Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: helo, im 29 years old...married for 2 years but i just got pregnant after 1 year and 10 mos. after marriage, i undergo fertility work out with my OB Gyn luckily i got pregnant but i lost my child with 10 weeks of age..he lost his heartbeat and i was undergone D&C...right now we are trying to conceive again but it is really hard...i don t know what probably the cause why we can t conceive easily?can i adhere an advice for fertility work out for me and my husband?thank you so much... ### REPLY: Hello thanks for your query. I will briefly outline a work up which you can then follow, in consultation with a reputed Infertility specialist. 1. Thorough evaluation of previous abortion. Ideally, the aborts tissue should have been sent for chromosomal analysis. You should be evaluated for genetic defects along with your partner, hormonal deficiencies, uterine anomalies, autoimmune causes, infections etc. - as these lead to abortions.2. Basic laboratory workup - complete blood count, viral markers, hormones like LH, FSH, TSH .3. Tests for ovarian reserve - pelvic ultrasound with astral follicular count, AMH, follicular study documenting ovulation.4. Semen analysis of your partner5. Fallopian tube testing, ideally in the form of a mystery laparoscopy. Based on the abnormalities detected on this workup, you should go for natural cycles/ ovulation inducing agents/ or ART (assisted reproductive technologies) in the form of GUI or IVF. Take folic acid supplements, maintain a healthy, active lifestyle, maintain a healthy BMI, and do not yield to stress/ anxiety. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has empChatDoctora, adencarsimona lung cancer which is being treated with chemotherapy which is beginning to shrink the tumours, his problem is shortness of breath and now he can only walk 12 paces before he needs oxygen what can be done to help him ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Her breathlessness is due to emphysema and lung cancer.  He should take chemotherapy or receptor specific therapy.  Once his cancer shrink his breathlessness will improve.  Symptomatic treatment like bronchodilator can be used at present. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my grandfather have cancer grade 3 and skin wall also effected now he is getting chemotherapy and the side effect is he is getting fever 102 and 100 since 5 days we gave him calpol tablet and now one more problem he is getting vomiting and not  having potty since two days ### REPLY: Fever in cancer patient can be due to many causes. Since the patient is receiving chemotherapy, febrile neutropenia should be suspected. It means fever in the setting of low white blood cell count. These white blood cells act as bodies police against infectious agents preventing infections. If due to chemotherapy, the white blood cell count (specifically neutrophil count) .  You need to have his complete blood counts CBC test to rule out neutropenia. Meanwhile, he needs to be started empirically on levofloxacin tablet 500 mg along with paracetamol for fever. Antiemetic to prevent vomiting is also required along with intravenous fluid to prevent deny ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has a rash which the doctor diagnosed as Lyme disease. The doctor stated the quick blood test confirmed that. My husband s symptoms include the rash, nausea, a bit of a stiff neck, fatigue, itching and generally not feeling great. After three weeks on antibiotics, the symptoms persisted. The doctor put him on antibiotics for another seven days. The symptoms still persist. The doctor took a large quantity of blood for testing but I do not know what he exactly tested for. My husband just said that the doctor said all the tests came back negative. He feels better sometimes for a day or two then the symptoms return. The rash is better but is still there somewhat as well as the aforementioned symptoms. He also has fibro myalgia. Any suggestions? Your advice is very much appreciated. Thank you. ### REPLY: Hello, Welcome to , As you were diagnosed to have Lyme disease which is an infectious disease caused by Cordelia bacteria, and it is a tick borne disease transmitted to humans by the bite of infected ticks. The symptoms are suggestive of the Lyme disease. I would suggest oral doxycycline, if you have taken this and if there is resistant to this you can take either cefuroxime or azithromycin. These medications should be taken for at least one to four weeks. The .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 know a person who has been on a breathing machine 14 times in less than a year. He has severe copd. He has been using a cpap at night but they are going to put him on a bipap. Will this help him get rid of his bad oxygene or carbon dioxide YYYY@YYYY ### REPLY: Hello dear, thanks for your on .CPAP means continuous positive airway pressure. In this mode a constant positive pressure is generated throughout the respiration (inspiration as well as expiration). So for expiration will be difficult for patient As he has to expire forcefully against the positive pressure. So expiration will not be completed, and therefore carbon dioxide level is rising in body. In BiPAP (Bilevel Positive Airway Pressure) we can adjust positive pressure in both inspiration and expiration. So inspiration pressure can be set high to improve oxygenation and expiration pressure can be set low to decrease carbon dioxide level. So BiPAP will be more beneficial to him than CPAP. Also ask him to enroll in pulmonary rehabilitation program for chest physiotherapy and deep breathing exercise. This will help in COPD symptoms. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc, may i ask about  my husbands situation? he had uti, for 4 days already. took ciprofloxacin but still has this burning sensation when urinating. now he finished all the tablets. does he have to take another tab of ciprofloxacin? hope to hear from you, thank you so much. ### REPLY: HelloPersistent UTI may be due to resistance to ciprofloxacin. Though empirically it is a good choice but nowadays, many germs has developed resistance against it. Your husband may need antibiotics based on culture and sensitivity report of urine. I also suggest routine investigations like routine hologram, random blood sugar, renal function test. He should . He may also need alkalizing syrups. Your husband will be fine with proper antibiotics. 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: Hello,  I have had lower back pain for months now.  It is down in my lower, lower back, almost above my rear end.  Some days it is worst than others, some days I cannot even get up from a chair, then others it does not feel as bad.   I had x ray mri, nothing shows... I took steroids for awhile and they helped, but the pain came back.. ### REPLY: Welcome to  I have gone through your query and understand your concern. As your MRI and x-ray are normal. Most likely cause of backache is weakness of muscles and deficiency of vitamins and trace elements. You are likely to be benefitted by back exercises and supplements of vitamin and trace elements. You can get your vitamin D level as vitamin D deficiency is important cause of backache and if found low it can be supplemented by vitamin D3. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 15 years son he lately is in his school swimming team and very proud of that but unfortunately their practice is at 5 oclock early morning in outdoor pool and he has to leave to school directly from there. Now he has a cold from two days ago what can I do let him go ### REPLY: Thanks for your question on . I can understand your concern. Early morning swimming can cause infection in nose, throat resulting in cold. So better to avoid swimming for 1 week. Tell him to do it warm water gargles and steam inhalation 4-5 times a day. Give levocetrizine and paracetamol twice a daily after some food. Telling him to . He will mostly improve with all these in 1 week. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been having sharp pains in my sides and abdomen for two days now. Sometimes it just randomly happens and sometimes it happens when I take a deep breath. It isnt all the time, and not often. I would like to know if its Pancreatitis, or just growing pains. (Im a 15 year old female) ### REPLY: Hello! I read carefully your query and understand your concern. If this pain happens only once in a while it might due to constipation, if it happens near your menstruation time it might due to that, or it might be a muscular pain. You don't need to worry because if the pain was caused by a serious condition it would be there all time and would be accompanied by other symptoms. Usually Pancreatitis cause a severe pain in upper abdomen that irradiate in the back, nausea,vomits and a very sensitive abdomen when you touch it. So I don't think it is Pancreatitis. If the pain get worse, or lasts for some days, and you have other symptoms such as fever, vomits,diarrhea then I should consult a physician for diagnosis and treatment.Meanwhile, you can use Ibuprofen and Tuscan to relieve this pain. Hope my answer has helped. 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: Stepfather 87 yrs old icu about 4 days, vented for some pnuemonia left lung.  2 days before this current admission was in for high bp like 280 over ???  Docs think caught pnuemo ia at stay for bp.  Took x3 to get off vent.  Must have o2 mask, being sedated w/ morphine.  Got my mom to sign DNR today, so docs don,t see any hope?  Life long diabetic w/o meds till fw months ago, cx x2, radiation burns internally finally grated with oxygen ### REPLY: Thanks for your question on . I can understand your concern. DNR means Do Not Resuscitate. This means no CPR (cardiopulmonary resuscitation), no isotropic .  It is usually practiced in terminally ill patients of old age. Your stepfather is having old age, uncontrolled diabetes, high blood pressure, pneumonia which needs ventilator support. All these suggest terminal stage disease. So sorry to say, but his chances of survival are very, very less. Hope I have solved your query. Wishing good health to your stepfather. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 yr old has a temp of 39.6 degrees, he is claiming he has sore arms and legs and he is lethargic. I have been giving him Nurofen every 6 hrs for the last 2 days and 1/2 an hr after he has the nurofen his temp drops but then it goes back up. What do i do?? take him to hospital? ### REPLY: Hi...what you quote I feel that the kid is having viral illness with myositis or inflammation of muscles. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. 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: a little over one week ago i had a horrible pain under my left shoulder blade. my chiropractor informed me this was a muscle spasm and to heat/ice. the pain under the blade is gone however now my arm hurts to move, especially when i wake up gets better through the day. i can also feel spasms near my armpit. is this normal? what should i do? ### REPLY: HiT hank you for asking . I have gone through your query. Your problem can be due to repetitive stress injury. Short course of NSAID like ibuprofen and muscle relaxant like tizanidine will be helpful for this. Avoid sleeping on the shoulder. Put comforters or cushions on shoulder side. If still there are spasms then check your vitamin B12 and D levels in blood. If those are low then should be taken also. A consultation with an orthopedic is well appreciated. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 37 yrs male i am suffering from infection on my genetials, i had done all tests hsv1 igg-0.42, hsv1 igm 0.04, hsv2 igg-0.33 hsv2 igm not dectable, hbsag -ve, hiv 1 and 2 elisa and dna pcr - -ve vdrl reactive,  i am having small rashes on the fore skin that burns some times andon the head developing small boil sort of rashes here and there . what could this be pls help- i used ebernet on the boils a few months ago and they disappeared now again recurred ia m really terrified pls help. ### REPLY: Hi, It may be candida balanoposthitis. Consult the dermatologist for the perfect diagnosis and proper treatment. I would suggest applying clotrimazole cream with funding cream thrice a day. Take Site bath in water mixed with few .  Take a course of antifungal like ketoconazole and antibiotic like definite in proper doses after meeting the dermatologist. 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: My six year old daughter had stumbled her toe a while ago and the nail was black ans blue underneath for a long time. She is in gymnastics so she kept hitting and scraping it which made it hard to heal. I just looked at it recently and I have never seen anything like it...it looks like the tip of the skin is completely gone. The toe isn t discolored and it doesn t hurt but I almost looks like the tip of her toe is gone. She said she keeps scraping it. Could this be a infection or a fungus? ### REPLY: Thank you for following up. It can be fungal or bacterial infection. For excluding of fungus you should show this toe to dermatologist, he will take cells for culture, you try to apply chloramphenicol 1% 2 times and clotrimazole 2 times in different times 5 days, if you will not see effects then go to dermatologist. Your daughter should give rest to this finger for speedy recovery. 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: Dear Doctor.Iam in New Delhi.My  son 4.1 monthhe cried whole night. we suspect gas in stomuch....but is fine  ....... and playing. This is happening for last 02 nights....... it it normal.......and we observed. he was struggling a bit while passing urine......pls help ### REPLY: Thank you for following up. I understand your concern. I suggest-- Colic aid(silicon) - 5-10 .  - INALCOL, Bosnian are also helpful for gases.- Phototherapy(fennel) for baby and mother, if she is breastfeeding.- Check urinalysis, when you wash glans of penis you try to open gradually, he can have fibrosis, where the foreskin cannot be fully retracted over the glans penis. If there are redness you just apply 1% Chloramphenicol twice a day for 5 days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Sudarsan from Kolkata. Am having Keloids on my chest, left leg near the knee and recently has developed on the back of my neck. I want to get rid of the same. Please advice ### REPLY: Hi thanks for asking question in . There are various options available for treatment of keloid. First treatment modality is intraluminal corticosteroid injection that is given once every 4 week. It is less painful and safe. Laser treatment also gaining popularity. But it is costly and several sessions needed for its removal. Freezing the keloid (cryotherapy)is helpful in removal of it, but it will lead to some time dark pigmented scar that look cosmetic ugly. Interfeone injection also can be given. Some surgeon using fluorouracil and steroid injection together to be injected. Silicone sheets also can be available, but it has variable result. Besides this main treatment modality some home base therapy also available like applying baking soda paste made with HY . Lemon juice extract, aloe vera can be applied over it. Rose water. Honey and lavender oil local application also can be applied. I hope I have provided you complete list regarding treatment modality.thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Pain in left upper breast all day long saw my Dr and had a mammogram and a chest x ray everything normal went to a heart Dr and had a stress test and a echo done everyhing normal but some times my chest hurts all day Ithink it is angina my mother had it but she is no longer here  Im 64 years old . ### REPLY: Hello, I have gone through your query. Thanks for using . Since your echo and stress testing are normal your pain is unlikely to be due to angina. Your x-ray chest and mammogram have ruled out other chest conditions. So your pain may be due to Acid reflux. Partly there us contribution of fear of this pain being angina !you may take combination of Omeprazole and risperidone once a day. If your pain does not subside within few days you should consult your physician for further evaluation like Ultrasound upper abdomen and Upper GU endoscopy, My 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: About a year ago I went to the dr. for reoccuring chest pain.  I had it frequently and I thought it may be gallbladder.  I went to the dr. several times. They did several test. EKG, chest xray, and gallbladder ultrasound.  All of whicChatDoctore back fine.  The doctor decided it was probably a pulled muscle in my chest.  It seemed to go away for several months and now its back.  I was sick several weeks ago and had a really bad cough.  I coughed one time and it felt like it pulled a muscle in my chest and ever since then it started back up. I coughed again yesterday and it pulled again.  Now tonight I have it really bad. It feels like the pain goes in front of my heart and then a pain in my shoulder blade.  Do you think it is only a pulled muscle. Sometimes it is very sharp and sometimes its not too bad.  Thanks, Lindsey ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely but better to rule out cardiac chest pain first. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Apply warm water pad on affected areas. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 19,170lbs and 54 female. The past day or two I have been having a pain in my stomach, it almost feels like a bruise, also a burning feeling in my throat. My past medical history---appendectimy and ovarian cysts removed 02/10 which also resulted in finding i had a cancerous tumor on my appendix. (everything has been cleared since) also I gave birth late February of this year. Just wondering what the stomach pain is still my body healing? ### REPLY: Welcome to  .1. A post operate appendix do not cause any recurrence.2. Since you have said there was a GET (gastrointestinal stromal tumor) there are chances of recurrence.3.Postpartum period also gives few symptoms similar.4. In your case it could be an infective etiology with throat pain with other symptoms.5. But keeping in mind your previous history, I would take it little serious and get an ultrasound scan done and further followup.6. Suggest to take appointment with your GP and evaluate the issue. Hope it helps. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 42 years old and had a circumcision done 1 month ago. Stiches are gone healing well but doctor left too little skin and am  in pain and more so on morning erections, went to doctor today and says it is normal, Is is possible to take too muckh foreskin off. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Circumcision is a surgical procedure and there are protocols to be followed.  The doctor knows it. He did it right according to the circumstances and the presented case. Doctor must have considered your age factor. As age advances, lubrication lessens ND might cause pain during intercourse. You have nothing to worry when the wound is healing. Over and above, minimal foreskin help you to have more pleasure during intercourse and to keep the area clean and hygienic. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife have been taking Illumigan for sometime because of the Glaucoma problem. I notice that since then she is forgetting certain things or don t remember what happens an hour ago but when I ask if she remembers what happens later she tells me that she indeed remember what happens. but that she temporally Ignore afraid if this is a sign of Dementia the beginning of Alltsheimmer? ### REPLY: Dear serve understand your concerns went through your details. Please provide your wives. Memory problems (particularly remembering recent events), reduced concentration, increased confusion, loss of ability to do everyday tasks, apathy and with .  Difficulty finding the right words while speaking is considered as primary. Still, expert diagnosis is essential. Do consult a neurologist for further information and treatment. 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: I had  HYSTERECTOMY YEARS AGO ALONG, WITH BREAST CANCER 13 YES AGO; EVER SINCE THEN IT HURTS TO HAVE SEX. IS THIS BECAUSE MY BLADDER HAS DROPPED?  DO I NEED BLADDER SUSPENSION SURGERY. NEVER EVER ALLOWED TO TAKE ESTROGEN I AM VERY DRY; I DO USE VAGISIL BUT THAT DOES NOT HELP WITH INTERCOURSE I will check with family dr not willing to pay for this info on line ### REPLY: Hello friend, Thank you for posting your query through . The breast cancer has nothing to do with the present complaint. But the hysterectomy procedure must have caused some strictures or adhesions in the part which make you hurt during intercourse. You did not mention your age. This is important for understanding your sexual life and the painful intercourse. If you are .  If your mind is not prepared for the sex and if the foreplay is not going warm you may experience the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 on prednisone (on and Off) for several years now due to asthma. I want to know what "Long Term" means. Right now I am 4 months on 40 mg, have tried to taper off but when I get down to about 20 mg for the 3 days I start all over with the infection. Frustrating. ### REPLY: HI, thanks for using  If your asthma symptoms restart when you taper off oral steroids, it may mean that you need to increase your preventer medication (inhaled steroid with or without longer acting dilator) medication and also may need to look at your triggers. If you can reduce your exposure to triggers that would be good. Your inhaler preventer medication may need to be altered. Long term for oral steroids would be consistent use for weeks on end. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 42 year old woman with regular periods. we have been trying for 2 years w/o any luck. there are sooooooooooooo many fertility drugs ,herds, shots etc....available. are there ANY THAT YOU WOULD RECOMMEND? I WOULD LIKE TO TRY NATURALLY before any further expensive.Sincerely MS. TRYING TO HAVE A BABY. OMAHA,NEB. ### REPLY: Hi, For natural conception, the obviously essential things are regular ovulation, timed intercourse, patent tubes and normal uterus, normal male factor and normal hormonal pattern. Age is a major concern regarding fertility as advancing age means reduced fertility as regards ovarian reserve, disrupted hormonal milieu, infrequent ovulation etc. At your age, you will need assistance and more so as you have been trying for 2 years. Please see an infertility specialist for further advice. Hope your query is clarified. 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 a 50 year old female,167lbs 5 8 . I ve had heart palipatations since around 17 yrs old. Up until the last 6 months I only had them on and off. When I would eat chocolate or drink caffine. Only when I was pregnant when I was 25 did I have them for 24 hours straight. Recently I get them right after I eat anything. Do anything even just a little physical,like walking or doing nothing at all. Everyday I have them for at least 1-3 hours combined. It is not anxiety. My dad had palpatations all his life. Started with angina at about 46 yrs. ### REPLY: Hi, Is your hemoglobin normal, please get it tested. Palpitations are not an indicator of angina. Some people have inherent tendency of fast heart rate, and it may lead to palpitations, the condition is called as inappropriate sinus tachycardia. There is cause for it, and it occurs due to defect in pacemaker. Before labelling this we will need to rule out secondary cause like low he, anxiety, and thyroid. You get one thyroid test done and also ECG. You can also get tab Collar LA prescribed from local doctor for palpitations and controlling heart rate. 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, my name is Tyler and im 16, 5-10 and weigh 160 pounds, I have concerns about my genital area, for the past few weeks Ive noticed a bump right below my genital area in the gutch area just one and its now the size of mole if that gives you an actual image and Ive tried popping it but nvr seems to break skin for it to pop should I be concerned? And should I see a doctor ### REPLY: Hello and welcome to , Presence of bump or lump in the genital region could be due to lymph node enlargement or enlargement of Catholics gland due to inflammation. A clinical assessment needs to be done. Bartholins gland is present at the junction of anterior two third of vulva and posterior one third of vulva. It is painful in all cases. It is caused by obstruction of duct of the Catholics gland. A lymph node is unlikely to be present at this site, however, a clinical examination will allow better appreciation of lesion and relevant investigations can be ordered. 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: My son, 30 years old, B.E. in Computer Science, 2008 pass out.  During his college  days at Hostel in Bangalore something abnormal happened and since then he is behaving abonrmally.  Not talking to anyone, Not able to concentrate on the job.  He is not able to continue in any employment more than one or two months.  I request your goodself to help me to whom I should approach.  He is intillegent, leads normal life.  But his mind is always thinks something that we are not able to understand. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  From the description, your son might have come across some negative happening (type of shock) while at his hostel. That happening changed his thinking pattern, and then he was habituated with the new habit. We need to understand what happened at the hostel. Then change his pattern of thoughts and habits. Programming or tuning his neural network is what the treatment is all about. A trained psychologist can do the treatment with the help of psychotherapy techniques. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is 85 years old. She is been using Concor Cor 2.5 mg for the last five years. Recently she is been very forgetful , well something runs in her family around that age. Recently she is suffering some sort  of waves of  hallucinations . The hallucination periods seem to start or / and intensify after taking Concor. I ve been watching her for a while to reach such assumption . She does not suffer from anything else but her heart problem. She also uses Lasix . Lasix 40 mg not a daily dose nor a whole dosage, something to be decided by her care giver.I m VERY concerned about the confusion/ hallucinations waves she is suffering. Please advice. Thanks ### REPLY: Hi there! Looking at the patient profile, what you have give, I can strongly think the possibility of Dementia, which presents like this.i don't see a strong connection with Bisoprolol i.e. Concord 2.5 MG.I would suggest you to get her evaluated by a psychiatrist/neurologist, for Dementia and behavioral disturbances associated with it, medicines can definitely benefit her and can slow down the process of same. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor. I have PCOD. I get periods very late and mostly with the help of medicines like meparate. I have already gone through treatment of three months for PCOD. In which Doctor suggested Berbitol medicine. I am still in the same condition. My age is 34, height is 4 11 and weight is 53 kg. Many people have suggested to take Hempushpa for 3 months to cure menstrual problems. Is there any side effect of Hempushpa for PCOD patient? ### REPLY: Hello, Take a total of 14 ml in a day followed by two dosages of 7 ml each. One early in the morning and the other during the night before sleeping.  It is recommended to take the syrup after eating something (Not empty stomach)- Or directed by a physician.  It is a safe ayurvedic preparation. Furthermore, it is free from side effects if you do not exceed the recommended dose. 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: HelloMy parnter is having pain on his right side underneath his appendix, He stayed a friends place last week and got bitten by an unknown insect when he was sleeping in there guest room. He know has 4 red bite marks 4 fingers above his appendix line but now its sunday and he is have pain 4 fingers underneath his appendix spot. He describes it has tight and tender to touch ### REPLY: Hi. Welcome to . I have gone through your query and can understand your concerns. As per your complaint it seems that due to multiple insect bites there has been allergic reaction as well as inflammation at the site and around the area of insect bites leading to pain and redness. There can also be swelling and itching at the site of bite. Your husband can take a course of anti-allergics like Ben . . You can also apply a steroid ointment over the area. Avoid scratching the area to prevent infection. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small hard lump on my right front side right under my shoulder blade  it aches down into my breast and through the back of my shoulder    I am a 53 year old woman and I exercise on a daily basis so at first I thought that this may have been caused by exercise. Im just a bit concerned about what it may be ### REPLY: Hi, dear I have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma.  Or some enlarged and stout muscle.  You should go for examination.  If needed go for fine needle aspiration cytology or biopsy of lump.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my boyfriend, age 37/350 lbs with an enlarged right ventricle, has a blood sugar level of 375. He says he s feeling dizzy, shaking, sweating and has a headache. Is this something we should go to the ER for? Should we wait a little bit and see if it goes down with water and rest? ### REPLY: Hi, welcome to . Thanks for posting your question on this forum. I understand your query and concern. The symptoms in your case are related to elevated blood pressure and subsequent strain on heart. This can sometimes lead to headache. You need to be treated with antihypertensive . Maintain your blood pressure under 130/80 mm of Hg. Restrict the intake of salt to less than 6 gm /day. I advise you to have a baseline ECG and 2 dimensional echo on the follow-up to have a recent quick review of your cardiac functional reserve. Consult an expert cardiologist for further expert management. Post your further queries if any. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 60 yrs old. Female. overweight. 5 5 . I feel like I have a pinched nerve coming from my lower back/hip area that runs down the back of my left leg. My left arm and foot are tingly/numb feeling. I am prediabetic. Am I looking at stroke symtoms? What should I do? ### REPLY: Hello, You have tingling numbness of both left sided limbs. This does favor the possibility of stroke. The pinched nerve will usually involve only 1 limb (unless 2 roots are getting pinched). And being a diabetic, you could have a peripheral neuropathy, but that causes symptoms in all 4 limbs usually. So yes, given the symptoms you mentioned, I would consider stroke as the first possibility. Do meet a neurologist to get a brain scan done. Medication will depend on the report of the scan. 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: My grandson, age 4, coughs at night after swimming. His coughing water doesn t happen every time he swims, but sporadically. How do we prevent these episodes and are they dangerous. He had RSV as a toddler and I m wondering if that made him more prone...? ### REPLY: Hi...this is not at all related to the RSV infection he had as a young kid. Sporadic cough need not be worried about, unless the kid is breathless. Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ( 55 years) recently had incision biopsy of soft tissue ( 2 cm x 1 cm app.) from right mandible and has been diagnosed as Non-Hodgkin s Lymphoma , Follicular, Small Cell Type, Low Grade. . The specimen is now undergoing Immunohistological examination and we are waiting for the report. She has no health problem otherwise except only the swelling of right mandible which has now been removed about 24 days back. he mandible is now perfectly normal. Only yesterday a Doctor checked her and found no abnormality in adjacent glands ( may be connected Lymph nodes).Would you please suggest what may be the deaseas andwhat may be the treatment. Can it be a case Follicular Hypwerplasia which is benign ? With regards B.N.Datta, India, e-mail : YYYY@YYYY ### REPLY: Hello and welcome to , Non-Hodgkin lymphoma is primary malignancy arising from the lymph nodes. The lymphoma can spread to surrounding soft tissue. Thus, the lymphoma detected in the soft tissue of the mandible is actually the lymphoma arising in the lymph node involving the adjacent soft tissue. The treatment of the lymphoma involving the lymph node as well as the adjacent soft tissue is similar to lymphoma involving the lymph node alone. Involement of other lymphoid tissues at distant sites should also be sought as this involvement determines the stage of the disease. 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 sometimes get a bubble (sometimes up to 3) like blister at the very tip of my tongue. it stay there for some time and disappear. is that normal. what is the cause ### REPLY: Hi, would like to have some more information about your problem: 1. What is the size of the blisters- 2. Is there appearance preceded by fever or a other symptom 3. Are there blisters on any other part of the body including genital region 4. Your age and sex 5. Do you use tobacco in any form?  And please get your hemoglobin checked as sometimes if the hemoglobin is low these blisters can appear.  There are many conditions like Memphis and Lichen Plans in which such type of blisters can appear. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Our 16 year old daughter became unwell last Wednesday morning took her to the doctor couple of day later and has influenza flu.   She is on tamiflu tablets but still feels just awful and body still aches.  She is now vomitting specks of blood.  What else can we do.  She is so fatigued. ### REPLY: Hi, Welcome to ! Really sorry to hear about the daughters' illness. Due to change in weather, viral infections have become quite common these days. Any viral infection takes at least 6-9 days to be completely cured. So, am pretty sure she will be fine in these few days. Also, viral infections are known to cause body pains. She should take painkillers like Diclofenac sodium. This will bring relief to her pain. About her vomiting specks of blood, it is not normal. I'd strongly advice you to take her to your treating doctor and let him know about this at once. Hope this information helps. Feel free to ask if you have any other doubt. Wishing your daughter a speedy 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: sir, my little brother is about 15 years old . from last month he is taking encorate chrono 500 mg without informing us . from last night he was behaving strange n we are so worried about him , he took 6 tablates at a time , now what can we do now . now i haven t any credit card , so please help me ### REPLY: Hi, The medicine in Enc orate Throne is Sodium Valproate, which is mainly used for the condition of seizure. Although this medicine is not addicting, but continuous used without any prescription is always wrong. It is important to know first that your bother is having any type of condition for which he was prescribed this medication or he himself start this without any consultation. If he is taking this medication after some consultation for some condition, then I would advise you to consult the same doctor and give him the details of the problem which your brother is right now facing because of overdosing, and he may require something to stop this type of impulsive behavior. And if he is taking this medication without any consultation and just for fun than you can stop this medication and consult and try to find out if he is having some problem or some addictive nature, that may require treatment. 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: Left side hurts a lot more then my right most of the time. Right side hurts but it s worse on my left. Hurts bad in mornings daily to where I have trouble straightening up n standing. After being up n moving around then it s like a tight feeling that s achey. It doesn t feel like a pulled lower back though. It s more kinda closer to my ribs. I put pressure or rub on it during day just to have little different feeling. I m a 44yr old female. I ve taken ib800 and Epsom salt baths to try to ease pain but does work very long. I wish I knew what this could be. ### REPLY: HiT hanks for your query. Noted your history of pain on the left side more than the right, is more in the morning and have trouble straightening up and standing in the morning. You are already taking Ibuprofen 800 and Epson salt bath. This is most probably due to disc problem in the back causing abdominal wall problem. I would advise you to consult an Orthopedic Surgeon for clinical evaluation, further investigations and treatment. Till then take a bed rest, do not lift weight, see that there is no constipation. I hope this answer helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister s 14 year old son has indentation of his rib cage. His is tall for his age, and very slender. I have known other children with this condition that had to get surgically corrected. What is the term for what he has, and what is the surgery? ### REPLY: Its called Petrus excavated which is a congenital deformity of the frontal chest in which the chest appears like its sucked in .the corrective surgeries are of two types : 1- traditional method: involving a midline incision with removal of deformed cartilage and insertion of piece of metal to allow for normal cartilage to grow and then removed 6-12 months later 2-two incision method : at both sides of chest with insertion of thoracoscpoe and placement of curved metal to correct the deformity and left it for 2 years I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have undergone a NCCT test of thorax from Apex to base of lungs without IV concontrast. result NCCT findings as follows- Fibroatelectatic lesions in poserobesal segment of right lower lobe, lingular segment of the left upper lobe, medial and lateral basal segment of right middle lobe and anterior segment of lefet lower lobe---- infective etiology.Pl. revert what does this mean ### REPLY: HelloYour NCCT(non contrast CT)findings of thorax may suggest multi focal fibro-atelectatic lesions in both lungs. It means presence of fibrosis with atelectasis areas. Atelectatic areas are part of lung parenchymal that contains no air. It may be due to infection, retained secretions etc. Small atelectasis areas may reverse with treatment of underlying cause. It may become normal with . 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 am 49 years old, for the last couple of months I have been suffering sore joints , mainly shoulders and elbows , often moving from one joint to another , I am Takeing anti inflammatorys but they dont have much effect , my blood test show I have high iron levels , I have cut back on alcohol, I dont smoke , the pain is affecting my work ? ### REPLY: Hello Welcome to  there be many reasons for Joint pain. But after the primary analysis of your case it seems that you may be suffering from arthritis. Clinical correlation and diagnostic finding may be required to make final diagnosis. I would suggest you to visit any good homeopathic physician for assessment and treatment. Meanwhile, I am suggesting some medicine for you and would suggest you to start as prescribed 1 Wooden .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was treated with Levofloxacin for a kidney infection. I finished the ten day treatment two days ago. The infection was in my right kidney. Today I began developing pain in my left kidney accompanied by occasional stinging pain radiating up and down my mid to lower back region. Could I still possibly have an infection and could it be in my left kidney now? ### REPLY: Hi sir/madam would like to know what infection did you have in the right kidney, was it due to a renal stone or any bacterial infection or so. According to the information you have provided I believe you must be having a renal stone which is causing on and off pain. I would recommend you to get an ultrasound done under your family doctor supervision and any further investigations if required. 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 doctor, this is ram from tirunelveli, tamil nadu - india, Doctory this query is regarding my friend, she suffers from some disease, we dont know what exactly that was!, she had a  bleeding of blood from mouth, nose and from breast, also she had fitz for some frequent times. some times she looks like unconsious. can you what sort of disease this was? because i have to take her to good doctor. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has bleeding tendency.  She may have bleeding disorder.  She should go for complete blood count, peripheral smear examination, complete coagulation profile. Consult your hematologist and start treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: breathing shortness of breath not all the time all upper respatatory acheall over head and throat feels swollen had a kidney tranplant in got virius oct.27 was starting to feel better till bout 5 weeks ago breath and got worse some dr. think i have allageries but i never had any before the transplant the shortness of breath isn t all the time . very low on energy was feeling full of energy after the transplant all was well till i got yhr virius in oct. we are testing for simple virius s like epstein barr and 4 others Any ideas ### REPLY: Thanks for your question on . I can understand your situation and problem. Post renal transplant, lung infection and bronchitis are very common due to low immunity. And both of these cause similar symptoms. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray to rule out lung infection and PFT (Pulmonary Function Test) for the diagnosis of bronchitis. You may need antibiotics, antihistamines .  Since all these  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been experiencing a feeling of indigestion(uneasy stomach) and then gets chills really bad. He is 63 yrs old 6 4 (285 lbs)with hypertension(controlled), overweight, IBS, borderline diabetic, takes lisinopril. avodart and Vitamin D. These symptoms don t come at any given time, such as after eating or activity. They have occurred even while he is in bed resting or awakens him from sleeping, but there is no rhythm or reason surrounding the symptoms. What do you think this is related to? ### REPLY: Hello! Welcome and thank you for asking on ! His symptoms could be related to different possible causes (coronary artery disease, cardiac arrhythmia, thyroid dysfunction, electrolyte imbalance, IBS, etc.). For this reason, I would recommend consulting with his attending physician for a physical exam and some tests to investigate for the possible causes: - a chest X-ray study and pulmonary function tests- a resting ECG and cardiac ultrasound-complete blood count, PCR, ESR for inflammation- thyroid hormone levels - blood electrolytes- an ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. An exercise cardiac stress test would help investigate for possible coronary artery disease, especially when considering his cardio-vascular risk factor (hypertension, diabetes, overweight, age). You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Wishing 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: Is it possible that the swine flue trigered accute heart failure Had swine flue August 2009 cardiomyopathy acute heart failure pulmonary odaema feb 2010 have probably had a problem for 20yrs misdiagnosed as asthma. Is it possible the swine flue trigered this Ive been on medication for a year and my pump function has now returned to normal ### REPLY: Hi thanks for asking question in . Swine flu can trigger the chronic condition like that of heart disease as in your case. It can also lead to pneumonia like respiratory problem so pulmonary edema also can be aggravated. Sometime lead to respiratory failure also. So it is better to recover fast whenever flu like condition with proper lifestyle management. For that taking enough rest, . Fruit juice helpful. So both the condition you mentioned can be aggravated by swine flu. I hope I have solved your query well. If still doubt then  team ready to help.thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, we both have same blood group A negative . we want to know whether our  future child would also avail this blood group ? Would this cause anything harm or side-effects after sexual intercourse ? or pregnancy problems..? Please advice ### REPLY: Hello dear, I understand your concern. In my opinion there won't be any problems either after sexual intercourse or in pregnancy as you both have negative group. The baby can be either O or A negative. But definitely negative group. The problem arises when mother is negative group and father is positive group. Here when the fetus is positive group it sometimes doesn't get adjusted with negative group of mother. This doesn't occur in your case as definitely fetus will have negative group and mother is also negative group. 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 have experienced numerous pregnancy losses (recently first trimester miscarriages and also ectopic) and am working with a fertility specialist. I am currently undergoing testing to determine possible causes for recent miscarriages. In the meantime, I am researching alternative modalities and am curious about the benefits of acupuncture in helping with fertility problems. Thank you for taking the time to reply. my email address is  YYYY@YYYY ### REPLY: **1. Before opting for alternate approach, make sure your fertility specialist has ruled out any uterine abnormality/incompetent cervix, immunological disorder, Thyroid profile and blood sugar along with any lifestyle problem [cigarettes, alcohol, .  Since you are undergoing tests, thus hopefully they will do necessary Investigations2. The best step to treat any fertility problem is to contact a specialist [which you have done]PS. According to Helen Kim [reproductive endocrinologist]: Research suggests that acupuncture may be helpful to couples undergoing invited fertilization (IVF), but it cannot be taken for granted, whether it can improve fertility in general. Although smaller studies show promising results, more research is needed before we can say for sure that this age-old therapy can help you get pregnant.3. Acupuncture is effective in reducing stress. Since stress has been shown to interfere with getting pregnant, it makes sense that reducing stress through acupuncture could theoretically improve odds of conceiving. PS.  If you do decide to try acupuncture, look for a certified acupuncturist, many of whom are also medical 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: Hi I am 36 years old, I recently had backache and MRI report says Diffuse bulge at level L4 and L5 indenting thecal sac . I would like to know how severe is this disease ? Do I need to have some medicine or only exercises will be sufficient. One more thing I would like to add is almost simultaneously I have urine infection and burning after urinating and frequent urge to urinate. Is it possible that this urine problem is due to this diffuse bulge problem in spine. Please suggest can both the problems get treated for both the problems simultaneously, or treatment for urine infection should be taken care of first. Look forward to hear from you soon !!!! Thanks ### REPLY: Hello. I have been through your question and understand your concern. Disc bulging is not a disease. It is just a common condition seen in quite every lumbar spine MRI and does not need any specific treatment. You can have painkillers for your lumbar pain, which is the reason why you had MRI I presume. The urinary infection needs prompt treatment. This is not associated to your MRI findings, I can guarantee this. I recommend treating the urinary problem and not worry about the MRI findings because if you pick up randomly 10 men at your age at least 6 or 7 will have the same MRI findings.9Hope this helps with your question. Please feel free for further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been suffering from Sclerosis from the last eight years. I have tried many allopatChatDoctoredicines. Currently, I am getting homoeopathic treatment. Sometimes it disappear totally but it recur everytime mostly when there is any seasonal change. Is there any permanent solution ? Thanks. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some connective tissue disease or autoimmune disease, which leads to sclerosis. You should go for ANA immunofloroscent test and if needed go for Complete ANA profile. It will give you exact idea about cause. Then take treatment accordingly. Steroids can be used according to need. Consult your doctor and take treatment accordingly Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor,I am suffering from Plaque Psoraisis skin disease from nearly 20 years now.I have been on following medicine since then:DIPSALIC F (Salycilic Acid Ointment)But along the way now these medicines are not giving results. Please suggest some other medicines which I can replace these for.Or some other treatement that can be more effective . I have patches on my scalp,beardline, on my back. ### REPLY: Hello. Thanks for writing to us at  Psoriasis has a chronic course, the course being fluctuated by remissions and relapses, however there is no permanent cure for psoriasis. Treatment depends on the severity of the disease. Topical treatment is the mainstay for limited disease; widespread or extensive disease would require systemic treatment in addition to topical treatment. One reason for lack of efficacy of topical treatment is when the disease is extensive Or is spreadingTopical treatment options for psoriasis plaques includes mainly potent topical steroids ointments/lotions, either plain or in combination with salicylic acid. The ointment which you have been using contains clobetasol propionate and salicylic acid combination. Other options include Topical vitamin D analogues like calcitriol, calcipotriene etc. in combination with or without steroids, are also effective for plaque psoriasis. However, topical therapy alone may not be sufficient for extensive disease Or spreading psoriasis. This might be a reason for lack of efficacy in your casein theses situations, Systemic treatment with Oral agents like methotrexate, Oral retinoids(Accretion), Oral cyclosporin can be started in addition to topical treatment would suggest that you seek an appointment with a dermatologist in your region. Your dermatologist would be able to assess the severity and extent of your disease and advice accordingly. Hope this 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: Can a person get pregnant with unprotective sex in which ejaculation was not done inside. If any chance or need of oral contraceptive, please prescribe an oral contraceptive with minimum side effects for sensitive stomach which gets upset easily and salts like ofloxacin and minolox upset the stomach. What can be the side effects of taking oral contraceptives?Right now also, stomach is bit sensitive. Please suggest some other solution if any. ### REPLY: Hello.thanks for trusting the  doctors for your health related queries. I guess your concern is about.chances of getting pregnancy after unprotected sex with no ejaculation inside.my straight forward answer is. THERE IS NO CHANCE OF GETTING PREGNANT.for getting pregnant after unprotected sex the following things should be required-1. U should be in fertile period(it is from 10th to 16th day of cycle) during that time when unprotected sex occurs.2. Penis should be inside the vagina.3. Ejaculation should occur inside the vagina.u told that there is no ejaculation inside, so there is no chance of getting pregnant.DON'T WORRY...RELAX. I case the above things happened during unprotected sex, then u can take emergency contraception (i-pill), it is usually taken within 72 hours of unprotected sex. I-pill having only one tablet, so there are minimal chances of gastric irritation. So u can take it, if there is any confusion in your mind. With above discussion u can try out my suggestions-1. RELAX.NOTHING TO WORRY. There is no chance of getting pregnant, if ejaculation occurs outside the vagina.2. If u r in doubt then do urinary pregnancy, it is easily available in medical store. If it is negative then nothing to worry.3. If it is positive then visit nearby gynecologist. He/she can help u. I hope the above information is useful, informative and helpful for u.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: Tested positive for lupus anticoagulant and my Dr has a suspicion that I have sle.  Waiting  to see a rheumatologist. Right now Im lying down and my hands keep going numb/tingly and that happens right after my heart races then slows down and pressure is in my chest cavity.  It feels like a cycle. Not sure what this is and its worrying me. ### REPLY: HIT hank for asking to ChatDoctorI really understand your problem, the symptoms that you have described here are not the symptoms of SHE, if you have history of tingling, and tingling then cervical spine problem could be there, you can use cervical collar, and this will give nice result, but I would advise you to get it confirm and for that either you have to get done the x-ray of cervical spine, hope this information helps you, have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I ve was in an auto accident about back in April where I was at a complete stop and someone struck the rear of my vehicle going about 30 miles per hour. I know I ve had swelling and pain in my lower back and have been taking Ibuprofen and Neproxan to help that (no.. I didn t go the the ER or see a doctor but lower back pain is common with this type of injury and a few months earlier I hurt my lower back where the Dr said that there was swelling in that area). That has helped me to move around and function. My question is, would the pain cause phantom pain on my left side around my hip (not hip.. a little higher) area? You know where you put your hands on your hips but your hands are above the hip.. right there is so uncomfortable that it hurts to roll over or turn. What do you think (besides going to see a Doctor). :) ### REPLY: Hi, thank you for providing the brief history of you. As you mentioned you faced an accident and after which you are having a pain in the hip. As reading your history, I can understand that you were hit from behind, and then you had a fall. Now to understand this mechanism, you need to understand some physics here. As when you are hit from behind, your body is not prepared to take the force applied on it. Also, due to the hit from the back, the body has gone into extension in the spine level and later on fallen down. So there might be chances of soft tissue injury which needs an assessment. Also, an MRI of the lumbar spine is advised. I agree to you, that most RTA will have back pain, and all are not serious, but without examining deciding on a general term is a baseless understanding. Taking self-medication is also not advised, as if the injury is big you may be trying to reduce the pain, but the other factors of the soft tissue injury will be present and may get worsen as well. I will advise to get your spine assessed, as spine is an important segment in the human body and needs a real attention. Also to understand that, due to any injury now, the later disadvantages are present. After all it's totally your call and you can decide better. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have left arm pain and tingling. No pains in my chest or stomach, no nausea just a weird pain in my arm that starts at my bicep and runs down my arm. Shortness of breath I have been having but only because I have acute bronchitis. What s wrong with me ### REPLY: Hi, Please, do not worry about this condition. You probably have cervical nerve root compression or spondylosis. Both can be treated with regular physiotherapy with exercise and course of pregabalin. Certain lifestyle modification may also be needed, like sleeping without a pillow. You should get done an X-ray CS done for confirmation. 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 went to lift my daughter up and all of a sudden my neck got sharp pain in it and it went in to the front of my head and the back of my head and they hurt. Right when this happened i wasnt able to move my head left to right but after a few seconds i could. The back of my neck hurts. what should i do go see a doctor? ### REPLY: Hello, It looks that you had a neck strain. There is pull of muscle leading to compression of nerve supplying to forehead. You should do following to have relief in this- -Avoid any hard movement at your neck.-Apply warm compresses over your neck.-Wear a soft cervical color.-Take a mild analgesic like ibuprofen for relief. 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: I am 50 yearsold. I had a hysterectomy about 10 years ago. My uterus was removed and cervix and ovaries left because of my age. In the last few weeks I have been have pressure in the lower abdomnin and thought I was getting a UTI. Test were negative. I had noticed also a discharge and odor also and was told I had a yeast infection and given a an antibiotic for that. however, I still have discharge and lighter odor. I was also have breast pain during this time. Doc has done a ultra sound on ovaries and hormone blood test. Question: is there other things that can cause these symptoms like the discharge, pressure, etc? ### REPLY: Hi ! Good afternoon. I am  answering your query. I hope your gynecologist must have performed a P/V examination of yours to rule out a prolapse of post hysterectomy vaginal vault, which is not uncommon. This could also give rise to the .  Not infrequently post op adhesions of the remaining pelvic organs could also give rise to pressure symptoms in the lower abdomen. Results of clinical assessment and reports of related investigations would decide on further management your problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early 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: Respected sir..I am feeling from little coldness and little headaches and dizziness.. Some times I feel low in blood pressure also...I think I hv been to exposure caused by rains...may I ask for a better prescription... I am taking taxim o and paracetamol and sometimes polybion from last two days..thanks ### REPLY: Hello Sir / Madam, Thanks for writing in to . Kindly continue with the same medications to avoid developing resistance. Kindly continue taxi o, paracetamol 500 mg whenever there is fever (maximum three tablets a day). Polygon is a vitamin supplement. You can consult a physician for anti histamines like Tablet cetirizine 10 mg one tablet at night for 5 days. Kindly get your blood pressure monitored by a registered practitioner three times at a gap of fifteen minutes each. If there is persistent low BP(hypotension) then you may need to add extra salt in your diet. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2 year old has had a low grade fever for 2 days, no appetite and irritable. Will not drink water but have nursed him a bit. he is usually an active child so for him to want to be held and not to play or talk is unlike him. Should we be concerned? ### REPLY: Thanks for posting your query at . I am sorry that your 2-year-old son is down with fever. It could well be due to a viral infection that causes cough and cold, but the details are not clear from your answer. I would have also needed to know the weight of the child to be able to mention the correct dose of the medicines he requires. He needs to be given paracetamol syrup and cold sponging to relieve the fever. Some anti-allergics may also be given along with. Please get in touch with a pediatrician who will be able to find out if there is cough accumulated in his chest. I hope that helps. Feel free to revert in case of further queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i m worried about my boyfriend. I think if may be mildly schizophrenic. He used to smoke a lot of cannabis and was addicted to sleeping pills before we net as well as using other recreational drugs. This has come to a halt since we started going out a year ago apart from the occasional use of cannabis. He creates stories in his head with regard to me hurting him either by cheating or conspiring to physically hurt him. If is completely paranoid and this has even led to some violent outburts hurting me as well as destroying objects around him. His attention span is minimal and his temper is unbearable. One minute we ll be having a conversation and he s the loveliest man in the world then out of nowhere, without any sort of trigger or provocation his mood switches completely. If ll be angry or stay completely silent. It s seriously affecting our relationship... ### REPLY: Welcome to ! I have read your question carefully & I can understand your pain. From all data provided, it is evident that your boyfriend has some psychotic illness, may be due to excessive use of . Diagnosing schizophrenia needs more detail information from patients or attendant. Like if he mutters / smiles to self, etc. Schizophrenia is also a type of psychosis. You have not mentioned treatment, so I assume he is not taking any medicine regularly for any problem. There is mentioning of auspiciousness, sudden unprovoked anger outbursts, along with short attention span-- reflect the deteriorating mental health. I have seen such cases showing good improvement with medicines. Stopping cannabis completely will also be very helpful for him. Cannabis is notorious to cause variety of psychiatric disorders. If it is possible, take him to a psychiatrist, and start medicines, also get some basic tests done-lipid profile sugar, liver tests, kidney test. You may also take help of some common friend and his family to persuade him initially, with time and with medicines his aggression, auspiciousness will go down, and he will start accepting medicines willfully. There is provision of depot antipsychotics for uncooperative patients in psychiatry.  Here, an injection is given once a week to once in a month depending on his condition, and daily  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 do I do now. I have had unexplained bleeding from my scrotum after my morning shower for the past two days. This is not painful, but the bleeding was way more than I expected. It finally stopped after about 5-10 minutes. What do I do? What doctor should I see? Is this a start of testicular cancer? I have a faintly positive ANA test for connective tissue disease with few other symptoms. ### REPLY: Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Your testis examination should be done to look for any ulcer or mass if present. USG scan is advisable in your case to find any underlying pathological lesion if present. According to cause specific treatment can be suggested. You can Consult urologist or surgeon for examination. Hope I have answered your question. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a heart attack due to a 100% over six hours in December; before that I was athletic and in great shape. However, after the heart attack my EF went down to 47... that said my doctor put me on a beta blocker and ace inhibitor. (also blood-thinners and a statin) I exercise heavy 4-5 days a week, and am active for 7 days a week; I eat well, fish at least 5 times a week, all else is vegetables and sometimes chicken; and drink moderately. Today I had another Echocardiogram and suck a peek at the screen before I left. It looked like my LVEF was at 31%. How is it possible that this went down? Am I doing something wrong? What else should I do? Is it safe to fly for business? ### REPLY: Hello there. You said that you suffered from heart attack due to 100% blockage of artery. After a myocardial infarction the blood supply to a part of the muscle whose artery is blocked does not receive blood. As a result that muscle tissue dies and can't pump blood. As a result the ejection fraction starts falling. It is good that you maintain a healthy and active lifestyle, but I would suggest you to avoid heavy strenuous work like running and picking heavy weights as it will increase further load on your heart. You can do brisk walking instead. However, it is safe for you to fly if your blood pressure is under control. I hope that answers your question. If you have any other queries please feel free to write. ### END