Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 am 35 years old man,had epigastriam pain in feb first week and admitted in hospital for 10 days i was diagnosed acute pancreatitis due to sludge in gall blader.i was treated with heavy antibiotics and dischared.but after one month i had again pain and mrcp report shows bulky pancreas and sludge in gall blader with echogenic mobile specks. pl help me what can i do .parveen ### REPLY: Hi and welcome to . Thank you for your query. It seems like you have gallbladder sludge which causes repeated pancreatitis and this is definitely the indication for cholecystectomy. Some surgeons usually wait for 2 months after pancreatitis attack because it is hard to perform such procedure in acute phase. Till that, you should follow hepatic diet, take ursodeoxicolic acid, avoid alcohol and fatty food. Pancreatitis is likely to occur associated with gallbladder stones so. Sometimes it can be severe attack. SO I suggest doing laparoscopic cholecystectomy 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: What causes a very quick feeling of an electrical shock in chest/heart? This continued off and on for at least 30-45 minutes prior to getting out of bed this morning. I have been sick with a stomach flu and also the flu since Tuesday and I m on antibiotics???? ### REPLY: Thanks for your question completely understand your question chest pain in morning can be due to various reasons like gastritis, peptic ulcers, duodenal ulcers, or cardiac causes like angina, valvular heart diseases you should consult a pulmonologist / cardiologist who can request for a 2 d echocardiography to rule out the cardiac causes thanks feel free to ask more questions may god bless you with 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 a few months ago I was shopping, I turned my head & heard a very loud crack in my neck. I have had trouble w/my neck ever since. I woke up yesterday w/such intense pain in my neck I can barely stand it. it hurts worse, of course, when I turn my head. ### REPLY: Hello, I have studied your case. Due to compression of nerve root there can be pain in your neck. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: age:45weight:62gender:malemedical history:multiple calcululi are seen well distended.Normal wall thickness.impression:cholelithiasis(scan report)problem:no better food intake.operation needed or not?if operation be done later any problem in that case? ### REPLY: Hi I have gone through your query.... Noted you have multiple stone.... As such if patient symptomatic and troublesome then it has to be removed... Your gall bladder wall normal so no complication yet... But still to avoid complication here gall bladder need removal.... As such it is safe procedure.... But following complication can be there.....-bleeding -infection-leakage of bile-post cholecystectomy In which diarrhea, abdominal pain, indigestion etc. can occur..... Hope your concern solved..... .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having pain in my bones. All the time but feels worse when im working or lifting anything. Especially in my arms and the lower halves of my legs. It s an achey pain. I would rate it as a 2 on a scale of 1 to 3. Its a recurring pain that comes and goes. Ive been dealing with it for a few years now. Ive been use using deep heat but it doesnt help as much as it used to. A few years a go I was told that I am deficient in vitamin D. ### REPLY: Hi, Thanks for your query. The symptoms that you are having are likely to be related to benign causes like electrolyte imbalance, iron, vitamin D and B 12 deficiencies, etc. Most of the time these symptoms can be taken care of by taking electrolyte rich fluids, it D and Methylcobalamin and iron supplements. I do hope that you have found something helpful, and I will be glad to answer any further query. 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 developed lung issues after using a cpap machine (had really bad sinusitis duing this time). Now I have been diagnosed with eosinophilic bronchitis, but my lungs feel really bad and when I cough I can taste infection.  When i was on amoxycillin for a root canal my lungs felt better, now they are worse again. ### REPLY: Thanks for your question on . I can understand your situation and problem. Eosinophilic bronchitis is mostly allergic in nature. You should first get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. So get done PFT. You may need inhaled bronchodilators and inhaled corticosteroid. Oral antihistamine and anti-allergic .  So better to consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have was diagnosed with a gallstone a couple of weeks ago. Since then, I have had some stomach pain after eating but mostly I felt fatigued. Now I am extremely dizzy and my heart is fluttering. Could it be the gallstone and is it okay to wait to see my doctor? ### REPLY: Hi welcome to the  Gall stone usually can lead abdominal pain, vomiting, diarrhea etc. like problems... Dizziness is not usual presentation... You are having dizziness and heart fluttering as well, hence cardiac causes should be ruled out on safer side Your blood pressure should be checked and investigation done with EKG or echocardiography... If no cardiac cause present then Otological causes, hypoglycemia, lack of sleep, viral infection etc. like causes ruled out by history and detailed physical examination Hope your concern solved Take care Consult physician for examination with keeping all this in mind ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Has my 2 year old got measles? He has had a high temp for 3 days (39 - 40 degrees) and now has come out in a slight rash on neck, behind ears, face and torso. He has been immunised. ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor my bf and i had sex with a spermicide condom we cheked by fillin the condom with water andthe condom had a lil dot where the water was running out can i get pregnant? i also want to say that im epileptic and i take trileptal 900 grams a day ### REPLY: Hi, I think there is a chance of pregnancy.  So, better to take emergency pill within 72 hours.  If not possible, then wait for your periods.  If periods get delayed, do a urine pregnancy test at home.  If positive consult a doctor if you don't want pregnancy.  If negative wait for your periods. If you are epileptic then inform your doctor regarding this.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had a hysterectomy 8 weeks ago and ever since i have almost constant discomfort in my sternum which i believe is heartburn but i don t understand why it has started since the surgery. how do i get rid of it, its very uncomfortable. Antiacids don t seem to help. ### REPLY: Hi, thank you for providing a brief history of your case. Well, to look ahead of your discomfort in the sternal region it can be due to weakness of the respiratory muscles. Try doing some breathing exercises and abdominal strengthening exercises. Abdominal muscles are the muscles for respiratory system and the strength in them are of due importance for the ease of breathing. Pilates is the form of exercises you can perform. Suppose in case after doing what I told doesn't help then I Advise you to meet a physician and get yourself checked once.it's never a bad idea to take a consultation from a specialist. A cast x-ray will be of input in future as well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sprained my ankle 7 days ago. The ankle was swelled and bruised over most of my foot. I could not put weight on it for a day, but after that I have been able to walk. Starting yesterday I noticed a little more swelling at the ankle joint and I have small blisters on the ankle. The blisters or maybe a rash itch like mad and burn at times. I have sprained my ankle before but never had the blisters or rash? I have not had x-rays ### REPLY: Hello, You may be having blisters secondary to a sprained ankle. The blisters usually occur after 48 hours and are usually seen after severe ankle sprain. I would suggest you to get an X-ray of the injured area to rule out bony injury. If on X-ray, there is a bony injury then you may require a plaster after an orthopedic consultation otherwise it can be treated with elevation rest and crêpe bandage. Wish you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Please help me. For the past year and a half ive been experienceing pain in my abdomen, which is now in a definate area ie: from the mid abdomen to just under my right rib cage. I have no appetite, sometimes wake up with chills and a fever and feel very bloated. I have had a hida scan and CT Scan done with no abdormalities detected.  My homeopath picked up something wrong with my caecum bowel placing pressure on my appendix and liver. I am feel extremely tired and lethargic and i have a constant aching pain in my right abdomen area whether i eat or not. My back and neck get very sore when the stomach ache begins..does this sound like a colon problem? ### REPLY: Hi. Thanks for your query. This may be a colon problem as you have a persistent pain on the right side of the abdomen. This is one and half year that your pain is persistent, CT and HIDE scan normal. The area of the pain in the right upper qua .  I would advise you the following:::Get an ERCP done for - knowing the architecture of the bile and pancreatic duct system, sphincter of odd function, probably to put in a stent and most important is to get the sample of the bile for gram staining, culture and sensitivity. Upper GI Endoscopy and barium meal may also be required. Another reason of cecum inflammation causing this problem is a possible diagnosis Nephritis. Get a course of an antibiotic, metronidazole and probiotic to see the results. I would advise you the following"Colonoscopy as the first investigations. Tests of blood, urine and stool. CT scan of the abdomen. All these investigations will help us to get a perfect diagnosis to get a proper treatment plan as you have been suffering for the last one and half year. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 73 years old left brest found one lumps after operation baiopsi report positiv after that we are go though to oncologist surgen then he suggest operate the hole brest.18 nov operate the hole brest and biopsi rport negative so my question is now cemotherapy needed ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Chemotherapy is needed in breast cancer.  If after complete removal of breast, biopsy report doesn't show cancer then chemotherapy is not required.  Please send me your biopsy reports or consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc..this is, age 32..i do have pigmentation on both the cheeks as well as on nose since 4 years..i don t know what exact treatment i should follow..and is there is specific tablets to reduce pigmentation ..and also wanted to know if pigmentation is curable ? I heard that it is not curable so i am bit scared as i don t want to look like this for ever ### REPLY: .-. Hi your clinical history gives the impression that you're having plasma...no one knows the exact etiology but it usually happens because if terminal changes during pregnancy, sometimes BCO of OC pills, thyroid and decrease he....the. .the greatest enemy for this condition is UV rays...so top most priority is UV protection whether u r indoors or outdoors....apply sunscreen with SPF 30 at least 3 to 4 times a day as the effect of sunscreen hardly lasts more than 2 to 4 hours.this pigmentation is quite resistant to treatment so prevention and protection is best especially when it is deeper...it can definitely be reduced with the help of medium depth chemical peels...at lead six sessions...BT again the improvement has to be maintained as well as it's not permeant and recurrence is possible...more of salads and sprout, plenty of water, and at least a single citrus fruit a day...don't take stress... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, had hip replacement surgery 9/23 and 58 yrs old. through a process of elimination the crazy pain I have is a pinched nerve in my lower right back.  Dr. says next step is to MRI the spot.  I have to work what can i do for myself to help remedy this?Thank you,Donna ### REPLY: Hello! Welcome and thank you for asking on ! I agree with your doctor that an MRI would help examine better the nerve compression. A nerve conduction study may also be helpful. Meanwhile, I would recommend starting therapy with Gabapentin or pregabalin for the pain. These two antiepileptic .  They are usually well tolerated in every age. Physiotherapy may also be helpful. You should discuss with your doctor on the above issues. 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: Here is my question I have a friend who has an irregular heart beat and he had a Black widow blood clot and nearly died. How do you get a Black widow blood clot. he was able to live because his once he called his wife complaining of a stomach ache, losing brate and his arm bothering him. She told him to run to the hospital. He did and was brought back to life after being lst for 22 minutes. it is an amazing so which just occurred on November 20 of this year. he just got home Wednesday. Again the question is how do you get a Black widow blood clot ### REPLY: Howell come to ChatDoctorI really appreciate your concern, certain creatures are there which got the deadly venom and these are either neurotoxic or demotic in case of demotic it changes the all chemical constitution of blood like its ability to form the clot or preventing it from forming clots, and in this way venom affects the blood property, hope this information helps, take care and have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have mild degentrative disk disease, bulging in the l4 l5 and S1, when roatating my core i can feel and hear gridding noses and sesation. I have bacame very off balanced, any time im in one postion for very long rather it be sitting standing or lyeing down, when i go to change positions it hurts, ### REPLY: Hello, As what I see is you have a degenerative disc at L4-L5 and L5-S1 levels so the para spinal muscles are weak here. The grinding sound what you hear is of the facet joints. Since there is no stability in the spinal column it needs to produce some sound and pain.  I would advise you to start working out for your core stability, back extensor strengthening and lower limb strengthening. As all these exercises are oriented to provide good strength to muscles and stability to the spinal column.  In my clinical experience of 12 years, most cases have been better till date with the above-mentioned exercise and some specific as per the needs. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! me and my husband are having a problem to have a baby for almost 2 years.We tried so hard a lot to get pregnant.I know its not my problem because i have one 7 years old daughter from my ex.Do you think there is something problem w/ my husband? How will we know it and what is the better we need to do to get pregnant? Is there any other way or need to take some medicines to be pregnant? Thanks ### REPLY: Hi, Welcome to  . I suggest you to get your husband semen analysis.  If any abnormalities is there then treatment can be initiated accordingly.  Also, there are chances of females getting fertility problems after normal pregnancy before. So I would suggest you to get your follicular study to know egg maturation and growth is normal and also timing. If any problem is noticed treatment will be given accordingly.Also, if your periods are not regular then get thyroid profile, FSH and LH, prolactin levels done. Hope I have been helpful. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 22 month old daughter just woke up from sleep and had a fever of 102.3.  I gave her 1 tsp of childrens advil (per my doctors advice) but was wondering why when she awoke and had fever (and still for a few mins after taking medicine) she was shaking a little all over.  My son at 20 months had a febrile seizure, and im familiar with what seizures in general look like, this was not one, but is it a warning sign of one? ### REPLY: Dear Sir, Shaking that your noticed probably is due to high fever also called as chills & rigors. However, a child can have febrile seizures, try to keep her temperature down to normal limit. You may give here paracetamol for high fever under your doctors' guidance. Also, you can do cold sponging. In case you notice apart from shaking, teeth hindering, tongue bite, frothing, unrolling of eyes, rush her to ER, that is a seizure. Consult your doctor for appropriate treatment for the cause of fever. Wish her 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: Did a pregnancy test. Result window had a light blue line in result window on the correct side and on the test side the line started off a little crocked and then you could see the tiny start of a vertical line. If you didn t take the very faint vertical line into consideration and just focused on the 1 blue line- then I wS wondering why it would not be on the test side of the results window. I understand that to mean- you completed the test correctly but are not pregnant. I then took a Difulcan tablet and did another test 2-3 hrs later and although I did not get 1 line & 1 very faint line this time- the line I did get is sorta on the opposite side to where it s meant to be. ### REPLY: Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1. First do not panic. 2. If you have history of unprotected sex act in the fertile period of cycle, means between day 10 to 20 of the cycle, then you need to get mornings first sample of urine tested for pregnancy. In case of doubt blood beta  test and USG will be of help. 3.  Dilemma about urine pregnancy test can be due to delayed ovulation and late conception or due to diluted urine.  So please get mornings first sample of urine tested. I hope this answer helps you. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am still healing from my cancer surgery from 1 year ago. During my health turmoil, my family (Siblings) emotional support were really lousy and almost like strangers to me. I feel very abandoned and I am still going through the feeling of hurt. Should I cut off my relationships with my siblings. They are more concern about their own self and happiness it seems to me rather than giving me the true sincerely love, care and emotional support that  I need so desperately. ### REPLY: Hi, Thanks for writing in. You are a strong person battling cancer and great to know that it's been a year since your surgery. Cancer is a challenging condition, and you are your greatest support when fighting cancer. Your siblings might have not realized the situation you are in and the turmoil in your mind. Please forgive them and pray for your well-being. There is no need to cut off relationships with them, and instead you please try ways in which you feel stronger and independent in your fight with cancer. I am sure you are going to win the situation and in few months time you should be able to make a complete recovery. Try and spend time with friends outside your family. They will always value your presence and lend you ears when you require and need them. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my husband is 54 yrs old and had chest pain on the left side and now say his arm is hurting all the way down to his fingers and the back of his head and above his left eye is hurting he was eating dinner when this stared and said he was starting to feel sick ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should immediately take your husband to follow hospital and rule out ischemic heart disease (HD).  At his age of 54 his symptoms like left sided chest pain, radiating pain to left arm and hand, feeling sick etc. are more suggestive of heart attack (HD). So consult cardiologist and get done1. Clinical examination of heart, blood pressure 2. ECG 3. 2d echo 4. Coronary angiography. All these are required for the diagnosis of HD and other heart diseases. Prompt diagnosis and early treatment are required in heart diseases otherwise they can be life-threatening. So better not to wait at home and consult cardiologist immediately. 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: hi , i think i might be pregnant , i have done a pregancy teast but it came back negative , ive got lower back pains , sore breast that have increased in size , headachs and lower cramping pains in my belly , im also really tierd and iritable and have cistitus ### REPLY: Hello dear, I understand your concern. In my opinion the symptoms of pregnancy are nausea,vomiting, increased urination, sore breasts, tiredness start usually at 6 weeks of pregnancy. But the symptoms alone are not enough to diagnose pregnancy. The urine pregnancy test should be positive along with symptoms. The test is usually positive a week after missed period. So consider doing the test. The sore breasts, pain abdomen, backache can be seen even during the premenstrual phase. So relax and check for period. Avoid stress regarding the thought of pregnancy or anything as it might also make one to feel pregnancy symptoms and delay period due to hormonal imbalance. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a hard lump 4 in below my collarbone and above my right breast. I noticed it in January. My gynecologist said it was nothing and I was to young to have a mammogram. Well its August now and the pain has grown since. My primary Dr scheduled a mammogram . I went today and the technician says it too high to be the breast area for a mammogram . She did it anyways but suggested an ultrasound. I did make a follow up appointment. I wondering what it is. Its slightly visible. Hard sometimes its seems larger on days. But the pain wakes me up at night now. Help ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your lump area is too high for breast pathology.  It may be some soft tissue mass like lipoma, neurofibroma or other. Demography is not needed.  You should go for fine needle aspiration cytology or biopsy.  It will help you to search the cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,this is paripurna...i used to apply betnovate c n gm on my skin for rash and pimples but due to my job shifts i was unable to apply it from past 3 weeks, as a result i got severe rash with burning sensation on my face.can you please suggest on to this ### REPLY: Hello and welcome to . It seems you have got local irritation to the cream you have used. It called Contact irritant dermatitis. Nothing to worry as your skin will be fine soon. I would advise you a week course of oral prednisolone in low dose (5-10 mg). Apply a mild corticosteroid like demonize and antibiotic like juridic acid twice a day. After good quality moisturizer like detail DAM twice a day over full face. Avoid use of any cosmetics/face wash for few days. Avoid direct sun exposure and use water-based sunscreen before stepping out in sun. Hope this was useful. 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 37 years old and my right ear got blocked I feel n put ear bud to find blood marks on it.just put coconut oil to loose the block.wat to do now.also suffering from severe cold n was keeping cotton in ears while sleeping.during flights also my ears get blocked n tears come out.wat cud be the reason ### REPLY: Hello, I read your message and understood your medical problem. Ear blockage is quite common during or after a cold. It happens due to the blockage of the Mustaches tube that is a communication between the throat and the ear cavity. When it is blocked due to inflammation or mucus it causes an elevation in ear pressure. A higher ear pressure makes the ear .  This will give the sense that the ear is blocked. Finding blood marks in your ear buds after using them may be because of a bruise of the ear canal walls or because of a damage to the ear ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 aunt is in the final stages of melanoma. she has hospice and in the last week i noticed she has more difficulty breathing and has started coughing up mucus with alot of blood. about 6 weeks ago the doctor gave her a few weeks. based upon the changes in the last week, can you tell me what the next symtpoms will be and roughly how soon? Im trying to spend as much time as possible with her. ### REPLY: Hi, Thanks for writing in. Cancer is a challenging diagnosis and the life expectancy, survival and prognosis depends on the stage of cancer and response to treatment with chemotherapy and radiation therapy. Melanoma is an aggressive tumor and spreads to other organs even after the primary cancer is operated. Your aunt might be having spread to other organs as you have described her condition is in the final stages. She must be a strong-willed person and that is the reason she is exceeding her doctors' prediction of her life expectancy. It is possible that she might survive for a few weeks more. Coughing up blood is not a good sign and that itself might cause her to give up. This is causing blood loss and therefore the next symptoms might be that of severe weakness, increase in blood loss, and probably she might catch an infection in her lungs, a pneumonia sort of. It is nice to know that you are spending a lot of time with your aunt in her final days. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, for the past three days I have had some pain in the left side of my mouth. Behind the back of my tooth there seems to be a lump (on the lower half and top half of my gum). It is also causing me pain when I swallow and speak. When I press my fingers underneath my jaw (on the left side) I can feel the pain. ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have said that you feel pain and lump behind the tooth don't worry it can be due to Impacted Third Molar or may be Molar is Erupting then Erupting Bulge can or due to Carious tooth or may be Periodontal Abscess, so you do is Do warm saline gargle two - three times a day take analgesic one tablet DIPLOMA twice daily and go to dentist and get investigations done X-ray (IOWA), OPG Done, if necessary, Hope this will help you.  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: hello sir I m 16 years old i have very weak bone specially my wrist bone is very thin and during night i have sperm leakage it can fill my half pant so please tell me why its happening with me i didn t tell this to my parent i hope you can help me better ### REPLY: Hi, Thanks for writing in. At 16 years you are in your adolescence. This is a time when your body is transforming to that of an adult. Your testes are increasing in size and have started producing sperms as in every adult male. The sperms are manufactured in the testes as a result of hormonal developments. Each day a small amount of semen is made. When enough semen is there in the testes, it overflows in the form of nightfall. This is a normal process and not something to worry about. You can read about this under adult male sexual development online and also ask your biology teacher. The way to avoid nightfall is to masturbate once in 2 - 3 weeks. This will not allow the semen to overflow. Please note that masturbation done occasionally is normal and not a bad habit. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In 2008 I had Klebsiella Pneumoniae in the lung and didnt know if i was going to recover.  Now i have klebsiella pneumoniae in my kidney.  How are the two connected, and how dangerious is this in my kidney.I have weaken amune system from cancer in 2005.  Please let me know if the two are connected and if it is dormate in my body.  Thanks ### REPLY: Hi and welcome to . It can be related, and probably is. Klebsiella isn't common causative agent, but it happens in immunocompromised and in hospitalized patients. Lung infections lead to bacteremia, it means that bacteria has entered bloodstream after which it can be transmissed to any organ(kidneys, heart, brain). It should be treated aggressively by intravenous antibiotics and this is usually enough for healing. In rare cases it can lead to serious kidney damage, but in most cases it heals without consequences. 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: i have had two neck surgeries and two mid back sugeries and they noticed i have a bulging disc below where the rods and screws in my back is. i have had severe pain lately. and i woke up with bruises on my back . and i have not bumped it. what is this from ### REPLY: Hello, I have studied your case. If your MRI says herniating disc then this can lead to compression of exiting nerve root which later on supply lower limb. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Neurotropic medication like methylcobalamine and pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Spine extension exercises will help you. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then re -surgery decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. 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 had my lab reports done, n cane across this picture. Monocytes - 18% Neutrophils - 34% ALT - 90 AST - 71 TLC - Lower limit Symptoms - Fever - initially 102 F for one day then low around 99 - 100 F with sweating and slight chills. Joint pains and body aches. ### REPLY: Thanks for posting your query to health came magic. First i would like to tell you that this a case of Pyrex of unknown origin and there is a lot of cause for it. So first I want to know some more information about your case i.e. For how many days you are suffering from fever, is fever s continuous or there is symptom free period between two episodes of fever or associated with chills and rigor or cough or cold or throat pain or burning in urine or headache etc .you have to undergone some more investigation for it 1 blood for malarial antigen test 2. Blood culture and sensitivity3.tidal test. After getting full. Information I would be able to suggest you the correct medicine. Meanwhile, you can take paracetamol 500 mg tablet two times a day for relieving symptom. Rview me after complete detail. 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 feeling light headed, dizzy, and tired lately. At first I thought it was my period coming, but I started spotting 9 days before it was supposed to come. It has been 4 days now and I am still spotting and feeling extremely light headed. I don t have any lower abdomen pain or anything like that... what could it be? ### REPLY: Hello, I have gone through your query and understood your concern. If you have never had a disturbance of the menstrual cycle earlier and if you are sexually active, please confirm/exclude pregnancy first. This should be done in the current scenario through an estimation of the serum beta-ChatDoctor titles as the urine test may not read well at this stage. A trans-vaginal sonogram also helps to know the status of the pelvic organs and thereby helps to know if you are pregnant. If positive, you can attribute your symptoms to this and the spotting could be an early implantation bleed. If negative, this spotting is likely to be due to hormone deficiency and can be corrected with supplements. This may be a transient defect only. Hope your query has been answered. 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 the last two months that I have had my period I have bright orange blood lately feel so tired groggy feeling I have ovarian cancer that runs in my family I m just curious if this is a symptom I have two kids and had c sections for both and had my tubes tied could that mean I have a infection ### REPLY: Hi, Thanks for writing in. There can be many symptoms of ovarian cancer and some of them are non-specific. The symptoms of suspected ovarian cancer are listed below.1. Mass in the lower abdomen or pelvis with or without pain2. Fluid collection in the abdomen3. Generalized weight loss4. Weakness and fatigue5. Lymph node enlargement in the groin or neck6. Pain in the pelvisYour symptoms of bright orange periods are not a feature of cancer ovary but if you have family history then getting screening tests is important. Please consult your doctor for screening test of ovary cancer which might include CA 125 and ultrasound scan abdomen and pelvis. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I started the maoi marplan 4 days ago at a dose of 10mgs a day this is the second time I ve restarted this drug and around the 4th or 5th day I notice my skin has a some red discoloration around my face is this common? What should I do I get side effects with every antidepressant and have been struggling with severe anxiety and depression for a long time now... ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. You may consider fluoxetine or Escitalopram or mirtazapine. All these medicines are safe and are useful for treating depression and anxiety. 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: Yes I m a 50 year old white female with a history of breast cancer and lupus. I started two weeks ago with a respiratory infection. They treated me one week with Doxy but did not improve, went back on that Friday and was given a Rocephin injection and steroid injection, my white count was 13.7 on Monday I was still no better and went back received another antibiotic injection and was given Prednisone 40mg to take daily for 5 days. Was admitted to the hospital on Thursday due to failed outpatient treatment. MY CXR has been ok no pneumonia but I m still short winded and feel like something is closing over my windpipe blocking my air. In the hospital my white count was 14.9 I was getting Rocephin and Zithromycin IV twice daily and SoluMedrol plus breathing treatments. My oxygen sat was around 92% then dropped to 90% on room air. I was discharged Saturday and did feel better, came home with Breathing treatments and Omnicef, Prednisone40 mg daily. Yesterday was awful I felt like everything was just like it was prior to being admitted. I am still having the feeling of something blocking my breathing at times and I have begun to cough again with some thick white sputum being produced. They seem to be puzzled as to what is going on because my blood cultures were clear for bacterial infections etc, CXR was alright the pulmonologist thinks it might be an underlying problem with my Lupus. However, today is awful again coughing, no energy short of breath etc. she is calling me in another steroid similar to what I took in the hospital and if no better might need to be readmitted. UGHHHHHHHHHHH any suggestions this is really getting the best of me. They did check for cardiac issues and blood clots and those were normal as well. Sorry to write so much but I was trying to give you a history. This has been going on now for more than two weeks. ### REPLY: Hi there... Thank you for such a detailed history. Reading your description I did think of Pulmonary embolism that is related to both SHE and breast cancer, but if your doctors have ruled that out then its shouldn't be a concern. I would still like to think of Interstitial lung disease and Pulmonary Hypertension as a possibility. Do discuss these differentials on your next visit to your doctors. 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 got into a car accident 2wks ago and was diagnosed with chest wall contusion. Well, I have been doing my breathing exercises but still having chest pains every now and then and its hard to breathe but I do have asthma... So, my question is how long does it take for a chest wall contusion to heal and should I be worried do I need to go to a doctor? ### REPLY: Respected user, hi I evaluated your query thoroughly.* There are no absolute timelines for healing from chest wall contusion.* It depends on multiple factors as - size, depth of contusion - presence of infection - comorbid conditions as diabetes / other related issues - local care in form of cleanliness - general healing factors of patient - many more.* In a nutshell small, minor contusions heal within days but if major +/- with infection or other conditions may take longer period. Hope this clears your query. Welcome for any further assistance better with photograph of it. Thanks for using  .com & giving me an opportunity to assist you. Wishing you fine recovery from the same. 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: I am a 26 yr old female, i have been experiencing some chest pain for 24 hrs, coming and going last night and since about 11am today comming frequent left and right and in center, right before my chest pain last night I discovered throat swollen, white puss bumps, throat hurts nothing crazy! i didnt sleep last night cause of it, I am in pain now and scared to fall asleep. I took 2 antacids, my husband thought it might be acid reflux. it has seemed to help a little.  Should I be worried? ### REPLY: Hello, If I were you, I would go to the doctor and do a complete blood count, chest radiography and an ECG. If it is lung infection with a throat infection, you might need to take an antibiotic. The ECG is to see how is the heart and to rule out any possible cardiac problem that would cause the chest pain. You should take the antacids as long as they release you. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 23 year old male. i get a feeling like a warm liquid is running down my lower left abdomen, right about my waist line. it isnt painful, just really strange. it happens every 20-60 minutes and doesnt have a specific trigger. i am very active and have read it may be hernia, appendix, or kidney. looking to see of the possibilities. ### REPLY: Welcome to  .1. Abdominal hernias are generally without pouching, symptoms can be similar to what you are having, but you are not localizing the pain.2. Cholelithiasis can also give the similar symptoms.3. Other causes might be bowel infection / inflammation, renal stones, acid peptic diseases.4.However you need to get an appointment and your doctor might ask for an ultrasound, which will help in narrowing the diagnosis or definitive diagnosis. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the couple of weeks I have been drinking alot of water almost nonstop (very thirsty) which is causing me to pee nonstop. The past couple of days I have had a very dry mouth and dry lips and things are looking unfocused.  It is usually if I go outside and I am thinking its because of the polon.  I have been tested for diabetes, blood pressure, etc and everything is normal.  What could this be? ### REPLY: Hi, this symptom of excessive thirst is called Polydipsia. Most common causes are1.diabetics.but as you already have got tested for that, we can rule out diabetes2.psychogenic polydipsia- A special form of polydipsia. It is usually associated with a patients increasing fluid intake due to the sensation of having a . 3.zinc deficiency zinc the body to absorb fluids more efficiently (reduction of diarrhea, induces constipation) and it causes the body to retain more sodium thank you, wishing you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I know it may be a weird question, but I am still very concerned and worried. I am a virgin. But we were being a little bit crazy with my boyfriend and he came. I sat on his stomach and I think maybe a small amount of sperm touched my clitor. But yes, I m a virgin. Is this dangerous??? Please help me I am worried!!!! ### REPLY: Hello dairy understand your concernPregnancy is not possible. Pregnancy is possible when penetration occur with or without ejaculation or penetration up to vaginal introits. Pregnancy is not possible without loss of virginity. Just be relaxed and wait for the period to come. Avoid stress, take healthy diet, . Hope this may help noncontact  for further health query Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 15 year old daughter has a sore throat that has come and gone for the past five days She also has mild seasonal allergies this time each year and takes zyrtec. She is a singer, too. How do I know if this is something needing a doctor exam and possibly a prescription, or if it will run its course. She does not seem very sick, but I hate to have it worsen. ### REPLY: Hi, Welcome to . No, zyrtec alone can't cure your daughters sore throat. Sore throat or pharyngitis or laryngitis, epiglottis could be due to viral infection(EB virus or adenovirus) but some time it could also be due to bacterial or parasitic. You should take her for routine blood count with chest X-ray and sputum examination to diagnose the underlying infective cause. She might require antibiotics (quinolones or accolades) to prevent super infection with anti-inflammatory and other supportive treatment like bronchodilators. It would be advisable that you must consult ENT doctor or pulmonologist for further advice. 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, can I answer your health question ? please type your question here....Gestational Age :BPD : 8.7 cms .... 35weeks 1dHC : 31.1cms .... 34weeks 5dAC : 30.9 cms .... 34weeks 6dFL : 7.2 cms .... 37weeks 2dweight  : 2693gms + /- 224gmsLiquor : Adequate{AFI:: 11.2cms} ### REPLY: Hello, Thanks for sharing your health concern with us. I have gone through the query and would like to offer my opinion. The sonogram findings indicate a gestational age of 34-35 weeks. The disparity in the femur length is perhaps due to the fetus being lengthier than usual. You may repeat the sonogram after a week for a proper appraisal of the situation and plan further management. 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: am 24 years old female,i got mums at 8 years. nw am suffering with mums my fear about complication like inflamation of ovaries,hearing loss like dat .i studied mums once oocur means that immunity will be there upto lifelong very rare only will got this  again like that now my question is why i got again?and fear about the complication. ### REPLY: Hello, Welcome to , First thing I would like to know is who diagnosed it as mumps? Because it is rare for a person to get mumps at this age, since it is common in child . It might have occurred due to some infection of unknown source, but it is not the bothersome thing. I would like to know your symptoms and if there is swelling or not and if it is so then on one side or both? If it is mumps, then you don't have to worry, and you should take medications like antibiotics (augmenting duo),painkillers, anti-inflammatory and antihistamines, and it will take generally 7-10 days for the swelling to subside. Also, do not worry about its complications as it can be cured with appropriate medications. You can take a normal diet with lots of fluids but just to avoid sour food like lemon etc. You can also use a medicine mouth wash, to help maintain oral hygiene. Consult your family physician or ENT specialist for complete treatment. Thanks and regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 38 yo woman with Lupus. I have been having muscular pains in both legs, mostly on the left side. Now my left knee is starting to hurt. I don t remember injuring my knee, but it hurts along with the muscular pain. Any thoughts of what could be the problem? ### REPLY: Hi, Given the history of lupus, your knee pain can be attributed to damage done by lupus to your knee joint. Kindly do hot pack twice a day and do low level impact exercises for your knees. Quadriceps isometrics exercises and heel slides, rotation of ankle. Pulling and pushing of ankles will strengthen the muscles of leg and will help you out in decreasing pain, you can also contact physiotherapy clinic where machines like (tens, it) can receive you of your pain. Stretching exercises of qua .  Go swimming, cycling and steam bath twice a week will surely help. Hope you find the answer useful. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 66 year old male. I have recently had AAA surgery. I have also been informed that I suffer from clinical depression, and for this I am taken one Prozec pill a day. I do not seem to get any effect from these pills once I take one. .My symptoms are a, strange and slow way of thoughts, and I ask if the flow of blood to the brain would be the cause of this. I have very poor circulation in both legs due to clogged arteries, and feel that if it is there, then why not in the brain as well. ### REPLY: Hello, Welcome to . You appear to have multiple symptoms of depression. Prozac used in depression and usually takes 2-4 weeks to show improvement. If you are not responding to existing doses of Prozac then following steps will help you:-Increase dose of prozac-Change of anti-depressant under psychiatrist supervision.-Treatment of medical morbidity.-Addition of cognitive behavior therapy (CBT) and supportive counseling. Wishing you good health and all the best.www.99doctor.com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dear 2 month ago I gon through surgery   It was cysts. It also send for test bt it wasnt simple cyst bt after month of my surgery again I went for altra sound nd doc said again cysts he said it is chocolate cyst. Plz do u help me nd my ca125 is 19.40 now bt before surgery it was 4856 ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Chocolate cyst can be treated by oophorectomy.  It means removal of that ovary. Your ca 125 is very high previously it is suggestive of ovarian carcinoma.  You should check your histopathological report. Now your CA 125 is ok. Just consult your doctor and plan for surgery accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir,My name is Vithal Joshi, and I am of 37 years aged male. I am suferring since last 12 years  pastul Psoriasis. It effects on my whole body, having pus in them and finally it flows out from the patches. It gives a very bed smell. Weekness is also attached during this period. Weight loss is also occures. It attacks on me, in any season. Please guide / help me.thanks. ### REPLY: Hello. Thank you for writing to us at  Pustular psoriasis is considered to be severe type of psoriasis. Pustular psoriasis is usually managed in a hospital based ICU setting. Pustular psoriasis is an unstable form of psoriasis and is most commonly the result of sudden with . Infections and pregnancy are other common reasons for pustular flare. In pustular psoriasis there may be associated systemic symptoms like fever, chills, weight loss etc. Systemic treatment with either Methotrexate, Accretion and cyclosporin is the treatment of choice for pustular psoriasis. Topical treatment usually comprises emollients. All other topical treatments like coal tar and steroids are discontinued in pustular flare. Besides specific treatment of pustular psoriasis, general measures like monitoring of fluid and electrolyte balance, pulse and BP, Intake and Output charting are an essential part in the overall management of pustular psoriasis. I suggest you to visit a dermatologist. Your dermatologist will tell you in more details about this form of psoriasis and available treatments and also do what is necessary. 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: Im a 32 year old female and currently on a daily dose of 5 mg of amlodipine besylate to control my blood pressure.  Im sticking to a low sodium diet(less than 2000mg of sodium per day)and wanted to know if a salt substitute containing potassium chloride is safe to use on my food when cooking. ### REPLY: Hello! Welcome and thank you for asking on ! I carefully passed through your question and would explain potassium chloride is not counter-indicated in your case. Besides, you should know that increased potassium in your diet can also help reduce your blood pressure values. So, you can safely use it. I would only recommend checking potassium levels periodically (once in a moth) in order to avoid possible increased potassium levels. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Age: 51,height: 5 weight: 115 I have been experiencing pain in my upper right abdomen, and now have started having extreme thirst and heartburn. I went to the ER, and they did blood work, cat scan, and ultrasound and found nothing. I went to my family doctor and they did a urine test and found nothing. Any ideas.? ### REPLY: HI. It is good that the blood work, CT scan and Urine tests all are normal. But the basic problem you have is pain in upper abdomen, extreme thirst and heartburn. I would advise you the following: Go for a proper diet and medicines-you will be fine:::*Soft bland diet without oil and spices.*Sanitizing 150 twice daily.*Risperidone thrice daily.*Antacid gel 3 tea-spoon-full every 3 hours, the first dose on getting up. If you do not get relief within 1 week - go for upper GI Endoscopy and a consultation with Gastroenterologist. And also go for an EKG just to rule out heart problem. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past 4 months I have had continuous canker sores popping up inside my mouth. I also have had aching joints, mainly fingers, elbows, hip. I am a male, 50 years old. I have also noticed blurred vision that comes and goes. For the most part I am in good health otherwise. ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to an arthritis. I suggest doing a X-ray of the hands and rheumatoid blood factor. Meanwhile, I recommend using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also recommend using cold compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my lower legs have been swelling for the last couple of days. Today my feet are very swollen and changing colors, right new they are both red from my toes almost to the top of my feet. both of my ankles are very swollen. I ve not any type of accident, my blood pressure is normal? ### REPLY: Hi Thanks for your query and Welcome to . I am . There are many causes of swelling in the legs. Most common reason is postural, and many patients develop it when they stand for a long time, but as soon as they elevate their leg up, the swelling subsides. It can happen after any injury which is a priority to diagnose and treat accordingly. Also, there could be infection or inflammation which can lead to swelling. Sometimes heavy physical activity may also lead to swelling in your calf muscles. But we have to look at medical causes as well, chronic cardiac conditions can lead to swelling, any pathology which leads to low proteins in the body like deranged LFT, KFT etc. can also lead to swelling. Hypothyroidism can also lead to generalized swelling like appearance in the body.Also, red discoloration can be due to inflammatory/ infective pathology, or it also is died to an underlying vascular cause but unless a thorough physical examination is done, no comment about the etiology of your condition can be made. For accurate diagnosis we also need to clinically evaluate and get appropriate tests :CBC, ESR, CRP, LFT, FT, Serum Electrolytes and Thyroid profile. Please get back to me should you need more information or with test results.  Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, My name is Seshadree. I am 37 years old. I have been diagnosed with Cavernoma in Pons Region of my left brain. Would like to know if there are treatment available in ayurvedha for that?. Allopathy recommends surgery or no treatment. Thanks Seshadree ### REPLY: Healthier is no known effective treatment in Ayurveda. Cavernoma is a vascular abnormality of the central nervous system. It consists of a cluster of abnormal, dilated vessels. It is generally asymptomatic, and may remain as such throughout life. It is generally an incidental finding. Hemorrhage, seizure or focal neurological deficit is small, and it is approx. 1% per year. In allopatry, you are rightly informed that surgery is the only treatment. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY HUSBAND LOVES ME A LOT.HE SCOLDS ME ONCE OR TWICE A MONTH WHENEVER MY INLAW EXPRESS HER DISLIKE TOWARDS ME TO HIM.I DID A THING THAT IRRITATED HER IN THE PAST BUT I WHOLEHEARTEDLY ASKED SORRY.MY HUSB CONSOLES ME FOR EVERY OTHER PROBLEM BUT FOR THIS REASON HE BEATS ME UP AND LET ME CRY AND MAKE ME CRY WITH HARSH WORDS.I LOVE HIM A LOT FEEL LIKE DYING AT SUCH TIMES. ### REPLY: Hi, If you feel that you was wrong for that incident, in that case you should ask sorry from your mother-in-law. It will give relief to you, your mother-in-law and your husband. As you told that rest of the time your husband is loving, then try to not repeat behavior which provoke him.  Sometime others may be wrong too. In that case you can seek help of other family members for conflict resolution. If problem is more than supportive and marital counseling will help you. I hope this information has been both informative and helpful for you. 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: For roughly a month I ve had a pressure on the left side of my chest above my heart that feels like someone is pressing down. It s not painful just like a slightly pulled muscle but it doesn t bother me more if I do things like shovel snow it stays constant ### REPLY: Hi welcome to the  As left sided chest pain is since one month, I prefer to investigate you with EKG, chest x-ray, Auscultation and echocardiography if needed (EKG for rule out cardiac cause and x-ray rule out Costco .  Hot compress helpful Physiotherapy beneficial Avoid strenuous activities for few days Avoid heavy weight lifting Take care Hope your concern solved Consult pulmonologist for examination and discuss all these ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started with scratchy throat, cough, sneezing runny nose, low fever, and urine leakage upon rising from sleep. 11 days later I am still feeling weak, slight cough, sore throat, urine leak upon rising, headache and slight ruining of nose off and on. I am 65. My son had this, but is over it. His recent blood work indicated micoplasma pneumonia. Should I go to an urgent care clinic. I am not home. ### REPLY: Hi, thank you for posting! I read your query very carefully, and I understand your concerns. Your symptoms are caused by the complications of a common cold. To relieve your symptoms I recommend:1. Bed rest.2. Taking a lot of vitamins.3.  . 4. Taking Acetaminophen 500 mg in order to relieve pain. A pulmonary X-ray, a sputum culture and a complete blood count are necessary for the diagnosis. You need a urine test, too. The results of these tests will determine the exact diagnosis. Contact your pulmonologist to discuss the treatment. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes, I have an inflamed area on my penis, near the base. Ive tried to pop it but nothing would come out and it started hurting to bad before I could get it to the point that it would pop. it has a black dot in the center of the inflamed area. it raises a good 1/8 inch from my skin when erect... any suggestions? ### REPLY: Hi, I am , from India. I will try my best to answer your question. The base of penis is surrounded by many hair follicles. It appears that you have hair follicle infection. As you told there is a black dot in the center of the inflamed area which shows that there is an uprooted hair which got infected.  It is a very painful condition because inflammation produces pain producing substances. Don't try to pop it out as it may further aggravate the problem and even pus would have not built till the time. You must visit a physician nearby who may examine you well and prescribe you some antibiotic and analgesic medicines for cure. I hope it answers your query. I wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor,Am Monica , i experience blood in motion from past months , not continuously. Am in dubai , due to extreme hot climate i had blood in motion twice.And when i am in office inside full A/C i drink lot of Cold water and when i  go to motion i feel the pain. Is it anything serious ?? or due to heat the blood came ?? pls advice.Now the climate is getting changed from Summer to extreme winter and even now i experienced that problem. pls advise me and what foods must i avoid ?? and what is the reason for the blood. Thanks Monica ### REPLY: Hello and welcome to , Blood in stools is not associated with hot climate or . Presence of blood in stools suggests some problem in the gastrointestinal tract. Most common cause of blood in stools is infection. Infection with certain bacteria causes blood in stools. Thus, a routine stool examination is required to look for evidence of infection in the gastrointestinal tract. In case there is evidence of infection, appropriate anti-microbial can be taken. If there is no infection detected on stool examination, you need to consult your gastroenterologist for certain investigations like stool for occult blood and colonoscopy. These investigations will determine presence of any disease in the gastrointestinal tract. 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: Hi...i am 19 years old male...i started mastubration since i was 14 years old.but since 2 years i facing the problem of seminal leakage.5 months go i found some articles of herbal supplements to cure seminal leakage.i am taking shilajit, ashwagandha course since 5 months but i am unable to cure my problem.also i reduced my frequency of mastubration to once in two weeks.my problem gets increasing day to day...please advise what to do.. ### REPLY: **1. Because root cause is guilt complex thus you are unable to remove this misconception.2. Masturbation is a physiological and totally harmless act, and seminal leakage could be normal secretion of prostatic and urethral glands.3. Since Hilarity and Ashwagandha are hot in potency thus inspire of curing they have further aggravated the problem, so leave the article and consult with an Ayurveda physician regarding your problem and choice of medicine(s) in your case. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 disgnosed with endometriosis in feb2003 due to ruptured of choc.cyst - opened surgery done. In Apr2008, I had done one cystectomy via laparoscopy - other finding : PID with pelvic adhesion, right follopian tube opened and left follopian tube blocked. In oct 2008, i had done my first IVF, during day 1 to last day of gonal f /growth hormone injection, encountered extremely painful lower abdominal and bowel/anus pain?? and got pregnant with twin but lost one in Jan2009. In Nov 2008, i was hospitalized due to post ivf hyperstimulation syndrome, OHSS, Paracentesis. In Jan 2009, I was hospitalized for 7 days due to threatened miscarriage and placenta previa In Mar 2009, I was hospitalized for 7 days due to threatened miscarriage In end of Mar 2009, Membrance ruptured, bed rest until baby had to force deliver via c-section In May2009, Caesarean section - gave birth to 26 weeks baby In May 2010 - Jun 2011, stopped breast feeding in May 2010, started to feel pain during mensus time and after mensus...pain can last for 15days (from day1 until day 15 or more) In Jun2011, I was hospitalized due to lower abdominal pain- disgnosis : recurrent of endometriotic cyst and also found myoma/ fibroids in my uterus, given ponstan In Oct 2011, 2nd IVF done..extremely painful lower abdominal and bowel/anus pain?? pain similar to 1st IVF done..no responding well - injection to the max and yet failed to get pregnant. In Feb2012, I was hospitallized due to lower abdominal pain- similarly ponstan was prescribed as pain relief In Jun2012, CA125 83.4H, us done, cysts and fibroids grew bigger than before and dr said i have adenomyosis In Oct 2012, cystectomy and uterus fibroids myomectomy done via 3 holes, 1 cyst removed and 2 fibroids removed and adhesion released. In Nov 2012, CA125 102 H In Nov 2012, MRI done . Mild changes of lumbar spondylosis at L5/S1 level and A26mm partially imaged cystic lesion is seen in the left hemipelvis- ? Left ovarian cyst In end of Nov 2012, I was hospitalized with lower abdominal pain and lower back pain (bowel /anus pain)...not disgnosis yet... yet to find out.....dr had refered me to Mental Health Dr, neuro dr, gynae....physiotherapy... not seen them yet. From my history, can you tell what wrong with me. I have been experiencing such Hell pain eversince the first IVF and it was the similar pain haunting me for the past 2 1/2 yrs. Of course the most painful feeling was during IVF time - it was 100xxx times painful than everymonth mensus cycle and after the cycle. During Mensus time it was extremely painful...i cannot sit or lie down....nothing could help me..ponstan start to loss effective for the past few months..the pain was whole day pain...never stop only get worse at certain hour and could last for more than half a day and sometimes more than that. Symptoms 1. Lower abdominal pain, from the left front (felt like from the left ovary- swollen feeling, expanding and contracting kind of feeling ) and middle front (like the uterus was pulling down to the birth canal), 2. lower back ...not able to pinpoint on which area, i felt like from the anus /bowel...the pain was like continue shooting pain radiated from the bowel/anus and felt like it was contracting...extremely painful ...when this pain started...it make my left side of my waist ache and numbness, pin and needle can be felt at my left hip and left butt and left knee....no able to pass gas ...sometimes pass motion making the situation worse and weak in urination. My abdominal felt cold and fever at the time i was in pain. ### REPLY: Hello, Causes for lower back pain are:-Injury-Blunt trauma-Sprain or strain-Spondylosis-Spine-related problems-Improper postureAbdominal pain may be due to infection, renal stone, gastritis. Hence, I would like to advise you the following: -You can take the tablet Norfolk TZ.-Take the tablet diclofenac. -Apply diclofenac gel or cream. -Apply ice locally. -Do x-ray and MRI back and hip region. -Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedics. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my grandson who is 15 1/2 was just this week diagnosed with Crohn s....what type of diet will he have to be on and how can I let him know I am in his corner even though we only see him about once a month and how will this affect his baseball which he loves. ### REPLY: Hi, Thank you for asking question on . Sulfasalazine used for the treatment of Crohn's disease. Other . , If medical treatment fails surgical resection of the inflamed bowel. Almond milk, eggs,oatmeal, vegetable soups, papaya,salmon, pureed beans, poultry,butter lettuce, roasted red peppers, rice and pure nut butter can be given in the diet. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake 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 been for a smear test today and the nurse found a polyp/s I cant even remember much of what she said as I am very scared of surgery and as soon as she said Id have it removed I nearly had a panic attack of which I started suffering from 4 years ago when I had to have surgery for a different matter. My doctor is on holiday so I was unable to get reassurance from him so really I would just like to know the ins and outs of what happens at the time of removal and also if it is found to be cancerous. Thankyou. ### REPLY: Thanks for your question on . I can understand your situation and problem. Polyps are out poaching of mucosa. It is seen commonly in intestine, vagina, esophagus etc. They are mostly benign in nature. But sometimes can be malignant in later part of life. So better to remove it surgically, and get done histopathological examination to rule out malignant polyp. No need to worry about surgery as it is simple, day care surgery. Surgical risk is minimal. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 25 Year old, I had cough from 1 month and consulted few doctors. I got an X-ray done and manul testing for TB. X-ray indicates Acute Bronchities, so doctor has asked me to take Foracort 200 Inhaler for 3 months with regular visits. Though After using the Inhaler as prescribed , I do not have cough. Is this an indication of Asthma? Should I be using it on a long run? ### REPLY: Hi, Welcome to , you are having Acute bronchitis and which is commonly seen after viral infection, and it makes airways hyper responsive and accompanied inflammation and mucus causes narrowing of airways which is similar to asthma, but this is short lasting and once it clears off you will have normal lung function. If you are comfortable with inhaler then it is good as it gives minimum possible dose of steroids and can be taken in case of emergency and side effects are nil or negligible. In very few patients this type of reactive bronchitis is some time persistent. I hope you will not be required to take it in long run. Please be aware that bronchitis is mainly due to smoking, so please do not smoke. Take care Good Luck. ### END