Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 is 49 and has been chest pains and pressure on and around his heart.  He is a bit over weight but is very active and does alot at work (He builds swimming pools) I know I am rambling but I am a little scared.  Today the onset was, we had been making love.  He said there is no rhyme or reason as to when he has the episodes. He told me today that this has been going on for 5-6 months.  He said it is getting more frequent and today was the most pain and most amount of pressure, he did not want me to take him to a doctor.  I gave him an asprin and he layed down.  He said that helps but he still feels "uncomfortable" in that area.  His father has had quad bypass, so I am very concerned and would like some advice. Thank You ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should definitely rule out heart diseases in your husband because he is having strong family history of heart diseases. So immediately consult Cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). He may need cardiac supportive .  Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed when I lay down n feel around my right side feels like a bulge . I get back pain on my right side here n there nothing extreme . No pain  besides that. No  burning when I pee just irregular period I dont know if it has to do with it but I did stop my depo  6 months ago. N I do get tons of gas pain. Maybe thats the bulge idk please help me ease my stress till I can go see a doctor ### REPLY: Hello, Thanks for using  for posting your query. I have gone through your given history in detail. Your depot medications may not have much to do with your bulge and on and off backache and gas pains especially when you have stopped your depot 6 months back. You can stay calm until you visit your doctor who can ultrasound you to see the nature of the bulge. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link: bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom has cold since yestaurday. Eventhough, she wears two or three blankets. But still, she feels cold. Luckyily she doesnt cough. She doesnt eat anything except drinking boiled water. And she vomits too. She said that her upper part of body aches specially the end of bones like her elbow, shoulder and her chest too. She feels heavy too. So, what can I do to help her feel better. ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* This seems in relation with underlying inflammatory process in form of Pyrex development.* Recommendations for better recovery-Allow liquids at sessions .- In our clinic we recommend providing anti-emetic medicine on empty stomach with sips of water 1 hr. Prior to snacks.- Tab. Tylenol (500) mg after some green tea or coffee for primary relief-Requires blood test for the diagnosis .hope this clears your query. Welcome for further guidance. Regards dear take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have some burning pain around knees, i was atively doeing aerobics,iam scared of menicus tear .It was around 20 days back i did mountain climbes excersise i wore knee caps as well,then on wards this irritating feeling started.I took xray yesterday it showed nothing should i go for MRi or is it ok if i take some rest ### REPLY: Hi... The burning pain in your knee could be due to Bursa irritation in your knee .or it could be inflammation of tendons around the knee. If I were you. I would like to frequently ice my knee for 15 mins once in every 2 hours. Keep it supported witChatDoctorpression bandage. Avoid any strenuous activities to the knee... Can have some Anti-inflammatory prescribed earlier by GP to me before for 3 days... Gently stretch my front thigh muscle by getting your heel close to the butt... Stretch your hamstring and calf reaching your toes... Hope this is helpful for you. Kindly revert in case you need further clarification. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been told by my chiropractor that my L5 and L4 discs are paper thin. I am up all night in pain.My legs kill me as does my lower back.. I get up at night and walk around the house and it brings relief. But if I walk to far my legs hurt badly ..I am so tired from not sleeping due to such severe leg pain and lower back pain at night ### REPLY: HiT hank you for your question to . Commonest spine related reason for back and leg pain is degenerative changes in the spine which lead to compression of the nerves. Pain of degenerative spine is related more to activity and is called mechanical pain. Muscle spasms during sleep are not uncommon in degenerative spinal conditions however when pain increases at night during sleep other cause of back pain like inflammatory disorders and tumors need to be ruled out. For your symptoms I would suggest complete neurological evaluation by a physician and MRI of the lumbar spine which will show the cause of pain clearly. Treatment for degenerative back pain is1 Analgesic medications like ibuprofen, meloxicam, tramadol etc2 Nerve pain specific medications like pregabalin or gabapentin3 Muscle relaxants like tizanidine4 Local heat5 Back brace Hope this is helpful. I would be happy to answer any questions you may have. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 rash like thing on my body. its on my hands, belly and arms. they are little bumps that itch really bad. if i ignore the itch it starts to hurt. i thought it was an allergic reaction to something but ive changed laundry detergents, body washes, lotions etc. and it hasnt gone away. ive had this for almost 5 months now ### REPLY: HI, thanks for using  You may have to consider visiting your doctor for an assessment and consider allergy testing if he or she confirms this is the likely cause. Allergy testing would help to determine what is the exact cause of the reaction. There are other cause of generalized itching such as thyroid disease, infection such as scabies or fungal infection, liver or kidney disease, side effect of medication. 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: Hi Doctor, My baby is 10 Months + old .. He was having cough and cold since past 2 days but his behaviour was normal and taking proper food. Yesterday, we took him to paediatrician for check up just for safe side. She has checked him thoroughly & informed us that his chest is clear and seems little infection in throat. she has also asked us about some symptoms i.e. vomiting, block nose or running nose, meal behaviour etc. At that time he was only having sometime block nose or running nose depending upon day or night time with very mild cough. Doctor has prescribed few medicines Clamp (salt amoxicillin etc) , T-minic & Tixylix (we were giving him before) and nasal drops Nasikind-P. But after starting the medicines his condition is getting worst. He is not taking feed and throwing out whatever he is taking. His nose is still blocked and running as well, now he is not having feed, not taking proper feed because his nose is fully blocked. He vomits when he get cough (Mucous) and also having fever above 100 celcius. We are very worried please suggest something. We are finding our self culprit that Why we took him to doctor? ### REPLY: Child .  The chest is generally clear in such conditions but may often be complicated by secondary bacterial infections. In apprehension for the same, your doctor had prescribed the antibiotics, although it was not essential. Since you have started giving it, you should complete the full course of 5 days. But please understand that such viral infections take 5-7 days to recover irrespective of use of antibiotics. So you would have to be patient. Dominic as well as Tiflis are cough suppressants. I would not prefer them. You should rather give some expectorant like Relent SYR. Which will ease the situation by diluting the cough which needs to come out. Asking P is right to be given for blocked nose. If not relieved, you may use Position  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 periods started on 14th april and lasted for 3 days. even though the bleeding was normal.. the length of time for which bleeding occurred was short.. usually bleeding goes on till 5th day.. i had unprotected sex on19th april and i took i pill within 3-4 hours but i have not experienced any bleeding or side effect even after 6 days of taking the pill. this was the first time i used i pill. am i pregnant? ### REPLY: HelloThanks for your query. During the reproductive age group, the commonest possibility with altered bleeding pattern is pregnancy.The I pill commonly causes some kind of bleeding within few days of taking it, but it is not the rule.The pill can delay or advance your periods by a week or 10 days, so be prepared for this. If you do not have your period 4 weeks after taking the pill, please take a pregnancy test. Anxiety, stress, travelling, weight changes, hormonal medications - all can cause an abnormal period. Polycystic ovaries, thyroid dysfunction, a . Have protected intercourse in the future. 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 dragging feeling on the right side of my face. also I feel my right ear is blocked.  I had a sinus infection last month and took a course of antibiotics - worst infection ever, cause my forehead to go almost numb. aged 40, 5 ft 4, 10 stone (64 kgs), female, smoker ### REPLY: Hello and thank you for your question. Sinus infections, especially severe ones can irritate the nerves to the face and cause that .  This should clear up in time, but it may take a few weeks or even months if the infection was severe. Sometimes also when you have a sinus infection the Eustachian tube gets blocked, and you can get an ear infection. If the ear sensations persist you need to have a doctor look at your ear. 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 rash on my face, neck (behind ears only), and the top of my arms and one hand. In areas that are exposed to sunlight. I ve been on prednisone 40mg for 7 days, and stepped down to 30mg today for the next 6 days, then 20mg,etc. It does not appear to be working. No itch, no pain, just very dark at times and I m self conscious of it as it is very noticeable. I had a positive ANA test but not sure of how high it was. No joint pain, or any other issues. Rash started as small bumps on neck after boating, they have since joined into one large dark red blotch behind each ear about the size of a baseball. Need some help and advice. ### REPLY: Hi, Probable diagnoses for your conditions are Discoid lupus erythematous, Systemic lupus erythematous or Photoallergic dermatitis.  Proper clinical examination and few laboratory tests are required for confirming the diagnosis.  Lupus erythematous is an autoimmune condition, I highly recommend you to consult your Dermatologist for further management. 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 have factor five leiden and am on lifetime warfarin. I have been scheduled to have a tooth extracted. My recent inr was 2.7. Do I need to reduce or discontinue my warfarin prior to the extraction? The dentist office said that my inr should be 1.7 or lower. ### REPLY: HIT hanks for posting your query to .  Yes your Dentist is right. Your INR needs to be less than 1.7 else it may cause bleeding after extraction. You have not mentioned what dose of warfarin you are on ?  I advise you to take half the dose and repeat INR after 4 days. IF It's less than 1.7 get your tooth extracted, but if It's still more than that you can repeat the test after 8 days.  Kindly re-start the previous dose 1 day after extraction. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sex last month on march 11th. he pulled out.  was like five days after my last period.  then this month when my period came it was abnormal.  very light first day and half, didnt need pad. then just like a couple hours of really light flow. didnt even fill one pad. then just a rust brown discharge for like two more days.  my period always gets really heavy.  tested but came back negative. am i in the clear.  only other thing is that i feel drained and tired and sometimes get a little queasy after i eat, but not a lot.  never had a period, if it was one like that before, and dont know if im just freaking myself out or not? ### REPLY: Hello, Here, you need to undergo one blood test for beta-ChatDoctor & TVS scan to rule out implantation bleeding at the earliest. It is mostly presented with brown discharge. Early pregnancy test is less significant. Other reasons are vaginal/ pelvic infection, hormonal imbalance, old endometrial tissue, over wt/ loss, thyroid disturbance, ovarian cyst, irregular diet habit, stress etc. Following above test report, you need to consult with gynecologist to undergo other relevant investigations to pinpoint the diagnosis. Take suggestive measure accordingly. 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 91. I was testing my blood pressure with a new home machine and took hers, too. Mine was fine, but hers is 172/113! She has had high bp and is currently taking Triamterene W/Hctz 37.5/25, 1/day, as well as Amlodipine 5mg Tab 1/day. She is mostly physically inactive each day as her knees and back bother her from arthritis. She weighs approx. 170-175 and is about 5 6 and has been diagnosed with early alzheimer s. Should I be rushing her to the hospital for nitroglycerine or something? ### REPLY: Hello, It's not an emergency, but her BP medicine needs to change. I would have increased the dose of Amlodipine to 5 mg twice a day. Or triamterene is not an effective antihypertensive, so it can also be changed to telmisartan if BP is high. So you can discuss these issues with your local doctor.  She should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Get her lipid profile and sugars tested once. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My mother is 93 and has unexplained bruising on both hips in the area of the "love handles" the discomfort seems to be superficial and denies any bump or falling (her mind is very clear).  It is getting a little better. Should we be terribly worried?  Tylenol makes her comfortable.  she is ambulatory.  Thank you ### REPLY: Hello and welcome to , Bruises on body most commonly occur due to trauma or blunt injury. However, if there is no known cause for bruising, platelet disorder or coagulation disorder. I suggest you to consult your primary healthcare provider for clinical assessment and relevant investigations- platelet count and platelet function tests. If these tests turn out to be normal, assay of coagulation factors need to be done. Vitamin K deficiency or liver diseases can also cause coagulation disorders. Thus liver function test is also required. 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: Hello Doctor, My Name is Vishal. Since three days my left jaw is paining a lot. I am not able to eat any food items even the biscuits/chewing gums. I dont know what might be the problem. Recently I was affected with cold, cough and fever. So I have been taking DayQuil and NyQuil pills for 2 days. All the three have been considerable reducing. Can this be a reason for my Jaw pain (left). what should be the immediate step I should follow. Please help me. Thank you for considering. ### REPLY: Helloo...Vishal ...read through your query....accordingly I must say it can be due to either cold and sinusitis or due to caries in the left teeth or if you have no wisdom tooth till now it might also cause pain...nothing to be worried...meet a dentist and get a X-ray get it relieved in the meantime you can do salt water gargle as many times as possible do steam inhalation morning and night take antibiotics(amoxicillin)as prescribed by your doctor...stay calm and cool...be happy and meet a dentist and based on clinical condition get it treated....hope your benefitted something from this reply.have a healthy 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 have recently been diagnosed with a brain lesion (cavernoma). The symptoms I have experienced are numbness in my right arm and shoulder area. My question is: How likely is it that the lesion will bleed again once it has already bled. Also, what are the chances that I will regain normal sensation in my arm? Thanks for your help Slava Fisher ### REPLY: Hello Thank you for trusting  If you haven't had any bleeding before, its estimated you have a less than 1% chance of experiencing a hemorrhage each year. If your cavernous has bled previously, your risk of having another hemorrhage is somewhere between 4% and 25% each year. However, this risk decreases progressively over time if you don't experience any further bleeds, and eventually returns to the same level as that of people who haven't had any bleeding beforeCavernoma walls are weak it causes rebleed and reabsorbed causes slowly increasing size. . So there is a chance of rebleed 4-25%.so chances of deterioration of symptoms. Please consult your doctor if symptoms deteriorating and new symptoms developed he will guide you in right way. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3 days ago i started to experience a high amount of pain in/around the top of my butt crack/tail bone that would shoot down this would occur while walking and could get worse when sitting in certain positions. I am familiar to back pain as I have spinal stenosis of the lumbar and thoracic spine, degenerative disc disease in the lumbar spine and mild scolosis. I am currently being treated with daily muscle relax ors, and cymbalta with oxycodone as needed. My normal pain in lower back that radiates down my right hip only. I have had numerous epidural injections and have had two rounds of radio frequency of the ficett nerve. what is going on?? ### REPLY: Hi, thanks for the brief history of yours you mentioned your symptoms and also stenosis, scoliosis and disc herniation. Since due to all this there will be a mild compression on the nerve which is leading to radiating pain in the hip region. Symptoms are related directly to the nerve getting entrapped into the spine. Since you are taking an epidural injection your physician is well aware of trying to help you reduce the symptoms. As the treatment is directed towards the symptoms and to ease it. I will recommend discussing with your physician about the physical therapy. Physical therapy is a non-invasive way of dealing with the spinal injury. Taking a therapeutic ultrasound and TENS will help ease of symptoms. Later on doing some exercises slowly which will help to get strength in muscles and help to release compression from the nerve. Also you need to focus on doing regular breathing exercises as it will help improve the capacity of the lungs. As you mentioned scoliosis I think breathing exercises will help. Certain times things are more preventive and then getting worried. With the grace of God I wish you 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: I am 50 year old female who has been sunbathing for a few days and now have blotchy raised spots on my arms and chest my neck is also affected but is so itchy and sore is this sun reaction? What would help Im in Spain for another week on holiday before heading home to rainy England . ### REPLY: Hello, Thank you for posting on . Acute sun burns are sometimes frightening but nothing to worry as It's pretty easy to manage. Generally, I advise short course of prednisolone along with local application of mometasone cream and soothing calamine lotion twice a day. Antihistaminics and antioxidant tablets can additionally be added. Use high SPF broad spectrum sunscreen every time before going out in sun. Cold sponging will definitely help. Hope this will take care of your issue. Wish you best of health. Thank you . D Dermatology ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When my boyfriend and I have sex it is very painful for him and causes lesions on the head of his penis. It does not hurt me, we have both been to numerous doctors and tested ect to no avail. I am allergic to latex and poly condoms do not fit. Lubrication has been said to not be the problem. Please help. ### REPLY: Degree understand your concerns went through your details. You had been to many doctors, and they are sure both of you do not have any such problems which gives pain to his penis. You say, lubrication is also not the problem. In the above cases, there is no reason for him to have pain while intercourse. Are you sure your boyfriend is not faking pain? If not, this could be his obsession. He could obsess with pain. Psychological counseling should do the trick. 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 get heart palpitation since i was 14 and now i m 38. my palpitation are more often and last longer. they can last an afternoon but they will not be my dtrongest palpitations. i get very exhausted and the tip of my tongue gets tingly. is this dangerouse? ### REPLY: Hi Therewith palpitations we can't be completely sure that whether they are dangerous or not but as in your case you are having them since your childhood they are probably benign for you. But they can be exhausting and bothering. I would like to put you on a trail of low dose beta blockers if you don't have any obstructive airways' disease like B. ASTHMA. As that can relieve your symptoms. Another option is to go for an "ELECTROPHYSIOLOGIST STUDY" to find out the focus of origin and cause of them, and then they can be ablated giving you complete relief if you are too much symptomatic. 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 father has diagnosed with heart problem,blockage in the left and right ventricle,has a diabetes and high creatine level in kidney...and also having problems in his intestine...pls.help me what to do in regards with his diet...and i want him to be on top of his health again..pls.help.. ### REPLY: Hello and thank you for using Healthcare magic. From the information you provided seems like your father has an advanced heart block which impairs normal cardiac function. His associated diseases may further complicate his heart condition. Heart block is defined as blockage of signal conduction from sing atrial node to both ventricles. If this is the case than the solution in an implantable pacemaker which will bypass the block (AV node block) and stimulate the atria to work. Which pacemaker and the technique of implementation depends on the type of block, his rhythm and will be determined by his cardiologist. I hope that my answer explained the condition and will be helpful. Please feel free to contact me again for any other question. Best regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son has ehlers Danlos syndrome. hes 30 and already suffered an anuerism in his aorta we didnt think he would survive it. they drained 2 pints of blood from his right lung and fluid from his chest, could do nothing foe the bleed but said it must have scabbed over because he was improving. this is frustruating as most doctors have never heard os it. My question is....can he fly in an airplane for a few hours 2 months after surgery or ever for that matter ### REPLY: Hi, I did review your concern.EDS is a genetic disorder affecting connective tissues of our body. There are many types but from the problem your son is having it seems that it is vascular type which is more often severe in presentation. The best way to go about it is to give him symptomatic relief and avoid blunt trauma to his body as much as possible. I will not recommend a flight for him simply for the reason that there will be no immediate medical attention for him in the air. As far as air pressures are considered it is not a great issue as carriers are pressure controlled, but he needs a doctor with him to travel with him to stop bleeding in case it happens. I hope this helps. I wish your son a happy life ahead. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughterAswani(14) yrs old. had some problem. she dilike her youger brother(3) yrs old.       she thought that everybody likehim.so she always tell me that you dont like me and shouted me that you are not my mother....iam totally confused sir, how to remove her mindS complex. ### REPLY: HiT hanks for using  Sibling rivalry is the jealousy, competition and fighting between brothers and sisters.  It is a concern for almost all parents of two or more kids. Problems often start right after the birth of the second child.  Sibling rivalry usually continues throughout childhood and can be very frustrating and stressful to parents.  Better to consult a psychologist in this case. 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: Two of my disks in my back bulged, ripped and one slipped a few weeks ago. After taking a pregnancy test that was negative, I was given an epidural steroid back injection procedure with X-ray and all. I had been on muscle relaxers (2 weeks), a nerve blocker (3 nights), oxycotton and rx dose Alieve (2 weeks). I found out I was pregnant during that time but it was too soon to test yes. How much effect could this have on my baby? ### REPLY: I welcome you to  .com. As far as pregnancy is concerned---yes---in this way you may get pregnant as sometimes the pill you took fails to work 100% as we wish it should have to do. Chances of failure are always there in this method of contraception with morning after pills. Kindly go for a Laboratory pregnancy test after two weeks of your first sexual intercourse. Consult your nearest ORGAN for proper evaluation and interpretation of the lab results. Sometimes periods get delayed due to hormonal and other environmental factors and a delay of 11-12 days is taken normal. Hope it was all you needed the answer for. Have a nice time ahead. Healthiest 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: Thank you. Today, I was standing at a counter, and all of a sudden I felt as if there had been an earthquake,and I lost my balance ,for a moment, but then I was ok shortly thereafter. Someone around me thought I was falling, but I didn t fall,because I caught myself. I take no medication,but I do have allergies. Thank you ### REPLY: Hi There After going Through your query I understand your concern. I would like to tell you that your symptoms are suggestive of pre-syncope, that needs to be evaluated on urgent basis as it can be fetal.It's advisable for you to get an ECG and a HOLDER monitoring for 48 hours done and consult a cardiologist personally. If there will be significant Arrhythmias then you would be requiring a pacemaker or an ICD implantation. Hopefully this has answered your query. Kind Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on Adderall 20mg, 5x day, for about a year now.  I have been diagnosed as OCD and AADD.  A few weeks ago, I lost my new prescription.  I have not been able to get a new one and Ive been experiencing different symptoms...i.e. long-term headaches, absolutely NO concentration. and just generally feeling badly.Could those be symptoms of abruptly stopping the Adderall??  My doctor is out of town... ### REPLY: Degree understand your concerns went through your details. Most probably, the symptoms you are facing could be of two reasons put together. One is abruptly stopping your medicines and second is your self created obsessive thoughts about the aftereffects of stopping the medicines. In any of these cases, the best coping method is to start the medicines again. 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 a very small but visibly noticable lump on or in the veing just down from my thumb, I pushed on it a few times it was soft and soon went away but now further up my arm but before my elbow I have an ache almost it feels like its bruised but it isn t. Any reason for this. ### REPLY: Hi.based from your description, it could be any of the following: a cystic formation (possibly a tedious or ganglion cyst), a fibrous (fibrous tissue formation), lipoma (fatty deposit) or callous formation. If you are bothered by it, and it is increasing in size, affecting function of your hand, it is best if you consult with a doctor, for clinical evaluation. Diagnostics and management will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I am a type 1 diabetic from Canada that had back surgery here at Bayfront Neurological unit in Saint Petersburg Florida in February I was release in late March and due to the costs of my insulin (Humalog) and Levemir I am waiting to have my refills sent from Canada where they are covered by my insurance. I have some left to last me till they arrive this week but I have no syringes. I called my Canadian doctor and he said I had no issues as syringes didn t require a script in florida but everywhere my wife goes to get a box or even a few bags she is rejected. I have my old bags and bogs so she has labels but ot sure why we can get the syringes as pharmacy says the insulin needs to be bought there. My Canadian doctor says that s wrong but its not helping me and with the steroids they have me on for my back repair my sugar is in the 300 s and its the one things the neurosurgeon said would slow my recovery. Is there a simple solution to this? there is a walgreens right near me ### REPLY: You should be able to buy syringes without a prescription in most states. Some states restrict the number of syringes that you can buy at a time. There is no law in Florida restricting the sale of insulin syringes, however, pharmacists may be hesitant to do so without a prescription. You could call pharmacies in advance to find out. Your other option is to just buy them online. There are many online ordering options such as Amazon: http://yyyyy.to/0000000I hope you can find what you're looking for. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ho I m using onabet cream for 2 weeks on my scrotum and thigh surrounding scrotum initially there were red rashes and boils and itching now the itching has stopped the rashes have become less but in some areas it s still the same with rash , even my penis had pink reddish screen in some areas now kinda gone or turned pinkish . Should I continue to use the cream ### REPLY: Hello! I have been through your question. Related your concern I think is good news that your symptoms are disappearing in the majority of areas but based on your data (in some areas is still the same)you should continue your course of treatment with On abet Cream for 4 weeks or up, till 6 weeks, until your signs and symptoms of the infection have disappeared. Furthermore, I suggest washing your hands to prevent spreading the infection and do not get the cream into your eyes. I hope my answer help you. I wish you a quick 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: my grandson is 15 months. He has fits where his body vibrates, there is no pattern can have them at any time. once he has had one of these he goes floppy like a rag doll & you can move him around & he will not wake ( usually never sleeps ) he then sleeps between 30 mins to 3 hrs. on waking he is dazed & unsteady. He has had an eeg which was not too successful but showed no abnormality. on this the Dr has said it is behavioural??? ### REPLY: Hi, I am . You have described the following symptoms 1. He has fits where his body vibrates → I believe you are describing GTCS.2. Once he has had one of these he goes floppy like a rag doll → This is Todd's Palsy 3. You can move him around & he will not wake (usually never sleeps) he then sleeps between 30 mins to 3 hrs. On waking, he is dazed & unsteady. → Post octal state All these point towards a seizure disorders I would advise you to consult a neurologist at the earliest you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My left side feels heavyier. I can still move it just the same as my right side but it is such a strange feeling. I went to the doctor when it first started happening. To make sure that I wasnt haveing a heart attack r anything. everything was fine. I even went and had a stress test. I am 43 yr old Female ### REPLY: Hi thanks for asking question. Here you can do ECG to rule out ischemic heart disease. Usually in this case pain is severe and radiating to arm with sweating. So chances of ischemic heart disease is less. Mostly you might have simple musculoskeletal pain, may be because of wrong posture while in sleep. Take simple analgesic for that. If still pain not relieved then do further work up with x-ray chest to rule out infective etiology if associated fever is there.CRP and CBC also will be helpful in further work up after few days if pain is getting increased. I hope I have solved your query. 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. Since June I have bad lower back pain especially when in bed and for the first hour or so in the morning. Also since January i have bad pain in my heels and find it hard to walk most of the time. And since February I ve had alot of pain and pressure on my tailbone. I havent had any injuries in either area. Any idea what could be causing it? ### REPLY: Hi, Thanks for the query. I understand your concern.  You seem to have pain due to Arthritis of sacroiliac joints / weakened bones(osteoporosis)/ degenerative changes in vertebrae or disc problems.  All of these are related to degenerative changes caused by over use/ age.  You need to consult an orthopedic surgeon for a detailed physical examination/ investigations like serum calcium, vitamin D, Rheumatic factor in blood / X-ray spine & joints.  After coming to exact diagnosis you would be offered cause specific treatment, which can be(medicines with NSAID, steroids/ calcium & vitamin D supplements/physiotherapy/ surgery, 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: by blook work showed that I am low in b12 and I have nuerogical issues that is being looked at through extensive blood work.  Can low b12 cause you anxiety, depression, overwelming feeling of exhaustion I am 50 years old weight 148 and have had numerous medical issues. ### REPLY: Hello, Yes, low B12 levels can increase the risk and intensity of several psychiatric disorders. It is usually recommended nowadays to get B12 levels determined at the start of treatment in psychiatric illnesses, and treat the same if found low. The treatment of low B12 can be done with simple oral supplements in form of multivitamins or in case of severe deficiency we may choose to give some injectable on weekly or biweekly basis. Treating this deficiency results in feeling of wellbeing and also helps the main . So, if you are low on B12, treating the same will be wise. Consult your neurologist or GP about the same. Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: wat causes my swollen cheek And gum. It like desolves with hot. Water then intstintly reforms.its not rock hard but close. Can it be a drug i recently tried. I also have some holes or indetions on my face including acme. Need answers woke up with my left cheek like a softball. Sometimes pain and i can push it out under my tooth but its little bubbles ### REPLY: Thanks for your query, I have gone through your query. The swollen cheek could be because of the tooth infection or gum infection or arteriovenous malformation. Consult an oral physician and get yourself examined to rule out any tooth infection or gum infection, and you need to take radiograph. If there is no tooth infection then you need to get an ultrasound to rule out arteriovenous malformation. You might need a course of antibiotics. I hope my answer will help you, take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 4 weeks 4 days pregnant having dull aching pain mainly in my right side of abdomen lower back and hip..sometimes in groin..what is the reason..its been there for almost 2 weeks..kind of pulling sensation especially when i lie down in left lateral position..my gynaecologist had advised me to take drotaverine tab sos..i have taken 3 so far..is it safe?..my serum beta ChatDoctor is 291 calculated 2 days back..and serum progesterone is 55..i am very much worried thinking about chances of ectopic pregnancy..i had planned my pregnancy according to ovulation study (received clomiphene 50 mg from day 3) which showed 2 follicles being ruptured on 14th day of cycle with ET 6.5mm,...for this pain i underwent TVS which showed 23mm follicle in right ovary and intact vascularity..please guide ### REPLY: Hi, Thanks for the query I understand your concern. Abdominal pain & cramping in early weeks is a common symptom in early pregnancy. The dull ache due to uterine changes in pregnancy can be in center of abdomen or on either of sides of center . The pain in right side away from midpoint can be tubal pregnancy which is associated with considerable cramps/ bleeding by 4 weeks pregnancy.  In case the cramping is severe & is associated with bleeding you should see your doctor earliest.  In case the cramping is severe & is associated with bleeding you should see your doctor earliest.  Your  & progesterone levels are normal for 4 weeks of pregnancy.  * after 5 weeks gestational sac is visible in USG scan... you can go for it to know normality of fetal position / to know about possibility of tubal pregnancy. Followed by needful treatment under care of a gynecologist.  Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a really bad itch at the top of my bum crack for a few week now but Iv just noticed a few lumps coming up. They look like little bites but I dont have animals for fleas and they seem to be spreading and exteamly itchy!Please help me, its driving me mental ### REPLY: Hi. The bad itching can be due to local dermatitis and scratching enhances the problem for nor allowing it to heal. The sweat and other factors increase the problem. The minor injuries inflicted during itching can lead to collection of small abscesses, this is what you must have. Do not apply any local ointments as it can lead to growth of opportunistic bacteria to give rise to the worst form of infection. You may apply locally liquid provide iodine as it kills all bacteria and is the least reactive. Keep the area clean and . Consult a Doctor to get a prescription based antibiotics and multivitamins. This will heal very fast. Continue multi-vitamins for a long duration for the skin integrity to increase nicely. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 little dark in colour. . . I used lomela. . . It gives a good result. . Bt i heard it gves sme side effects later. So please can u tel me a cream which lightens the skin . . . It should bea good crem .no problem if it take month to change the skin tone wats tat s ter shud be no side effects. ### REPLY: HELLO.thanks for your query. You can follow a few steps to achieve a clearer skin :1) Use a broad spectrum sunscreen and wear it continuously throughout the day. It is good to apply this even indoors. Ensure you have put on the sunscreen 20 mins before stepping out.2)Use Glycolic acid based creams at night. They are good defoliators and help you achieve a clearer skin.3)You can use It. C based creams in the morning .4)Orally It C (1000MG) daily can be taken or other antioxidants.5)You can go in for Glycol Peels with a dermatologist to achieve a better lightening of skin. These peels when done once on 15-30 days, can achieve a lightening of skin tone to a great extent. Lomella should not be used for skin lightening for long. Hope you find this helpful. Best Wishes! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have low ADH. I have been tested for Diabetes Insipidus and do have it. The only two Endocrinologists where I live do not what it is. All my mucous membranes are dry, especially my eyes. My eyes are very sensitive to light. Any ideas what I can do? Are there any solutions? ### REPLY: Hello, Thanks for the query. The condition diabetes Insipid us is a rare entity. There are two types 1)Neurogenic-where there is deficiency of ADH secretion & 2) Neurogenic where kidney is resistant to the action of ADH. Since yours is an ADH deficiency disorder, if not very severe then adequate water and other fluid intake should be enough to control the condition. If it is severe, then hormone supplementation with Desmopressin can be dosed. This .  But better to use it under the guidance of an endocrinologist. It will help reduce water loss and improve all the associated symptoms. 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: Sir, I have a brother (30) who is physically handicapped (one leg - polio) and he slightly mentally challenged. He can finish his daily chores with little support. He has studied upto 5th std. The problem is he keeps annoying my mother my asking questions repeatedly. He was brought up by my grandma from his child hood. I want to improve him. I seek your guidance. Sudhakar.N ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I would like to know how he is mentally challenged? Furthermore, I suggest you to consult a clinical psychologist or psychiatrist to assess the condition. For any mentally challenged person, there are several training methods available which falls under the category of psychotherapy. But before that, we should know what type of challenge your brother is facing. Brought up by grandma is not enough a reason for his behavior. Therefore, consult a clinical psychologist or psychiatrist to assess the condition. 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: Hey doc my wife complains that her back hurts and her legs and arms goes numb. She was born with a curve in her back and doctors told her mom that she would grow out of it but u can see that her spine is curve could that be the problem or what could is be ### REPLY: Hi, I am .  I have read your question and understand your concerns. Let me try to help you Question : Could curve spine be the cause of back pain and numbness in legs and arms? Answer : Yes. It can cause Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. 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 daughter, aged 37,and her husband, aged 41, have been trying to get pregnant for over a year now with no success. My daughter thinks it is because she was on birth control for over fifteen years, but her husband recently had his sperm tested and was told that he has a high percentage of malformed sperm. Also, he smokes, I think the problem is with the sperm. Do you agree? ### REPLY: Thank you for the questions you have rightly mentioned, healthy functional sperms are required for conception. Abstinence from smoking might improve the sperm morphology and increase chances of conception. When a person has the high number of malformed sperms, the chances of conception reduces, but it does not mean that the married couple cannot conceive since it requires one healthy sperm for fertilization with ovum. Consult a fertility specialist who can provide a better insight into the issue and guide you accurately on how your daughter can improve her chances of conception ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 52 years old.Since having a laparoscopically assisted  hysterectomy ten days ago, I have had lower blood pressure than usual-still within the normal range (this morning,113 on 70). However Ive been experiencing dizziness. Five months ago I was placed on Atacand medication due to High B.P and now taking Atacand Plus. I realise that the lowered BP is due to the effect of the morphine PCA following surgery and the reduced mobility. At this stage in recovery, I am certainly less mobile than usual, but relatively active for this stage of recovery. Should I take my blood pressure  in the morning, once Im up and about, before taking the prescribed Atacand PLus, or should I just continue to take it as normal? ### REPLY: Hi, Thank you for your question. The blood pressure that you have mentioned should not cause any dizziness. Morphine PCA following a surgery can cause low blood pressure. .  Continue taking your usual medication. Check your blood pressure only once daily. Whenever you sit for a longer time, make sure you stand for a minute, and then you start to walk. Standing up and walking immediately can sometimes make you feel dizzy which is known as orthostatic hypotension. Hope it helps. 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: Ive been experinencing a lot of neck pain an shoulder pain along with headaches dizziness numbness an nausea. I had a MRI of my neck an my results said I have low lying cerebellar tonsills. The doc didnt know much about this other than I needed to have a MRI done on my brain Im wondering what my next step should be? ### REPLY: Hi, Thanks for writing in. The cerebellar tonsils are the most inferior portion of the cerebellum, a part of the hind brain which is important for motor coordination. Normally, these tonsils are wholly inside the skull. In the case of Arnold-Chiari, the tonsils are low-lying, below their normal level. It can cause severe headaches. You should discuss with your neurosurgeon and see if you really need a surgical decompression or methods to regularize CSF flow from ventricles through the cervical cord. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 admitted to hospital yesterday wit severe lower bak pain my gp tought kidneystones  had blood urine n scan tests notin showed was released n told take pain killers tat maby it passed  but still v sore only confort i get is lyin down  n i tink mt side swolen now ### REPLY: Cellophane You for contacting . There are multiple causes of lower back pain. I would have been in a better position to guide if u had told your age. I would suggest following differential according to priority:> Muscular spasm> Renal Calculi> Pelvic Inflammatory Disease> PyelonephritisThey can be ruled out on the basis of clinical and lab evaluation. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor I am 29/F suffering from Jaundice with symptom of Fever,nausea,weakness,Itching all body,Yellowish Micturation since last 20 days,my latest report is TLC,DLC,ESR-Normal, Eosinophil-13%,AEC - 9-23 percmm,MP & Widal - Negative,Serum Bilirubin 8.6(Direct-2.1,Indirect -6.5),SGPT-2160,SGOT-2290,Alkaline Phospatase-109,Hepatitis B -Negative,Hepatitis C - Negative,USG- Mild Hepatomegaly cause Hepatitis,Biliary channels are not dilated(non obstructive Jaundice) ,Markedly contracted gall bladder with markedly oedomatous wall 10.7mm due to liver pathology, Mild to moderate spleenomegaly,Dear Dr I just want to confirm How much time it will take to recover I am under treatment of Gastroentrologist and Diagnosed Acute Jaundice,sir how much time it will take to recover,any diet restrictions and can I have sexual Intercourse relation with my Husband,is sex relation safe or my husband will also be infected. ### REPLY: Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice.* This level of jaundice takes around 10-12 weeks of period for total recovery provided taken care properly.* Dietary restrictions are must for initial 6-8 weeks, then some relaxations are provided by the treating physician according to the clinical progress.* Sexual relationship has no issue with causing infection at all. 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 friend who got diagnosed with TM 5 years ago. Since then she has milked it for all it is worth. She is fine - in my opinion 90/100% better. But she claims to have relapses, a numb face, numb or burning sensations on her arms or legs, then will visit doctors and demand MRI s and blood tests, then post photos online of her at the hospital or getting a blood test done etc, so we all know. Her neurologist in town said she didnt want to hear from her again unless she was paralyzed. We went to another town 2 hours away for a consultation to talk about the latest MRI she had demanded 2 months ago. She said it was 100% clear, nothing at all to worry about and her NMO results came back negative. I have done a lot of research on TM because I have doubts into the sincerity of her condition. I read that 75/90% of cases are monophasic. She was never paralyzed, her arm was numb when first diagnosed but it hasnt been like that again, although she claims to have predictable relapsed all the time, usually around the time her current boyfriend isnt paying her enough attention. I read that there is a thing called Factitious Syndrome, and when i relate it to her behaviour, it all adds up. She is 27 by the way. I have so much more to say on the subject but I dont want to take up any more of your time. I was just wondering if you could please confirm that TM is a monophasic disease, and that she could in fact be suffering more from facticious syndrome (which I have heard is actually a mental disorder) Kind regards ### REPLY: Hi, Yes, transverse myelitis is a monophasic disease and does not usually recur, unless it is part of multiple sclerosis or neuromyelitis optical syn .  Transverse myelitis is caused by a viral infection in most people, and it would be rare to have the same person get affected again by the virus causing transverse myelitis.  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: The right lower back side of my body has been swollen and in pain for several days now. I ice it down 2 or 3 times a day and before I go to bed I put icy hot cream on it. It still bothers me later on. I thought maybe it s a sprain or pulled muscle but idk . I know it s hurts when I bend over and it has been this way for 3 days already. ### REPLY: Hi, At the moment, the swelling along with lower back pain make me think of colonial abscess. However, a detailed examination by a physician will help to distinguish that pain from the one that happens after a pinched nerve or a sprained muscle. To help with the pain you can also use over-the-counter Tylenol provided there are no contraindications or allergy to it. You also will need to avoid bending forward excessively or carrying heavy weights. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has been diagnosed with stage 4 colon cancer...She has undergone rigorous chemo over the last 4 months and now the latest scan shows the cancer is dormant....However, she has pneumonia and has had severe runs the last couple of days....She was released from the hospital a couple of weeks ago with the pneumonia and now has it again.....In a different hospital now...Should they be checking the pancreas? ### REPLY: Thanks for your question on . I can understand your sisters situation and problem. I don't think they are checking pancreas. They might be checking for atypical or fungal infection. Cancer patients are usually immunosuppressive. And chemotherapy further decrease the immunity. So possibility of infection is much higher in cancer patients. Not only infection, possibility of atypical infection like fungal, parasitic, tuberculosis, atypical bacteria etc. is more in cancer patients. So to prevent recurrent pneumonia, we should get done bronchoscopy and BAD (bronchoalveolar lavage) culture to identify the organism. Sensitivity report is also needed to guide the effective antibiotic therapy. So she is mostly transferred to other hospital for further investigation like bronchoscopy and BAD analysis. Hope I have solved your query. Wishing good health to your sister. 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: GREETINGS FROM NEPAL (Land of Mount Everest and Birth Place of Lord Buddha)Respected Team of Doctor, My Name is Purushotam Bhattarai writing this mail seeking some help to my brother-in-law who is suffering from MND (Morton Neuron Disease). My in-law is having painful life, my only concern is that if there is any kind of medicine to make his life little bit easy. If any doctor are there to whom I can send him All of his reports (Pathological) and medicine he is taking. Please if someone can address or write back to Me I will be very grateful to him or her.Waiting to hear from.With Regards Purushotam Bhattarai and my email address is  YYYY@YYYY ### REPLY: Dear Mr Bhatpara Unfortunately there is no cure for the MND as of today.  Symptomatic and supportive treatment can be of help for maintaining quality of life.  Rissole is the only .  Recently stem cell therapy is being tried as a research modality. Physical and rehabilitation improve posture, muscle weakness and atrophy, and swallowing difficulties.  Proper nutrition and balanced diet are essential. Good luck and hope for the best Protein ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently finished treated for a grade 3, left breast cancer with lymphatic involvement, sectional removal, lymphatic clearance, chemo 6 1/2 months, radiotherapy 6 weeks of 5 times a week. I was very fit at the commencement of apparently fairly aggressive chemotherapy, as I was told there was a chance of metastases. Diagnosed feb 27 2013, 56 years old. I am a positive person and have been involved in the medical profession. I have noticed a lump just above my left groin, no pain and intermittent. I attend the gym twice a week and do sport twice a week with no pain in this area. I assume it is nothing to be concerned about in regard to cancer ! ### REPLY: Hi. Sorry to know the history but happy to know you are positive and careful treatment you have undergone. The area you suggested is the rarest site to develop secondary of Ca breast. At least not heard of or seen to have lymph node involvement at this level. Somehow I have a feeling this is either a lymph node due to local area infection or a hernia or so. Your Surgeon can ell you more on clinical examination and ultrasonography and FNAC if needed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sis has been tested positive for montox test n her ESR level is 54. She has neither cough nor any lession or protrution on her body but every night the tenperature raises upto 101.Can you please tell us which type of TB is this? ### REPLY: Hi.  Welcome To  A strongly reactive Manitou means that she has been exposed to tuberculosis bacilli, and she has developed hypersensitivity to tubercular protein, which is measured by the diameter of induration (red swelling) after 48-72 hours that develops at the site of tuberculin injection given intradermally (in the skin of the forearm). A positive Manitou test doesn't always mean someone has TB disease; it just means that the bacteria have been in the body at some time. Also, a diagnosis of tuberculosis is never based solely on a Manitou/PPD tuberculosis test. False-positive reactions to the tuberculosis skin test can occur because of:Infection with non-tuberculous or atypical mycobacteria. I recommend chest X-ray and sputum for AFB three times.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 would u plz tell me that my beast has stop growing from my age of 13 because i pressed ice cubes on it in my age of 13 now their size is like a size of 13 years girl i m now 20 years oldplz kindly tell me the solution what can i do m worried.....!!! ### REPLY: Hi Breasts size will not reduce by pressing ice cubes on them. The growth of the breasts depend on the hormonal changes, breasts generally increase in size during puberty and reach a good size after that. Frequent handling of breasts, general weight gain, cops can all cause increase in size if your weight is less or hormonal disturbances, it will fail to grow, in some, familial causes, as in every woman in family will have small breasts, such cases we can't do anythingAdvise you to go for a check-up to a Gynecologist and some hormone tests and could be treated accordingly, else padded bra, breast augmentation surgeries are an option. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently had my gallbladder removed, it will be a month on friday since my surgery. for the first two weeks I was fine and didn t have any digestion problems. But then I started getting horrible diarrhea for a few days straight. After then it hasn t been as bad but my bowl movements are not normal. I generally have excess blood and mucus in it, and sometimes all that comes out is pure mucus with blood mixed in. Usually very fresh bright red blood. Today I ve had it really bad and actually had stool that looked extremely dark, almost black and had a watery consistency. My surgeon told me to take some extra fiber but it doesn t seem to be working. I haven t had any pain since the gallbladder was removed but during the time when I had the problem with my gallbladder I lost about fifteen pounds due to nausea so I did not want to eat anything, not sure if its relevant. I ve tried to avoid things like dairy and meat as they have caused some problems for me. Do you have any idea what it could mean? ### REPLY: Dear sir, it could mean many things, but I think that there shouldn't be any relation between your gallbladder removal and this symptom. It sounds for me more like typical colon disorder; IBD, Crohn or ulcers colitis, infective colitis etc. The best way to rule it out is to do colonoscopy. After that you can plan further tests. Blood in stool can also be serious sign of some benign(polyps, haemorrhoids, fissuea) as well as malignant diseases so don't be very concerned but do colonoscopy definitely. Wish you good health, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, Ive had ongoing lower back pain since the birth of my first child (via emerg. C-section) 2 years, it continued throughout my 2nd pregnancy. Again I had an emerg. C-section with my 2nd child, which was 3 months ago. Pain unfortunately getting worse & am now getting tingling/numbness/pain in both my heels. Have seen an osteopath for last few months but has not given me any relief.Thanks ### REPLY: Hi there. Your symptoms correlate to disease called Prolapsed Intervertebral Disc...... most probably at the L5-S1 level. Pressure on the nerve is causing the tingling sensation. Kindly get an immediate X-ray and MRI of the lumbosacral spine region done. Get it evaluated by an orthopedic. In the meantime follow this protocol :1.  Bed rest.....as much as possible2. Avoid bending forward and avoid lifting heavy objects3. Local heat massage and analgesic gel application4. Painkiller and muscle relaxant medication.5. Pregabalin to suppress the tingling sensations hope my advice has helped 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: Im pretty sure I have fybromyalgia, my doc. has not diagnosed it as such but I have talked to him about it.  I try not to consume certain foods or drinks, so I think my case is pretty mild now.  However, when I get cold (cold feet or hands - get out of shower and leave hair wet for a while) I get cold and then all of my muscles start to ache.  Could this be part of fybromyalgia?   The only way to feel better for me, is to get a heating pad any move it around different muscles until Im warmed again. ### REPLY: Respected user, hi I evaluated your query thoroughly.* Fibromyalgia is characterized by chronic widespread pain & heightened pain response to pressure, with other symptoms as feeling tired, affecting normal activities, sleep problems and troubles with memory also in many cases.* Diagnosis is usually after exclusion of other causes.* Many more information are not available here in your briefing, but till the information you have provided I don't agree it to be fibromyalgia. Hope this clears your query. Thanks for using  & giving me an opportunity to assist welcome for any further queries. Regards dear 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: ok sorrry i have recently having porblems with my head, i have a new second voice in my head it reminds me of my dead father, he is telling me to do many things... such as killing people including my wife adn children.. do u ahve any ideas for wat i can do? ### REPLY: Hi dear. I understand your concern. Hallucinations need to be evaluated. It can be a part of psychosis, or it can be part of substance abuse. Details evaluation of hallucination regarding content/time/auditory or visual etc. After proper evaluation it can be treated on basis of its underlying disorder. So consult and get help. Still if you have a query then feel free to ask. Happy to help you further. 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 40 years old and a nursing mom (my baby is almost 7 months now).  For past five days, I have fever and the temperature fluctuates from 37.4 to 38.3.  I have never had a symptom like this before.  To reduce my fever, I took cold medication along with allergy medication for the first three days.  However, both medication did nothing to reduce my fever at all.  My forehead is not hot, neither are my hands and legs.  But I do feel I am hot inside my body.  Another symptom I have is that my head is heavy everyday and every time I go pi, I can feel my urine is hot too.  I have a bit of seasonal allergy.  I also feel pain on both sides of my shoulders. Can you tell me what could be the problem?  Thank you so much. ### REPLY: Hello dear thanks for your query at  these all symptoms can be due to urinary tract infection.in urinary tract infection one will have fever, burning micturition, headache, body pains, tiredness and restless less. Get one complete urine examination test done, that will rule out any infection from urinary tract.1 take tab paracetamol 500 mg thrice daily for fever. Other medication and antibiotics might be necessary after urine reports. 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 am regualary feeling pains in the chest and and the left arm joins and stomach pain. When i checked with doctor and the cardio reports are saying im perfectly alright. But, im now and then feeling i may get heart attack. Some times during tension, i may feel bad and get vomitting, motion symtoms. Please help me in this ### REPLY: Hello! Welcome and thank you for asking on ! I passed carefully through your question and would explain that your symptoms could be related to anxiety. Have you performed a cardiac stress test? It would help investigate for coronary artery disease and reassure you that you are not going to get any heart attack. If you already have performed this tests, and it is normal, I would recommend considering other possible causes that may mimic this clinical scenario: gastritis or gastroesophageal reflux, a cervical column articular nerve pain or anxiety. For this reason, I would advise performing a cervical spine X-ray study and making some trials: a- try taking an antacid or omeprazole. If it helps improve your situation it would indicate possible gastroesophageal reflux or gastritis. In such case a fibrogastroscopy would be needed. B- try taking alprazolam 0.25 or 0.5 during those episodes. If this helps improve your situation, it would indicate anxiety as the main cause of your complaints. You should discuss with your doctor on the above issues. 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: hi, i underwent a agioplasty in jan 21 wherein i had 3 blocks from that 2 blocks have being stented, now 1 is remaining. From past 1 week m facing a problem of sudden giddiness, i also have spondilities problem but no diabetics and no Bp problem. i dont know what is the cause of my sudden dizziness, is it becoz of the medicines or my spondilities etc. pls guide me on whether and within how much duration should i do my next RCA angioplasty? ### REPLY: Hello! Thank you for asking on  ! I understand your concern, and would like to explain that your clinical scenario is more compatible with your spondylitides problem. If you haven't cardiac ischemic symptomatology, and no any abnormal changes on your vital parameters (BP, heart rate, no dyspnea, etc.) or any other clinical signs at all, there is not any reasons to worry about the moment. Nevertheless, I recommend you to perform a medical check up, for a careful physical exam, resting ECG, and some blood tests (complete blood count, complete urine test, liver and renal function tests, blood electrolytes, a cervical X-ray, etc.). Regarding your next RCA angioplasty it depends on your coronary lesions anatomy; on ho severe is the remaining coronary stenosis, and on the intensity of clinical signs it may probably produce. A review of your coronary angiography report, and a cardiac stress test would be necessary to decide the right time to intervene. Hope to have been helpful to you! Greetings!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is Jennifer. I am a 41 year old female, 5 9 , 125 LB. Over the past 10 years I have had symptoms of arrhythmias , chest pain, breathing problems (inability to breath deeply), coughing and severe hoarseness usually coinciding with the other problems. It seems to be getting slowly worse as I get older. I sleep sitting up. If I lay down I risk waking up with significant chest pain, choking and arrhythmias. I tried to get a diagnosis in my 30 s but no one found the source of my problem before I lost my insurance and stopped pursuing it. I recently went to a chiropractor and had x-rays taken. There is significant compression and misalignment between C3 and C4. There is also some arthritic changes between these vertebrae. I used to break horses when I was in my early 20 s and at one point directly fell on my head and was knocked out. I assume that is what caused this particular injury. My question is could this injury be causing the arrhythmias, chest pain, breathing problems and hoarseness? I know you can t answer with certainty I am just curious if it is a possibility. Thank you for your time, Jennifer ### REPLY: Hello There After going through your medical details I understand your concern and I would like to tell you that major blood loss in head injury can your symptoms like palpitations, shortness of breath and chest pain. Kindly get a CBC, z-ray chest and an ECG done and consult a physician with reports for further treatment. Hopefully this information will guide you properly Kind Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a cardiac catheterization which showed normal systolic function, tandem severe mid LAD lesions with severe Diagonal disease, small diseased Left Circumflex; and very distal branch vessel disease of large RCA. I am taking all recommended meds and cardiologist is recommending I consider PTCA of the LAD. Would the PTCA improve my quality and length of life? What is recuperation from PTCA like? ### REPLY: Hellothanks foe posting here. I have gone through your case history. Going by your description, you have triple vessel disease. Since the circumflex artery is small and diseased there is no need to stent it. Also since the RCA disease is quite distal there is no need to stent it. The LAD supplies blood to 60% of heart muscle. Since you have tandem lessons in mid-LAD, your cardiologist has advice to stent the LAD. ANGIOPLASTY has very good results. Since if It's done through a small puncture through your arm or the leg, the stay in the hospital is not more than 2-3 days, some doctors discharge the patient next day also. Also since your heart pumping function is preserved you have a very good prognosis. The quality of life is good, patients are usually mobilized on their own on the next day post angioplasty. After discharge the patient is asked to refrain from strenuous exercises for 4-6 days, after which they can go about their normal routine including running and jogging. The recuperation and future quality of life is very good. Please don't worry and go what with your angioplasty. Stents usually function well for minimum 10-12 years. However you must be very regular on your medications and do annual health check-ups. Thank you ### END