Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello my #6 tooth hurts alot I went to a dentist ( after alot of time I am really scared of them ) after doing some radiography he told me I need a Root canal treatment ! I am really really scared also I read online about it and seems like it has  side effects which maybe dangerous also I dont want to lose my tooth ( tooth extraction ) are there any other ways to fix it :( ? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint in case if you have deep infection in tooth that can be treated well with Root Canal treatment then you need not worry as the tooth can be very well saved with Root Canal Treatment and if done by a registered dental practitioner the chances of treatment failure and loose of tooth are less. So my suggest to you is that you should proceed with root canal treatment and after completion of treatment you should get the tooth capped. Root Canal treatment is the best possible way to fix your condition, and you need not worry, but in ca of any doubt you can once consult an Endodontist who is specialist in this treatment and will resolve your confusion and also do root canal treatment. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello there, my 11 month old son had dark green sandy like stool a few weeks ago, we went on vacation and he was fed only jarred baby food vs my homemade food and it went away, now that we are home it has come back. He also isn t going every day like he use to. any ideas as to what might be the change? ### REPLY: Dear parent, by your description it seems initially it was a change of food that might have caused the changes in stools. But now that it has come back, just keep a watch on any other symptom. As far as not passing motion every day is concerned add fresh vegetable soups and fruits in his every day diet. Weaning child .  Initially he may not except changes but better be persistent. This is the best time to introduce all the variety of food. If green stools persists then better see a doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with Epstein Barr virus 2 months ago. The left side of my face hurts with a lot of pressure. My glands are also swollen on the left side. My doctor thinks I have a sinus cold. I woke up this morning with a huge red spot in my eye. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. EB virus infection is usually self limited. It usually does not require any treatment. It gets heal in around one to two weeks. In your case it has not healed. So it requires a treatment. I advise you not to kiss your partner since this virus infection can be spread via kissing. You can take the acyclovir under your doctors' guidance. For severe cases you can take corticosteroid, but it also requires doctors supervision. Maintain hygiene as it is equally important in maintaining infection as . Some chronic cases have widespread complication, so please take  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter had a severe campylobacter infection 6 years ago. it took over 6 weeks to be diagnosed and she was hospitalized for significant weight loss and dehydration. since that time she has frequent spells of illness associated with central vertigo / vomiting / nausea. incapacitating sometimes weeks at a time. she is now 29 years old. she was told the infection had spread to her bloodstream and is affecting her cerebellum which is the reason for long term vertigo. is there any treatment ?? also she has low WBC consistently after this illness, even when feeling somewhat well. any suggestions ? ### REPLY: HIA low WBC count is usually discovered by your physician or health care provider during routine testing or through the course of diagnosis and treatment for an underlying disease, disorder or condition. A normal WBC count is approximately 4,500 to 10,000 ABCs per microliter of blood. A low WBC count is generally below 3,500 ABCs per microliter of blood, but this number varies depending on the medical laboratory, the particular test used, and the individual medical practice. The significance of a low WBC count varies and may be more (or less) serious depending on your medical history, overall health, and the underlying disease, disorder or condition. Some people may naturally have a mildly low WBC count. The normal range of low to high WBC counts also varies by age and gender. A low WBC count is often linked to problems with the bone marrow and the inability to make enough white blood cells. Autoimmune diseases that attack your white blood cells can also lead to a low WBC count. Several prescribed . A low WBC count can be serious because it increases your risk of developing a potentially life-threatening infection.  If you have a low WBC count, you will probably be advised by your medical professional to avoid situations that expose you to infectious and contagious diseases. Seek prompt medical care if you have a low WBC count and have signs of an infection, such as a fever, swollen lymph nodes, sore throat, or skin lesions. A low WBC count can be due to a variety of different conditions that either destroy ABCs or inhibit their production in the bone marrow. These include:Anaplastic anemia (condition in which the bone marrow makes insufficient blood cells)Bone marrow disease (myelodysplasia syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sister was diagnosed with stage two endometrial cancer. Had a full hysterectomy and unfortunately they found cancer cells on her ovary from the pathology report. She is now in her final cycle of chemo and will start radiarTigon in a few weeks. Her team of drs told her this is for prevention purposes. Last week she found out she has a blood clot and is being treated for it. She is really down and her emotional state is fragile. Can you confirm that a blood clot is in fact a side effect. Every time she gets a new side effect she thinks the cancer is spread thanks for your input. ### REPLY: Hi, Thanks for writing in. Your sister has had a total hysterectomy with removal of ovaries. On pathological analysis there are cancer cells found in the ovary specimen. She is on her last cycle of chemotherapy and due for radiotherapy. Form what you have written, I understand there is a clot in the leg deep views. This condition is known as deep vein thrombosis and confirmed by venous Doppler for lower limbs. This requires slow treatment with anticoagulants which are blood thinning agents. I reassure you that it is a side effect of cancer treatment and not a sign of cancer spread. God Bless your sister for a quick and complete recovery. 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: its been two monthsroot canal treatment was done  I am often feel very heaviness in the whole my left chick and pain running to head, ear and neck on my left side.   Visted several doctors including endodontist suggested antibiotic but after completing my medicine course I am still having pain.your valuable suggetion will help me a lot.thanks and regards ### REPLY: Hi, Thanks for asking the query, After a successful root canal treatment the canals are removed and the tooth is completely devitalized, so there are no chances of pain. There are chances of pain radiating from the infected tooth to the cheek, ear and neck, I would suggest you to get an x-ray done of the affected tooth. Also look wisdom tooth on the same side if crooked, impacted or crowded can lead to pan in the cheeks. Another cause is allergic reactions, inflammation of the lymph nodes, any blunt trauma to the face, inflammation of parotid gland, growth such as tumors cyst can also cause such type of symptoms. I would suggest you to get a complete clinical evaluation by the Dentist to confirm the cause and plan appropriate treatment, if the tooth is reinfected you have to go for reject of the tooth. You continue with the course of antibiotics and analgesics and maintain a good oral hygiene. Hope this helps out. 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 There..I have had an anterior/posterior spinal fusion..l-4, l-5, S1 in May of 2011.  I have had some relief but in September of this year I had the hardware taken out of the right side due to the nerves being really irritated.  It felt better for about a month or two but recently my whole lower back is back to being in chronic pain and I am at my wits end as to what my options are. ### REPLY: Hi, Welcome to  forum.  It appears that there might be some difference in alignment or something else.  I advise you to consult your doctor for diagnosis and treatment. You may need physiotherapy for relief.  I usually prescribe to my patient with such symptoms, neurotrophic injections for 10 consecutive days, ofloxacin, diclofenac sodium, and paracetamol.  Avoid taking potato, other tubers, tomato, egg, chicken, and seafoods till the pain is relieved.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to hasten the recovery.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am on norethisterone to regulate my periods. I used to have periods that lasted months and were really heavy that I had to have medication to try stop bleeding. I was prescribed the mini pill but it didnt work I just bled all the time only lightly but continually. So switched to norethisterone which has worked making me regular and controlling the bleeding. However I never had pain, I do now, I get spots and emotionally as someone who is already on anti depressants i cant cope for that week. I get so paranoid, down and desperate. Is there an alternative? ### REPLY: Healthier can be a number of factors leading to excessive bleeding. If any such cause as fibroid etc. is known then it is better to treat it. If etiology is not known or regarded as hormonal imbalance then the best medicine amongst herbal treatment is Pushing churn. For total cure we usually prescribe along with it tab. Aloes compound and M2 tone. This is to be taken for few months to cure problem forever. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went over on my right ankle a week ago..didnt bother me at the time but 2 nights later got foot cramp and since then i have a numbness and tingly sensation in my lower leg and foot, which worsens when raised...and a vein in my foot was slightly bluging tonight after a bath. ### REPLY: Hi, thank-you for providing the brief history. As per the history this appears to me more of a venous insufficiency. I will advise you to undergo a thorough clinical examination and Doppler test for the venous system to rule out the venous insufficiency. Also, there can be a possibility of the pinched nerve but less common by the appearance of your symptoms. But getting a Thorough clinical examination will help us diagnose and start the medical management. 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 frequently get yeast infections, I currently am on antibiotics for a tooth infection and woke up this morning with a yeast infection. I have found my past experience that only Diflucan works well for me.. however I cant get a prescription until monday. I am willing to use over the counter medicine but not sure which one. Which is the closest to Diflucan? Are there over the counter oral medicines I can use? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint as you are suffering from thrush you can gargle with Statin mouthwash. You can take Fluconazole 200 mg once a day on the first day followed by 100 mg once a day for 13 days as mostly the antifungal medicines are given for 2 weeks to prevent relapse. You can also suck on antifungal lozenges. You should also consult your dentist and get evaluated as in case if you keep on taking antibiotics there is a chance that thrush resolves at a slower rate or does not resolve even as antibiotics are one of the reasons for thrush. Take plenty of probiotics like Yogurt and garlic as they help in clearing thrush. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pain just under my right rib. It does seem to worsen if I exercise or do any physical exercise. I also have a tender spot there as well. I am scheduled to have an ultrasound on my abdomen. My Doctor has suggested that it is muscle related. Br YYYY@YYYY ### REPLY: Hi, thanks for the brief history. It is good to see that you met a physician and even planned an ultrasound scanning for further provisional diagnosis. You can try doing some costal breathing exercises by placing the hand over the tender area. A gentle massage over the area will also be helpful. Kindly wait further to see what scan has to show underneath the ribs. With the grace of God you will recover soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When I begin to eat, I get this crushing cramping pain in my chest. Then I begin to burp. Lately the pain has been prolonged and the burping has included a large amount of thick clear liquid. No food that has just been eaten is coming up. Drinking water just seems to make the cramp feeling worse ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more in your case. 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 burping, chest pain, tightness, pressure etc. So follow these lifestyle modifications for better symptomatic relief. 1. Avoid stress and tension. Avoid hot and spicy food. 2. Avoid junk food. Avoid large meals, instead take frequent small meals. 3. Start proton pump inhibitors and prokinetic .  4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 5. Avoid smoking and alcohol if you have these habits. Lose weight if you are obese. Don't worry, you will be alright. 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: age : 6 monthsweight : 6kgmedical history : diagnosed with biliary atresia just before baby was 3 months old. kasai operation was done on 14th feb. Now liver is cirrhotic and next option is liver transplant. Now i am looking for ayurvedic remedy for liver cirrhosis ### REPLY: Hi welcome to ChatDoctorIt is matter of concern that such a small baby has to suffer such big problemsNormally cirrhosis of liver occur due to faulty diet and excessive intake of alcohol but in case such a small baby it can be other carelessness for intake of foods and . Any way, give the baby Ayurvedic 1 teaspoon of juice of Bhringaraja with honey , empty stomach, 3 times a day. Oil, butter, fried foods and cakes & cookies, buffalo milk, curd should be avoided. Little cow milk and buttermilk after removing fat can be given Garlic is also helpful . If there is water content in abdomen diet should be salt free. Child should not exert & proper rest should be maintained.  This regimen helps to promote the function of lever. For further enhancement of process of cure, application of Magnets and magnetized water is advised Hope this helps in solving your query.Don't hesitate to get back if you have further queried. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had HPV caused throat cancer . We were wondering if I could have it even though my paps have been fine and if I could have cancer in my tonsils also? How do you check for HPV in your tonsils? ### REPLY: Hi, The chances of getting oral infection and carcinogenic (HPV positive Pharyngeal cancer)are less(1.3 %) when compared to genital involvement and still more rare in females. Repeating the Pap regularly is very much requirement.  HPV type 16 is one type commonly involved in Pharyngeal cancers, there are some specific tests like E6 and E7 mRNA detection Protect HPV-Proofer, (HPV Protect) or p16 cell-cycle protein levels which are examples of new molecular markers. According to published results these markers, which are highly sensitive and specific, allow identifying cells going through malignant transformation. Thanks for visiting  .com Bye ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Please type I am  I.N.B Abhiram my uncles  daughter is suffering with liver problem . now she is 8  months old girl . she is suffering with some liver problem right from the birth. The doctors at HYDERABAD said that GALL BLADDER/BILE DUCTS are not formed and made a procedure KASAYA operation at the age of 1 month but it was not succesful they advised that liver transplantation is necessary for the kid. they also advised go for transplantation  or  try for any other  alternative medicines. so we decided to ask you is there any other treatment rather than LIVER TRANSPLANTATION... please tell me ... my mail is  YYYY@YYYY                                                                thank you, ### REPLY: Hi, I had gone through your question and understand your concerns. Yes, this is obviously bile duct amnesia and Kasai procedure was performed. Well, Kasai is just temporary solution which may prolong her life for some years till early childhood but in all cases, additional procedures are required such as liver transplant from cadaver or living donor. There are no medications or other option and only chance for normal life for her is to have transplantation from her family or relatives. Wish you good health. Kindly 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 think something is wrong with me. I used monstat 3, i was feelin yeast infection comin on, i had really no pain till 10 mins after beyond burning pain went away, next morning i went to pee and it burned so bad, as i wiped i noticed green odorless discharge. And this is my 2nd day usin it still discharge. Am i okay? ### REPLY: Hello, Welcome to , This medication is used to treat vaginal yeast infections. This reduces vaginal burning, itching, and discharge which may occur with this condition. This medication only works for vaginal fungal infections. You may have a different type of infection (such as bacterial vaginosis) and may need a different medication. It is As it is second day following the treatment you may require 3-5 days to bring down the symptoms. You may require physical examination and laboratory investigations to find out the actual cause of 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: hello, i am a bit worried, my dog bit my finger playing around with me, and i barly bled, but i bled, im worried if i might have gotten rabies because after symptoms show, i heard that its too late to do anything, its been two days since he bit me, the cut looks fine, its not infected, i dont have any symptoms, i eat and drink fine, the only thing tht i have is tht im drowsy, but tht is because i was up all night worried the day i got bit, my dog shows no sign of rabies, my brother had told me he had gotten his rabie shots but seemed unsure at first, i feel completely normal except for the paranoia tht i might have gotten rabies, do u think i might be infected? or am i safe? p.s. my parents do not want to take me to the docter because they think im being foolish. ### REPLY: Thanks for contacting  with your medical concerns are worried that you may have become infected with rabies from a dog bite. This is highly unlikely as the dog has more than likely been vaccinated with the rabies vaccine. Also, the dog is not exhibiting any behavior that would suggest rabies. I recommend that you keep the wound clean with soap and water. I can reassure you that you do not need to worry about rabies. Hope this answers your medical question. Please contact us again with your health care concerns and 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: Hello, I am a 25-year-old male of Indian descent.  I was diagnosed with ulcerative colitis in 2006 affecting both the ascending & descending colons as well as the major part of the intestine.  I got cured after around 8 months of medications and strict diet, but after about 6-7 months of completion i started losing my hair and till date the rate of fall has become very high...few UTIs were also diagnosed 2-3 years ago.  I generally suffer from diarrhea, constipation, gas related issues, also sometimes unable to properly digest.  I have to shave my head to save my hair...can u suggest how i can cure this issue and what the process is?  I want to grow my hair back as well as want to permanently cure this issue ### REPLY: Hi and thanks for the query, The symptoms you experience are very mucChatDoctormonly observed with this disease. Treatment options depend on the stage of the disease. Common .  The staging to know specific stage or gravity is done with the aid of an examination of the colon and rectum (colonoscopy), microscopy and judged from clinical presentation (signs and symptoms) presented by the patient. I suggest you book an appointment with a gastroenterologist for a proper clinical review and management. Thanks and kind regards. Bain LE, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI I am having intense back spasms and havent used my prescription on ultram or cyclobenzaprine for a couple of months. Now that I have been taking zoloft 25mg for a month, can I still use either one of these for back spasms and muscle tension. Thanks for any advice. Christian ### REPLY: Hello, It is not advisable to use the prescription which is given before a month i.e. Old prescription. Because the cause for your back pain need further evaluation by physician to find the correct diagnosis. I do not recommend my patients to use medicines on their own without any medical advice. In addition, you may land in unwanted side effects and interactions. Some tablets may increase the risk of preexisting diseases like hypertension, diabetes.Thus, always consult your treating physician before taking any .  Hope this helps. Please write back for further queries. 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 brother who is 68 is in stage 4 heart valve failure and was suppose to have it replaced, but they punctured his aorta in the process and had to patch the aorta and put off the valve replacement now. How long should it take to safely go back in again and replace the valve? ### REPLY: Hi welcome to . I understand your query and concern. Heart valve failure needs immediate medical attention. You need an urgent assessment of cardiac reserve. This can be accomplished through the following. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g. Avoid strenuous physical activity. . Reduce the intake of fatty and fried food. One pomegranate a day will help to keep your heart at good pace without clot formation. A new bioprosthetic valve will help to cure your current condition in expert hands. Consult a Cardiologist and a vascular surgeon for further expert management. Post your further queries if any. 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 about two days ago I began to see a lump/bump on the bottom of my stomach like on the top of where my vaginal area starts. Now it is hard, extremely red, swollen, and I cant even touch it because it hurts so badly. I tried using a hot rag to reduce swelling but it just hurt. I also tried popping it but it hurts so much just too even poke it. I would like to know what this lump or bump is and what to do and how to get rid of it. Can you help me? ### REPLY: Welcome to  .1. The history suggest that it could be inguinal hernia - which is seen as a lump in the lower abdomen and pain on touch.2. Inguinal hernia with a strangulated bowel or omentu-fat will cause the above symptoms.3. This is an emergency - you need to get an emergency ultrasound - that will help to know the nature of the lump, its contents and source and where all its extending. 4. It will also confirm the presence of any strangulation. And blood supply. 5. Seek emergency help as soon as possible - it can complicate if you delay. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. 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: my 17 month old son has a hard lump under his right nipple. It has a green tint as if bruised and also has bled a couple times the last few days. It seems like the blood is coming from the nipple itself because there is no other place it could come from ### REPLY: Hi, Dear thanks for the query to  virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear Your baby seems to suffer from-Right Mammary Duct Eurasia, or it could be due to hemorrhagic Lymphangioma(Hamartomatous Cystic lump rarely) with bleeding from breast.USG would fix the cause of this nipple bleeding with lump. Surgical excision would be needed only if the lump does not regress with persistent right breast lump. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. . N.M.S. Genl-CVTS -Senior Surgical Consultant ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my son is 5 yrs and 6 month old. Every 2-3 days he develops balgam and coughs badly until he vomits and takes it out. Once he spits it out, he does not cough for next 2-3 days. We have observed this pattern for few months now and wanted to seek your expert advice. ### REPLY: Hi, thank you for choosing . Kindly get your child examined when he has the cough to rule out any wheezing and also to check his sinuses to rule out any sinusitis as these lead to episodic cough. If he is fine in between cough episodes and his general checkup is normal no need to worry. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. 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: ive had carpal tunnel surgery on both hands in 2009 - shortly after that surgery (maybe 6 months or so) ive developed ulnar nerve pain (bilateral elbows) - still have the numbness/tingling/weakness - my grip feels weak and just a generalized weakness of hands/wrists/forearms - my nerve conduction study showed everythng was normal....how can this be when its so obvious i have numbness and tingling every nite???  i am a 50 year old female ### REPLY: Hello, Sometimes during the carpal tunnel surgery maybe one of the branches of the nerve gets damaged, and it can cause numbness in that zone. Another explanation might be that you have developed ulnar tunnel syn .  This has to do witChatDoctorpression of the ulnar nerve in the elbow area or wrist area and needs surgery. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got my lip pierced on saturday, and its tuesday now.. I know there is going to be little bit swelling for next week, but I took my piercing out to clean it and theres still a little bump where its pierced, Is that an abscess?  And is it also normal for the inside of the mouth where its pierced that theres a white circle around it.?? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint some amount of swelling of the lip after piercing seems to be due to inflammation secondary to soft tissue injury, and you need not worry about it. A small bump at the site of piercing seems to be due to hematoma formation as there can be piercing of a small blood vessel while piercing. White circle can be the area of inflammation only. But in case if the area become painful and the lump has a white tip in the center it can be a sign of infection and a then it can be a pus filled bump o an abscess. I would suggest you to take anti-inflammatory painkiller like Ibuprofen. Do cool compresses over the bump. Avoid removing and re-wearing the lip ring or stud again and again. You should also apply antiseptic ointment over it. In case if it does not resolve in a week or the condition worsen consult a Physician and get evaluated. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi me and my girlfriend were fooling around last month 29 of september. No penetration just rubbing. She had her period last month on the first week of september. and this 2nd week of august her period must supposed to come. What are the chances of pregnancy? Were both freaking out. We cant sleep properly. ### REPLY: Hi dear, I have gone through your question and understand your concerns. Unprotected intercourse can lead to pregnancy, even entry of sperms in the vagina without intercourse can lead to pregnancy. If the periods are delayed, then pregnancy or stress may be the cause. I suggest you to get a urine pregnancy test to confirm the diagnosis and get appropriate treatment. Hope you found the answer helpful. Wishing you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a bad spell of vertigo along with pain and tightness in right arm. I went to emergency and all blood tests were good and EKG was good. However the vertigo has gone with medication. I had a CT of head and report says that a questionable small focal hypo density is noted. The arm pain still exists if I start doing things. Once I rest it subsides. I do have a mechanical heart valve. Had this since 2003. I am now 64. My question is ....... What is this and is it serious. What can I do to ease the arm pain when I get it? ### REPLY: Hi, I had gone through your question and understand your concerns. I think the hypo density found in CT scan can be cerebral infarction probably from heart thrombotic embolic due to your mechanical valve. I suggest you to consult a local Cardiologist and to discuss the possibility of transesophageal ethnography. If there is evidence of thrombus in your heart, you need treatment with anti arrogant .  If the infarction on CT scan is located in the corresponding arm area on brain, that is the cause of your arm problems, if not then you have to check other causes like cervical disc herniation etc. So I suggest you to consult a Neurologist as well. 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. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 normal ECG and 2D echo result. Recently I am experiencing a sudden sharp pain in my left, right and center chest. I am also suffering from an upset stomach especially when travelling. Also my neck feels numb sometimes. Am I experiencing the early signs of heart attack? ### REPLY: HelloWelcome in  I can understand your concern. According to the history I would add cardiac enzymes in your tests to rule out cardiac injuries. After that if they come negative a chest X-Ray it is the next step. It is negative to this situation is due to stomach discomfort, and it is better to take some antacids medications as your doctor will prescribe to you. Don't worry and take care. Wish 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: Dear Doctor, I have been married for 3 yrs but did not conceive yet. I am undergoing treatment. My doctor suggested to take injection (Ovigin 5000 ) on my 18 day after my cycle. And today is 28th day where again i got date. Please let me know do i get pregnecy very soon .. i am very much worried. ### REPLY: Howell come to ChatDoctorI really appreciate your concern, pregnancy is more natural phenomenon than physiological one, and it depends upon some incompatibilities like presence of ovum and sperm at the time of coitus and right proportion of hormones if these are absents then conception may not be possible, along with the medicine try to have the coitus on the day of ovulation, hope this is information helps, take care and have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I accidentally took two of my phentermine 37.5mg tabs today about an hour apart. I was taken to the er because my Bp was extremely elevated ranging from150/116-175/117 and my pulse ranged from 113-161 the er physician hung a bag of normal saline hooked me to the 12lead monitor gave me one dose of zofran iv and turned the lights off and told me to relax. my O2 sat stayed at 100% probably due to my conscious effort to control my breathing. I was monitored for a while and then out of nowhere had a massive panic attack. I was immediately given 1mg if ativan and discharged while still trying to recover and calm myself from the panic attack. I have been home for about 3hours now and am still having pains and tightness in my chest arms and neck. I am not anxious anymore but am worried that there may be an overlooked cardiac issue since they didnt even draw cardiac enzymes. ### REPLY: Hello Determine is a stimulant .  Although it causes increased BP and tachycardia but it don't damage heart directly. Due to acute panic attacks you received lorazepam and got relief with it. But still some anxiety and restlessness remain there which is happening in your case. There is no need to worry its just part of anxiety. Still if you want to remain on safer side get your ECG done. Cardiac enzymes are needed to check only when ECG show signs of ischemia. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 7 month old baby is really poorly at the moment he is off of his food he has red circles under his eyes he is burning a temperature and everything he eats he cant keep down he is on antibiotics but it doesnt seem to be helping. he is having very disturbed sleeps. ### REPLY: Hi, He has a fever, anorexia, vomiting, red eyes and some irritability. These symptoms usually suggest a viral fever, and need only supportive treatment. He will be fine in 3-5 days. Just continue the medicines as advised. Give paracetamol 3-4 times a day. Give syrup ondansetron (2 mg/5ml) 2.5ml 2-3 times a day for vomiting. Give feeds more frequently in small amounts-this will increase holding down. Take him back to doctor if symptoms are not coming down after 72 hours, he becomes very lethargic, or not at all taking feeds. Until then, you need not worrywart 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: IS THIS FREE? HOW DO I KNOW IF I HAVE NEUROLOGICAL DAMAGE FROM KNEE SURGERY. MY KNEE AND PART OF MY LEG GET NUMB. I DROP THINGS ALL THE TIME AND AM CLUMBSY AND I WASN T BEFORE. I AM PIGEON TOES ON MY RIGHT FOOT, HAVE CURVITURE OF THE SPINE , AND A BOWED LEG. THESE ARE ALL FROM MY KNEE NOT BEING RIGHT AFTER THE SURGERY FOR OVER 2 YEARS. MY PROBLEMS ALWAYS SEEM TO BE ON MY RIGHT SIDE, WHERE THE SURGERIES HAVE BEEN, JUST HAD A HIP REPLACEMENT ON THAT SIDE AS WELL. ### REPLY: HIT hank for asking to ChatDoctorAfter the kidney operation the neurological problem is not likely or say common, if you feel such thing like weakness in upper or lower arms then the cause of this could be something else, but it may not be because or renal surgery unless for surgery spinal anesthesia if ever given then that may some time causes neurological complication, hope this could be your answer, have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, Recently when performing my routine health checkup, i found that my blood platelet count have been reduced to 90,000 (report date 31.3.2010). My WBC count is also close to the lower normal limit of 4.7 X 10^3. Last test was performed on 17.11.2008 and my platelet count at that time on Peripheral Blood Flim was "low normal" and the WBC count was 5.2X10^3. All the other test like blood glucose, thyroid, lipid profile etc are totally normal. I am aged 39 yrs and my weight is 75 kgs with BP of 120/80 mm Hg. This decease in platelet count and the gradual decrease in WBC count have put me in a very tense situation. The Doctor advised me to follow up for a complete blood count after 1 month and if there is further fall in platelet, then a bone marrow test is needed to be done. I am also suffering from lots of stress and anxiety since many years owing to my profession and home and is a regular taker of alprazolam/drugs. I would therefore request you to let me know how can i get rid of this problems since this situation have further aggravated my mental condition and made my life worse. With regards Somit Das ### REPLY: Hi, Omit Dash have gone through your question. I can understand your concern. Your WBC count and platelets count are slightly low.  Even simple viral infection can lead to this.  So no need to worry at this stage.  You should go for follow up complete blood count at monthly intervals.  If it goes very low then bone marrow examination is needed to search the cause. No, any treatment is required right now.  Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir my 5 months daughter while i am carrying her she just hit her head to hard door she cried but not a lot and i dint seen any swelling she finished drinking milk and  and now her bed time she went to sleep so could you please let me know is it serious do i need to go to doctor ### REPLY: Hi... Thank you for consulting in . I understand your concern. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. 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: good afternoon doctor please iwant to know if postenure 2 causes infertility. i took a whole lot of it as a single girl to prevent pregnancy but now i am finding it diffiult to concieve. is it possible that due to a lot of it that i took could be having effects to my being not able to conceive and if so is there any medication i can take to be able to concieve. ### REPLY: Hi, thanks for using  Posting is a form of emergency contraception. It would not cause infertility. Fertility requires the following to occur: (1) production and release of adequate egg from the female and sperm from the male (2) ability to travel along the tubes (3)transport to the endometrium or lining of the uterus for the embryo to implant you and your partner are having problems conceiving, and it is over a year then you should consider visiting your doctor for an assessment. This would include semen analysis for your partner. For you the tests may be blood tests to check hormone levels, SG (looks at the tubes and uterus) and ultrasound. I 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: Dear sir, my name is Somenath Bose and i live in jabalpur, madhya pradesh. My problem is that my mother in law is have some mental problem. from last 4 years she used to tell everyone that i am a danger for my own 3 years old child. she always used to tell me or everyone that may be i will kill my son....or iam sexually harrassing my own child....she doesnt believe me at all. she thinks that iam a criminal and can harm my own family....i am very much tensed due to this behavoiur of her...kindly help me what should i do.... ### REPLY: Hi, Mr Bose, Thank you for writing to . Considering whatever your mother-in-law is thinking is wrong then the symptoms you described look like false belief which in medical language is Delusion. The delusion may be a symptom of variety of mental disorder. One would like to know her behavior and belief about many other things apart from relating to you. If she is otherwise finer than delusion disorder can be the possibility. Or if she also has other behavioral problem or thinking problem then one need to rule out possibility of schizophrenia which is not common after middle age. One more thing is her memory. If memory problem is present then dementia can also be the cause. Does she have diabetes or hypertension? If so then chances of dementia due to lack of blood flow to her brain may be the cause of symptoms. This all what I have discussed are common causes of false belief, but it is not the complete list. Now the best possible way to get help is to visit Psychiatrist and trying to find out the cause of her symptoms. In this kind of symptoms Antipsychotic medicines usually helps, but this should be given under care of psychiatrist only for best possible outcome. Hope you find this helpful. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my husband has a metal plate in his upper arm. last year plate had to be removed due to infection that was in his bloodstream and parts of his bone were chiseled away and new plate inserted. Over a year later the area is infected again. Is it possible for your body to reject some plates? He has rods and plates in both his femurs but, is not bothered by them. ### REPLY: Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that inserted plate is called as stainless steel plate. They are inert and won't rejected by the body. There may be some other reason like he immunity of your husband is decreased, it is the reason for such an infection. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband recently got examined for company meedical test (age 37/ height 170/ wt 60) . his cholestrol level is 238 & LDL cholestrol was 152.6. also when tested for cardiac ischemia it was positive(the stress depression > 2 but it was recovered later). i jst want to knw is this a severe problem & can it be brought to normal? ### REPLY: Dear Mrs, If he has a positive stress test for ischemia, it means that one of the vessels with supply blood to heart is narrowed. It is not very common in his age, but possible. The risk of this disease is that such patients can develop a heart attack. The next step should be coronary angiography, it is an examination, when heart arteries are imaged, it will show the exact vessel and the percentage of narrowing. And if there is a need doctors may intervene and open the vessel with stent. His doctor will prescribe him medications to prevent further blockages, and he should follow healthy lifestyle: avoid food containing animal food, not to smoke and . Hope this was helpful for nourishing a good health to your husbandmen back 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: Ok I pissed off some docs at san juan medical center cause they wanted to operate when i had just went in to the er.my blood pressure was over 188/100.I had a spell thats what got me there.But I got scared cause they were talking stents or bypass.But is dizzyness and 188/100 cause for operation? ### REPLY: Thank you for your query in  .com....well from the short history that you have posted above, all I can say is that a surgery is not always necessary for dizziness and BP 188/100...in fact, on the first place, we go for medical management for lowering blood pressure...an attack of dizziness can accompany a rise of blood pressure or there can be some other causes for it also...kindly provide me with further histories regarding your attack otherwise proper diagnosis and further management is not possible...tell me whether you had any episodes of unconsciousness, vomiting, loss of sensation, weakness of a side of body, chest pain or palpitation associated with your rise in BP...if not much of the above is present, we generally start with furosemide or amlodipine followed by beta blockers or nitroglycerin patches if required....come back to me with the answers....hope this was helpful...regards ### END