Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i was in e.r. couple days ago, i have anemia, and 3rd stage of kidney disease, which i was shocked and they never gave me a blood trans. for my anemia, and trying to get my reg. dr. to do something, is likepulling teeth. I dont want anything to happen to the kidneys. and i did go to this dr. and he know that i went to e.r. and he didnt do anything on the kidneys, or anemia . so i dont know what to do here, i live in the high desert, and trying to find a good dr. is hard up here. that helps the patient. iam scarred. thank you for your help. and i m a diabetic because i was on prediscone for many months of high doses. Deanna ### REPLY: Hi Deanna, I very well understand your concern. Since all the test reports are not available for my perusal, I presume that anemia in your case is related to Kidney disease(probably CKD-Stage3). Blood transfusion is usually avoided to treat this anemia. Aia therefore prescribe Tab Neutron 1 tab, twice daily and Injection VISCERA 50 micrograms, subcutaneously,once a month and Tab Matilda ER, one tab daily, in addition to other .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mother s age is 60 yrs and she is suffering from severe back pain.the doctors said that as your bone is porous,the nerve below the bone pressurise it while movement.the pain is very acute.please suggest what to do? ### REPLY: Hello, Thanks for your query. It seems your mother is suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. She can get the appropriate . Meanwhile, she can follow these measures:- If the pain is severe, she need to bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under knees if it doesn't bother.- Avoid lifting heavy objects. I do hope that you have found something helpful, and I will be glad to answer any further query. Take career future query, you can directly approach me through my profile http://www.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: kidney n stone  doctori am vipul m 28i hve stone pain on my left ..did x ray c.x ray and ultrsound too but did not find shap n size doctor said it is stone n i have heavy pain for last 3dayswhat will be cost of kvp scannow what i do YYYY@YYYY ### REPLY: Hi Visual, As a Urologist, I can understand your anxiety. If your doctor suspects a stone, then the best single test is a plain CT scan. The CT scan will confirm or rule out a stone and changes in the kidney. According to the report, an expert advise can be given. For the pain, you can take some painkiller tablets or injection. Cost of the scan varies from place to place. Wish you a speedy recovery. .  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: During my period I get pains in my ankles, knees and calfs. It hurts so bad I can t even walk unless I take a lot of ib profren and I even bought leg cramp pills . I have asked my friends and family if this happens to them and they allll said no :/ why does this happen ? ### REPLY: Cannot say in your particular case without examination but let us look at what we do know. Broadly lower extremities without localization to joints or nerves.at periods what happens at periods? Some women report increased fluid retention...which can cause pain in those regions in some people treatable with mild diuretics taken only during the period. Perhaps mild electrolyte imbalances related to the above.that's about it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 54, 1.6m, 55kg and i m taking high blood pressure pill for almost a year already. 1)my middle phalanx right 3rd toe fractured because it was stepped by high heels shoe.my job required me to walk a lot Doctor, what is the best treatment for it to heel faster. 2. I have taken Renitex (Enalapril maleate) 10mg  for my high blood pressure, a month ago i change to Atacand 8mg due to coughing.the new medication  does not control my BP so well as previous one. please give me some advice Thank you very much ### REPLY: Hi, For faster healing, you need to rest it and take calcium, vitamin D supplements, and proper diet. For BP, if you are already on it for 2 weeks then dose can be doubled to 16 depending upon the BP values or tab Amlodipine can be added. Also have low salt diet and regular exercises after fracture heals. Get one lipid profile and sugars tested. Healthy diet and avoiding smoking and alcohol if any will be of help. 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 had 16 stitches in my leg four days ago. Leg swelling went down now back up. And foot swollen and a bit of redness and I was just walking and blood is trying to come out of stich area. Which is the first time it s done that n four days. Does this indicate a infection? I have no fever no red streak. ### REPLY: Hello, This does not mean an infection yet. What you have is swelling which has tracked down to the foot by gravity since you are walking around. Blood from the wound also means some traction on the wound from walking. Since you have 16 stitches in the leg you should be walking with crutches keeping the foot off the ground. The limb should be elevated while sitting and at night. An elastic bandage will help to decrease swelling. If however the wound edges become red and bloody discharge persists you will need a culture exam and a suitable antibiotic to be prescribed by your doctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a pap test today and my doctor said that he noticed blood and mucus , however, I am in the middle of my cycle, therefore am not due to start my period for a week and a half. Is this anything to worry about, as I have read that cervical cancer causes blood after sex, pap smears and douching. your advice is appreciated ### REPLY: Hello and welcome to  Its true that symptoms of cervical cancer are bleeding after having sex. However, blood and mucus on Pap test have different meaning. Actually, what a pathologist looks in a pap test is the change in the morphology (size, shape and various characteristics of cells lining the cervix) of the cervical cells. On the basis of these features the cells are labelled as normal, dysplasia, pre-cancerous or cancerous. Presence of only blood and mucus is an unsatisfactory smear/ test. You will have to get the test repeated. Blood in the test is due to procedure and mucus is normally present in the cervical canal. The material which was required has not been sampled. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have parkinson s and have experienced freezing which at times has caused me to fall. I purchased DWAGS sandals with strap around my ankle and across the top of my foot. I had these sandals on for the first time a few weeks ago, and took a fall that put me in the hospital. My daughter says I fell because these sandals have too much of a grip and there for contributed to my falling. My thought if the grip is smooth it would be more likely to cause a fall. These DWAGs are very comfortable and my legs do not hurt or feet if I wear them all day. ### REPLY: Falls are the main concern in Parkinson disease. Along with the medical treatment that I suppose you are taking, is very important to choose the right shoes to wear. To my opinion, a sandal that attaches to the floor is not appropriate, because it can cause you to fall, and is hard to move. I would prefer something that is not heavy, has a hard sole not that heavily gripped that can contribute also to your gait stability. The shoes you find should be easy to wear. I know that you might feel very comfortable with DRAGS sandals, but to my opinion they are not the best choice for you. Hope I answered to your question ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Dr,My self is 57 yrs old, iam having Epigastric fullness & abd distenion,i had my USG whole abd& Dr,diagnosis me as MOD.Grade Fatty Liver .He prescribedme Udiliv300 twice a day,and im suffering from mild hypertension,he also prescribed Tab Arbitol 80which i have to take 1/2in the morning other medications like Veloz-L,tab Bisoheart5,1/2 at night and tab Fludac20 in the morning .i have got my Lipid profile reports S.cholestrol-221,S triglycerides-143 HDL-42,LDL-150,VLDL-29,Lft in normal range,FBS-92,Uricacid-5.12and HB-9.4 .Please advice me ,howlong i should take my medicines,or any change in medicines. thank& regards ### REPLY: HelloYour findings may suggest moderate fatty changes in liver. Fatty liver is due to deposition of fat within the liver cells. Fatty liver is a reversible condition.It is usually reverses with treatment of underlying cause. Fatty changes in liver may be due to many causes like obesity, sedentary life, hepatitis,altered lipid profile, metabolic disorder etc. It may be due to elevated cholesterol level in your case. You may need medicines like tablet atorvastatin 10 mg at night after dinner. You should avoid saturated fat and go for brisk walk regularly. You have been prescribed right medicines, you should take it continuously. You may also need iron and folic acid tablet due to anemia. You can also take iron rich food like green leafy vegetables, jaggery, dates etc. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently been diagnosed with anaemia , blood count 7.9. I was immediately given one unit of blood and put on iron tablets. My level was 9 five days later. I am awaiting a colonoscopy and endoscopy by mouth and have an appointment for the former on Dec 19. I have a holiday booked in Madeira 22-29 Dec but my doctor says I should cancel as I do not know what the test result will be and you can t fly with a count below 10. I am a 73 year old woman who, until now, has always been very healthy. What do you advise? ### REPLY: Dear Concerned., Thanks for writing to us. Anaemia with blood HBO of less than 10 GMT is an absolute Contraindication to fly at your age of 73 years. The Medical fitness can be given by the Treating Physician when HBO is above 10 GMT, and you will have to request the Physician to fill up MED IFF FORM also indicating the requirement of Therapeutic Oxygen (For Eg-02 to 04 Liters Per Minute) so that the engineers arrange to load two therapeutic oxygen cylinders on board and a Nursing Assistant (RN)to accompany you on board in addition to your relatives/Non-Medical Escort. Before the Pax(Passenger) embarks on board they will have to fill up and hand over an Indemnity Bond(IB Form). The above paper work / procedures in India are to be done 72 hours prior to departure(India is a signatory to IATA protocols as envisaged in ICAO regulations). Wishing you the very best, Get well 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: I am a 25 year old male Caucasian. I had an ultrasound about 7 days ago to check on gallstones which were originally found 4 or 5 years ago. The ultrasound showed Cholelithiasis is demonstrated , Incidental adenomyomatosis of the gallbladder . and Borderline hepatomegaly . . The report also says The liver is at the upper limit of normal for size, right lobe measuring 15.5cm. The liver is smooth in outline and homogenous in echotexture with a normal echo pattern. No focal hepatic mass. No splenomegaly . No ascites . . Also, my liver enzymes WERE elevated around 4 Oct 2012 (AST 40 U/L, ALT 77 U/L and GGT 72 U/L) and on 3 Dec 2012 mostly back in normal range except for GGT (AST 25 U/L, ALT 35 U/L, GGT 65 U/L). I do not drink and have only had a total of two or three standard drinks in total during my lifetime. Recent STD check showed no Hepatitis STDs. Additional possibly useful info: I weighed 85 to 87 kg around March 2012 (note I was not muscular by any means), between May and July I got my weight down (intentionally with a low calorie and low/almost zero carb diet) to 68kg and have been around 68 to 70 kg since that time. I am worried about my liver. What could be wrong, if anything? What follow up tests should I now get done? My G.P. seemed uninterested and more concerned about seeing more patients he can bill. ### REPLY: Hello! Thank you for the query. If a patient in young age (like yours) has a gallstone, surgery needs to be done. It's because sooner or later, gallstones will start to giving you the pain and can lead to acute pancreatitis.However, your liver condition is not caused by gallstones. It's rather your diet has caused both, liver problems and gallstones. And as you can see, when you improve your diet, your liver tests get back to normal. This is a very good way to help to the liver and keep it healthy. Please avoid fatty foods, fried foods, spicy foods, alcohol and painkillers. Increase vegetables, whole grains and mineral water intake and your liver will be fine. No need to worry about it. You should also have your gallbladder removed. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My platelet count is 79 and occasional large and giant platelet found in blood .My total cholestrol is 7.7. What is the implication of it to my health? Also, what can I do about it? Thanks! ### REPLY: Hi, Your platelet count is low and this can predispose you to bleeding from the nose, from the gums, under the skin (in the form of red spots) and prolonged bleeding from cuts. The cause would need to be determined by doing a bone marrow biopsy. The treatment would depend upon the identified cause. Meanwhile, I would suggest you get a platelet count done weekly and totally avoid situations where you can get injured. Your cholesterol levels are high and this has been found to predispose you to heart disease and other diseases of the blood vessels. They need to be managed with a mixture of dietary interventions and . Please have a low fat diet with your saturated fat intake Exercise for at least 50 minutes daily. This should be primarily cardiovascular exercise like walking, jogging, skipping or swimming. Speak with your physician about the need for statins like atorvastatin. 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: My wife was hospitalized with low blood pressure last week (68/37) and was diagnosed as in SepticShock. ano blood infection was identified, and after several days her blood pressure returned to normal. Now, after being home for 3 days her blood pressure is trending low. It is 98/40, and has been holding about there for 2-3 hours. I am worried. Do you think that I may be over reacting? ### REPLY: Hello, Thanks for posting your query on  ...* Brief Answer: low blood pressure is a common issue in septic shock. As long as your wife is ambulant and no fever detected, nothing to worry about.*Explanation: My opinion is that in septic shock, body capillary system tends to vasodilator causing pooling of blood in peripheral tissues. That causes blood pressure to . I suggest my patients the following after discharge of hospital after being treated of septicemia, good HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Ive got discomfort in the lower part of my stomach every now and again I am getting sharp pain through the lower right side. I have been feeling sick the last couple of days on and off! I have also got wind but i dont think that that has got anything to do with the pain. I havent lost my appitite but to be honest when i feel ill, unless im throwing up, i still make sure i eat!! can you help me please!! ### REPLY: Hi. Thanks for your query and an elucidated history. You have a pain in the right lower side of the abdomen, wind, feeling sick, appetite is normal. The most probable cause of this is appendicitis or colitis called nephritis. I would advise you to consult a Doctor to get examined physically to see for the signs that a Doctor alone can elicit. Get the investigations done as per his advice to confirm or rule out appendicitis or so. If positive for an appendicitis, get operated. If negative get a course of an antibiotic and metronidazole for 5 days, and you will be fine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a bad dry cough for seven days last three days have pain under my right rib cage, pain all the time but very bad when I cough or deep breath have trouble sleeping as hurts continuous on right side, should I go to the hospital to get it checked out. ### REPLY: Thanks for your question on . I can understand your situation and problem. Yes, you should definitely consult doctor and get done chest x-ray to rule out lung infection and pleural effusion. You are having continuous coughing and right sided chest pain, worsening by coughing. So possibility of pleuritic pain is more. And it is seen commonly with pneumonia and pleural effusion. So chest x-ray is needed to rule out these possible causes. If chest x-ray is normal then possibility of musculoskeletal pain is more. So start antihistamine .  Start painkiller and muscle relaxant  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A cousin aged 60 yrs.  has Cortical cyst in right kidney measuring 65x65 mm., detected six months back.prostate are also enlarged. However kidney size are normal. no other complain except fatty liver. Is this size of cortical cyst is dangerous? What precautions,/diet/ medicine he should take? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. There are many ways to treat the cortical cyst. Puncture of cyst or decorticating of cyst is used in large cyst.  .  They can not cure the cyst. Changing the way you eat can make a big difference in how long the cysts stay and whether they come back. You should avoid spicy and fatty foods, foods that are stimulants (like coffee or sodas) and processed foods. Smoking and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 niece  have been diagonised as--1.Bilateral multi cystic kidneys & 2.retro pancreatic cystic sols.  what to do? is there any theraupetic treatment or only surgery is the appropriate step ? She is 40  years old. she has been operated of left kidney for stones last year in the month of June.She again started paining severely in right kidney since last 3/4 days. Please, suggest us to appropriate steps to be taken.Thanks. ### REPLY: Hello! Thank you for the query. Cyst is an empty space in the organ (like kidney) filled with clear fluid. Unfortunately there is no other treatment (like some medicines). Usually polycystic kidneys in some point needs to be removed as they are a source of infection. Her pain can be caused by such infection. She needs to check it with urinalysis and ultrasound done. She should not wait with it as such infection in her case can be very serious. For further treatment she might need kidney removal and transplant. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I underwent semen analysis 4 months back. It showed that sperm concentration is 86 m/ml. Rapid progressive 40% moderate 30% sluggish 15% non motile 15% viscosity increased ph 8.0 volume 6.2 ml When i underwent semen analysis 2 days back after a gap of 4 months it shows that sperm count 65 m/ml actively motile 15% sluggish 30% non-motile 55% volume 2.5 ml. do i have any fertility problems please advise ### REPLY: Hai, comparing your two results at a gap of 4 months your total count and other parameters are within normal. Motile sperm count is decreased considerably in recent report.it is below normal. Better have a test again after 15 days or one month. If the same value exist consult an infertility specialist to get an opinion. Your lifestyle, stress,food will have major influence on your sperm count. Take care of your health. Thank you hope I answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 15 years old boy and last monday i was on my schools toilet to mastrubate but when i was in the toilet my teacher come and she caught me when i was cumming......when i finished my job she licked my cum and she started to lick my dick very hard and i cummed again when she finished she ride my dick.........and now i wonder do i have something???cause she was 33 years old.........did i caught illness??? cause i loved that but after that i was ashamed and i am afraid if i have aids or something like that..... ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. It would be best to ask your teacher is she has some STDs and then if there is concern, you can do STD testing. I don't think this is required at this point. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. 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 been experiencing mild to moderate upper back and arm pain (the arm pain when I move it certain ways and the back pain is just kind of there but is worse when I take a deep breath) the last couple of days. Have not worked out as I have had a cold. Feels like muscular but I m not sure. I also have a history of heart palpatations on and off. I have been experiencing these palpataions, (rapid and erratic) heart beat as well since last week almost constantly. Rapid heart beat seems to calm when I am sitting or lying down. Still able to do most of my usual activities. Not sure what could be going on. Was hoping You all might have an idea. ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there is pain your arm and back pain. I will advise you to MRI cervical spine for better diagnosis. 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: Im so scared, first and for most i do have ocd.So i was at a movie 2 weeks ago and i thought this lady stuck me with a needle. Now i kinda got sick, but i think i havent drank enough water thats why i feel like crappy.Also i stay up late at nights.Please help doc! ### REPLY: Hi, I read your query. I feel you should have provided more details regarding your symptoms of OCD. Were you diagnosed by a psychiatrist or is it your self diagnosis? Secondly, I would like to know what actually are your thoughts regarding the feeling that you were struck with a needle. Were you worried about contracting any disease? You seem to be suffering from some anxiety disorder. You should consult a psychiatrist for your symptoms. In case you have OCD, you will benefit from treatment with selective serotonin reuptake inhibitors like fluoxetine. In addition, treatment with non-pharmacological methods like exposure and response prevention will help. Hope this information was helpful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having TB detected in PCR. No child after 3 years marrage. irregular periods. AKT-4 taken for 3 months, now AKT-3 from last 2 months, sudden rashes on body with itches and then bumps. Please advise is it side effect of akt-3 and chances of getting pregnant after treatment of TB ### REPLY: Treatment of TB does not lead to infertility. The disease TB itself may lead to TB depending upon which organs are involved by the tubercular lesions. However, please take into consideration the following facts:1. India is having second largest population in the world with high birth rate.2. India is having very high incidence of Tuberculosis - Mostly Pulmonary (of the lungs) but even extrapulmonary (outside the lungs) also. Thus, we cannot say that Tuberculosis every time affects the fertility. If the Tuberculosis has affected the genital organs - particularly uterus, tubes, ovaries and cervix, it definitely causes infertility. This infertility in majority of the cases cannot be reverted even after successful treatment as the damage to functions the organs cannot be reverted. The other and in particular Pulmonary tuberculosis is not shown to affect the fertility unless it has advanced so much as to endanger the life of the patient. In fact the rule of the nature is that whenever there is risk to the life, the first system to be jeopardized is rerpoductory system course if any complications of the antitubercular medicines have occurred which affect the lining of the uterus or tubes, it may damage them resulting into infertility. Whether such damage has occurred can be known by your gynecologist only after visualizing these tissues by x-ray, ultrasonography or hysteroscopy (telescopic examination). ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hit her head two weeks ago and had three staples put in. Last week she had them removed. She just hit her head on a worsen chair in the exact same spot. There is now a huge knot under the scab. Is this just a second hematoma or should I be worried? ### REPLY: Hi, Dear,Thanks for the query to . I studied your query in depth. I feel concerned about it. In my opinion your daughter has-Post-Traumatic -Hematoma / or may be just a Money Contusion with traumatic-induartion. I would treat it with -Tb-NSAIDs / if no reduction in 24-48 hrs. Would advise Surgeons consultation and X-ray Skull -who would advise- Antibiotics if fever occurs with cellulitis increases-suggesting-infection. Hope you would solve your query. Please contact again, and I would love to attend your queries promptly. Have a good time. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 35yrs old divorced woman. I experienced severe hair loss for which I consulted a doctor and had medication for 6 months. The medicines were KERAGLO FORTE MORR 3% lotion And MINTOP lotion 5% and MAGMA plus. I do not have sex and my menstrual cycle is normal. Kindly advice as to how I can prevent hair loss. ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair loss which is mainly due to nutritional deficiency, underlying systemic infection, improper cleanliness and could be due to hormonal changes. Need not worry. I would suggest you to avoid application of excessive and hard shampoo on scalp and take supplements containing zinc, selenium, iron, calcium and also multivitamin tablets daily. Apply Minoxidil 2% on hair follicles and take a nutritious diet and plenty of fluids. If symptoms keeps on persisting consult dermatologist once and get evaluated and start treatment accordingly. Hope your concern has been resolved. 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 left leg has been hurting me for about 3 1/2 weeks now, swelling from angle to thigh, my doctor did an ultrasound about 2 weeks ago and the report was negative, gave me some meds for inflammation however it has gotten worse. it was in my calf area then moved to behind my knee, I work during the day and my leg would be swollen by the time I got home, I would elevate it at night but it never seemed to go down all the way, two days ago I couldn t hardly walk on it, after staying off of the leg for 2 days now the swelling has gone down but now the pain has moved to just above the back my knee to my lower thigh on the inside should I get another ultra sound & how soon, could this be a blood clot. I have Lymphoma and have had one before. ### REPLY: Hi, as mentioned by you or gives me an impression that it can be a pinched nerve in the lumbar spine which is giving all these symptoms. So getting and MRI of the spine will help provide some inputs. Also, taking a proper rest and medicine has a combination along with medicine will give 99% pain free. All you need to get focused on the exercises and all will be fine again. With the grace of God I wish you a speedy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2008, I CONTRACTED GBS APPARENTLY FROM A FLU SHOT. TIME DEFINED THE CONDITION AS CHRONIC, I WAS NOT SATISFIED WITH THE DOC IN SALISBURY, MD. ANOTHER DOC FRIEND OF MINE MADE ARRANGEMENTS FOR ME TO BE SEEN BY DR. NICHOLAS MARAGAKIS @ JOHN HOPKINS. VERY SATISFIED WITH ALL MY VISITS & PROCEDURES. RECENTLY, I HAVE BEEN EXPERIENCING SIEZURES. THESE STARTED OUT AS RLS. HOWEVER, IN THE PAST YEAR WHEN I GO TO BED, IT TAKES ONLY A FEW MINUTES BEFORE THE SIEZURES BEGIN. I KNOW WHEN THEY ARE COMING. THEY SHAKE MY ENTIRE BODY, LASTING ONLY A SECOND OR TWO. HOWEVER, I MAY HAVE AS MANY AS 8-10 ONE RIGHT AFTER ANOTHER. I HAVE EXPERIENCED AS MANY AS 140 IN A 3 HOUR PERIOD. I ASKED THE LOCAL DOC TO PERFORM AN EEG. HE SAID IT WASN T JUSTIFIED! I AM CURRENTLY TAKING ROPINEROLE (4mg) EVERY NIGHT PRIOR TO BEDTIME. BORDERLINE SUCCESS. I AM A 72 Y.O. MALE. I AM HAVING CHRONIC PAIN, MUSCULAR & JOINTS, DIZZINESS, BALANCE DIFFICULTIES UPON STANDING SINCE THE G.B.S. I WONDER ABOUT M.S, PARKINSONS & WHATEVER ELSE. WAS HOPING A EEG WOULD GIVE SOME CLUES? WOULD APPRECIATE YOUR INPUT. RETURN BY YYYY@YYYY THANK YOU ### REPLY: Hi, I am in agreement with obtaining an EEG based on the need for us to be able to correlate an electrical record with the actual episodes of physical tremors/shakes/twitches you are experiencing.  In fact, if these episodes are happening frequently enough I would even suggest putting you in a monitored setting for at least 72 hrs. To perform a video EEG recording which would include sleep deprivation and other activating procedures to see if an episode couldn't be provoked.  The EEG is not designed to inform on anything as a test except convulsive or seizure activity in a patient. The detection or testing for the number of other conditions you've listed would have to be done by other methods. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello i seem to be rather light headed at the minute with occasional dizzyness which can also affect my balance at time but it takes a short while sometimes to focus on some things. at the same time i have been feeling an aching down my left arm which can be quite painful ### REPLY: Hello! Welcome on  ! The dizziness could be related to different possible causes: an inner ear disorder, cervical spondylarthrosis, orthostatic hypotension, etc. It is not related to the pain in your left arm. The pain in the arm could be related to a pinched nerve. If the problem persists, a nerve conduction study may be necessary. I would also recommend consulting with an ENT specialist to exclude an inner ear disorder. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes I ve been treated with 2 different types of antibiotics for neumonia but I can t get rid of the cough, tried claritin for allergies and tessalon pearls but nothing is helping plus I feel like flems are stuck in my chest and I can t get rid of them what do I do? ### REPLY: Dear user about your complaint of pneumonia with cough you should follow simple steps you should see your doctor for clinical examination and discuss with him to do chest x-ray and blood culture to confirm diagnosis if diagnosis confirmed you should do antibiotic sensitivity test to detect most sensitive antibiotic with good result pneumonia has resistance to antibiotic, so tests should be performed sometimes we choose to give penicillin plus aminoglycosides as gentamicin because it will give great results with pneumonia .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: While my husband was ejaculating during sex he also urinated he said that it was a very pleasurable sensation and enjoyed it....is this normal or a sign of a prostate problem? He said that prior to having sex he had no need to urinate and didnt mean for it to happen but enjoyed it ### REPLY: Degree understand your concerns went through your details. Everyone has their own way of enjoying sex and being in fantasy mood. Your husband thinks in a novel way. In fact, urination after sexual intercourse is pleasurable. This has nothing to do with prostrate related problems. Enjoy your husbands fantasy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 21 she recently broke out with a rash and has really bad and bruises on her legs that are rather large. She has some bruising on her arms as well. The rash is all over her legs, tummy, arms, and buttocks. She has been very tired and no energy. She was complaining about her throat hurting and her stomach hurting as well on Monday of this week and had a temp of 101.6. The rash has been on her for several weeks and the bruising wasnt as bad at first but was noticeable. Could you please advise me on what to do. After her baby was born nearly 3 yrs ago, she had a leap procedure done because of pre-cancerous cells in her cervix. ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a viral rash. I recommend to use anti-inflammatory medications such as Acetaminophen to relieve the inflammation and the fever. I also recommend using a throat spray for local application. Furthermore, I suggest using a mild steroid cream for local application such as Calamine lotion. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what makes a man hurt in the left side of his lower stomach. an it hurts all day during work or laying down and it has been going on for a few days. im not sure what is causing my dad to have these problems he has recently been diagnosed with sleep apneia and high blood pressure.and it is really scaring me. please help me.. ### REPLY: Hello, thanks for the query to . C. Sleep apnea is a disease where patient feels cessation of breath during sleep. So when anyone who feel pauses of breath, surely he will feel anxiety and this will produce hypertension and anxiety. Hypertension is a curable disease so don't take it as unusual. Sleep Aeneas attacks occurs 5- 30 times in an hour. If low breathing than we call it hypopnea. Pl get on polysomnogram (sleep study) to find out exact nature of apnea. Stomach pain is due to acute gastritis so consult a physician and have treatment according to condition. 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 name is Melody today I went for  a MRI from what all the doctors were telling me that I wouldnt know anything until next week.  Approx. 1 hour later my doctor called and sent me an email that he need to talk to me about my results he even left my his home number and cell number.  What he told me was that they found a mass and turmor on the lower part of my pancreatic that they needed to take a bio ASAP he was sure I had Cancer and that the bio will be done on Friday morning.  What do you thinkWOW I guess everyone wants money for one thing or another you said you would help know I understand what the purpose of all the doctors want is just money ### REPLY: Dear Melody, A mass seen below pancreas in MRI needs to be urgently biopsied. There is a good chance of it being a malignancy. Once you take the biopsy the results will help your treating doctor to decide on further treatment plans. Biopsy is a must for it. If your doctor is hurrying in procedures it most probably would only because he needs to make sure the diagnosis as soon as possible. As some malignancies are rapidly growing. The hurry is because he had seen many patients in the past who ended up in bad stages only because of late diagnosis. I don't know how to alleviate your worries about the money greedy nature of doctors. Sorry. Please contact back with further medical details for future queries like-what are the symptoms you currently have -why did your doctor take the decision to do an Methane 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 m a 25 year old guy. I ve recently been having some trouble maintaining an erection/being able to ejaculate. Obviously this is a concern for me. I was kind of wondering what might be causing that. I m on a few different medications(propranolol, nortryptyline, and albuterol inhaler as needed). I m also overweight, not sure if that s why(I ve been trying to lose weight). ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Yes, in rare cases you can have the reaction problem when taking above . But this problem is only a short lasting. It will be reverted to the normal once the treatment is stopped. I suggest you to do not worry, be calm and continue your sex life by keeping good confidence. If you are planning for the family than you can take the sildenafile citrate tablet under your doctors' guidance. This is aphrodisiac and should be taken under doctors guidance.Sometimes weight loosing exercise can create such a problem. So do not worry all your problem will be solved once you are clear from that. You can watch some porn movies and magazines to improve your desire. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello SirMy wife age is 26 years. Recently she suffered from kidney stone pain and later stones went out through Urine. She sometimes feel slight pinching pain on her right lower back.Doctor has prescribed Potrate MB6 Syrup (200ml) however I need to ask how to take this syrup daily? Can my wife start taking this syrup?Thanks,Ritz ### REPLY: Hello . Welcome to  . Friend I read your query and Syrup Pot rate MB6 is known to help in prevention of kidney stone as Kidney stones are more common for recurrence if not in diet and medications . How to use :Take 10 ml of Pot rate MB6 Syrup, and it can be diluted in 200ml of . This medication prevents stone formation in kidney and also relieves painful micturition. Plenty of water has to be taken (nearly 3 Lars) daily to neutralize urine acidity. Hope this information Helps you. Thanks & 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: Me and my partner last intercourse was nov 17 and got my period nov 20/ I am irregular and until now I didn t have my period. My OB told me to take duphaston for 10 days from jan 8 to feb 17. I took again PT this morning 2 times and it came up 1 line. would this have possibility that I am preggy? And if not when will the possiblity that period will come after taking the duphaston? ### REPLY: Hello dairy understand your concerns you get the period after the sexual intercourse, no chance of the pregnancy. Your delayed period is due to the hormonal imbalance. One line in the pregnancy test suggest you are not pregnant. Duphaston will help in induce the period, Bleeding will come 4-5 (maximum 7 days) days after the stopping the phaeton. Avoid stress, take healthy diet and do regular exercise. Hope this may help noncontact  for further health query 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, I am 30 years, married for 4 years and no children, I have PCOD and doctor has suggested me with G-reg Sr 500. I have Fibroid and my left fallopian tube is blocked due to hydrosalpinx and i am taking homeopathy medicine for the same. Is it harmful to take both homeopathy and Alopathy medicine? and the biggest question whether will i be able to conceive? I was pregnant after 6 months of my marriage but unfortunately i had a missed abortion after 3 months. ### REPLY: Hello!!!! It is NOT harmful to take homeopathy and Allopatry medicine together, BUT you should not take at a time. Atleast make a gap of 15-30minuts. G-Reg Sr-500 is the brand name. It contains 500 mg of metformin, which is actually meant for Diabetics.However, it is sometimes given to certain cases of women suffering from INFERTILITY due to POD if their blood insulin level is determined and documented to be high. Very frequently Metformin causes gastrointestinal disturbances such as nausea, vomiting,diarrhea, abdominal pain and loss of appetite, If you have any side effect than consult your Doctor. For your biggest question I would say it is POSSIBLE to conceive for you BUT it's very difficult. For that you have to consult regularly to your Gynecologist and Homeopath also. Homoeopathy will Definitely help in your case to CONCEIVE and PREVENT ABORTION. All the BEST. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had red scrotum syndrome for the past 5 years now. I am a 65 years old. I am using Men-phor lotion and also with no success Derma Smoothe , both Rx approved. The rash and redness along with itching is on the anterior part of the scrotum and runs the length of the perinium to the anal area which sometimes itches as well. I know the use of oral doxycycline has been used at the University of Beirut, Lebanon with a greater success rate. I have been researching as well that the possible cause of the rash has been caused by the prolonged application of topical corticosteroides. is there any other cure for this itching and scratching? ### REPLY: Hi man, if really you are suffering from red scrotum syn . You may start your treatment with doxycycline which is effective for this condition as it has anti-inflammatory action as well, take it orally for 4 weeks, and then you can switch over to oral gabapentin for 1 month or so and even if it does not work completely then you can also apply topical tacrolimus ointment or cream which will remove the erythematous rashes but for your pain and itching management gabapentin is best. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...i am 63 yrs old, having hypertension and diabetic weight 60kgs. i am vegetarian taking tablets for both  i am feeling tiring not taking vitamins  i am asking you to take multi vit. is advisible ### REPLY: Hello, Yes, since you are vegetarian and a diabetic, you should be on a pill containing both vitamin B12 and folic acid. Deficiency of vitamin B12 commonly seen in vegetarians due to lack of a proper source and in some diabetics who are on metformin. I would also advise you to take a vitamin D supplement if your levels are below normal. Before starting please get a hologram done and make sure your blood pressure and blood sugar are well controlled. 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: yes please. I have been suffering from bad breath for years. However, it occured to me that I used to be interested in analingus and now my breath smells like poop. what bacterica could have caused this andwhat if any antibiotics could I ask my Gp to prescribe? ### REPLY: Helloi have read your query. Bad breath or halitosis is often caused by a buildup of bacteria in your mouth that causes inflammation and gives off noxious odors or gases that smell like sulfur.it can result from poor dental health habits and may be a sign of other health problems. Smoking or chewing tobacco-based products can also cause bad breath.it can be a sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. The bacteria cause toxins to form in the mouth. Yeast infections of the mouth can also cause bad breath. Medical condition like . I suggest you to visit a dentist and get it checked out. Hope this ans helpsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 19 years old and female. I have always been active i have been working out just about everyday since I was 14 and even before that I was always out running around as a kid. My problem is that for a couple of days now the left side of chest/breast area has a nagging pain that will go into my armpit and whenever I run or workout it seems to be worse or sharper of a pain. At first I figured it was just gas pain or a pulled muscle, but as time goes on and the pain continues Im very scared that I may have something more serious like an enlarged heart...any possible answers would be much appreciated ### REPLY: Hi, Constipation, musculoskeletal pain etc. can lead such presentation But before labelling it as non-specific left side chest pain cardiac causes has to be ruled out. Your work up done as follows: -Auscultation -EKG -echocardiography -Blood pressure measurement -Tread Millie any specific cause found than treated accordingly If no any organic cause present than it might be muscular pain for which ibuprofen prescribed. Consult physician or pulmonologist for examination. 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... HI DOCTORAM FROM OMANCAN YOU KINDLY UPDATE THE MEDICINE FOR PYORRHEA. I HAVE NO PAIN, BUT LITTLE BIT BLEEDING & HEAVY BAD BREETH.KINDLY UPDATE ME WHAT IS THE MEDICINE AVALIABLE IN OMAN ### REPLY: Hello! Thank you for posting in . Bleeding and bad breath suggest a bad gum health. This cannot be diagnosed as pyorrhea without a clinical evaluation. Debri between your teeth cannot be removed with a home remedy. You must get a professional scaling done with your dentist. The symptoms can be controlled with a change in oral health habits. Use a warm saline mouth wash. Maintain a good oral hygiene. Gargle after every meal. Floss daily. Consult your physician if you have an acid reflux. See your dentist every 6 months for a general cleaning. 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 30+ y/o niece suddenly developed very-painful hands recently, plus horribly aching wrists, and neck. Sometimes when she is driving, she can hardly control the steering wheel the pain is so pronounced. What does this sound like to you? I am so worried about her. She is trying to home-school three children, and has done a great job, b/c all three test yearly about 2 - 4 grades above public school children of the same age. She is so worried that she will have to give up the home schooling. Thank you! ### REPLY: Dear patient she may be suffering from. Nerve compression at the wrist likely which is leading to articular pain in both upper limbs and hands. Sudden onset pain and associated neck pain likely explanation is disc disease with nerve compression. Diagnosis can be confirmed by MRI of the cervical spine. Please get it done form radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime with tab attract twice a day. You need to consult neurophysician with report. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is kayleigh i am trying 4 a baby have been trying 4 2years now i was on the depo injection 2 and half years ago but no luck and it is not throw lack of trying i take multivitamins every day go down the gym 4days a week dont no what else 2 do and my perods are normal now and have been 4 2years now please help ### REPLY: Hello dear, I understand your concern. The infertility can be due to both male and female factors. I suggest you to get a hysterosalpingogram (HSG) done to rule out any tubal block and semen analysis for your partner. If they are normal and your cycles are regular it can be called as unexplained infertility. You can go for intrauterine insemination or any other procedure.Don't worry. Avoidance of anxiety and stress regarding pregnancy as they cause hormonal imbalance and might delay fertility further. So relax. 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: I WOULD LIKE TO KNOW ABOUT BIPOLAR THAT IS UN TREATED WITH MEDS AND HE ALSO HAS PTSD NON MILITARY AND WHAT ARE THE SIDE EFFECTS OR HOW DOES VICODIN EFFECT HIM HE HIS TAKING THIS FOR A KNEE INJURY THAT IS RATHER PAINFUL HE IS IN ALOT OF PAIN I HAVE NOTICED SOME CHANGES IN HIS MOOD WITH ME LATELY IS THIS DUE TO THE PAIN ?? ### REPLY: Hi, As you describe your dear one is suffering from Knee pain, Bipolar disorder and PTSD. The Vicodin contains codeine which is an opioid. Opioids are known to precipitate mania. The stressors due to pain, due to medicine and due to PTSD all may additively fuel up an affective episode. May it be depression or mania. You have not mentioned the eat reason for not taking medicines for Bipolar disorder. My suggestion is to start him on a prophylactic dose of mood stabilizer like Sodium valproate or carbamazepine. These may also have added effect on controlling pain apart from preventing a relapse of mood symptoms. Visit a psychiatrist before starting medicines as the dose needs to be set depending on the dose of Vicodin. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Raising my grandson for the last Six (6) yrs. Has PTSD from a series of tragic events. Most tragic was finding his 18 yr old brother seven yrs ago deceased from an OD; has drug addicted mother. Now taking 10 mg Paxil for anxiety. Recently, aggression has returned to point of some fear on my part. Grandson more agitated beginning this morning. He explained this morning he accidentally took his regular 10mg of Paxil, forgot, (He says) & took a second 10 mg dose this morning. Also, prescribed Ativan ,which he did take this afternoon; does not seem to alleviate aggression symptoms. Has left for the evening w/friend to stay overnight. Is it possible the add. 10 mg s has made his behavior more unmanageable? Thank You for any assistance to help me. ### REPLY: Hi, Thank you for asking question on . Really you have undergone a lot of stress in your family. Addition of 10 mg extra of Pail will not result in agitation that is unmanageable. You better consult psychiatrist for reassessing the problem and alteration of treatment if needed. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 platelet count is 80,000 and has decreased from 160,000 in the past year. Hemotologist just wants to monitor every two months. I had a bone barrow test one year ago. No findings although he said he did not get a good sample. Did not want to repeat. Should I be concerned and seek a second opinion? Recently have had more difficulty with small cuts bleeding more than usual. Thank you. ### REPLY: Hi, This condition of decreased platelets is called thrombocytopenia in medical terms. Decreased platelet count may have several causes such as .  From the description that you have given your condition appears to be adult ITP (IMMUNE THROMBOCYTOPENIA). It occurs due to molecules called autoantibodies on the platelets surface which destroys the platelets. Autoantibodies in simple terms is like an army that attacks the people of its own country. I would suggest that you get a peripheral smear evaluated along with your complete blood count by a hematopathologist. You may also get a Combs test done to find out if there are other immunological problems that are getting your platelet count down. I presume that your initial work up would have also included HIV testing as HIV can also cause low platelet count. However, in your case this does not appear to be the cause. The most important advice I would give is to monitor your platelet count regularly. Repeating the bone marrow test is not necessary for ITP as the problem is not in the marrow. If the platelet count falls below 50, 000/ cu. Mm then your doctor should be notified. Platelet counts below 20,000 have a risk for causing bleeding within the brain. Adults with platelet counts >50,000/mm3 do not require treatment. Treatment is indicated for adults with counts < 50,000/mm3 with significant mucous membrane bleeding. Treatment also is indicated for those adults with risk factors for bleeding (e.g., hypertension, peptic ulcer disease, vigorous lifestyle) and in patients with a platelet count < 20,000-30,000/mm3. If your platelet count falls to a very critical range your hematologist may treat you with medication such as glucocorticoids, IVG immunoglobulin or newer  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 SirI am 26 yrs old.trying to conceive.Failure. Mine is a 33 day to 34 day cycle. Did follicular study on cd 10, left ovary 12mm and right ovary follicle size 13mm. on cd - 13, right ovary - 13*13 mm and left ovary  - 8*8 mm with endometrim - 7mm. on cd 17 - right ovary - 13mm*13mm and left ovary - 10 mm*mm with endometrim - 8 mm. Is it case of anavulation??I am really worries with this report?? ### REPLY: Hi, I think your follicles are not growing normally.  So, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question. 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 brother is diagonised with typhoid and he is given antibiotics but its not showing much improvement ,he is still getting frequent fever,and the fever is gone only for the period when medicine is in action after that again temparature is rising.I am very tensed.what should i do? ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should do blood and stool culture and sensitivity testing for Salmonella type. There is a chance that multi . Once you take the treatment as per the report, your fever will all go with treatment. I will be happy to answer your further concern, you can ask me on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son was having running nose cough last whole week. we gave cheston cold syrup and calpol to him and he was better. today he is complaining of headache( pointing above left ear) and now slight fever is there. should we take him to any hospital emergency? ### REPLY: Hello dear, welcome to  forum. Fever and pain around ear following a cold may indicate infection of the middle ear and may need treatment with antibiotics and antihistamines. So it will be fine if you could visit your doctor(though not emergency) so that we can have the correct diagnosis and treat accordingly. Meanwhile, you can give paracetamol for pain and head ace(for dose we need age and weight of the child)Hope this answer will help. 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, two recent tests- one for normal check up & one asked by doctor due to sugar/ enzyme levels.  White male, 42, parties somewhat more than norm.  first test 53/69 and two weeks later with no alcohol 55/86.  What to be worried about.  Waiting for dr. to call for next step. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can.AST (GOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis’s cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. 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: Presently i have problem of Little heaviness in my heart.i can feel everypulse in my heart which make dizziness and less concentration in my work. I have low digestion. I have good hunger but after eating it seems that food has been stayed inside, Sticky paste like stool at morning. Loose stool everytime if i take non-veg, Milk, Egg, heavy food etc. Low Concentration, low energy, Low memory, bad sleep, irritation, bad moods, muscles cramping are very mucChatDoctormon. Pleae help. is high pulse rate is due to abdomen problem? I take very simple, healty diet but nothing works. ### REPLY: Hello, I passed carefully through your question and would explain that your symptoms could be related to anxiety or indigestion. For this reason, I would recommend eating more frequently and in small portions.  If the heaviness persists, I recommend going to the ER for a physical exam, a resting ECG and cardiac enzyme levels.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I am a 24 year old female. I have been a adderal abuser and some times concerts for almost two years. I was told I may have ADD from several doctors and have since I was little. I am completely addicted. I am really little as well. I weigh just over a hundred pounds.. my heart is just pounding right now. I took a 54 mg concerta at eight yesterday morning and broke a little more up at nine last night. Feel like crap. I know its bad. I have tried to stop. Am I killing myself? My heart is at about 120 resting. ### REPLY: Hello! Welcome and thank you for asking on ! Your symptoms are related to Concert. You should know that this substance stimulates the central nervous system, by causing increased heart rate and blood pressure. But, if you abuse with the substance, it may cause permanent damage to your heart. For this reason, I would recommend consulting with your prescribing doctor and discussing this issue and the possible treatment solutions. Regarding your heart, I would recommend performing a cardiac ultrasound and a resting ECG, just to be sure that everything is OK. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, since yesterday I have had a very bitter taste at the back of my mouth mainly when I eat, I then noticed today around 8 or 10 red lumps at the back of my tongue...I have had a look online and it seems I have enlarged circumvallate papillae, is there anywhere I can get rid of this? Thanks! ### REPLY: Hi dear, As per your query you have bumps at the back of tongue and experiencing bitter taste. The symptoms you mention in query are pointing towards a condition in which circumvallate papillae. There can be many reasons for such condition like hot and spicy food, acid reflux, infection, canker sore vitamin B12 and folic acid deficiency. They can also indicate some serious underlying condition, which is rare. Usually they go away by their own without any treatment. I would suggest you to avoid hot and spicy food, do warm saline gargle, maintain proper oral hygiene and start taking multivitamin supplement. If condition doesn't get better in few days then consult oral pathologist for proper diagnosis and treatment. Doctor may prescribe antibiotics along with anti-inflammatory. Hope your concern has been resolved. Get Well Soon. 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 want to know why I keep having this pain like acheing pain it feels like in back of my eyes also I feel like little balls on my neck & back of my head they hurt but I noticed when I would like put pressure on them or roll my fingers over them the pain would go away a little I also feel dizzy & even get upset stomach also feel pressure in those areas one more thing I keep getting hot flashes can you please help me ? Thank you ### REPLY: Degree understand your concerns went through your details. Please understand that pain, anywhere in your body, tend to worsen when you are thinking about it. I mean being obsessive. From the given symptoms, I think your problem is psychological rather than physiological. You should engage yourself in creative activities and agile games. Consult a psychologist / psychiatrist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Low zinc levels, apnea/bruxism, ear fluid, croup, hemmorids with bloody stool and now burning right foot. Left ear hairs fell out yesterday. I have taken vitamins, honey products, herbs, spices and Preparation H. What should I do to recover? I am a 26 year old male. ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should be thoroughly examined yourself. The problem you have mentioned is not only related to trace elements deficiency. It looks like some kind of autoimmune disease or some biochemical problems in your body. Taking vitamins and trace elements won't work out in your case. Full diagnosis and management thereafter is the sole thing that can help you. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Having trouble breathing (shortness of breath) went to an emergency doctor a few days ago and was not diagnosed for heart problems but more likely acid reflux. Reading symptoms of Asthma, it seems that its syptoms match of how I am feeling. Anticid (Tums) is not working, Anything I can do? ### REPLY: Hello! Welcome on ! Regarding your concern, I would like to explain that it is necessary to perform a comprehensive differential diagnosis of your breathing problems. After a careful physical exam, additional medical tests are recommended as follows:- complete blood count,- chest X-ray study,- BNP and NP-proBNP,- fasting blood glucose,- resting ECG,- cardiac ultrasound,- functional respiratory tests,- arterial blood gas analysis,- cardiac enzymes (CK-MB, Troponin),- fibrogastroscopy,- renal function tests,- thyroid function testator excluding several potential reasons (anemia, cardiac, thyroid, pulmonary, renal, gastric, obesity hypoventilation syn . ), then a probable anxiety disorder (panic attack) should be considered. You should discuss with your attending doctor on the above-mentioned issues. Hope to have been helpful to you! Kind regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, the roof of my mouth has been itching randomly lately, I thought it may be a food allergie but it also happens when I havent eaten anything. I havent been brushing my teeth all that much recently and my breath is really bad. Is it more likely an infection or could be a dangerous allergy? ### REPLY: Hello, Welcome to , The symptoms which you are having is may be due to the infections or allergic to some daily used products. Oral cavity will have the lot of organisms and these organisms are kept under control by the good organisms, whenever there is a change in the environment these organisms will multiply and produces their symptoms. To Know whether there is any allergy in the body you have to test for absolute eosinophil count (AEC), which will be increased in any allergic reactions. If the AEC is increased you can undergo skin prick test to find out the allergen which is causing all these symptoms. I would suggest you to follow1. Maintain good oral hygiene2. Mouth wash with chlorhexidiene mouth wash3. Mltivitamin for 1 monthThank 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: This is a question for my mom. She has been sickly since I was a kid, she was once diagnosed with MS but was told she didnt have it. Now she is very frail looking, her sympotoms are: very weak ( she says her body feels like a weat noodle), heart rythm will beat really fast or slow, she also has fainting spells. She has seen a cardiologists they say her heart is just fine. What do you think just with very little I have told you? Thank you in advance for any info. ### REPLY: Hello! Welcome on  ! I read carefully your question and understand your concern. Her symptoms could be related to different possible causes: a cardiac arrhythmia, orthostatic hypotension, thyroid dysfunction, vitamin D deficiency or vitamin B12 deficiency, epilepsy seizures, etc. I would like to directly review her brain MRI. It is also necessary performing further tests: - an EEG - complete blood count for anemia-blood electrolytes- a rhythm Holder monitoring for cardiac arrhythmia-vitamin D and Vitamin B12 plasma levels - a Head Up Tilt test for orthostatic hypotension- fasting glucose and thyroid hormone levels. A new brain MRI may be necessary, especially if it has passed a long time since her last one. You should discuss with her doctor on the above tests. Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have gluten intolerance, along with milk intolerance, irritable bowel and chronic lymphocytic leukemia. I am considering going on a paleo diet with very low fructose. Is this realistic? I m concerned with wt. loss. I cannot afford to lose any more. ### REPLY: Hi, Welcome to  forum.  You are gluten and lactose intolerance, and using paleo diet, with very low fructose. If you use very low calories, there will be weight loss.  Without the gluten and lactose you can use anything. The avoiding the vegetables etc. also can cause I.B.S. Take more of green leafy vegetables, pulses, sprouts,and protein rich foods.  Chronic lymphocytes leukemia is a different thing and to be treated separately.  Wishing for a quick and complete recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: about 2-3 months ago i noticed a small bump under my penis, i wasn t to worried because me and my partner at the time were both clean and she always got check ups, but it has bin there for a long time now and i m getting worried. a few days ago i remembered i had it and i started squeezing it and very little clear liquid came out.. i think it was normal. today i looked at it and there was pimple like white stuff that came out, but the bump was still there. there is only 1 on the line going down the back of my penis. ### REPLY: Hello, thank you for consulting, few things are not clear have u undergone circumcision? That is cutting of foreskin if not does your fore skin goes back freely over the shaft of penis, do u keep it clean regularly? Yiur age not mentioned in the question can u please mention age many conditions can be ruled out by knowing age itself. Where exactly swelling situated glans of shaft? Does the swelling cause pain? Plase send information about this or else u can consult a nearby an . 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 have been diagnosed with low vitamin D. The number my Doctors office gave me was 6 from the blood tests. My doctor told me to take 5000 mg of Vitamin D daily. Would this deficiency cause me to feel tired, depressed, irratible and just not myself? Thank you, ### REPLY: ! You have It d deficiency-- Yes, this can lead to all your complaints.  This is becoming quite a common presentation due to lack of enough sun exposure these days. It should be treated and if you do it feel any improvement in your symptoms then you may go yo a psychiatrist and discuss them in detail.# when there is It d efficiency-- it will be best to take its treatment and then see if you need some more help. Hope the reply is useful ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bree for the past few weeks everytime i lay down i have a lump that sits just near my left rib its a little tender to touch it then moves down to the lower part of my stomach if i breath in ,it then moves up ,im starting to get abit concered what should i do i am 25 years old i have two kids under 4 i have lately been on a diet well just eating right and i weigh about 63kg ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some mass in breast or some soft tissue tumor. You should go for ultrasound study to know the exact location. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you 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