Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 23 month old has frequent coughing issues. Episodes every 2-3 weeks, we have to visit urgent care for nonstop coughing spells. Nebulizer not improving symptoms. She has no mucus , just tightness of breathing , & coughing until eyes turn red from pressure. She coughs very hard. Drs. Prescribe more treatments & steroids. Our house is very clean, & she seems very healthy between bouts & even on the says she s coughing, plays as normal as she can. We need answers though. There s got to be an underlying issue. If its asthma , fine, but how do we treat to prevent these monthly to bimonthly episodes? ### REPLY: Thanks for sharing your concern. The failure of nebulizer meds to work goes against the diagnosis of asthma though can not rule it out. In view of severe, uncontrollable, violent coughing spells I am suspecting that whooping cough is one possibility. Second possibility is unsuspected foreign body aspiration. Peanut / pop corn /seed / toy part /pen tops etc., could be anything. Please discuss with your doctor these possibilities so that they can plan relevant tests. Hope you find the information valuable. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 coughing a lot feel very weak when I eat, food doesn t go down easy. I do have asthma but this doesn t seem to be in my lungs, more in my chest, also out of breath alot. Can t seem to walk more than 5 feet with out losing all air. I m almost 67 and am 5ft.4in.tall and weigh 115 lbs. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having acute exacerbation (worsening) of asthma. This is the cause for your constant cough, weakness and breathlessness. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of asthma is based on severity only. You will need inhaled bronchodilators (formoterol, albuterol) and inhaled corticosteroid (budesonide or fluticasone). Combination of antihistamine and anti-allergic .  Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m suffering from chest pain and shortness of breath since last 7 months.i have done tests- stress treadmill test, pulmonary function test -all are normal.i have acidity problem.but doctor says -acidity doesnot lead to persistent chestpain .my age is 33.please advice ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain (central), tightness, pressure etc. So better to follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 3. Start proton pump inhibitors and prokinetic .  4. Go for walk after meals. 5. Keep 2-3 pillows under head in the bed to prevent reflux. 6. Quit smoking and alcohol if you have these habits. Lose weight if you are obese. Don't worry, you will definitely improve with all these. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a problem with one of my testes as a teenager. One of my testes became very swollen and was very painful. After seeking medical attention the doctor wasnt sure if it was a tortion or an infection. I did not receive any treatment except for antibiotics. I was wondering how I could tell if the testicle was damaged. And if it has been damaged, what are some of the things that would result from having a damaged or dead testicle? ### REPLY: Hello, Welcome to  .com! I really appreciate your concern. If you suspect injury to your testicles I advise you to have Ultrasonography of the testicles to rule out any damage had happened to it. If the testicle is dead then you cannot feel pain on squeezing the testicles. Dead testicles can lead to development of tumor of the testicles. So if you have dead testicle then it should be removed as early as possible. Hope my answer has solved your query. Take Care. Thank you. Best Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes my name is Dianne , having problems with my blood pressure , going very high but when I take medication it goes down. get this burnining sensation in my lower back then it moves to my shoulders and arms and sometimes across my chest,when that happens it sends up my blood pressure. also pain and cramps in my both hands and arms , sometimes it wakes me up from sleep, also get light headed and blurry eyes. do not have the money to pay at this time. ### REPLY: Hello, This can be a spondylosis due to compression of nerves between spine. Does this pain increase on neck movement, is it associated with tingling, numbness in arm or any neck trauma, if yes then it supports the diagnosis. Then he'll need x cervical and thoracic spine AP/ Lat view and further may need MRI. Till the time he can have tabbed erosion forte once a day which is a nerve vitamin.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 closed my head into a glass door by accident, then hit it again during sex. It now hurts on one side and when i open my jaw the pain hurts. The spot that hurts is slightly above my ear and sensitive to the touch. Is this normal? What should i do about it? ### REPLY: Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, this could be normal if you have no difficulty opening and closing your mouth, and are able to chew your food normally. The pain will go with healing, and you need to take some medication for control of pain only. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. 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 Doctor Samuel I had pain under my left rib cage on Monday lunchtime. Went to hospital and had blood, urine and ECG checked and was clear. Doctor then gave me laxative for constipation and after 2 dosage I had severe runs for a few hours. Runs had stopped but now when I drink or eat it hurts and feels like the food is stuck inside mid abdomen. Also when I walk my left side hurts. Please let me know what s wrong. Jan ### REPLY: HIT hank for asking to ChatDoctorIt is nothing to worry at all, hyper peristalsis wave causing such symptoms, while we eat a kind of wave appears in GI system that helps the food to propagate ahead when this wave becomes more active than it gives such kind of pain as you are feeling, you have to eat slow, eat little less in quantity, the purgative or laxative will aggravate the condition, :Dicyclomine" is .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear, I would like to understand the below.Can you help me? ThanksLUMBAR SPINE        There is straightening of the normal lumbar lordosis. Otherwise satisfactory vertebral alignment. Mild osteophytic lipping at the L3/4 and L1/2 levels.  Preserved vertebral body height and disc spaces.  No spondylolisthesis.  No focal osseous lesion.CERVICAL SPINE         Satisfactory vertebral alignment. ### REPLY: Hi, Thank you for sending the MRI reports and posting your query. These reports show only minor abnormalities and there is no need to worry. Mild degenerative changes are seen in the lumbar vertebral bones (located in the lower back), which are common in people above 40 (and sometimes younger people too), especially those with sedentary lifestyle. Treatment consists of physiotherapy and back extension exercises. Please get back if you require any additional information. Best wishes, . 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: Hi. My 3 year old daughter has tonsillitis, her temp has been up and down, but tonight all of a sudden her temp is below 36 which has never happened and she is sweating really bad and her skin is ice cold and she keeps saying she is cold and then she is hot and then cold again but her temp is still low no matter and she is very restless and keeps waking up crying.. is she getting better or worse? ### REPLY: First you need not worry much for tonsillitis as it is quite common condition among child .  Treatment for the same is syrup azithromycin 200 mg once daily or syrup novamox-cv 228.5 mg three times daily along with syrup ibugesic-plus or syrup Coquitlam 5 ml three time daily if fever is continuous or if fever is on and off than only when it comes with syrup cetirizine or syrup pheniramine 5 ml twice daily. If complain of coughing is also there than you can also give her syrup bronzed or syrup grilinctus-bm 1 SF three times daily. She will recover within 3-5 days, don't 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: monday i was prescribed amoxicillin for a chest infection and prednisolone for my wheeze and a referral to a asthma nurse in new year for an assessment. i am 50 and suffer from dust and pollen allergy but wasnt sure about asthma. i am getting a hot itchy rash on my neck and shoulders and saclp ### REPLY: Hello, Welcome to , As you are having allergy to dust and pollen you may get the symptoms which you are having. As you know you are allergic to dust and pollen I would suggest you to test for absolute eosinophil count (AEC) to know the presence of allergy in the body. I would suggest you to undergo skin prick test with existing all dusts and pollen to identify the allergen causing these symptoms. After identifying allergen it will be easy to avoid the allergen if you are not able to avoid you can undergo Immunotherapy against particular antigen and reduce your symptoms. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi im a teenager in 20s, i experience extreme sensitivity and pain on my penis head, when it erects and i pulled the foreskin back to expose the penis head, ive seen in adult contents that they have sex with the penis head exposed and not feel pain. Please help me. ### REPLY: Hello, The penile head is naturally sensitive and that is the reason you get the pleasure when you have sexual intercourse. You are feeling irritation and pain on the penis head because you are touching it bare.  When you have sexual intercourse, vagina will be filled with lubricating liquids. In that case, you will never feel irritation or pain. Instead, you will feel more pleasure. Hope I have answered your query. Let me know if I can assist you further. Take care .  V. Anand, Psychologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 oral fibrosis, cannot open my mouth big. The jaw muscle are tight. Can I use apply derma dew inside the mouth on the muscle area to make it more flexable. Or do you have any product that might help me open my mouth wider. I have tried all other medicatins; nothing helped. ### REPLY: Hi & Welcome to . I appreciate your concern for the possible treatment of Oral fibrosis. As per the problems given in your query, apparently you are suffering from oral submucosal fibrosis with stage 2. If the combination of topical application of steroids and hyaluronate failed to show any improvement then you should consult a plastic surgeon for Erasmus (inability to open the mouth), the following reconstructive surgeries can be undertaken.1. Simple excision of the fibrous bands2. Split-thickness skin grafting if there is involvement of temporal is tendon Besides the surgical procedures mentioned above the nutritional deficiencies should be investigated like CBC (for hemoglobin levels), iron levels, vitamin B complex levels, protein levels and ESR and treated accordingly. Hope the suggestions given above could be of great help in seeking the treatment from a plastic surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 trying to wean myself off metoprolol 25 mgm. with my doctors help. I have cut the dosage in half every other day and am now going to half the dose every two days.  My bp seems to be staying okay for now and my pulse rate is still 68 to 82 but I feel lousy!  I am very anxious and feel really depressed---how long should I feel this way?  I am going on an ace inhibitor when I get weaned off the beta blocker because I just cant stand feeling tired, depressed, and fighting a weight gain.  Also, can I exercise while tapering off the bb or should I wait until things are stabilized?  Thanks for any help you can give me.  anxious in missouri ### REPLY: Hi First metoprolol is the medication for hypertension but somewhat it can be UAE in mild anxiety and aprehensionBut metoprolol doesn't have role in depression. Literature shows it doesn't help anyway u have symptoms like feeling low and tiredness than u have to choose medication like SSRIThe the best SSRI is Escitalopram 10 mg in morning it will help the bestSecond maintain lifestyle modificationAvoid smoking and alcoholize proper sleep exercise and meditation well shorthand u ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 7 year old son who while running down the stairs tripped n had bad pain though he could walk there was swelling on his left ankle. We put some axe oil & tiger balm for relief along with a crepe bandage. However, even in the morning he was unable to walk though the swelling had reduced. We took him to the hospital where the xray was normal n the doctor suspected it to be an ankle - legiment tear. Hes put some light plaster for him. I would like to know how many days would this take to heal. Wat precautions should we take? Please suggest. thanks! ### REPLY: Hi dear, Sudden onset of swelling and pain there following the incident, along with a normal x-ray confirms a tear of ligaments supporting the ankle. The treatment for this is giving rest to the ligament, until the tear is healed, by immobilizing the joint with plastering. Usually this is applied for 10-14 days, followed by gradual mobilization. But the duration varies depending on severity of injury and speed of recovery. What we can do is to support immobilization and give analgesics like ibuprofen for pain relief. Give him a healthy diet rich in fruits and green leafy vegetables. Keeping the limb elevated is also good to relieve the swelling. Hope I have answered your Quertle me know if I can assist you further .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a purple soft lump on my panty line. At first I thought it was a boil. But it does not hurt at all. It s just soft, and the top skin is clear and you can see it s purple and black inside. It does not have a head, and can not be popped. I ve googled everywhere and can t find anything. I don t care for doctors and don t want to go in unless I need to worry. I have been applying a heated rag for a week with no difference. Can you help? ### REPLY: Hi, If I were your treating Doctor for this case of a skin path, I would come up with only one and one possibility that is a chronic ischemic change / fibrosis o pressure changes to your skin! Nothing to worry about this and try not to get infected there! I suggest you to go to some dermatologist for some topical medicines and change/choice of better materials for undergarments and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sister AGE-29,HEIGHT-5.3,WEIGHT-47 SHE IS SUFFERING FROM SLE DISEASE,SHE IS BEING TREATED BY NEUROLOGIST DR.ACHAL SIPAHA,WHO GAVE PREDNISALONE INJECTION FOR RELIEF AND OTHER STEROIDEL DRUGS,PLS SUGGEST SUITABLE TREATMENT ### REPLY: Hello Rash, Welcome to  Forum. It is also called as LUPUS, which is a chronic inflammatory disease that occurs when her bodies immune system attacks her own tissues and organs. Inflammation caused by lupus can affect joints, skin, kidneys, blood cells, heart and lungs. You haven't mentioned what exactly are her symptoms? Kindly don't worry as With treatment, most people with lupus can lead active lives. Let her take the medicines as directed by her Doctor and go for regular follow up. She is on right type of medication as Prednisolone decreases the Immunity giving her relief from her symptoms. In addition to sticking to her treatment plan, she should get adequate rest and eat healthy nutritious balanced diet which should include fresh fruits and Green Leafy vegetables. She should exercise regularly and Maintain a healthy weight, avoid stress and Practice relaxation techniques like Yoga and Meditation. Because ultraviolet light can trigger a flare, she should wear protective clothing, such as a hat, long sleeved shirt and long pants, and use sunscreens with a sun protection factor (SPF) of at least 15 every time she goes outside. I Wish her Good Health, Take Care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had horrible brain swelling about 3 months ago could not move neck and the pain went from left graduall to the right waited a month to visits to emergency room no test just mri because of past tbi felt death and buzzing went to neighbors allergy doctor gave me levofloxacin started disappating in 24 hours tokk for two weeks. side effect always have had to clear throat since 12yr old 42 now seem to clear itwhile taking came back. the question is my nodes on either side of my occipital pit have never been fully recovered and in constant pain should i get tested for tb or west nile or what fungal infection bacterial or what ### REPLY: I read your question carefully more than once, but unfortunately I am afraid it was really difficult to understand what really happened to you. You speak of treating cerebral edema, which can have many causes (stroke, tumor, infection) which must be identified and treated accordingly. Then you say you waited for a month to visit the emergency room which makes the cerebral edema a little questionable because it is a very serious finding with the patient often in a coma. Afterwards you say you had no tests but an MRI, which actually is the best test to detect edema, but tell us nothing of its findings. You close it out telling us to have taken treatment by allergy doctor and got better. So I as a doctor started out thinking you had a . So please try to ask your question again. Try to avoid fancy medical terms like cerebral edema which might not be correct, and tell us your symptoms in plain simple words (headache, vomiting, nose congestion and discharge, fever etc.) using as many details as possible to describe their onset, character and frequency. Include also your age, previous conditions and results of tests like MRI. Me or my colleagues would love to help you, but you have to help us to evaluate your case properly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last night I was sleeping and I rolled over to a different position, when suddenly my head started nodding uncontrollably. I started to get really dizzy so as a normal reaction I lay on my back and placed my hands on my head for it to stop shaking. It stopped, but my eyes started nodding , I guess you can say, and the dizziness was getting worse. I shut my eyes for a couple of seconds and then it went away. I fully aware of what was going on the whole time, nothing like this has ever happened to me before. ### REPLY: Hi, Thank you for posting your query. Uncontrollable (or involuntary) head nodding could be due to partial (or focal fits). It is not a generalized fit, as you would have lost consciousness if it was a generalized one. Short duration of symptoms also favor the same. For further evaluation, you should consult a neurologist. You may require MRI brain and EEG for confirmation of diagnosis. 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: My nephew got hit in the chest really hard while playing football is short of breath and cant talk but when asked if he is ok or needs to go to the doctor he shakes his head that he is ok and doesnt want to go to the doctor that he will be ok.  Should we insist that he goes anyway or just keep an eye on him? He writes on a white board that he did this last year and was ok. ### REPLY: Thanks for your question on . I can understand your nephews situation and problem. In my opinion you should definitely consult him to the doctor and get done clinical examination of respiratory system and chest x-ray to rule out internal lung injury. He is having blunt chest trauma and breathlessness, not able to speak etc. can be due to pneumothorax or Pulmonary contusions etc. So we need to rule out all these. And for this chest x-ray is needed. So better to consult doctor and get done chest x-ray. If chest x-ray is normal than no need to worry. But at present don't wait at home, take him to the hospital and rule out all these complications. Hope I have solved your query. Wishing good health to your nephew. 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: HELL sir, my brother in law is suffering back pain REPORT -.MRI[LS]-marrow Fat lession in axial skeleton involbing whole spine & PET SCAN Report-skeleton metotasis [vertebral bones& pelvis bone] & blood PSA-55mg/ml & USG- prostatomegaly. we are awaited report for CT guided FNAC from prostate, CT scan of pelvis. i want to know about treatment & the expences because our monytary condition is poor. ### REPLY: If you are located in a city where oncologist/general surgeon are available or a hospital run by govt.is available, your patient may be advised to seek radiotherapy of metastasis (likely to be from prostate)and chemotherapy(.  FNAC report shall be co-related with raised PSA, and Gleason's score(a score for histological amount of malignant cells in prostate)will also determine line of action. In Govt. set-ups expenses are subsidized ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, So from an earlier age I ve always had a couple of drops of blood from my anus after I ve gone to the toilet, but recently I have developed a lump (thought it was a little cyst because I could pop it) near it, but after popping it it s turned into a firm lump.... should I be worried? ### REPLY: Hi, Dear,Welcome to . Based on the facts of your query, You seem to suffer from-Prolapsed Internal Piles with hardening from popping. This is due to the internal bleeding which makes it Firm lump. Earlier you had painless bleed from this Internal Piles, which got prolapsed and is coming out now as-Painful Mass in the anus, after it popping by you. Treatment-Sitz bath. Liq. Paraffin to soften stools Antibiotics -like Cipro 250 mg/ Motrin 400 mg for 5 days time. Keep a Watch for any increase in pain or/ increase in size. Take Surgeons second opinion to check any complication out of popping. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!!  . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was just seen by my back dr that has handled my last 4 back surgeries . they seem to think that I may have spinal cord damage up in the neck area ,ordered a mri for my head and neck. said if doesent show any sign of a problem they will refer me to a urologist. now the problem I have is I cant move my left ankle are my left toes. but they have done the last surgeries on this same problem. and now they say its in my neck head I just don t understand ### REPLY: Hi, thank you for providing the brief history of you. As per the history I feel it is more of a lumbar spine nerve issues and not the head and neck. Since you been operated again, and again I suspect this to be related to the disc pathology which has led the problem. I totally feel there is nothing wrong with cervical spine and head. Kindly have a nerve conduction study and electron program. I am sure with the help of physical therapy your motor functions should return. 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 am a 61 year male on good health, although a week ago I suffered a laceration on my right thumb. I had a tetanus shot two years ago. Problem: In the last two days I feel a needle like pricking around my nipples I notice them in the afternoon or evening like once every hour when I am standing ### REPLY: Good day, and thank you for being with  ! You may be suffering from Herpes Zoster. This is a reactivated chicken pox virus and is not an STD. This is felt as pain in the chest area dermatome in location. Other conditions would be mastitis (inflammation of the mammary gland) - rare in men, and chest pain that is cardiac in origin. I would ask you to see a doctor to be safe.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was just told that my stomach is not emptying right and it has caused me to be very nauseated and vomit constantly. I have lost 50 pounds in about 7and 1/2 weeks. I was also told that the two drugs that are used for this condition are dangerous for me to use. One I am algeric to and the other could kill because I have tachycardia really bad. I don t know what to do. There is a doctor that puts pacemakers in the stomach. What are your thoughts? ### REPLY: Hi Welcome to . I understand your query and concern. Tachycardia in your case could be related to stress and anxiety. Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way. Few . I advise you to have a complete 24 hour holder ECG which can accurately determine the cardiac conduction abnormalities. Monitor your blood pressure and heart rate. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 told I have gallbladder sludge and need it removed despite 2 tests coming back negative for GB disorders. When I have symptoms, my right (lower) side hurts - right above my hip bone with a sharp pain. It only lasts for about 6 - 8 hours and then goes away. The pains only come about every 4 - 6 weeks and are random in nature (but mostly occur if I eat lettuce). Do you think it could be something other than sludge? I really do not want to go through another surgery. Health history - thyroidectomy (09) and gastric bypass (10) ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. Pain on lower part right side can not be due to GB sludge. Pain can be due to infection or inflammation in colon, may be related to Ureter, so I will suggest you to visit your doctor and get evaluation in form of ultrasound abdomen and some blood tests. I hope I have answered your query and this will help you. Wish you a 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 a very painful abcess or canker sore on the inner side of my upper gum.  Its been swollen and bloody for days. The bone underneath protrudes there due to having removable braces during my youth which rubbed the gum so the bone protrudes. Because of this the sore is extra painful and uncomfortable.  What should I do? ### REPLY: Hi. Thanks for the query. A painful swollen and bloody abscess seems to be most probably due to either deep Infection in gum or it can be due to tooth decay if at all you have a decayed tooth in that area. The protruding bone seems to be due to bony torus formation that is an overgrowth of the jaw bone. If you have the abscess/ulcer over the mucosa that is present over the bony overgrowth then it can be probably a certain caused due to continuous trauma to the mucosa. So my suggestion is to get examined by a Dentist. If needed x-rays will be taken for finding out the exact cause for the abscess as well as bony overgrowth. Treatment will be dependent on the final diagnosis. For now Gargle with antiseptic mouthwash and also do warm saline gargles. If it is painful then applying Lidocaine gel can help. Hope your query is resolved. 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: Is there any old home remedies to aid folliculitis symptoms on my PitBull pup? She was bathed (heavily) with flea shampoo and I know that there is a certain dosage for dogs based on size. I ll need to get her oral antibiotics, however until then is there anything around the home that I can use to aid her skin? ### REPLY: Hello, Welcome to , As you are having folliculitis of the scalp following use of the flea shampoo. I suggest you to wash the area regularly and maintain a good hygiene of the scalp. An antifungal shampoo such as ketoconazole shampoo can be used to wash the scalp regularly. A cream containing mild steroid such as cortisone with mupirocin can be applied for few days to reduce the swelling. Do not apply any hair oil or any creamy stuff over the scalp as it causes more aggravation of the problem. You can take further guidance from your treating dermatologist. 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: helo doctor almost a year ago I felt a hole in my skull that was never there it was about 1cm by 1cm I whent to a GP and was told it is normal and I left it but then it started growing and I was getting extreame headaches so I whent to another GP and he was shocked and the hole was now 1cm by 5cm two months later when I was sent for the firts x-rays there grew another one I was then send for blood tests but nothing showed, I was then refered to a neurologist and he send me for a RT brain scan but nothing showed. I went back to my GP being not satisfied he refered me to another neurologist who could also not help me. I was starting to feel better for the last 9 months after that but the last month it started again and I went to another GP she also did blood tests also nothing showed, today I had a bone scan done at nuclear medicene but they focused on the tissue and not the bone my problem now is that my whole skull is now full of holes and basicly colapsing I am 20 years old and can t take the pain anymore I can t lie down on my head for more than 10 minutes before the pain gets too much and it is now starting to affect my ears I feel totaly helpless and can t get any diagnosis for this can someone please help? ### REPLY: This condition described by you looks very similar to that of multiple myeloma, other investigation revels, anemia, hyperkalemia, thrombocytopenia, X-ray skull show multiple lesion in skull, larger punched out holes, treatment includes chemotherapy. Investigation of choice is electrophoresis which shows M spikes. I will advise to take the test to rule out if it is multiple myeloma or some else condition. 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: Hi Dr I am 31 years old, 1,72 and weigh 72 kg s. I am currently trying to fall pregnant. I have had very irregular periods the last 3 months. I had a miscarriage about 2 months ago. My gp gave me Primolut N to use. I have since had irregular discharge (pink and brown). I have not had a normal period since the miscarriage. A sonar showed that all was normal after the miscarriage. I suspected that I was pregnant, but should not have been more than 4 0r 5 days now. This morning I again had a pink discharge. Does this mean that I might not be pregnant, as suspected? ### REPLY: Hi welcome to the  You are having irregular periods... For that investigation needed as follows.... -pelvic examination -pelvic USG -Serum TSH, prolactin, testosterone estimation -ESR and CBC -RBS -Smoking, stress, weight loss history etc. According to cause specific treatment given For Hormonal imbalance . ... If needed vaginal swab taken to rule out infection After treating any organic cause if present and after regularizing period frequently intercourse around ovulation will lead conception... Take care If frequent intercourse occurs than molecular study needed for rule out chromosomal Abnormality which is the common cause of abortion Consult gynecologist for examination with keeping all this in mind ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,My mother is suffering from kidneys disease from last 20 years (1991 to till date) and now her age is around 56 years. she is also having high blood pressure from last 20 years but her blood pressure is under control by taking medicines on daily wagesNow her both kidneys are smaller in size (left kidney is 64 * 30 mm with parenchymal thickness of 9 mm and right kidney is 52 * 27 mm with parenchymal thickness of 9 mm)From last month her tests are as follows.creatinine = between 7.0 and 9.6 (mg/dl).potassium serum = 3.7 mEq/L.BUN = 36mg/dl.urea serum = 77mg/dl.sodium serum = 131 mEq/L.Her 24 hours urine output is around 1.5 Litre to 2.0 Litrenow the doctors are suggesting for dialysis.Even her kidneys are smaller in size from the Ultrasound report that was taken in 1991. (left kidney was 7.8 * 4.0 cm and right kidney was 7.9 * 4.3)We want to avoid the dialysis.Please suggest some alternate way whether natural or by medicines.I am writing to you with a very positive sign for hope and want to avoid dialysis.Please reply me with a detailed answer Thanks a lot for your cooperation. ### REPLY: Hello and welcome to . As a Urologist and transplant surgeon, i understand your concern.There are only two options in kidney failure, dialysis or a kidney transplant. Medical treatment alone, will not help in reversing damage to the kidneys. The kidney function reports in your mothers case, will need urgent treatment. Delay will cause further deterioration of the kidneys. You may send all reports to me, as a direct question, for an expert opinion.  .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In oct  had  incsional hernia repair  with mesh implantIn nov  had  aspiration of  1000ccs  of  fluid In dec  had  2 nd  surgery due  to  abcess of  fluid  filled  cyst is this  common,   how  long  will it continueam  still  wearing binder and  drain tube ### REPLY: Hello, the answer is no. This is not common. You were unlucky enough to suffer from a serious complication of surgery. The skin protects the interior of our body from bacteria and other pathogens. Skin cuts may invite pathogens inside the body. That's why surgeons should be very careful and meticulous when preparing the patients skin for incisions. Hollow organs like the intestine also harbor potential pathogens. Injury of the intestine may release those pathogens to the peritoneal cavity and cause infections. I don't know what happened in your case, but peritoneal infections can be hard to eradicate. I can't tell how much time is required. Only your surgeon can estimate that. When the fluid stops coming out through the tube, you'll be very close. I hope you get better soon! Kind Regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have bitten by dog (it didn t bleed) exact 1 week back of today (18-mar-2014) , till now i didn t feel unwell but today i am felling unwell and feverish. i haven t took any kind of treatment till now. is it because of dog bite? If treatment requires , suggest what should i take immediately to cure. ### REPLY: Hello, Welcome to , The dog bite should be managed properly because the disease transmitted by dog is 100% fatal, but it is 100% preventable with proper and timely treatment. As there was no bleeding following the bite, it will categorize int Cat II according to WHO classification. The Cat II bite requires proper wound wash and antirabies vaccine on days 0,3,7,14 and 28. If you have not taken the vaccine you can start know also but don't ignore this. The symptoms of fever and unwell is may be due to the secondary bacterial infection following the animal bite. I would suggest you to take1. Antirabies vaccine as per the schedule2. Oral Antibiotics like Tab Augmenting for 5days3. Oral Paracetamol. 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 just found out today that I have a fractured/cracked tooth. Tooth is #14. But, I have a trip planned to New York. I have to leave in one day. They checked to see if a root canal was possible and the answer was no. The tooth needs to be extracted. Should I wait until I come back to have it extracted? Will flying cause any problems... air pressure? What should I do? ### REPLY: Hello and thanks for writing in. I would suggest you to get it extracted before you leave. Yes flying causes change in pressure that can lead to toothache. But take a second opinion whether that tooth (#14) can be saved with RCT or not. Even fractured tooth can be saved these days. If RCT is not at all possible then leaving that tooth like that may spoil your trip. Even if you get it removed and stitched properly you can be back to work within 24 hours and can take a flight. Keep some emergency medicine with you. For pain diclofenac plus paracetamol will help. Hope this answers your query. Take disregards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hearts pounds really hard against my chet to where at times i cant breathe. Also sometimes it pounds so hard that you can see it against my chest and sometimes makes me move side to side. Please respond fast i feel this is a problem that needs to be adressed. You can email me at  YYYY@YYYY ### REPLY: Thanks for your question on . I can understand your concern. Pounding of heart is known as palpitations. And most common cause for palpitations is stress and anxiety. But better to first rule out heart diseases (arrhythmia). So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about heart diseases. If you are having stressful life then avoid stress and tension, be relaxed and calm. 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. 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: Respected SirThis is to inform you that patient Mrs. mnk,mee from Jamshedpur (Membership no.- 1mjmlkm89) who was seen at Dr.Mol,lns Diabetes Specialities Centre in Chennai on 23 march 2011 for diabetes problem is suffering from some symptoms(problems) after coming back from there. Dr. M.Ramu prescribed her medicines. The blood sugar level is within 200-356.The symptoms are:-1. Stomach pain2. No desire to eat3. Non clear latrine(3-4 times a day)4. VomitingKindly give some suggestions as soon as possible. Thank you in anticipation.Phone no.- 0000, 0000 ### REPLY: Hi.You are a known patient of diabetes. The level should be around 150 of the blood sugar. Unless Diabetes is well controlled, no disease can come under control in spite of the treatment you may be taking. SO Get the Blood sugar monitoring done, consult a local Planetologist or ME, Medicine to get adjustment of the dosages... Your symptoms of stomach pain, no desire to eat, no clear latrine and vomiting is suggestive of a complication of Diabetes in the form of :Gastroparesis- meaning slowing of the movement of your intestines as a whole; added on some sort of infection of the GI tract in subclinical form. Get a 5-day course of an antibiotic, metronidazole, probiotic and Risperidone. I hope you will be fine. If no response, you need further investigations under the cover of your Doctor to get more appropriate diagnosis and treatment accordingly. It is possible that you may need to be started on Injection Insulin till you get alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had gall bladder surgery two weeks ago. I was fine for five days and then I had an attach like I was having a heart attach, went to the hospital and given nitro and it put my heart rate over 140 and my blood pressure went high. They gave me a bunch of drugs to get rid of the symptoms, but the next morning I felt like my nerves where jumping out of my body. I have not been able to stop shaking since. I shake really bad and I m very nauseated. Any ideas on what is causing this. My doctors can t seem to help me. ### REPLY: Hello, This can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour HOLDER monitoring. So visit nearby cardiologist for this investigation.  Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated, as it can also be a panic attack. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day.  If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 there I m trying to help my cousin she had sex with this guy 2weeks ago she told me she had a feeling that she could be pregnant but she ate edibles a week ago and a couple days ago she smoked weed, drank beer, and snorted a line of crystal meth is it possible when she takes the pregnancy test the results could come out false ?and, could all that still affect the baby if she ends up pregnant? what would you suggest me to do to help her? sorry I m asking so much but I m really worried for her she don t want to go to the doctors and i really wonna have a talk with her about this topic but need to know these answers so i could know what to tell her. ### REPLY: Hi and welcome to the site. For the entire first 7 days after conception, there is ZERO connection of the mothers blood with the babies. So no chance that anything she took by way of .  During the next 7 days after that, the embryo is just starting to implant into the wall of the uterus. SO only during this time slowly is there a connection to the mothers blood stream. So it isn't until 14 days after conception that there is a meaningful connection between the mothers blood stream and the baby.  I hope this is reassuring. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an enlarged spleen , with pain, cannot eat alot, hard to take a deep breathe. I had a ct scan but cannot determine why its enlarged. I have polythemia, lupus anticoalulation, crohns, sjorgens. I am having a colonoscopy and endoscopy, ct scan and ultrasound showed no clot , but if that shows nothing what would be my next step be? I am having a very hard time getting answers. What is your opinion from the info given to you. thanks ### REPLY: Hi there, An enlarged spleen is due likely due to your polycythemia, and if its large enough to cause you pain and difficulty breathing, then the only treatment is to remove it via surgery.  I would see a general surgeon or a minimally invasive surgeon and ask him what his opinion was in terms of removing your spleen. I hope this is helpful. Please feel free to contact me if you have any further 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: Hi, I have a wet rash near my anal area a bit further up and the same just above my pubic area. it is constantly wet and itchy. I am too embaressed to go to the doctor. Is there any kind of cream i can use to try it up and heal.Oh and it has a awful smell. ### REPLY: Thank you for query. With the description given, It may be due to fungal infection. Please take following precautions. Use loose cotton clothes. Keep area . Apply antifungals like terminating which is fungicidal. Once subsides use regularly antifungal dusting powders like candid or absorb powder to prevent recurrence. Consult doctor if it does not subside. You can get back to me for any clarifications with the photos. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband drove to the hospital this morning because he had severe chest pain whole of yesterday. We are told after angiography that its a mild heart attack with artery blockage. Does he need angioplasty right away? Can he take a flight to his home city (2 hrs)? ### REPLY: Hi thereafter reading the scenario I would honestly suggest you to stop asking for opinions online because it's a matter of a life and no one can give you the right advise without going through an angiogram CO or report. So it's better to stick with the opinion that your treating doctor has given you and have faith.Whether taking a flight will again depend on that who critical is the blocked artery. Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, Last week I had oral sex with my girlfriend(she gave me a blowjob). Then she fingered her vagina and put that finger into her mouth and breast. Then I sucked her breast and had deep kiss. I had slight damage in the inner part of my upper lip(was bleeding only when pressed by teeth). Do I have risk of HIV transmission? ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have oral sex and contact with vaginal fluid of your girlfriend with lips having a cut on inner side and worried about acquiring HIV. If she is HIV positive, though it is not a vaginal sex, the possibility of getting HIV viruses transmitted through this can not be ruled out. Please get your basic screening test for HIV done Noe and repeat the tests after 3 months to be rest assured about acquiring HIV. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 discovered a deep red irregular spot on my chest about 3-4 inches below my color bone. it is about the size of a large strawberry and smooth. It has faded to a light red over the past 4 weeks, but looks permanent. Also what is IBC? I am an 80 year old female. ### REPLY: Respected user, hi I evaluated your query thoroughly.*Most important & needed information here is whether spot is over breast or outside breast ?*I would like to get all the details with possible clinical photograph of it for perfect evaluation & guidelines.*IBC is Inflammatory Breast Cancer :- swelling breast with redness , pitting / ridging of skin of breast with texture like orange peel. Hope this clears your query. Thanks for using  & giving us an opportunity to serve you Would love to revert once you provide details. Thanks regards Take care dear. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there so I was rear ended in an auto accident where I now have learned I have a herniated disc in my neck and my mid lower back...my chiropractor ordered an MRI which is how I learned of the discs but my hopefull question to u is...on the MRI it showed a faint mass in my mid back and I never had this before this accident. Shortly after the accident my fiancee was rubbing my back when I thought I had a bruise it turns out its a knot coming outward. What could this be? Should I be finding a specialist besides the chiropractor? ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there is pain in your back and neck. Yes I will advise you to consult orthopedic surgeon. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having trouble getting a good breath and it feels like I have a constant muscle cram from my back around my right rib cage. I went to the doctor and they said my lungs sound all clear, since I just got over bronchitis. Inhalers dont seem to help and I cant find a comfortable position to rest in. I barely got any sleep. What should I do? ### REPLY: Thanks for your question on . I can understand your concern. Since your lungs are clear, no need to worry about bronchitis or major lung related diseases. Possibility of musculoskeletal pain is more likely in your case. So better to follow these steps for symptomatic relief. 1.  Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movements causing pain. 4. Apply warm water pad on affected areas. 5. Take painkiller and muscle relaxant .  Don't worry, you will mostly improve with all these and be able to sleep also. 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: HiI wake up this morning and all were good after 10 min I got this pain in my abdominal I feel like I can die of the pain could not even walk when I reach the bath room because I felt nauses I start to get dizzy and start to get hot flashes and start to sweat badly could not breath and after 20 min I stared to get very cold and went to bed a half a hour later I was fine this is the 3 time it happens to me in 2 months time what cane it be.Please help ### REPLY: Hi welcome to  forum.  Thanks for asking a question.  You had pain, nausea, dizziness, hot flushes, sweating, difficulty in breathing, chill, It is the third time you had the same experience.  Your question is not clear about the place of the pain. If the pain is at rib cage and upper middle it may be gastric, gall bladder, or pancreas pain.  If in the middle kidney pain, ureter pain, or worms pain. If in the lower part may be urinary tract infection, stones in the lower part of ureter, If female may be related to genital tract pain.  I advise you ton consult a surgeon for diagnosis and treatment. You may have to undergo gastrostomy, U.S.scaling of whole abdomen, besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old boy has a soft to touch lump on the right side of his neck, right behind his muscle on the right side. Think it has been there for a while possibly been growing. Son complaints that it hurt a bit now when he moves his head to the side. Should this be looked at immediately, I am very worried it could be something very sirious. please advise ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He may have enlarged lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. Most commonly it is due to reactive lymph node. He should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then he should take treatment accordingly Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My mother had a sudden onset of dry cough which also developed into breathless 2 months back. When we took her to the doctor after 3 days of these symptoms with mild fever also the doctor advised chest xray. The results of the xray came as a sudden shock to us when it said pleural effusion in the right lung. The same day the pleural fluid was drained out (1 Litre). The colour of the fluid was straw colour. By gods grace when the fluid report had come no malignant cells were found. The doctor suspected dormant tuberclosis although no tb bacteria was found in the fluid report. Then we took her to a pulmonologist and bronchoscopist. My mother was put on medicine akurit. But my mother was having nausea and vomit as a side effect of the medicine. The second dcotor suggested a ct scan of the chest and LFT. He also changed the medicine on 22 feb to cap r cinex1000.combutol 1000. Benadon and sompraz d 40. These medicines also caused some mild side effects like loss of apetite but slowly she got adjusted. In the first lft h ### REPLY: Thanks for your question on . I can understand your situation and problem. In old age, reactivation tuberculosis is common. And in this, especially extra pulmonary tuberculosis in the form of pleural effusion is more common. Since her pleural fluid is negative for malignant cells, no need to worry much for cancer. And gastritis and vomiting is common side effect of anti TB .  Just make sure that her anti TB  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: gud evng sir im raghu my age s 23 rarely i face sudden giddines wich vl be cured in seconds by change of posture and in recent days im suffering with light giddiness and eye burning sensation and light headedness in evening times only can u suggest me what is the problem and medicines to take ### REPLY: Hi, I hope you're doing well. You have asked about sudden giddiness. Giddiness is a vague symptom, can be related to not so harmful to worrisome conditions. As you are having postural giddiness for some duration which is mostly related to benign paroxysmal positional vertigo. As the name suggests it is mostly related to change in position. For vertigo, you can do eye movement and neck movements exercise to strengthen your vestibular apparatus in-ear. Another benign condition that results in dizziness lightheadedness is the postural .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sinus infection, I was diagnosed today at the doctors. At night, I am salivating or drooling excessively. It is a feeling I get when I want to throw up. So far, it only makes me feel like throwing up. The worse I cough the more my mouth is watering. ### REPLY: Hello, Welcome to , As your doctor has diagnosed that you are suffering from sinus infection, because of which you are suffering from all these symptoms. There are many organisms that are causing sinus infection. For your symptoms I would suggest you to follow1. Take saline steam inhalation2. Spy Pricier A, three times a day.3. Oral Tab Autoclave, 625 mg, two times a day.4. Tab Least, once in a night for at least 7 days. These measures will help to reduce the symptoms and improve the condition. 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 fell and hit the area beneath my knee very hard. Next day it started swelling and bruising. I am on warfarin and metropolol had surgery a year ago for torn mitrovalve. It has been 4. Days my leg does not hours when I walk. I iced it for 2 days. The bruising had spread down my leg and is swollen but not hurting just a little swore. Have taken some Advil I m resting it tonight it seems to be improving except for the purplness. Any advice traveling on vacation in Ireland ### REPLY: Hi, Most likely it is only a contusion in your knee so icing and painkillers will help. Any bleeding which has occurred at the time of injury is likely to spread on dependent areas so do not worry about the spread of bruising. It will take a few months for bruising to go down. If pain and instability occur in the knee and then go for MRI. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...I am 25, and married for 3 yrs without an issues, but for now no menstruation,ovulation and pregnancy so i was advise to take clomiphene citrate pls will that makes me to conceived? ### REPLY: Hello dairy understand your concerns would suggest taking treatment under advise of gynecologist after proper investigations. I would suggest undergoing reproductive hormone analysis, USG scan, ovarian follicle study, HSG test for better management. Clomiphene increase chance of pregnancy by 50%. It increases FSH/LH level and cause maturation of follicle and rupture of follicle. Along with that you can also use metformin, ova care plus and  infection. After ovulation progesterone pill will help in implantation and early pregnancy. Avoid stress, take healthy diet, . Hope this may help noncontact further if follow up needed Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...doc I have problem in erection and i had problem of stone as well,from last few days i have pain at the side of my abdominal and testorone.but after medication the pain has gone but still erection problem persists. ### REPLY: Hi, Okay, I am glad the pain is gone. I'm not sure how that would relate to the ED. Without an exam, I can only give general information and cannot give a specific treatment/diagnosis/medication to someone I am not actually seeing. So, ED in general is often associated with hypertension, or cigarettes, but lack of exercise is the main issue. It is more of a problem if someone is diabetic but otherwise the medications work in about 90%. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.I m a 25 years old girl having a non severe Mitral Valve Prolapse and i take 20 mg Inderal pills twice each day..Can I try a weed joint just for a one time only?!!Should i increase the dosage to 40 mg to avoid the fast heart beats caused by the weed?!! Thanks ### REPLY: Hi, Its not safe to take weed while on Federal. If taken along with Federal, weed (cannabis) may have additive blood pressure lowering effects resulting in profound hypotension. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. Use caution when getting up from a sitting or lying position. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I ve. Had a absence. The size of an eeg once under my armpit when i was a teenager. It has came back and is not as big and painful. When i sleep it oozes and smells bad. I had decided. To squeeze it, and lo and behold something came out looking like brown wormy smelly stuff it was dry not wet looked as if it could have been old puss. It looked and smelled like Defecation. Im 50 now. I put it in a bag to save for my doctor. I also took pictures of it. What is it? ,do I need to get it checked? It s not painful at all. ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that from your complaints it looks like sebaceous cyst. If it is so you should require a surgical excision for its complete treatment. But definitive diagnosis requires visual examination. I can help you further if you can send me pictures. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes want to some of the signs to early pregnancies i guess am pregnant but am not certain because i was on pills to avoid pregnancies and also had my menses again in two weeks after the actual date and since then i have been having regularly want to know the cause ### REPLY: Hi there, I have gone through your question, and I think I have understood your concern. . I will suggest you the best possible treatment options. 1) First and foremost symptoms of the pregnancy is a missed period. If you are not using any protection, and you have unprotected sex act, then you stand a chance to get pregnant. 2) other symptoms of early pregnancy are - nausea, vomiting, breast pain, frequent urination, dizziness, mood change, you can get any of these. In case you feel that you are pregnant, I will suggest you to get mornings first sample of urine tested for pregnancy. I hope this answer helps you. 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: In 2006 I had a thr and subsequently had another surgery to the same hip due to excruciating pain in the groin, buttocks,thigh and where the incision is. I cannot sleep or perform daily chores. Driving and walking causes debilitating pain. The second surgery was to done to release a tendon and remove bursitis, I am still having the same pain. I had an MRI done 2 days ago and blood work. Both were normal. I have been taking vicodin for 2 wks. ### REPLY: Hi, You hadn't mentioned the time of second surgery, type, site, duration and movements causing pain, these all are very important for a diagnosis. Most of the time pain in there occurs due to impingement due to inappropriate rotation of the components, though sometimes trochanteric bursitis may because it. Thigh pain occurs due to cemented prosthesis as well. Vicodin is simply a painkiller and is not curative. You need a thorough examination only then we can reach for a diagnosis. 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: My baby getting pulmonary hemorrhage when 3 mths old. 10 days in ICU, CtScan show the  whole brain was swollen but no bleeding. 3 months later MRI Scan showed massive bleeding on both side of the brain. Burr Hole op was conducted. After 2 weeks Ctscan still show extensive bleeding and the brain did not expand so theres a room between the skull and the brain. Dr suggested to have another surgery to open up the skull and clear the bleeding. Is there any other option other than surgery. Tq ### REPLY: Hello, Thank you for trusting . If blood presence in the cranium was confirmed it is of extreme importance to relief the pressure on the brain by getting this blood out. The good news is that your baby is still young and the skull didn't close fully and that what allows for its expansion later on the skull will close and then any pressure on the brain due to blood accumulation will be much more dangerous and life-threatening. Please keep following up with your baby treating doctor. Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small cluster of boils on my head and have been using hot compresses and tried vicks vapor rub and toothpaste to help pop them. I got one to drain but it left some deep scarring and where the boils have appeared on my head I now have two bald spots. After the first boil drained that is when two more small boils appeared right next to it. Is this cellulitis or a carbuncle and how can I treat it. I do not want to go to the hospital. This has been occuring for a few weeks now. ### REPLY: Thanks for contacting ChatDoctorI am sorry to hear that you are having problems with boils. Boils are signs of infection in the skin and trying to rupture them may actually cause the infection to spread below the skin. I recommend that you seek medical attention, so you can get and antibiotic. The doctor may also be able to lance the boils which will help them heal. Hope I answered you question. Please contact us again with your medical questions and concerns. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my two year old son has woke up at 2 a.m. screaming his tummy hurts the last two nights, nothing seems to help the problem. yesterday during the day he seemed happy and fine not a word about his tummy .. could this be serious or just a tummy ache. first night he threw up & second night just held his stomach ### REPLY: Hi, Thanks and welcome to . Stomach in a toddler may be due to urinary tract infection, worm infestation or simple colicky pain due to indigestion. Cyclopam syrup 3 times daily will give temporary relief. Better consult pediatrician to arrive at they correct diagnosis. If you like you may give a deforming agent like Albendazole empirically. Hope this reply serves your purpose. Please feel free to ask further queries if any. . V. Subrahmanyam. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 taking Lisinoperil 10mg twice a day.  This med gives me severe side effects such as racing heart, tingling in arms, and chest pain.  Due to these reactions,I would like to get off this drug completely. How can I get off of this drug without having a severe reaction?BP has been as high as 205/113 when the drug starts to wear off. Normal for me is 140 to 150 over 78. ### REPLY: Hi, Based on the history you seem to have developed features suggestive of angina sectors due to uncontrolled blood pressure. You need to consult a physician or cardiologist for further evaluation. Certain lab tests such as ECG, Echocardiography, routine lab tests may be required. Following which your doctor will prescribe appropriate treatment. Hope these answer your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had an abortion last march 16th of this year though medical pills and everything seems to be normal.As expected, I had episodes of lower abdominal cramping that is tolerable and the blleding is not that heavy..It s just these past four days the bleeding changed from bright red to dark brown and started to ommit a foul smell..I never had a fever and uncontrollable pain.My next doctor appointment is not until next week and I m very concerned about it. Should i go to the ER or wait for a week for my follow up. ### REPLY: It seems that you have some retained products of conception after a medical abortion. This is common, and you need to see your obstetrician who can check your uterus if necessary and do the needful. It is also possible that you might have an infection. It is unlikely that much will be done in the A and E unless you develop something that requires immediate intervention. Unless you develop increased discharge, bleeding or any other symptoms which make you feel unwell it might be better to wait for your appointment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Wesley. I have had this cough for about 5 days now, along with a slightly stuffy nose. I am more worried about my cough though, because i smoke regularly and i am only 21. After i acquired this cough it wasnt a very serious thing, but i tried to smoke a cigarette and i could barely take 2 puffs of it. So i have not taken a puff of a cigarette for about 4 days now and still have the cough and slightly stuffed nose. Will my throat be alright ? ### REPLY: Hello ! You seem to have allergic response to cigarette smoke. It can cause Allergic rhinitis and Bronchial Asthma. , that will result in your nose getting stuffy and your airways to constrict making it difficult for air that you breathe in and out to pass along your airways.  Since how long have you been smoking ? What form of smoking ? How many per day ? Do you wheeze ? For symptomatic benefit for your current episode, u will need to do steam inhalation, take decongestant/ antihistamine medication, antibiotic if you have purulent phlegm on coughing.  Do warm saline gargle.  Get yourself checked by a physician in person. If there is evidence of constricted airways then you will need bronchodilator n steroid .  Get a Chest X-ray and Spirometry done for evaluation.  Do quit smoking. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doc..i know losing sperm affects our body badly but i came to know all about this in these past weeks. i have been losing my sperm since 7 months approx. daily. i can now feel pain in my bones specialy in my knees. i need to know that how can i fill up my loss. Doc i need babies in my life..help me! ### REPLY: Hi, If you are masturbation or having sex, yes there are chances of general tiredness and joint pain.  It can be due to deficiency of nutrition - you need to take adequate nutrition if you want to have sex/masturbation daily or more than 3 times a week. It can also be due to calcium deficiency. Doing an x-ray knee can help diagnose the cause. Hope I have answered your query. Let me know if I can assist you further. Take care . R. Raveen ### END