker than her normal skin tone. When she gets hot and sweaty it darkens and seems to raise becoming more obvious and being on her neck looks like almost like a love bite. She is now almost 9 and this has never bothered her. However in the last week I have noticed another patch just the same has now appeared on her back. It appeared itchy at first a week ago but now the itchyness has gone but this patch remains. If they are not bothering her should I take her to the doctor? Age 8 136cm about a month ago 4.5stones ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 17 year old daughter has been suffering with recurring symptoms for almost 2 years now.  At first the "episodes" were occurring about every 4 to 6 weeks.  Now the "episodes" are coming weekly and last 2 to 3 days.  Here are her symptoms--extreme nausea and stomach pains, extreme fatigue, body aches and sometimes headaches.  Normally she does not have vomiting.  When the symptoms hit, she cannot function.  She cannot sleep at night and she stays in bed all day.  She is missing 2-3 days a week from school almost weekly.  Between "episodes" she is fine.  We have had an endoscopy of her stomach and ultra sound of her gall bladder---all was fine.  She has been tested for metal allergies (she had spinal fusion surgery at age 12 and has metal rods and screws in her back)--negative.  He CBC came back with her C reactive proteins high--over 12.  She has also been diagnosed with Polycystic Ovarian Syndrome.  We have seen 5 different doctors!  What could this be. ### REPLY: HiT hanks for your query for your daughter who is 17 years old. I have read the history and understood the problems. Consultations with 5 Doctors and some investigations, PCs, severe pain in abdomen making her miss school for 3 days every time, The symptoms being : extreme nausea and stomach pains, extreme fatigue, body aches and sometimes headaches. My probable diagnosis leans towards a Psychological factor, which can be confirmed by 2 things 10 all relevant investigations being normal and 2) Evaluation by a Psychologist. Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. A trial by a Psychologist / Psychiatrist may be of help and the response with his medicines can be confirmatory. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 am super worried for my mom she has really bad anxiety, but she for the first time ever woke up and her tongue was an awful brown color and she had a headache that was so unbearable she went to urgent care. They sent her straight to the hospital because ever blood pressure was through the roof. They gave her a bunch of pain killers and sent her home once her BP went down. What could be wrong with her. They gave her a CT scan to rule out aneurysm,  and said they dont know. She is home and still suffering from a terrible headache. ### REPLY: ! I have read the question and from that I can say that the headache can be because of combination of factors- 1. Anxiety attack2. HypertensionI think she has hypertension and with simultaneous anxiety, the blood pressure increases more.making it shoot and causing severe headache. You have not mentioned if she is taking any antihypertensive regularly along with something to cure her anxiety attacks. If not, I must insist that she needs it. For headache, one may rely on Veteran or naproxen sodium with an antacid. For anxiety, I would have given her sertraline or Escitalopram. Plus Mizoram for few days to check acute increase in anxiety. With . Hope the reply is useful feel free to ask more questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a large bruise on my thigh that has been reappearing for some time now. its usually my left thigh but i have laso had some bruises on my other leg. this large one on my thigh seems to fade but then i notice ive got one back again and i cant of kept banging it over and over for all this time. is it anything to worry about? ### REPLY: Hello, Repeated bruising is definitely a concern and must be investigated since the causes can range from innocuous reasons like .age related changes, medications like painkillers, aspirin,blood thinners like warfarin, herbal supplements, nutritional deficiencies like deficiency of IT K AND IT C to serious disorders like hemophilia, thrombophilia,kidney disorders liver disorders, cancers etc. The cause needs to be investigated and hence you must consult a doctor for This. 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: 3 days ago I steped on A rusty nail,If I was serously injured when i was hit by a car in 2007,would a tetanus shot have been part of the standard procedure the hospital (kaiser) have given me during treatment for my injurys? Im the sole caregiver for my mother who has melanoma cancer and havent been able to get away to see see a doctor .any advice would be greatly apreceated,thank you. ### REPLY: Dear Friend. Welcome to . Hi, I am , I have read your query in detail, I understand your concern. Yes, you must have been given tetanus shot at that time of accident. However, since that was in 2007, I would recommend you to take a shot now, because we don't know what vaccination was given to you. So, to be sure and safe get a 2 ml TT shot intramuscularly stat. This is my personal opinion based on details available here.  If you still have any other query, you may please ask me. Stay Healthy. , MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there I Have a Problem , There is ( Afew Bite Marks behind my Left Ear Includeing 2 Bites in my Lower HairLine ) Behind my Left Ear , I Have had these Marks for up to 2 Weeks now , And 1 is Begining to Rash Up alittle in the past 3 Days , I m Unsure what this may be , I will also Include that 1 is Swelling up alittle into a small Bump . ### REPLY: HelloWelcome! I would be pleased to answer your question. From the description of the lesions they seem to be either reaction to an insect bite which is probably infected at the moment.  Here is what will help: 1. Clobetasol propionate cream + Mupirocin cream: Mix and apply over the affected area twice a day for 14 days then switch to Fluticasone propionate cream once at night for 2-4 weeks. The specialist to see will be a dermatologist and he or she can prescribe these for you. Nothing over the counter will help much, the only product with some benefit is 1% Cortisone cream. 2. Tab Clarity 10 mg twice a day for 14 days, then once a day for 6-8 weeks. Initially the dose can be increased to 2 tablets taken twice a day if there is insufficient relief in itching. 3. Sara sensitive lotion can be used 2-3 times a day to give further relief from itching. This can be continued even when the above creams have been stopped. 4. Avoid scratching the affected areas as much as possible. This is most important. Whenever it is not bearable soak a towel in ice-cold water and keep it on the affected areas or apply the Sara sensitive lotion. Lastly keep the affected areas as well moisturized as possible with a moisturizer of your choice. NOTE: 1% Cortisone cream, Clarity and Sara lotion can be bought without a prescription. Please feel free to ask if you have any queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 , Yesterday I gave my 2 yrs old kid cyp-l 2.5 ml for the first time as she is lack of food my pediatrician prescribed and she is jt 9.5 kg but she didn t eat as she had a banana and a biscuit 30 mins back so I dint compel her to ve food ,she slept but wen she woke up she is crying without reason also she seems little tired eyes r slightly drowsy .is there any prob? Can I continue? ### REPLY: Hi... Thank you for consulting in . Stop Cyril syrup. It is cyprotheptadine. It will cause . I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Oslyn. I have been diagnosed with diabetes a year ago. As of three weeks ago I have been loosing my hair, loosing weight and having sever headaches. I have Lost 16 lbs, not intentionally. My hair is falling more than usual. I m having headaches at nights only. I m currently taking Junuvia 100mg daily. ### REPLY: HIT hank for choosing ChatDoctorYour query and concern is appreciated, if this is the diabetes then it may not cause the hair loss of weight loss, hair loss could be due to age and gender related like in male it could be male patron baldness, for the weight loss underlying disease condition needs to be ruled out, you have given very little information here, you have not mentioned the gender, neither mentioned how much you are weighing now, hope this information helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am so frustrated. I have degenerative disk disease with one herniated disc in the thoracic area and many bulging discs. I also have a syringioma. I have been getting steroid shots in the thoracic area for three years. My body is getting to the point where the side effects from the shots are so severe, I don t want to have anymore of them. Two neurologists say my herniation isn t large enough to cause me the pain I m in. Their findings are based upon MRI findings. My uestions are: 1) Are there any other tests I might have besides MRI to determine what is going on, 2) How can I find a highly recommended neurologist near Arkansas, my home state? Thank you! ### REPLY: Hi, Usually, the diagnosis of symptomatic nerve root compression as result of disc herniation or any other pathology is based on three things.1 - Symptoms2 - MRI findings3 - Selective nerve root blockhouse, when all three of them points towards the same level of nerve root involvement only then the diagnosis is confirmed. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am getting treatment for acid/ heartburn which i was taking omeprazole for i have had this for 9 months now and i have just started getting nausea which doesnt seem to go away what ever i take! i havent lost weight or have had any red flag symptoms but i really have bad cancerphobia through watching family and friends with it ### REPLY: Instead of omeprazole go for Omeprazole and Risperidone. Avoid spicy foods, outside foods. Eat plenty of fresh fruits and green leafy vegetables. Stop smoking and alcohol if you are taking them. Please get an upper GI endoscopy. A small cancerous lesion if at all present will be seen by this procedure. Get this test done and be relieved. Hope it will come normal. Nothing to worrying you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wife is 36 years old and got married 2 years ago we are trying for baby since after marriage. But have not conceived yet. She went for diagnostic laproscopy it was normal there were spill on both side, and all other primary tests were normal.She took clomid last months and had gone USG on day 9 and on day 12. on day 12 the size of ET was 5.9 and lt ovary was 19x19 then she was advised to take HCog injection. but in the next month no good news. She had her mensturation as usual on due date. Please suggest what to do this month. ### REPLY: HelloWelcome to ChatDoctorThe treatment suggested and taken seems to be fine. The endometrial thickness at the time of egg rupture is only 5.9 and is thin. Your doctor will be able to help with this by giving some extra medication. The success per cycle when you are trying naturally, above TH age of 35 is 9 to 12%. If three such cycles are not effective, and you do not get pregnant then next level of treatment is suggested like Intrauterine insemination. Wish you all the best .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a small lump that has appeared on some scar tissue on the front of my head. When i press it it seems to cause a tingling sensation in my nose! Ive had a bad flu and pneumonia over the last month but am feeling better now. The lump feels very hard and is growing. ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Treatment of the head lump on the scar-You seem to have -nerve involved in fibrous scar. So don't worry and attend to ER Surgeon, who would treat it -by Surgical Excision -as its causing pain on pressure and is increasing also-causing cosmetic issues for you. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check 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. Hope this would relieve your problem. 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: My glucose blood sugar level was 120, and my Iron level reads 194. I had a blood work up because i am tired all the time, no matter how many hours of sleep i get, and also for the past 6-9 months i have and continue to lose a large amount of hair. I initially thought this was because i lost 70 pounds in the past year, but it wont stop falling out. ### REPLY: Hi, I understand your concern. The total iron level normal range is 60 - 170; yours is a bit higher than normal range (194). Further tests are recommended to determine why your iron levels are higher than the normal range:- iron supplements- it. B12 deficiencies (it. B12 and folic acid levels to check)- complete blood count-peripheral smear-total iron binding capacity In this way we can determine why you are tired all the time and why you are losing a large amount of hair. Hematologist to consult further. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: doctor, I?m 34 year old guy with hepatitis B infection. Please explain What are the treatment and self care for the same? ### REPLY: Treatment for hepatitis includes bed rest, a balanced diet, and avoidance of alcohol and certain medications for at least 6 months. Hospitalization is only necessary for more serious cases, or for severe deny .  With respect to Hepatitis B receiving an injection of hepatitis B immune globulin within 24 hours of coming in contact with the virus may help protect you from developing hepatitis B. Patients with chronic hepatitis B may need steroids or injections of interferon, an antiviral  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: past year we have increased bilirubin,are currently at the top,to have mild temperat.no doctor still did not work analizs.29 years and 2 children.what this might indicate?thanks.a few years ago i had 4 of pneumonija-one year,now everithing is ok,but 3 years! ### REPLY: Hi thanks for contacting ... Here your detail history has to be taken and accordingly investigated.... First rule out chronic hemolytic anemia peripheral smear examination and relic count. If needed electrophoresis done to rule out hemoglobinopathy.... Second rule our obstructive jaundice like Gall stone and cholestatsis by USG... As you have mild fever, chronic inflammation to liver can be the cause like chronic hepatitis.... For that first viral cause ruled out by viral marker study with ELISA.... If needed alpha 1 antitrypsin deficiency and Wilson disease like condition ruled out.... So liver biopsy needed if cause is not clear.... Do your liver enzymes' estimation also by Sept and got. And yes if you have habit of alcohol . ....Meanwhile, take low fat diet... Avoid alcohol. Papaiya, apple like fruits taken more... One tsp licorice with honey taken for chronic hepatitis.... Hope your concern solved. 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 15 yr old daughter is having pain in her right side since wednesday I took her to ER today and they did urine test and blood work. they said all tests came back normal and gave her naproxen to take. she s still having the pain and they said it could be gall stones to check with our family doctor. is there anything we can do for her ### REPLY: Hello, she is very young for developing gallstones, however it is not impossible, particularly if she is overweight. The easiest and fastest way to check for gallstones is with an abdominal ultrasound. However, keep in mind that other illnesses can cause right sided pain. If the pain is severe you should take her back to the ER for further evaluation. They might end up doing a CT scan instead to look at the entire abdomen. If the pain gets worse with food intake or fatty meals, then that is consistent with gallstone related pain. Hope that helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 18 year old son has been waking up with really bad pain in his right adomal area for a couple of weeks. i took him to accute care, they checked his apendex and did some blood work. he had some unexplained fluid in his abdomal area.they said it should absorb into his blood stream. he is still sick and has lots of pain. it seems worse in the mornings. can u help? ### REPLY: Please do mention other reports as well to receive better suggestion from . There has to be reason behind bad pain. Collection of fluid and pain together suggest of some pathology in abdomen which the sensory system is experiencing. Was his ultrasound whole abdomen done? If yes please fill in with detail findings. If not then get it done. He may be suffering from a most common worm infestation or acid peptic syn .  Please get detail investigation done and see your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I m 29 years old and I was taking Metamucil once twice a day. Then a month later I m having trouble pooping and my urine flow has slow down. Sometimes I can urinate with medium stream and sometimes a light to dribble stream. At first I was urinating every 10 to 20 mins. But through the week I m not having to go for hours at a time. I have no blood in my urine and I have no pain at all. I will have a tense in the abdominal sometimes but not all the time. ### REPLY: Hello, Your symptoms seem to be related to Metamucil use. It is a bulk-forming fiber laxative and can cause changes in bowel habits, flatulence, gas. So, I suggest stopping the treatment and use dimethicone medication such SA ESMISAB to relieve the bloating. I also recommend eating a health diet and .  This medication does not influence in the urinary tract, so you should do an urinalysis for further evaluation. 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: Hello! I had meniscus surgery 6 days ago and my wound is still pussing. Very slowly, but its coming out yellow, I don t see any increased swelling or redness, I have no pain. So I don t think its infected? But how can I make it stop? Surely this isn t good. I d appreciate any advice Doc, thank you.....Mike ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. If you don't have redness and swelling infection is most unlikely. The puss like thing you see is most likely from absorption of catgut sutures which might have used in surgery or a leak of synovial fluid. It is better to show your surgeon and rule out that. Usually I advise application of Betadine ointment and also tell them to keep wound away from dust by cover with gauze. Taking vitamin C also makes healing faster. Hope this may help you. Let me know if you have any further query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, doc  imm 22 yrs old, my height is 5.15 ft n weight is 58 kgs... , i hav fat accumulation at back of my neck in between two shoulders ( buffalow hump) , can i get rid of it through any medication or i have to go for liposuction n is it safe if i go for liposuction, and  after surgery ll it again revive or ll it be completely eradicated? ### REPLY: Thanks for your question on . Get done serum cholesterol level. If this is high then you need to start lipid lowering .  And this can reduce fat accumulation on your back. But if your cholesterol levels are normal then liposuction is the only option. It is very safe surgery. It is usually done in day care setting. So no need to worry about this surgery. Success rate is 90% but in 10% cases recurrence is there. So discuss in detail about recurrence with your treating doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I suffer from acid reflux. It happened after taking Ibrufin. I have taken so many took so many antacid medicines but it did not help. I searched the net and found that a cup of yoghurt and acidophilus/bifodophilus tablets help in a condition like mine. I want to know some names for acidophilus/bifodophilus medicines? Are these called acidophilus/bifodophilus only? ### REPLY: The reason for persistent acidity should be looked for and diagnosed. The most common causes are H. pylori infection and HERD (gastroesophageal reflux disease. In HERD, the valve between the food pipe (esophagus) and stomach does not function properly. In H. pylori infection, there are several therapies available involving acid suppressants and antibacterials. The treatment of HERD includes the use of acid suppressants such as omeprazole or sanitizing sold under different brand names and ultimately surgical fundoplication, if necessary. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 discovered a hard lump on the outside of the lower left side of my jaw. It doesn t hurt unless I m messing with it (even then it doesn t really hurt me). It s not protruding from my face, and it s like that entire left area (from the chin along the hollowed-out portion below my teeth (where my gums are) is swollen culminating in a hard, immobile mass. I can feel it on the underside of my jaw too. It reduces in size when I brush my teeth, but when I go too long without brushing it swells again. I m just really worried because I don t know if it s something I should be worried about. I m also at college and not at home, so I don t know what I should do. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You may have either submandibular salivary gland swelling or some submandibular lymph node enlargement.  You should go for fine needle aspiration cytology. Then you should take treatment according to your cause. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just went in to the ER a couple of days ago because I lifted a potted plant and injured my back. I was diagnosed with Sciatica Neuralgia, Right. The pain is intense, but is better if I lay down. This morning I woke up and the numbness in my right buttocks, front right leg and front genital area was intensified and felt like someone was pouring acid on them(definite intense burning). It is more severe depending on what position I am in. I have read online about Cauda Equina syndrome and it has slightly concerned me just because of the burning and numbness in my genital region specifically - although I understand that it is quite rare. I have been able to urinate, but have not had a bowel movement since Monday. Would you advise going in to see about this again or do these symptoms sound fairly par for the course for this kind of diagnosis. Sincerely, Heather ### REPLY: Hi, Welcome to  .com I am .  I have readied your question with care and understand your concerns. Let me try to help you.  Question : What causes numbness in buttocks when suffering from sciatica neuralgia? Answer : It means that there is still compression on your nerves. You have to consult your Neurosurgeon again and undergo evaluation. We have to decide whether surgical decompression is needed Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hiya. I m currently studying at college and am 16. I can t help but feel stressed out all the time. As soon as I get home I cry and feel anxious all the time when at college. I also find myself getting stomach aches and crying frequently before I go to bed. I don t know what to do. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you describe are true, please consult a physician first and rule out any physiological problems or diseases which gives you such symptoms. If you are cleared on that front, then we can think of its psychological angle and start treatment by meeting a psychologist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Numbness in the right leg, foot, back, right shoulder. The pain runs from neck to foot on one side. Have trouble walking and coping with the pain. Like something is jammed inside the muscles. It s been two weeks. It started hurting while sitting on an office chair that swivels. ### REPLY: Hello, If you have pain that shoots down from the back to the foot and from the neck down chances are that you have an acute muscle strain or a nerve irritation in the neck and back.  Long hours of sitting at a desk with a computer especially if your posture is not good will eventually lead to these type of problems. You will need medications for pain, muscle relaxants, improving sitting posture, avoiding long office hours, and later if not better an MRI to confirm a disc protrusion is the management for this. Hope I have answered your queries. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been to a doctor, for symptoms that have faded with time, i have been sick for 2 weeks now and was put on a 3 day dose of zythromycion and i have a history with clostridium difficile and sevire antibiotics allergy, i have a history with asthma and phnuemonia. i have been coughing violently, yet dry, for almost 3 weeks now. i have been exposed to strep but was not notified if i had it. please help ! ### REPLY: Thanks for your query. I appreciate your concern for the symptoms. If I were your treating physician, I would do the followings:>look for asthma status. Are you currently on any medications? Is your asthma under good control ? Look for allergic conditions.> Since you are coughing for almost 3 weeks, I may advise a Laboratory investigation: Sputum for AFB suspecting Pulmonary tuberculosis after details history taking like history of fever, weight loss etc.> I would advise few blood tests and a chest x rays my opinion is : consult with a respiratory medicine specialist or Pulmonologist.Don't worry. Everything will be alright. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 16 yearsold, ive been purging my food for just about a year now, recenty ive noticed my heart racing, and a fluttering in my chest. i dont know  if this is because of my ed, but ive had a kink in my neck for 3 nd a half weeks, and the whole left side of my body spasms and hurts realy badly, especially my stomach. its just little twitches everywhere but is extrememly painful, this has happened 4 or 5 times in the last month i think. i dont know what this is, but i dont wanna die from this, i need to know if these are warning signs of something. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out heart diseases for your symptoms. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic . 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: I have blotchy skin, swelling and tingling in my lower legs and feet.  There is no pain.  I have noticed that these  blotches vary in size and shape and have traveled from the ankle to all over the calves within the last few months.  What could it be and is there any at home remedy I can be using while waiting for a doctors apppointment? ### REPLY: Hello, Dear it can be because of dysfunction of deep vein valves under calf muscles. And I would also like to know that if you have history of fall few days back as it can be because of common perineal nerve injury in leg. Other cause can be because of deranged blood sugar level. It would be better that you start your treatment after discussing with doctor as no remedy will be of use before knowing the cause. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is suffering from vasculitis for three months treatment is going on from Sahara lucknow but the condition is getting worst now he is unable to do any movement and suffering from severe muscular pain what treatment should be done to relax him from this pain ### REPLY: Hi, thank you for providing the brief history of your father. As mentioned by you about the symptoms, since it is vasculitis we need to have patience for the bodies mechanism to function. As treatment of choice is always directed towards the symptoms. Also, as the fatigue and pain is the factor, taking physical therapy will be advised as per me depending upon the vascular assessment. By passive movements of the limbs it will help to maintain the normal muscle property and metabolism of the cells. Also breathing exercises will help improve the oxygen in blood cells, which will delay the fatigue and pain. Usually, physiotherapy is a non-invasive and no side effects' therapy. Avoid performing massage to increase the symptoms. Also icing can help. You can discuss the same with your vascular surgeon. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im looking for orthopedic surgeon and pain management dr. who can help me going forward,with surgeries to my knees and lumbar, Ive qualified for disability,waiting for final approval paperwork. until it goes thru would be a self pay. I have rhuemetoid arthritisis,my hands (especially thumbs and joints) are in terrible pain, I have a fusion at C5C6C7, herniation at C4,C3. The lumbar is seperated at lumbar and sacrum and herniated at L5L4L3, my knees healed wrong, and my right groin was torn and have terrible pain with my right hip, all due to a fall down a L shaped staircase, landing upside down. the Cervical spine, due to a construction truck running a stop light and stopping once he hit me. The pain I deal with on a daily basis as at a 8, that is just dressing, trying to do at least 4 meals a week, Im in the Baltimore area. Ive been through so many different regiments of medicines, therapy is impossible until my knees, hip and lumbar are addressed hopefully with the least amount of surgery possible, I found after my fusion, the scar tissue and the healing years later has its own set of problems. My goal right now is to maintain the ability to be a home maker with the least amount of pain until surgeries can be done, and even then those aren t guaranteed to take away a lot of the pain, as I learned with my cervical surgery. Fentanal patches, gave me my life back, my break through medicine was reduced to 15mg.1 to 3 a day max.My goal is to have the least amount of medicine with the most amount of quality of life, ive been dealing with this pain for over 10 years now, my last doctor whom I loved and was an amazing gift, finally was able to go into the field he longed to do, which was childrens cancer, leaving me searching for a dr. but not finding one that could address my pain and have a plan long and short term plan for surgery and pain. My pain management plan re: surgery was interuppted with a bacterial infection from an infected kidney stone, which became sepsis, and I nearly died, I had a nephrostomy tube and 3 stents until the surgery was finally performed to remove my the infected stone and it took months to get my health back. Trust is critical and Im looking for that trust and care close to my home if possible. Thank you Sandie ### REPLY: You have made an excellent PM HOI. It gives lots of inputs. You need to focus on your diet, sleep, exercise plans. This works in most of the RA cases. Pain and aches are disabling which is acceptable. Keep a positive attitude. Do regular yoga breathing exercise like Panama, eat healthy food, sleep properly and do regular ROM and strengthening exercises. Improve your endurance levels as the metabolism should function good and support the immune system. As you must have Google by now what your condition is all about. So kindly focus on all proper guidelines. Surgery might give a temporary relief but nothing more accurate than the self-induced efforts to fight back. All the best. I can prescribe some exercise if we get some close communication. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a serious pinworm infection. I got the prescription for Albendza that says take single dose of 400mg then repeat in two weeks. Was wondering if it will hurt to take 1 week apart instead. So tired of this mess, just want it gone. Took the men s Saturday and still feeling the crawlings ### REPLY: Hello, I understand your concern. Pin worm infection can be frustrating. The reason why the repeat dose is after two weeks is to prevent reinfection. The reason for this is that pin worm eggs can survive in the surrounding environment for up two weeks. So I strongly recommend you take your second dose of Alberta in two weeks. Also, in order to prevent reinfection, it is mandatory that all the household members be treated too. I hope this helps. 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: hey, just wanted to get pregnant, married 5 months ago, i do hv irregular periods before marriage, n after marriage they became worse, now taking duphatson since last cycle, frm 14th day of my cycle for 14 days twice a day as gynae prescribed, also taking glucophage 500 mg twice a day, yesterdy i got my periods, em obese, 110 kgs with 5.7 height and 25 years old. my ultrasound report says sugestive of polycystic ....help me ... ### REPLY: Hi, Polycystic ovarian disease is a symptom complex with irregular or absent ovulation, obesity, hirsutism, insulin resistance and infertility. Nevertheless, it responds very well to treatment and conception is very well possible. You should get a proper protocol work up that includes hormonal profiles, glucose tolerance test, tests for tubal patency and a trans-vaginal sonogram. Assessment of the male factor also is done simultaneously. The medication you are receiving at present is good, but you would need ovulation induction, cycle monitoring and timed intercourse for conception. You have to reduce weight as this definitely helps in correction of the problem to a good extent. Wish you success. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 year old daughter s feet swell. She is an active person, but does not play sports. Her blood sugar does tend to get low if she hasn t had food in a while, and by low I mean 50. She is currently taking a diuretic for headaches, but I m not sure what the swollen feet mean. ### REPLY: Hello, As for a small girl of age 15, I don't think diuretic will be advised. Because this may lead to loss of fluid and lead to headaches as there will be a fluid loss in the body.  For her having to swell in the feet you need to get a proper examination of the feet if there is any musculoskeletal injury. Also, kidney examination needs to be done as due to kidney malfunction there may be chances of swelling. I think a proper examination is to be done before putting her on to the diuretic.  For headache, I will advise getting the eye checked up as due to strain in the eye muscles there may be a headache symptom. I will advise doing complete blood and urine routine, get the kidney assessed, eye examined etc., for coming to a diagnosis and then the treatment part. 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: hello...my baby is 5.5 month old..he was down with dairrea an high fever 2 weeks back and was hospitalised for 10 days...now last week he was down with measles...he is fine now...but for some reasons he is sweating a lot...is this a matter of concern ? its very cold out here and cannot leave him unbundled...plz suggest ! ### REPLY: Thanks for asking I have gone through your question. Your 5.5-month-old baby was sick in last 2 week, which recovered.  She sweats a lot, Increased sweating is not symptoms of any disease, if baby is playful. Sweating is due to sweat glands in our skin. There is normal variation in number of sweat gland in different persons. Those who have number sweat more. There is nothing to concern. And on thing more that take body temperature from maxilla of baby, if is more than 37* C than you can lose clothes. And keep the temperature of room about 24*C. Hope i able to answer your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a patient of jaundice. I am 16. I got  bilirubin as high as 6 but now its 3 something.( shukar-al-hamdulillha) . I wanna ask few questions.Please answer my questions bellow.1 . As I m in the growing age,will jaundice affect my growth?2. Is jaundice is fully treatable? 3.when I can join gym? Will i ever be able to join :/ ?4.i am very very skinny. I m 16 but looks 12 whyyyyyy? Everyones makes fun of me. Is there any restrictions in calories intake? I want to gain some weight.Thank you! ### REPLY: Hi, there are many types of jaundice, some are curable completely, and some don't go away, hepatitis B is one among them.  But you can be fit to attend your work, and extracurricular. anyhow consult a gastroenterologist for diagnosis and treatment.  Regarding the thin built it may be genetic, but you can have some improvement, by consulting the same doctor. Have food rich in fats and proteins. 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: experiencing strange beathing pain<Hello Im a 41 y/o male who has never had any problems breathing. last year I was diagnosed with high blood pressure. I have been taking diovan, enalapril and hydrochlorothiazide to regulate. As of two days ago I started experiencing a strange pain in my upper left back when I take deep breaths. its like an imflammatory sharp yet deep pain whenever I inhale/exhale. I dont know wether thats pain is on my lungs or my kidney or whatever. I wish it would just go away. But Im going to see a doctor today right away. ### REPLY: Hi welcome to ... According to history provided if resp symptoms like cough, fever etc. associated then it could be by resp cause like bronchitis or pleurisy... Chest x-ray done... If on auscultation rhonchi heard then spirometry done for rule out asthma.... In kidney disease pain is in the loin region... Sometime along with pain blood in urine also present in kidney disease. So rather than kidney problem rule out resp causes. If no specific cause found then it could be by simple musculoskeletal pain.... Hope your concern solved. Consult physician for proper examination. 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 was recently diagnosed with Type II Diabetes and idiopathic sclerosing mesenteritis. I am experiencing bouts of dull to severe left sided abd pain that is now being felt in my left mid-back. I have had a CT scan (2 wks ago) that says that the hazy area on my left side has worsened since the last CT scan (June 2014). I can tell that the physicians in my area are not familiar at all with the mesenteritis and really don t know how to treat me. My last HGBA1C was 6.1 and I am not on any insulin at this time as my blood sugars are always between 80-120, yet I feel a little funny after at least 1-2 small meals daily. I am becoming depressed, have lost over 50 lbs in 4 mths, and having a hard time understanding where to turn next. Is there an institute in the US that deals specifically with this type of diagnosis? ### REPLY: Hi. I have read and understood your query-very specific and neat. I would advise you to consult a Gastroenterologist, and he may take a help of a Cardio-thoracic Surgeon. This is going to be a multidisciplinary problem, where super-specialists of many fields will be involved. Although your diabetes is under control and HbA1c is normal, such type of mesenteric arterial stenosis is caused as a long term bad-effect of diabetes. Fortunately with the advent of stents and a role of interventional Radiologists you can certainly get a relief after putting in a stent in the artery with an occlusion. It is similar to stent in the heart arteries. Go for further investigations and management, Keep the diabetes under control with proper diet, exercises and medicines to avoid further complications. Wishing you a proper diagnosis and treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have very bad body aches and joint pain. I had a mastectomy on 02/04/14 for stage 1 HER positive right breast cancer. PET scan in April 2014 was negative. I took anastrozole 1 mg for about two and a half weeks but the side effects were too much to take it so I told my doctor and quit taking it. My symptoms were dizziness, hot flashes, body aches/joint pain, insomnia and hair thinning. I am still having all these symptoms even thought it has been about 3 weeks since stopping the medication. ### REPLY: Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you have pain, aches, dizziness etc. I will advise you to perform regular exercises as this will help the body to improve the metabolism, immune system, blood carrying oxygen capacity, etc. Post breast cancer the body is pretty week and needs a self effort to fight improve the ADL. In my clinical practice I see cases with similar complains post mastectomy and with physical therapy they respond well to their overall health condition.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: i have ulnar collateral ligament damage to my right thumb.Partial tear I think. I was put in a cast for 8 weeks. My question, I am right handed and in my job i do a lot of typing, writing, lifting, etc...it was recommended that i take 3 to 4 weeks off work to ensure i do not use my hand. Is this recommended for this type of injury? ### REPLY: First it is radial collateral ligament if it is beside your thumb or do you mean ulnar collateral of your right hand ? Any way in my opinion yes rest is recommended however if u wan ago back to work swiftly i recommend starting physical therapy as soon a rest period is over Yet if you can not take this time off work then you should wear wrist brace and use NSAIDs 3 times a day (like Alphinturn) 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: Lump on shin?I have a small hard lump on my left shin. It is not visible but you can feel it when you rub your hand up and down the shin bone. It does not hurt when pressure is applied. I have just noticed it in the past few months and it hasnt gone away. Could you please tell me what this could be and who I should see? ### REPLY: Thank you for asking . My name is . You have mentioned the lump in the region of shin which is quite small and does not hurt even when pressure is applied ... It can be Lipoma, a collection of fatty tissue which are usually painless and Benign (Non-Dangerous)Sebaceous Cyst is another such swelling, but it has some central spot or pore in most of the cases In Case, you had some traumatic injury to this region of the body thenHaematomas which with time become calcified and hard present like thisGanglion is another condition which present as hard lump under skin...your second concern was who you should see you should visit your physician (GP) or better you can consult some General Surgeon for evaluation, work up and treatment Hope this may help you. Let me know if anything is not clear. 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 slipped and fell on water and landed like i was doing a split.i had xrays and mri on back and had xray of hips. no spinal cord injury but dr said it may be a aproblem with my musle of my hip. but im wondering if my legs could have muscle problems or could it be that L5 vertebrae was diminished. i am going to pt starting next week. this all happened about 3 months ago. thank you for your help. ### REPLY: Cellophane You for contacting . You did not mention that what are the problems you are suffering from slipping on water & also age. If you are having pain in the body then it is because of the splash over water. In most of the cases it does not cause any harm apart from generalized body pain & ache. I would suggest you to take following measures:> Use oil and get your body massaged.> Avoid heavy activity which will use force.> Take acetaminophen for pain.> Try to keep physical activity like walk. Signs of worry requiring hospital assistance :> Altered state> Loss of consciousness> Decreased/loss of muscle activity of any specific area.> Any unusual symptom Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. If you do not have any clarifications, you can close the discussion and rate the answer. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently had a tooth out and its healing fine. Since then on the gum at the back nearest my tongue there is a small pin sized hole. The pain is similar to what an ulcer feels like but its not one.also i think it may slowly be getting a bit bigger (may be due to me playing with it with my tongue) Should i be concerned and go back to the dentist? ### REPLY: Hello, thank you for consulting with . As you are mentioning that you have a hole in your gum, it can be a sinus opening means when there is infection in the tooth, and it spreads to the apex of the tooth, it needs am area to . But you are also mentioning that you got a tooth removed then it can be from some other adjacent tooth. You should visit your dentist and get an x-ray done, which will show the area of infection. 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: Hello,Hope you are doing fine, i have some query and if you can make a answer then it will be really helpful to me,i am doing inquiry for my father, he is a now age of 72, and he have only 2 teeth remain so we would like to remove it and then do a implants, but i am little worry about it, so please help me with these..1. at age of 72 is it good advice to implants? if yes then is there can be a side effects or any other problems ?2. he is a border line of diabetes , then is it good to do a implants?3. how much success % for implants ? if you have some customer who already did it then i would like to take review of them.4. how much time it will take to be a ready and he can eat normally ?5. what could be a approx. cost  ? ### REPLY: Hello and welcome to , Implants are usually worth and preferred in young individuals, although aged persons are also willing for implant prosthesis. Bone support and supporting periodontal structures should be intact for placing implants. If your aesthetic and functional requirements are high, you can prefer implants. Orelse, complete denture will be adequate. Implants are expensive compared to acrylic dentures. Please do visit your dentist and get clinical check-up and details regarding this. 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 the past few days I have been having a tightness in my chest and throat, and have trouble breathing.  I often have to yawn to be able to take a deep breath.  I get dizzy sometimes and feel like passing out.  Its getting to the point where I cant sleep, I cant yawn to take a deep breath, and my chest is begining to get sore.  I do not have panic attacks. I do not have asthma. My allergies hardly affect me and are very mild.  I do not have any other symptoms.  Iwas given an inhaler but it does not work and I do not smoke. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. Stress and anxiety can cause feeling of chest tightness, chest pressure, inability to take deep breath etc. You are not having allergies and not having smoking habit, so lung related diseases are less likely. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. 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 mothers blood pressure was 141/66 she also has a bad headache. She on high blood pressure medication. My mother is fasting for Ramadan and will not drink or eat for 18 hours consecutivelly. She is 65 years old. What is your advise about her condition? ### REPLY: Hi, Thanks for writing to , I am . Fasting is not going to be detrimental to her health but if she overeats salty and fatty foods after breaking the fast, as is the norm in most social setups, her blood pressure controls are expected to deteriorate. So she may fast without any additional risk to her health but should ensure that she takes her meds daily and doesn't eat unhealthy hope this answered your question, if you have more feel free to ask. 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 back started to itch one evening (2 months ago) and I felt three round lumps along the left side if my spine. They are not on the spine, just off to the left. They are tender after probing. I have an under active thyroid and don t know if this info would be relevant. Should I visit my GP. Thank you. ### REPLY: Hi, Good Morning, Thanks for your query to  online Clinic. I have read your query in details.-Dear In My opinion, the lumps on the back mostly are due to the insect bite or bacterial infection leading to boils.-As you have hypo-thyroid, associated . -This is what I could advise from the data of your query.-It needs further detailed study, and so I would advise you to consult an ER Doctor, who would fix the cause for it and would treat it appropriately.-Don't worry.-Remedy-Take Care with your doctor, and it would go off. Treatment -Tb NSAIDs, Antibiotics., would resolve the lughole this would resolve your query. Wellcome for many more queries toChatDoctor from your friends and you in time to come. Have a Good 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: one of my tooth is getting decayed. I have consulted a dentist, he said we need to remove the decayed part by grinding and we can fill it off or root can. treatment need to be done if necessary. along with ceramic cap it will take around 5k. am i getting cheated anywhere? please suggest ### REPLY: Thanks for your query, I have gone through your query. The decayed tooth can be filled with a normal tooth color restoration(composite), if the decay is not involving the third layer that is pulp where the blood vessels and nerves are present. If the decay is involving pulp then the tooth has to be treated with RCT. Ya, the cost of the RCT with crown varies from 5000 t0 8000rs depending upon the material used (either metal crown or ceramic crown). 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 my twelve year old daughter has had two high esr levels one at 34 and one at 36. We are going to see a pediatric rheumatologist next week. I am her mom and I have Sjogrens is it possible that she could as well or another autoimmune disease? Or is cancer a concern with such a high esr three weeks apart? Thanks ### REPLY: Dear Madam, Thank you for posting your query at .increase in ESR is common during infection.  ESR reading of 34 and 36 indicates mild infection. More than 70 and 80 indicates chronic infection, however, during menstrual cycle ESR can go up to 34 -36. Looking at this range need not worry, have her consulted by rheumatologist who will clinically assess her. If it persists, get an x-ray chest done for chest infection and complete blood analysis to rule of autoimmune diseases. Please revert if you have any further query, I will be happy to assist you. With best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 22yrs old. My period is now 14 days late. My cycle is usually 28-30 days. My husband and I are trying to concieve. I have taken 2 hpt and they botChatDoctore out negative. I have been having headahces and dizzy spells, nausea, lower back pain and abdominal pain . I am also very tired and have frequient urination . Is it possible that I am pregnant? Should I see my doctor? Should I just wait to see if my period comes? ### REPLY: Hi, Welcome to ChatDoctorUrine pregnancy test usually become positive within one week of missed period, occasionally more than this if cycles are prolonged. Another possibility is genital infection. That can be a cause of delayed period with all these symptoms which you are having just now. Have a fresh pregnancy test with morning sample of your urine, as this sample is more reliable. Any way you have to consult with your doctor for associated symptoms. Welcome for further quarry. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been using contiflow for a while, lately my transplanted kidney Dr. switched me to cardular 4 mg pretending contiflow has the ability to damage the transplanted kidney though contiflow is much cheaper in price is that wright ???1 - I am having pain in bladder as well as in the balls esp. morning can u pls. advice for reason ??? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have benign prostatic hyperplasia. It is prone to infection. So genitourinary tract infection is common in this. It causes pain in bladder and testis. You should take a course of antibiotics like levofloxacin. Consult your doctor and take treatment accordingly.  . Hope I have answered your question, if you have any doubts then contact me at bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 14 month old son has had suspected cows milk allergy since 12weeks resulting in constipation, he has just undergone some investigations (bowel and stomach biopsy) they all came back normal but the results of his bloods showed very low haemoglobin levels, they took more bloods and want to see him in a few weeks, is this anything to worry about and can they correct themselves in this time? ### REPLY: Hi, Welcome to , I understand your concern. Low hemoglobin is definitely a problem for a small baby like yours but it's not a thing to worry so much about. The problem depends on how low the hemoglobin level is. There are so many reasons for the low hemoglobin in a child and the duration required to correct it also depends on the type. Your doctor did right by doing blood tests which is a only way to make a diagnosis why the level is low. Hope all those results come out normal too. 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: Hello, I have ended up in the hospital over the past few years with what doctors say is aura migraines. I have been on IV s and had ECG s but never an CAT scan or anything like that. I had 3 attacks in 2015 and then 2 so far in 2017. I have noticed that weeks before every attack my eyes begin twitching at least 20 times a day. I am not sure what to do ### REPLY: Hello! Welcome on  ! I agree with you on the fact that further tests are necessary to investigate for the possible causes underlying your symptoms. For this reason, I would recommend performing these tests: - a brain MRI study with gadolinium enhancement- an EEG to exclude seizures-thyroid hormone levels to exclude possible thyroid gland dysfunction- blood electrolytes- complete blood count, PCR, sedimentation rate for inflammation. Hope you will find this answer helpful! I remain at your disposal for any further questions. 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, I am currently being treated for breast cancer. A medi port was inserted, about 9 weeks ago, for easy access. A few days ago I was coughing a lot, I also had developed neuropathy of hands and feet....I noticed my neck started to hurt, as if perhaps I had pulled my port loose from my artery after all of the coughing. I asked my Oncologist to look; She ordered an ultrasound from Cardiology. It confirmed that I had developed deep vein and superficial clots in my neck. I am on my 3rd self injection of blood thinner(2x per day). The pain has spread into a wider area and is more intense. Should I be concerned(?) What symptoms should prompt a closer look from a Dr.(?) What should I expect as a Prognosis???? ### REPLY: Hi, Thanks for writing in. There seems to be deep vein thrombosis involving veins in the neck. This needs to be treated on time to prevent further problems. Blood thinners are essential to dissolve the clots and prevent new clots from happening. Please go to ER should you have breathlessness or chest pain from within. The clots already present must be treated and not allowed to progress further and reach the lungs. If they reach lungs then complete blood supply to the lungs will be cut off and this can cause respiratory distress and failure. In severe cases it can also be life-threatening. It is good that your doctor has given you blood thinners. However, any time you feel difficulty to breathe and cardiac chest pain then do not hesitate to go to the ER and talk to your doctor. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having shortness of breath feeling jittery and chest hurts. I have asthma and was sent to the ER last Fri where they diagnosed pneumonia I have finished all meds and been back to the doctor 2 times. Was feeling better until today. What could it be now? ### REPLY: Thanks for your question on . Infection is the most common cause for asthma attack or worsening asthma symptoms. So your pneumonia troubled you in asthma control. At present, I advise you to get done repeat chest x-ray and compare it with your previous x-rays. If any worsening is there then mostly your symptoms are due to partially treated pneumonia only. Better to get done sputum culture and sensitivity to guide antibiotic therapy. If sputum is not available then go for Bronchoscopy and BAD (Bronchi Alveolar Lavage) analysis to guide organism specific therapy. So consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here... my son is 4 years old he is not prooerly going motion daily now its three days he did not sit in toilet and he is having pain when motion passes.motion is also very thick ### REPLY: Hi, most common cause thick stools and not passing motions clearly is stomach infection. Other cause could be worm infestation. Deforming in child should be done. Give syrup Albendazole 10 ml once at night before sleep. If problem persists, then antibiotic like metronidazole should be started. Prebiotic like enterogermina ampule should be given once a day for 3 days to increase gut immunity. If no improvement in 24 hours then get child examined by a doctor because antibiotic needs to be started and so that we may not miss any important finding. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I HAVE HAD A SMALL WORRY GO ON FOR A FEW WEEKS NOW. TO START EVER SINCE I WAS LITTLE I HAVE HAD A FEW SMALL STIFF, BALLS , IF YOU WOULD, MAYBE THE SIZE OF A PEA, ONE IN MY JAW, CHEEK, NECK, AND BEHIND MY EAR (COMMON PLACES OF LYMPH NODES). THEY HAVE BEEN STIFF AND PAINLESS FOR AS LONG AS I CAN REMEMBER, SINCE I WAS PROBABLY 14, I AM NOW 24. AS OF LATELY (3-5 WEEKS) I HAVE HAD CLOGGED EARS, SMALL PAIN IN MY JAW, AND UNDER MY JAW (WHERE MY LYMPHNODES ARE). I HAVE GOOGLED THINGS AND ALL THAT DOES IS STRESS ME OUT. AS FOR LYMPH NODES IN MY ARMPIT OR GROIN I REALLY CANT EVEN FEEL ANY, SO NO PAIN OR ANYTHING WEIRD OR OUT OF PLACE THERE. NO NIGHT SWEATS OR WEAKNESS EITHER. I WAS JUST CURIOUS IF THIS IS SOMETHING TO BE WORRIED ABOUT OR AM I STRESSING OVER NOTHING? ANY ADVICE WOULD BE HELPFUL! IF I SCHEDULE A DOCTORS APPOINTMENT WOULD A EAR NOSE AND THROAT DR BE APPROPRIATE? THANK YOU VERY MUCH ### REPLY: Hi Dear, Welcome to . Understanding your concern. Thanks for your query. The symptoms you mention in query are clearly indicating that the lump is lipoma. LIpoma are over growth of fat tissue under the skin. They are generally painless. But the become painful if any nerve (sensory nerve) or blood vessels involve with them. Sometimes they can also be called as angiolipoms when they become painful.  I would suggest you to consult dermatologist as well as surgeon for proper examination and to rule out other causes like lymphadenopathy. Doctor may surgically remove lipoma, perform liposuction, may prescribe antibiotics. For now give warm compresses twice a day and take ibuprofen(if not allergic) and acetaminophen for pain. Hope your concern has been resolved. Best Wishes, ### END