Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 im a 31 year old male, and for the last few years I have gradually started to feel tireder and tireder I every now and then have a heart issue were my heart seems to go really fast for a few seconds and then back to normal this is normally when laying on my back in bed. Its the tiredness that has got me down the most as I always seem irritable and dont get on with people as I used too I sometimes have a terrible memory short term is the worst if you could help me with any of these that would b great. I used to be so healthy now im falling apart. many thanks, Richard ### REPLY: Hi Richard You have many symptoms like 1. Low energy(I have gradually started to feel tireder and tireder), 2. Decreased interest in enjoyable activities (don't get on with people as I used too) 3. Short memory which at your age might be due to decreased concentration and attention All these symptoms suggest you might be suffering from depression treatment of depression-SSRI (Escitalopram, sertraline ...etc.) psychotherapy please consult psychiatrist/psychologist Hope this clarifies 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 coughing for over a month now and with in the last couple of day it has been really bad and at night i have been waking up wheezing really bad and i do have a history of asthma. and my eyes hurt really bad on the tops and ive been told all day they are blood shot. when i cough it hurts my abdomen really bad. what should i do? ### REPLY: Held. Pain in the abdomen or chest while coughing is normal in patients with asthma (if you have any abdominal pathology such as inguinal hernia, pain is greater).You're suffering asthmatic crises. Inhaled corticosteroids, inhaled bronchodilators or even oral corticosteroids are widely used in treatment of asthmatic crises. Please go to your doctor for examination and prescription. I wish you good health.(If the answer has helped you, please indicate this) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, My husband was diagnosed with mild left pelvicalceal dilation with normal uretic jets. So far his other laboratory test for kidney, liver and artery doppler test were normal. But my problem is he has microscopic hematuria. Does it has something to do with the dilation of the left kidney?What causes the dilation? His GP did not give him medicine cause according to him sometimes it is normal to have hematuria and laboratory were normal. Please enlighten me about this. My husband is 43 years old, non smoker/ non drinker and don t feel any pain when urinating.Thank you,Len ### REPLY: Good Day, and thank you for being with  ! I would recommend doing a SCAN with IV contrast to check if there is obstruction. We have to rule out if the kidney is obstructed since this may cause kidney damage. Other cause of dilatation is urinary reflux which is can be harmful Also. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  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: hi. I am 26 and have irregular periods. Last month i used fertyl 50mg from day 3 to 7 and Duphaston from 15-24 day. we had intercourse from 8-13 days and on 16th day. But were not able to do it on 14th and 15th day. I sthere a chance for me to become pregnant. ### REPLY: Hello dairy understand your concernPregnancy is possible when sex was done between 10th-20th days of the period. As you did sex from 8th to 13th and 16th day and sperm can live enter the genital tract for 4-6 days and can fertilize the ovum. So pregnancy is possible. If your period will delay by the 8-10 days then go for urine pregnancy test and or blood  to confirm the pregnancy. Avoid stress, take healthy diet, do regular exercise and . Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 18 year old son is a professional motocross rider and had a nasty stack 10 days ago.  The hospital didnt pick up the fact that he had fractures when they did xrays but he later had a mri and it showed 3 fractured ribs and a he was told he had a bruised liver.  The bruise is apparently large.  While most do not understand an mx riders need to be back on the bike it is extremely important for him to be back racing as soon as possible and we have been told a time frame but have found some doctors tend to err on the side of caution and again while we want to do the right thing a we do want him back on the bike asap.  There is little information online in regards to impact injury and bruising to the liver so that is why I am asking other opinions on here.  Thanks ### REPLY: Hello,1) Small to moderate sized bruising on liver surface (up to 40% of total liver surface area) considered as either grade I or II liver injury.2) Such bruising can be treated without need for any surgery considering patients condition is stable during days of observation and size of bruising is not increasing during these period.3) This period of observation varies from patient-to-patient and from injury-to-injury, but roughly he needs to be hospitalized for minimum 7-10 days and after discharge from hospital he need to bed rest for another 2-3 weeks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctor recommended celestamine for a severe allergy that i have but i have found that it only works until i have to take another dose. At the moment i only have two left and i am wondering is it going to get better only after i finish all of them or is there something stronger that i can use that will take it away at once. The itching is most annoying. ### REPLY: Cellophane You for contacting . It takes some time for the allergic response to settle. Medication is normally given for 5-7 days(depending on severity and may prolong). Symptoms start improving after 2-3 doses and in most of the cases does not relapse until or unless the allergen becomes in contact again. If allergy is still the issue then it means that allergen is still there. You need to observe what particular thing is causing allergy. Then try to avoid it.Meanwhile, you can take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Sir, My anty is suffeering from unfunctioning liver. Just today only doctors in podicherry confirmed that she has Liver cancer. She is just 38 years old. Our family members were very sad about this and we are unable to come out of this. For last one month she vomits whatever she takes in. She doesn t pass urin or motion. Nothing stays inside or not digested. Could you please suggest us and we are also ready to come to the Adayar hospital tomorrow. Please help us to save her life sirs. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. This is serious disease and surgery or chemotherapy the most important thing that should be done. Also, medications which are hematologic should be avoided. This is necessary to prevent disease progression which is lethal in most cases. At early stages it can be treated with these measures but in case of progression, only liver transplantation may help. Diet should be balanced and healthy and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, i am 29 yrs old & having problem with ejaculation very frequently (every alternative days) from past 10 yrs i could not discuss this problem coz i am shy kind of a guy. Whom do i consult this problem to a urologist or any other specialist ### REPLY: Degree understand your concerns went through your details. If you are suffering from this frequent ejaculation problem / premature ejaculation problem for last 10 years, you should consult a psychologist first because most of the related problems are related to psychology and clears itself after some counseling sessions. After that, if need be, you may consult a sexologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Ive been having head rushes for the last three days when I stand up and sometimes it feels like Im going to pass out, as in I will start to see white blotches and feel really faint and start shaking. One time, I did actually pass out from this. Also, my whole body aches. Do you have any insight as to why this might be happening? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out heart related diseases in your case because these can cause similar kind of symptoms. Heart diseases like hypertension, hypotension, dyslipidemia etc. can cause similar kind symptoms. So better to consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Lipid profile If you are having hypertension then you need to start antihypertensive .  If it is hypotension then you need to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 last 3-4 weeks I ve had sporatic outbreaks of Hives. Also cold symtopms and some minor chest pain. I ve been to my PCP, and Allergist and a Dermatoligist. Blood test were negative as was Urine sample! Most of the time the Hives appear when I wake up. After a shower and getting ready for work they subside. ### REPLY: Hello, Welcome to , The symptoms suggests me that you are having allergic reaction, but you need to identify the allergen causing these symptoms. You need to test your blood sample for absolute eosinophil count (AEC) to confirm the presence of allergic reactions. Then you need to undergo skin prick test (SPT) for most prevalent allergens like food, dust, mite and pollen, this will help us find the allergen causing these symptoms. After identifying the allergen causing these symptoms, and you can avoid these allergens, if it is not possible to avoid you need to take immunotherapy. You can choose either subcutaneous immunotherapy (SUIT) or sublingual immunotherapy (SLIT). This mode of treatment will help you to control the infection. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my blood test report confirm that i have SGOT 44u/l n SGPT 80u/l...and i have done two test earlier in the period of 6 months n the value keeps fluctuating...and i have a history of jaudice...how do i get it to be normal?what diet should i follow?what will be the complications? ### REPLY: HelloElevated SGPT and GOT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, complete liver function test, random blood sugar, lipid profile, viral markers, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. It helps in regeneration of liver cells. You may need to take few more medicines after complete investigations. Try to avoid saturated fat. 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: wan moment pleases is the traslate questions good afternoon my name is I have 42 years old I betzaida et foraminal disc bulge l May 25 a fall at work sent me back to do one o clock CT without contrast but in the L5 S1 right paracentral came following foraminal disc bulge and right resulting in stenosis of the right neural foramen. external compression and impingement upon the right exiting nerve root seen. Small left neural foraminal disc bulge resulting in mild stenosis of the inferior aspect impingement. ### REPLY: Hello, Thanks for querying bulge means bulging of intervertebral disc(i.e. gelatin like material in between two vertebra). Bulging may be in any direction, it may be diffuse, central, para central, anterior or posterior. Bulging of intervertebral disc causes obstruction in the normal openings in the spine through which nerve roots exits. Obstruction in the openings causes compression of the nerve roots and it cases the symptoms. Normally, nerve roots exists from both sides. In your case compression is more on the right side whereas it is less on the left side as disc bulge is small in left side. Hope you will understand the terms. Take Care, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been suffering from giddiness since last one year; I am aged 37years and suffering form dust allergy for the last 12 years (get continuous sneezing followed by cough) and on medication for that. Trying several combinations like vitamin supplements and diet combinations to increase my stamina / resistance but no use; further I am feeling my present health condition is becoming still bad.Please advise. ### REPLY: Hi, first dust allergy is very common among people, almost 1 out of 2 people would have same problem like u BCU of dust. So only treatment is symptomatic and try to avoid allergen as far as possible. Second your giddiness since 1 year needs to be diagnosed by physician, but it has no relation with dust allergy. Take giddiness seriously and consult doctor although in 90% cases cause remains unknown. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, My baby is 5.5 months old he had loose motion a week back and a doctor recomended Trifix 1.5 ml twice a day and Bifilac Sachet after giving these the number of timed he passed stool was reduced and then few days after we stopped medication he started again. We did a stool full report and the results were all normal except pus cells 100 hpf and reaction acidic. Then we went to another doctor and she prescribed Taxim syrup 3ml twice a day for 5 days. After 5 days the stool report indicated pus cells as 40 hpf. But all these time the baby is fully normal and active. After seen the 2nd report yesterday doctor asked to stop the medication and wait for another week or so to monitor him. But since last night he pooped 4 times till now. And since morning he pass stool while we feed him. He is both formula and breastfed. We give him Nan 1 HA. He has a red rectum ring and since yesterday the but area is reddish and a bit swallowen too. We even did a stool culture test but it was normal as well. Please advice me whatvto do? Im so worried. ### REPLY: Hi, thank you for choosing . Your child is having a simple case of post gastritis lactose intolerance that's why he is passing loose stools now also with redness in perinatal area. As his stools are less no need to stop mother feeds, but you can use a lactose free formula for a week like Zero lac. And apply a zinc oxide containing cream on the red skin. Slowly as his intestines heal you can introduce a lactose containing formula. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 3.5 years old and healthy, he has just started Epilum as they suspect epilepsay. But today when changing his nappy today i noticed that it had a bit of blood in it and it had a rather revolting smell, mixture of of rotten fish and anomia. i have also noticed that his breath smells just as bad, despite washing his teeth daily. Any ideas ### REPLY: Hi having blood in the urine is abnormal, and he also had a foul smell needs further evaluation to rule out the cause-infection/stones. Please also get an ultrasound of abdomen to see for any kidney or bladder abnormality. Consult a child specialist who will properly guide you and treat based on the cause. Hope it answers your query and ready to help you further if you have any queries as I am a specialist in child .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 severe itching in my vagina. Have been treating myself with CanesBalance as i had that bacterial infection a year ago. It is not clearing up. Could it be something in my diet? I eat a lot of bananas. otherwise my diet is healthy. It must be something different this time but I would rather you suggest a home remedy that works first, before running to the doctor.I am 81 yrs, and this shouldn t be happening to me. I live alone and not involved in any sexual relationships. ### REPLY: Hi, Get your fasting & post-meal sugar tested for excluding diabetes. Get vaginal swab tested for any bacterial growth observed & sensitivity test for antibiotic suitable for infection if present. * If you find something you need specific treatment by a Gynecologist/ planetologist. * In case you have .  Apply vaginal moisturizers/ estrogen cream. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear doctor , below is my semen analysis report COLUR : GREYISH WHITE , VOLUME :2 .0 ML , REACTION : ALKALINE , PH : 8 ,LIQUIFICATION TIME : 20 MIN , VISCOSITY : LOW , TOTAL SPERM COUNT : 50000/ CUMM , ACTIVE : 30% , SLUGGISH : 20% , DEAD : 50% MORPHOLOGY PIN HEAD : 10% , GIANT HEAD : 10% , SWALLOW MID PIECE : 10% , LONG TAIL : 10% , TAIL DEFECT : 12% ., NORMAL : 48% , PUS CELLS : 3-4 / PHF , EPITHELIAL CELLS : 2-3 / PHF , FRUCTOSE : 296 (N.V 200-400).What kind of medicine i have to take?is it curable? ### REPLY: HelloThanks for query, Based on the report of your semen analysis that you have posted I would like to comment in details as below 1)The color, liquefaction time, reaction and fructose are within normal limits as compared to WHO standards 2)Sperm count is very low(Oligospermia) normal range being 35-50 millions /ml 3) Motility of sperm-Within normal accepted range 4) Morphology of sperm is within accepted range The presence of 3-4 pus cells suggests infection and needs to be treated with antibiotic like Doxycycline twice daily for 4-6 weeks. The (Oligospermia) sperm count can be increased by following general measures 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 samuelmyself aaiman,i have a small white scar on my lungs when i did my medical test.i dont have any past tb problem.nor i am ill.i want to remove this scar.as this is not allowing me to travel for work in gulf country.please i need your help an plz reply ### REPLY: Thanks for your question on . I can understand your situation and problem. Scar tissue in lungs is permanent. It will remain same and will be seen as it is life long. Since it is not a disease or infection, no treatment is available or required for it. For your visa problem, we need to prove that this lesion is inactive and non-infectious. And for this you need to consult pulmonologist and get done 1. CT thorax with Contrast 2. Bronchoscopy with BAD (bronchoalveolar lavage) analysis. If both these are negative for infectious disease than you can definitely argue with visa authority about not having active, infections disease and your lesion on x-ray is old, healed, inactive scar lesions. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am a 27 year old black female and i m looking for a product that would even out my complexion. I just heard of cell tone and i m a bit worried because it has no website and there are no reviews of people that have used the product online. Do you know anything about it? ### REPLY: Hello, Thank you for posting on . Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing Licorice extract, comic acid, betray . Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello.  I have a brown bump on my back.  It appeared as if a balckhead was in the bump so I squeezed it.  Brown (what I assume to be puss) came out  and it seemed to be quite a bit.  The bump did flatten some once I squeezed some of the puss out.  I squeezed it and more brown puss came out but no bleeding.  Seems to be a lot of puss.  The bump is about the size of a dime.  What is this? ### REPLY: Thanks for your question on . By your history and description, you are mostly having infected sebaceous cyst. Back is the most common site for sebaceous cyst. It is skin swelling in which sebaceous cyst are enlarged due to obstruction in the sebum flow. So sebum accumulates in the cyst and enlarge. This sebum can get infected and cause pus formation. The most common association is diabetes and poor skin hygiene. So better to get done sugar level to rule out diabetes. You need surgical .  You also need antibiotics and anti-inflammatory  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 65 years old with RA, cancer survivor, also I have CAD. May 28, 2014 my face hurts, all parts of my face eyes, teeth, nose, head, food did not taste right and I am very emotional. Now my feet and hands get cramps on top of my feet and down the front of my legs, my hands and fore arms especially at night. ### REPLY: Hi, I think it is important that you get your blood calcium levels actually checked. Though the pain is severe, I doubt if it needs emergency attendance.  When Calcium becomes too low, cramps become generalized, involuntary and some people start experiencing problems with the heart rate and sensitivity problems.  If you are not experiencing any of these, you might not need to rush to the ER room, but getting blood Calcium levels checked is important. In case they are low, checking for blood Magnesium levels shall be important.  The metabolism of Calcium and Magnesium go hand in hand. Untreated low Magnesium levels make correction of blood calcium difficult.  It is also important to check your kidney function since they predispose to low blood calcium levels. Getting a good electrolyte panel done (including calcium and magnesium) are important. Left untreated, cardiac problems might intervene and could be dangerous.  But I doubt from your description if it should be very low to deserve emergency care. Checking for local problems that can cause cramps is important too. Hope I have answered your query. Let me know if I can assist you further. Take care .  Rammstein, General Surgeon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 granddaughter tends to need to arrange things in a particular order and gets extremely. Agitated if her arrangement is disturbed. She is only 25 months old and her oral communicative skills seem to be well behind other her age. Should see be overly concerned? She is smart ### REPLY: Hello, Look at such age group of kids are needed to give proper attention, support n love. Behavior training n positive approach is needed to guide them.  To overcome with short temperament, anger n irritation : A proper counselling - Good story telling to kids n setting examples how to be good n loving will motivate kids.  Don't ever be angry on kids especially up to 5 years of age. Deal them with politeness. They really need love n care.  This will make them strong n positive.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Respected doctor, I had sex with my boyfriend without using protection and I took unwanted72 soon after I had sex with him. And the next day he again did it without using condom now I am confused whether I should take pill again or is it unwanted pill I took earlier is still works that I won t get pregnant. Can you please reply ASAP when it s not too late for me. Thank you ### REPLY: Hello dairy understand your concernEarlier used unwanted 72 will not work for the sex done on the next day. You can take unwanted 72 to prevent the pregnancy, but chance of the side effects and hormonal imbalance are high as you used earlier also. But side effects are tolerable. So take unwanted 72 as you had unprotected sex. After taking pill take following advises:Proper rest . Use Unwanted 72 only for emergency purpose and avoid frequently use. 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: Im a 23 year old female Mother of 2. I have a swollen ( lump like) area on Right side Collarbone.  It is accompanied by a very uncomfortable feeling of tightness and pain. I feel very fatigued.  Mood swings. Anxiety.  Easily agitated.  Head aches. The back of my neck is also feeling similar but more of a stress provoked tightening and swollen, No hard lump. Just softness.My collarbone does not feel like stress. Im not usually like this. No injuries.  I dont work out, just mommy duties. What could be causing this?Sully. ### REPLY: Welcome to  .1. Most possible cause could be brachial cleft cyst - which is from long time without pain.2. Then lymph nodal enlargement with any underlying medical conditions infections / inflammations.3. And last infective cause with collection, pain on touch and radiating pain - had recent fever (bacterial infection abscess / infective cystic collection)4. Get an ultrasound lesion / lump to find out the nature of the lump, its source and extensions.5. After that a course of antibiotics will help in infective causes, a small incision depending on the condition. 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: I had my thyroid removed 6 months ago due to hyperthyrodism.  I have a history of cardiomegaly, afib, high blood preassure and other arythmias.  I am 43 years old, female and my doctors assumed my heart condition was due to my thyroid condition.  Ive had a cardioversion done after the surgery and it worked for about a week.  I am on Amiadorone 200mg twice a day, Atenolol 50mg once a day, Levothyroxine 137mc once a day.  I was on coumadine for 3 months after surgery but not now. After six months my afib has returned with a vengence.  I feel like my doctors are taking my age for granted and my concerns are not being taken seriously.  When I spend a day doing normal activities I get a night of blood pressure 156/108 and a resting heart rate of 180.  I feel like an 80 year old.  Please advice. ### REPLY: You need to see you doctor again to discuss increasing the dose of amiodarone or switching to another antiarrhythmic. Unfortunately, it does not sound like it has been completely beneficially for you. I would recommend getting electrophysiologist studies and an ablation. Ablation is for patient that are resistant or refractory to medication. It is a complex procedure. There are also surgical procedures that are very effective and efficient at controlling Fib. You also need to take an aspirin. The bottom line is that your Fib is not controlled appropriately - you need a medication adjustment or some type of intervention. I would also recommend getting your thyroid levels rechecked. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 13 year old son was at home just about 45 mins ago and was fine he ate a quick bite and then he and his father left to go to his basketball game. On the way approximately twenty mins of riding his testicals started swelling and he is in a lot of pain my husband is route to an ER in the town of the game. I m super worried what caused this? ### REPLY: Hello, Thank you for posting your question at  Sudden swelling and pain in testis can be due to these reasons1. Epididymo-orchitis - caused by bacterial/viral infection of a tube at back of testis2. Testicular torsion - Caused by twisting of testis3. Trauma - Unlikely in your son due to lack of history of traumaEpididymo-orchitis and testicular torsion is distinguished by physical examination Further investigations like urine microscopy and culture, urethral swab culture and Doppler scan to assess blood flow to testis may be warranted depending on the clinical assessment. Epididymo-orchitis treated with antibacterials, NSAIDs , cold pack, testicular elevation and bed rest. Testicular torsion require immediate surgery to restore blood flow to testis Hope I answered your questionLekshmi ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...I cough and spit up plegm all day and night. Sometimes its so bad I start gagging and feel like Im going to vomit, when it started today I did vomit, but it was not food it was a lot of little brown speckles of stuff. And it burned realy bad. Tired of the coughing and phlegm and need to sleep at night. Thank you ### REPLY: Hello dear user! I have gone through your query and understood your concerns! Thank you for sharing them on . Have you fevers, pain in your shoulder blades or when you breathe? I would recommend you to go to your healthcare center and meet a doctor there. This severe cough with phlegm and brown secretions is suggestive either for a severe acute bronchitis or a pneumonia. Malign diseases of the lungs if you are over 50s and a smoker, have to be ruled out too. An auscultation of your lungs and a chest X-ray is needed in your case to determine the cause of your concerns. The cure is done accordingly the findings of examinations and must be done by a doctor for optimal effects. I hope this answer was helpful to you! Please kindly rate it as helpful and write a short review about your experience with me! I would appreciate that a lot. Thank you and best regards! .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, My 8 year old son had a very high fever on Tuesday night and had to be taken to the hospital the doctor at the er diagnosis was possible appendicitis and also said he had a lot of poop backd up and to give him miralax. Yesterday I have him miralax twice and he still can t poop and his pee is very bubbly and has had several accidents were he pees on him self he said he can t control it. What can this be he no longer has a fever and has minimal lower abdominal pain what can it be? ### REPLY: Dear Flores, it is not so usual but is possible to have the appendicitis at this age. Many diagnoses such as mesenterical amenities, imagination or illus can be considered, but I doubt because he has a mild clinical presentation. Fever is a sign of any infection in the body, and tummy can hurt related to pharyngitis or viral infection, respiratory or urinary infection... Did they check his urine? If he doesn't have symptoms now and no fever then you should just observe him and look for signs such as blood in the stool and urine, weight loss, or sharp abdominal pain with fever. It is happens go to hospital immediately. 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: My mom is going to be 70 yrs old in April. She is very active and in general good health. She had thyroid cancer a few years ago, had surgery to get cancer removed and was cleared of it. Now she had to quit her daily medication to do her blood test for her 2nd or 3rd follow up and of course like before not taking her medication makes her feel tired and exhausted. Last night she complained that the top of her head hurts and when she touches the spot, which is like the babies soft spot is tender and feels indented and soar. She has not hit her head, and drinks a lot of water and she has a healthy diet . She don t want to go to her general physician and wants to wait until she goes see her cancer doctor when she gets the results of her test which she won t have until like 3 weeks from now if that. Should she not wait until then to get that checked out? Should we worry? Since after doing some reaserch I have noticed this soft spot is a more common thing that we thought. ### REPLY: Hi, In thyroid cancer near total thyroidectomy with central neck node dissection done. Then radio iodine uptake scan was done to find out any residual disease and based on this radio-iodine ablation done. Patient has to take Thyroxine hormone life long. Now probably your doctor has suggested repeat radio iodine scan. For this purpose thyroxine hormone has to be stopped. These symptoms may be for that reason. You need not be worried much. This will be normalized after. For better view you may consult an endocrinologist. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my name is Brian.  A little about me Im 5 6 and 231.  My issue is I have single noticed hard heart beats.  Just one per time.  My bp is 120/70 and ppulse is around 60 to 65 but it only occurs when Im resting not during exercise.  My family has no heart disease and i am 37.  My fan doc said Im stressed which I am but it is very unsettling ### REPLY: Dear Mr. Brain, I think you have what is called (Extrasystole) , it is a strong noticeable heart beat comes sometimes escaping from ten normal beats at least. It is due to stress or anxiety as your doctor said. You should know that the normal heart may experience an extrasystole, so don't worry, it will go away with the stress. But you should do ECG just for routine examination. I hope that is satisfied to you, welcoming any question from 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: 10 months ago I had Artefill injections all over my face at plastic surgeon s urging. It is now lumpy and unsightly. He said it was a new form of Artefill, though Artefill has been well tested for many years. He put 4x or more too much in places, it has traveled, and given me bags under my eyes, lumps above and below my lips, lumps at side of eyes squint lines, undone the blepharplasty with big lumps above eyes, etc. Can surgery by a GOOD doctor be done to remove them and not leave scarring? I am caucasion, 63 years old. Is there a new product out that was untested and causing others trouble besides me? ### REPLY: Hi. Since it is 10 months, the only good answer is surgical removal as Arterial ID not absorbable. There may be a little scar as scarification is the character the skin which is different in all the individuals. Ask you doctor whether the granuloma formation has occurred or the injection did not disperse, whether there was local reaction. If there was no local reaction further injections near the site of original injection can be filled to negate the effects of lump appearance. But make sure with your Doctor if he can do this. Another good way is injection of your own fat near the bumps to make a smoothness around them.  Your photograph could have helped us to tell you more since this is an aesthetic part of practice. There is no product which is without reaction. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: About a year ago, I started feeling a mild pain when I would shrug my shoulders, rolling my collarbone forward. It is only on the left. I thought the pain was coming from the clavicle itself but now I realize it must be the muscles through my neck and shoulders, too. I didn t address it because I assumed it was from sleeping funny and would resolve on its own. Instead, a year later the pain has gotten worse but still only when I am making a lifting, shrugging motion. It s probably not anything so serious but my dad had thyroid cancer and good old web md listed that as a possibility of this type of discomfort. I will make a doctor s appt but in the meantime would appreciate input. Thanks. ### REPLY: Hiding the symptoms are continuously getting worse than please meet your physician as early as you can. If your physician say that this is just muscular spasm or pain then with your history I can reveal that you nay have many trigger points on your left side collar and neck muscles. The following are the treatment method you can choose:Self Treatment :- Take any tennis ball and then roll the same on your collar muscles with moderate pressure. Repeat 15 - 20 times. After that you may have some soreness that will be relieved within one or two day. It can give you good relief but can't cure completely. Physiotherapy:- There are many techniques are available in Physiotherapy to relieve the same pain as MFR, Dyskinetic Release, IA STM and Facial manipulation. But the best method to cure the same completely is .  Please visit only well experienced therapist if you choose  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, 90 years old las November is il with hyponatremia, but has also been a progressive heart falure patient for many years. The diuretics she took for many years caused this - it seems. she has been treated with 0.9% and 3% NaCl solution  through IV to no avail. Her Na level is at 107 - far below the minum of 137 for normal people. She has all the symptoms except for coma/seizure. both Na and Cl are low. We are now treating her with ORS 3 packets per litre per day and controlled fluid intake (total of 1.5 litres/day) - for the last week. We have not gone back to the hospital yet to check her Na levels. Is there anything more we can do? thank you. ### REPLY: Thank you for your question. From your brief history, your mother is suffering from heart failure and chronic hyponatremia. Chronic hyponatremia in such a situation is not only difficult to treat but also a tricky situation even in a hospital setting. Is she disoriented? What are the medicines she is on right now? In your mothers clinical state, her body retains both sodium and water but because it retains more water than sodium it causes a relative hyponatremia. Hence giving your mother more salt in diet or as concentrated solution of ORS may actually be counterproductive for her heart failure. One thing you can try is restricting her fluid intake to less than a liter per day or even to 750ml per day. Her serum potassium levels may also need to be checked.  .  But all these measures only give you very modest results and I would advise you to take her to a hospital for ideal treatment. I hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Respected Dr(s), Urgent request for consultation, My Close friend he is suffering from sever viral infection, we understood the current infected virus we are not able to identify still now and he is in critical condition every day each organs are getting affected. His symptoms are as below from last Saturday he got admitted for the stomach Pain, He has breathing problem and got mouth ulcer with gas blocked from mouth till chest. His cretainin test reduce from 15 to 10.6. Liver test shows liver got swelling and infection. Blood also got infected. Now stomach pain is reduce but doctors are not sure of his recovery. Kindly help if you have any suggestion about the Virus or any reference doctor who have similar treatment for any other case. Patient still in ICU with critical condition, ### REPLY: Dear Friend. Welcome to . I am . I have read your query in detail. Furthermore, I understand your concern. It seems that your friend is suffering from Multi Organ Dysfunction Syn . This can result from Atypical Viral Infection and also from Severe Sepsis. It is difficult to discuss the treatment here with the available information. Please get us his history, and all investigations. You can ask your doctor to give a summary of his illness to you to take a second opinion which you can send to us for a better help. This is my best advice for you with the available details, if you have any further query, please ask me. Stay HealthyChatDoctor, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 10 weeks and just found out via culture that I had a low amount of beta strep b. I am not going to use an antibiotic at this time because unfortunately I break out in a yeast rash on my neck, back, face, and arms from antibiotic use. (so annoying and gross). Can you tell me more about beta strep b and the risks involved during pregnancy? Thanks! ### REPLY: Hi there,Since you have strep B infection during pregnancy, you need to keep some points in mind. The worry with group B streptococcus(GBS) is that if present in pregnant women especially during the last few weeks it can be transmitted to the baby during delivery and can cause infection in baby called meningitis and septicemia which are quite serious. So, you need to take antibiotics in labor through the intravenous route to prevent the transmission of these bacteria to your baby. The usual antibiotic given is penicillin, but if you are allergies an alternative is given. It would be advisable to take antibiotic for the strep b infection now also, and you could consider taking it with a local antifungal cream for the thrush, especially if you have grouped B strep in your urine culture. Do remember to repeat strep b culture at 36 weeks, and please inform your obstetrician that you have had this infection during this pregnancy, to make sure you get intrapartum antibiotics to prevent transmission of bacteria to your baby. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was beaten by an insect on my cheek just below the left eye. I am not sure if it was a mosquito bite, although, initially thats what I assumed it to be. Its a been a few days now, but I can still see a very small swelling in that area. I am worried since, if it was a regular mosquito bite the swelling would have gone by the second day. Is this something I should be worried about? What insect do you think could have caused this and what, if any, medications should I use? ### REPLY: Hi... Welcome to  . I have gone through your query and can understand your concerns. As per your complaint if you get sting or bitten by a bug/ insect bite and in case if it is not a mosquito bite and is due to some more poisonous organism than the swelling can last for a few days and also the area of sting can be hard, red and warm as well as painful. As it has regressed in size and also a small swollen area is left out you need not worry as it will resolve gradually. You can do alternate warm and cool compresses over it for faster healing. Apply a Steroid ointment if there is soreness and itching. Nothing else is needed to be done. Just do not try to pop or scratch the bump as it can cause infection. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 17 month old daughter had a high fever (103) that lasted for 3 days. Now she has lumps under both lower jaws, a red swollen upper gum, bad breath, drooling and poor appetite. She received her MMR shots a week and a half ago. No more fever. What is she going through? ### REPLY: The entire symptom complex suggests presence of infection in her mouth, more specifically, her gums (gingivitis). The lumps under her jaws are lymph glands, and they will subside once she is given antibiotics. Even her bad breath, gum swelling and poor appetite will go down. Please make sure she gets either penicillin tablets/syrup or metronidazole syrup to cover for certain common germs that cause oral and gum infections. I think she should improve in less than a week. The fever is unlikely to be related to the MMR vaccine, although the time-frame is certainly right. I am saying this because fever and rash are usually the late effects of the MMR and not fever and gingivitis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Female, age 26 years,i received my blood test report in which the ESR 1st hour 52mm , 2 i am running cold,fever, backpain,since 21 days, i am a diabetic , i feel twisting & indigestion problem since 6 months, please suggest treatment and diet in regular course, thank u, XXXXX XXXXXXX kindly prefer a right medicines for treatment of high ESR. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. There are many causes for high ESR. Tuberculosis, anemia, inflammation, autoimmune disorder all can lead to high ESR. You should search for the cause of your high ESR. Consult your doctor and investigate for that. Then you should take treatment according to the cause. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My girl friend (age 20 years presently) had (ALL acute lymphoblastic leukemia)..... untreatable disease. She was first diagnosed in JUNE 2002...then she took chemotherapy from TATA MEMORIAL HOSPITAL of Mumbai for 2 year approx...then she came back to home after 18 months of that treatment. she got relapse. then her doctor suggested for bone marrow transplant.. n she got a BMT in July 2005 from CMC Vellore n the donor was his elder brother....now today after 20 months...she is fine except little GVHD type problem....now i want to know that what are the chances of her survival. I want to marry her so plz tell me what problems will i have to face in future. Should i marry her or not...n what r the chances of relapse...n is there any treatment to get permanently cure for this disease...n when can we say that the patient of ALL is completely cured... i m eagerly waiting for ur reply... so plz reply me soon.... thanks ### REPLY: I don't know what to say to a question like this.  You marry someone because you love them.  Tomorrow is promised to no one.  She won't be able to have child .  Can you live with that?  She may be cured one day and then again she could die. You could get hit tomorrow by a bus...or you could get cancer...what are your chances of surviving?  I doubt very much God lives on yahoo and has an answer for you, so you decide if you love this girl and want to be there for her or move on and let her be. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 27 years of age, i have been trying to concieve for a child for around 7 years now. my doctor has diognosed me with endromitrosus and pco. he has prescribed me with medroxyprogesterone tablets which i will have to take everyday for a whole year. i have had numerous amounts of test but still no result as such. could u please advice me if i am on the right track? or do i need some other treatment? ### REPLY: Hi there, I have understood your concern. I will suggest you the best possible treatment options First get laparoscopy and hysteroscopy done. This will help to know the extent and severity of endometriosis, also ovarian volume reduction cam be done to relieve PCs condition.  Also, any corrections to be done for the problem of endometriosis can be done with laparoscopy. If relationship between tubes and ovaries is found to be disturbed, then also you can get pregnant using IVF technique. If tubes and ovaries are not disturbed, then you can go ahead with GUI, intrauterine insemination. Also, for PCs, please opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet.  .  Avoid deep-fried foods, bakery products and refined sugars. Avoid substance abuse if any. Start on Folic acid, vitamin B 12 and Omega-3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. 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: How come my prescription for my bacteria infection isn t working? It s been six days since I ve taken it and I feel it hasn t improved. However I had went to a walk in clinic instead of my actual doctor. It still burns and itches down in my female parts. ### REPLY: Hi, Thank you for asking ChatDoctorI have gone through your query. The antibiotics took might not be effective. In such case a culture should be done And antibiotic should be changed according to culture and sensitivity. Can you elaborate your symptoms? Burning and itching can also be due to genital herpes infection. You had any history of unprotected Sex? In case of genital herpes antivirals like acyclovir will help. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I m a bit unsure of how i m feeling at the moment. For the past two to three days I have been experiencing many different thing such as headaches , lower abdominal pain , dizziness , nausea etc. More recently I had felt an unusual feeling in my stomach . Like it was closing up, I looked into it and my mom said it may be due to a lack of iron. I have not visited my GP as of yet, as I have been waiting to see if things look up, over the days, they have become less frequent, but tend to switch. One time I am feeling bad in my stomach, the next the dizziness and headaches have returned and my stomach is fine. I am male. Have you any idea what this may be? ### REPLY: Hello, Luke_is_ere-2k9,Headache might be caused by a number of things including tension, anxiety or sometimes fluctuating blood sugar levels. Eye problems can do this too. Dizziness may be associated with your headache, or it could be from inner ear problems. Lower abdominal pain could be from constipation and gas retention. Nausea can go with headache. Serious conditions such as brain tumor or abdominal epilepsy are rare. Low Iron can make you feel tired and week and can cause dizziness. Hope your doctor will do the right kind of tests to 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: I am 70 years old and have been in good health. High blood pressure, but under control with meds. I have been diagnosed with spinal stenosis. MRI has indicated mild dextroscoliosis and Moderate L-34 and L4-5 desiccation with facet joint. Physical therapy did little and shots in the spine did not help. I was close to considering surgery (my dr. did not encourage it, but said I knew my own pain level), but then my pain eased up and I have lived with little pain since. Mornings have been the hardest, but usually when I am up about half an hour, I feel better. Some days are rough. Today, however, I woke up okay and then had a gripping pain to the right side of my spine (looking at the back) and cannot walk upright. I have a walking stick and walk like Yoda. This happened about 3 weeks ago, but the back eased up after an hour or so. My question: Do I need to go to the emergency room? Am I in danger of paralysis? My legs are not affected. I can lift them even when I am in pain and laying flat. ### REPLY: Hi sir/mam, your MRI suggests lumbar disc degenerative disease. Usually flaring of pain and subsiding occurs on and off as a natural course of the disease.no need to rush to any emergency. Just take the following precautions even when pain is reduced.  1)take care of your posture. Prevent abnormal postures.  2)avoid prolonged standing and sitting and strenuous exercises.  3)take the instructions of your physical therapist regarding stretching exercises to strengthen back muscles.  4)avoid lifting heavy weights. When pain is severe, you can go for analgesics. But avoid NSAIDs.tramadol with paracetamol is well tolerated in old age. Physiotherapy techniques of ultrasound and electron therapy also would help. Until you are able to walk and move your legs and sensations are intact, no emergency or surgical care is advised. Hope my answer allays your anxiety. Any further questions are always attended promptly. Wish you a very happy, healthy and peaceful new year. Thank you. Take care.bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My daughter had a fall several weeks ago. She has since been complaining of pain in her knee and on examination, I have found 2 to 3 small gravel like balls which are under the skin. Could it be damage caused by the fall and if so, what treatment will she need please? ### REPLY: Dear patient injury in the knee may range from sprain to meniscus injury to ligament tear. If pain is persistent on routine activities' meniscus injury is likely. Diagnosis can be confirmed by doing MRI of the knee. Please get it done from radiology center nearby you. Avoid squatting and crossed leg sitting.Meanwhile, start tab attract twice a day for pain relief. You need to consult orthopedic surgeon nearby your area with report. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi for some time now ive had i pain in my back about middle of the back on the left hand side i used to be a carpenter many years ago and did alot of heavy lifting but no so much in recent years i think the pains be ther for anout 2 years now. i used to be a light smoker but have not smoked since 2009 i do drink alcohol nearly every day and every week end ### REPLY: Hi, From history it seems that due to carpentry work for many years there might be having some degenerative changes in your lump sacral spines might have often arthritis changes in your spine giving rise to this problem. Go for x-ray lumbosacral region and find out the cause. Consult orthopedic surgeon and get examined. Go for physiotherapy. Go for back extension exercise. Take calcium supplements. Ok 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 have been waking up out of my sleep because my airway is blocked by excess tissue. I cannot breathe and it feels like I am being choked. I literally feel like i am dying and cant catch my breath. I was told I had excess tissue but my jaws are not aligned. Could this also be a symptom of TMJ? is there a procedure to fix this? ### REPLY: Thanks for your question on . In my opinion you should undergo complete sleep study. This will diagnose obstructive sleep apnea (OSA). By your history, I think you are having OSA due to bony obstruction with excess fat in neck. Both if these factors can compress airway and cause difficulty in breathing especially in night. For bony obstruction, surgery will be the best option. So consult ENT surgeon for this. I also advice you to lose some weight as excess fat can be the cause. You can also start CPAP therapy for OSA. But sleep study is must for this. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello my and my fiance have been ttc and its been very stressful i was on the depo for 6mths and got off in june 2013 and started regulating (getting my period) in oct 2013 in late nov my brest started getting larger and more sore i took a pregnany test on the morning of dec 2nd and it came out negative and dec 2nd nigh i noticed when i went to use the restroom when i wiped there was light pink and it stopped on the 3rd of dec on dec 4th i was supposed to get my period and i did not get my period now today dec 5th i still do not have my period i was wondering if i could be with child and if and when i should take an at home prnancy test ### REPLY: Hi, Thanks for the query. Sometimes symptoms are premenstrual phase can mimic symptoms of early pregnancy due to hormonal effect. So, just by symptoms we cannot come to one conclusion regarding pregnancy. Urine pregnancy test kit may not detect early pregnancy sometimes. So, better to wait for one more week. And if you do not get periods by that time, repeat urine pregnancy test, or you can go for blood test for pregnancy now. Blood test gives more accurate result compared with urine test. For more details : http://srsree.blogspot.in/2012/05/pregnancy-tests.htmlIf pregnancy test comes as negative, in the next cycle, track your ovulation and plan unprotected intercourse around that period. This will increase the possibility of pregnancy. For more details : http://srsree.blogspot.com/2013/10/ovulation.htmlTake care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, Thanks to you in advance, for your help, offered on line.I am a male, age 65, weak and frail body. I have a history of Asthma and Bronchitis. But these ailments are very much in control due to Inhalers once a day, like Aerocort and Foracort.  But I am suffering recently with a strange symptom in winter ( cool climate). When I breath in and out, the internal skin of my breathing Air- Track gets a tender uncomfortable inflammatory feeling. I feel like stopping my breathing, at once. The feeling is like uncomfortable touch sensation on a wet wound, as if air breeze is blowing on the wound. My doctor checked me. I have no wheezing or no cough, no cold. No chest congestion. Only my usual body-ache and tiredness. So he has prescribed to me just  one Tablet called Vitaresp. I will take it once a day from tomorrow. I have feeling that there is some sort of strange inflammation on the internal skin of my air track. Please advise. Regards, Avinash Bhosekar. (Pune India) ### REPLY: Thanks for your question on . I can understand your concern. Asthma and bronchitis both are inflammatory lung diseases. Airway inflammation is the basic pathology in them. And both are worsening more in winter months. This is due to viral infections and cold weather. So better to get done annual Influenza vaccination before winters to prevent recurrent viral infections. Get done PFT to rule out worsening of inflammation. If it is worsening then you may need additional extra bronchodilators during winter months. So 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: When I went to the bathroom I had a little tooth aChe I went to brush it with salt and water a little bit after I finish I felt dizzy couldnt see everything felt like spinning  and fell down now I am a little dizzy and I am laying down is there something wrong ### REPLY: Hi, I appreciate you for writing while you are not feeling okay. First, I would like you to know that toothache could be from one of the several causes which include, dental caries, trauma, gingival/periodontal condition, etc. In order to rule out the cause for toothache I will suggest you see the dentist soon. Also, warm saline rinses 4-5 times a day can definitely take away the toothache if there is some inflammation associated with the tooth. Please prefer not to brush your teeth with salt / water as it is a little abrasive for your teeth. For the dizziness, I feel it could be either from weakness if your tooth has an infection or not at all related to tooth. But, again it will be best if you could get your tooth examined by the dentist. I will advise you to take good rest and .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: just had my mri scan results....there is dehydration within l3/4 and l4/5..loss of disc height which is most pronoinced at 4/5.here there are fatty end plate changes..there is a posrerior disc prorusion at this lecel which is causing severe narrowing of the left lateral recess and also exit foramen,there is compression of the traversing left l5 nerve root and likely impingement of the extiting left l4 nerve root..i have for 3 months suffered with pain down the whole of my left leg like cramp without the muscle tightness..pain in hips..which i know i have artitiis but pain alot worse and now i am getting pain in my right hip too...and my back...not good with strong pain killers..could you recommend anything i could do while waiting to see the specailsit.. ### REPLY: Hello, Thanks for posting this question in ChatDoctorBasically you have pain in the left leg and right side also has started. I donor know if there are clinical signs of any nerve poor compression or not. I also don't know your age and sex. Pain related to nerve root compression may improve with medicines like Gabapentin, pregabalin, Duloxetine etc. You basically need a detailed clinical evaluation by a neurologist who will determine if you have any deficits or not. If there are deficits and pain are still persisting, surgical treatment will be another option. Please get examined by a local neurologist and in the meantime you can discuss with him regarding the medicines that I have suggested Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pea-sized bump in the back fold of my left knee. It can t be seen, but you can feel it under my skin. When I get chills, stand too long, or sit too long, it causes great pain. I was once told that it s probably just a hair follicle on a nerve. It s been here for eight years and has gotten a little bit larger over the years. It is hurting now because I m sort of cold. ### REPLY: Hi, Dear,Welcome to . Based on the facts of your query, You seem to suffer from-Sebaceous cyst / chronic furunculitis/ or could be Varicose Veins with Short Saphenous Incompetent valves. Pain on long sitting / standing too long, may suggest DVT association with thrombophlebitis. Chills with it favor the thrombophlebitis factor with it. Chronicity of the lump 8 yrs makes it more of Dormant Sebaceous Cyst with recent activated re-infection.USG/ Color Doppler dual Imaging of the lump, would fix the Varicose cause of it. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. suggests Good Day!!  . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 wisdom teeth taken out 5 years ago, 3 were impacted. The following day of surgery It was infected horribly. my entire face was swollen to the point i couldt open my lips . EVER since, But not prior to, I have had constant pain and sorenes on both sides of my neck just behind jaw bone close to ear, and under my chin on both sides. After the surgery once infected the dentist gave me antibiotics, following a year later my doctor said maybe there was some infection lingering or something with my nodes. could the infection have damaged my muscle or lymphnoids? ### REPLY: Hi as there is pain and soreness on both sides of your neck behind jaw bone and under the chin area, it points toward excessive trauma while your extraction which could have lead to excessive damage to bone and surrounding muscles and nerves. So the pain and soreness can be due to the bone and muscle damage at that time. As for under the chin area, your nerve to the concerned area may have been damaged. that's why pain is still there. Infection don't last so long, and you have already taken antibiotics for a long time. But to be sure, get yourself clinical examined and also an OPG X-ray done and post it here. In the meanwhile go for painkiller- Orthodox three times a day. Wishing you speedy recoveryWith 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: Does seroquel affect serotonin in the brain, and if so, how? I ve begun taking a small dose of 5-HTP which is highly touted for passing the blood brain barrier and strengthening the serotonin levels. My body is not receiving this well and I suspect my even small dose of seroquel is why. ### REPLY: Thanks for your question. You are correct: 5-HTP is a precursor of serotonin (5-hy .  Seroquel inhibits multiple neurotransmitter receptors in the brain, including serotonin types 1 and 2 (5-HT1A and 5-HT2), to effectively lower serotonin levels in order to exert the desired psychiatric response of this medication. Why were you prescribed the 5-HTP? It seems to counteract the effect of the Seroquel... and when you say your body is not receiving it well, what does that mean? ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ok well about a month ago I started birth control. about 2 or 3 weeks before my now ex boyfriend and I had sex. I took a pee test at the health department and it said negative before I started birth control. but about a week and half ago I started feeling really nauseous everyday and Ive had a brown discharge. Ive taken are you pregnant quizzes online and they all say yes. Ive also noticed my breasts have grown. I took another test when I went to refill my birth control and it said negative too. but I still have the symptoms and brown discharge... so am I pregnany? ### REPLY: Hi dear, I have gone through your question and understand your concerns. Nausea and spotting are the common side effects of birth control pills. If the pregnancy test is negative repeatedly, then the pregnancy is ruled out. I will suggest you to consult an ORGAN specialist to get properly examined to rule out any local lesions in cervix or vagina, and get an ultrasound done to confirm the diagnosis. Hope you found the answer helpful. Wishing you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 33 y.o. boyfriend fainted during rest 2 weeks ago. 1 week ago, he had chest pains, tightness when inhaling, nausea(did go to er) and they decided that it was probably GERD. He is scheduled for a scope down the esophagus on Wed. Yesterday he took a Clonozepan (?sp), which is the 3rd in a week of having them and was dizzy for about 1-2 hours afterward then was fine. Today, he did NOT take any and has been feeling like he is drunk with NO alcohol in his system. He took a 2 1/2 hour nap and did not feel any better upon waking. No fever, but is flushed. BP is high for him but normal for the general population. Any ideas? :-/ ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards dear take care. Hello rearward welcome to .come have evaluated your query in details .* This is in relation with HERD manifested by anxiety, stress.* Immediate attention to physician is recommended for vital parameters and EKG to rule out any underlying abnormality. Hope this will help you for sure . Wishing you fine recovery. Welcome for any further guidance. Regards . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think I have the flu and cold. It started Wednesday, and has continued to worsen. At the start, I took theraflu (both disolvable and liquid), a cold relief pill (with acetaminophan, dextromethorphan, guaifenesin, and phenylephrine), and Ibuprophen. I alternated them all carefully. I ran out of the cold pills, liquid theraflu, and ibuprophen, so today I went out to get Mucinex DM Maximum Strength and Oscillococcinum. After taking them, I felt a lot worse. I recently took 650 mg of acetaminophan to help the pain. Its helping a little. My symptoms are fever, headache, muscle ache, integumentary pain, soar throat, excessive coughing, and lung pressure.Please help me in anyway you can. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have flu, headache and cold which is because of increased susceptibility of getting infected because of compromised immunity which is leading to common cold. Need not worry about it. You should use anti-inflammatory medications such as Levocitriziine along with antibiotic such as Levofloxacin. Avoid exposure to allergens such as dust. Take metal P for fever. Take diet rich in multivitamins along with vitamin C pellet to booster immunity. You should use mist humidifiers in room. Visit ENT specialist once if symptoms keeps on persisting and get examined. Start treatment after prescription. You should take probiotics in diet. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my hair colored Saturday afternoon. Sunday I woke up and had scabs and bumps on my neck and head. It has gradually gotten worse. I have been taken Benadryl tablets but the allergic reaction continues. My left eye is practically swollen shut, the left side of my neck is swollen and Im concerned. Do you think I should go to a physician or do you think it will run its course and be alright? My head itches and aches. ### REPLY: Cellophane You for contacting . This could be allergic reaction to dye. Allergic response takes 2-3 days to improve. Does it always happen after applying it? I would suggest you following things:> Take levocetirizine one at night for 5 days.> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, my age is 25 and im suffering from filaria in tesis from last year and i m having continuous pain in right testis i have done many treatment but nothing has resolve my problem and i want let you know one more thing that when i discharge sperm in that fluid many iquantities of particle like small types of worm also coming with it..pls help me out.. ### REPLY: Degree understand your concerns went through your details. Worms in semen would be quite an unusual diagnosis. I don't see such a possibility at all.  It is most likely protein strands in your semen that you are seeing. Other possible causes could include infection. Most likely they are not true worms and may only look like them. Even when blood is mixed with semen it looks like that and appearance seems to be worm like. I suggest, you should consult your doctor ASAP for further evaluation and management. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes, thank you so much I am quite scared and alarmed. I went to local store for a couple of items and on the way home I could not figure out where I was, it was familiar places??? I am 53 years old the only medications I take are prozac which I have not taken in a while, I had head trauma in near fatal auto accident in 2006, 11 years ago ??? titanium plate and rod.... I am not asking for a diagnosis online... I know I need to get to dr. Just started new job today :) been under a lot of stress my major concern and question is ???? I lost my mother to alzheimers 2 years ago :( see where I am going with this ??? I heard, people that have had head trauma could be at higher risk to develop alzheimers????my mothers father who also had alzheimers passed away from the diseaseI am trying to educate myself online, but difficult to trust in urban myths ////??????and fact ?????den ### REPLY: Hi, Your experience is certainly capable of causing concern in anyone by its description. However, it cannot be taken as a diagnostic piece of evidence in order to diagnose Alzheimer's disease.  However, it the symptoms have occurred in the context of other situations, and you have perhaps just been ignoring them until now then, maybe this would be a good time to seek out a neurologist well versed in cognitive issues and their different presentations so that a full and proper workup can be performed to try and discover what exactly may be at the root of what happened to you recently.  Hope I have answered your query. Let me know if I can assist you further.  ### END