Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 male friend who is 30 and has borderline personality disorder and borderline intellectual functioning who swallows spoons and pens when he is depressed, I m afriad that when he notices that I m concerned that I am reinforcing his self-multilating behavior can this be true? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. borderline personality disorder guys do not trust others. In this case, please stop watching him directly. He needs medical treatment immediately. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a lump below the Jugular vain and above the collar bone for over a year now. I had a biopsy a year ago which showed lymph node cells and regular cells. The lump is still there, and hurts after strenuous swimming and weight lifting. I has been suggested to remove the lump instead of re biopsy and ultrasound to make sure it is not something bad or more serious. I am worried that if it is removed, what are the risks to surrounding nerves in the collar bone area? I do not want a numb arm, hand etc. Still young. Should I just continue monitoring the lump yearly with expensive biopsy and ultrasounds or take the risk and remove it?? thank you ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Presence of lymphoid cells in a swelling indicates it is a lymph node.2. As there were no malignant cells seen, not to worry. As the swelling is large and located at location, where the arms move around during swimming and weight lifting, it will be painful due to the mass movement.3. Excision of the swelling will improve the symptoms. As it is not related to any nerve or blood vessels, no risk of numbing of arm or hand is present. It would be simple surgery. Getting excision would be the best option for now. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I m a 22 year old male since the age of 16 I have suffers with chest which doctors have told me is due to anxiety but the last 6 months the pain has been different from how it usually is.this pain comes and goes all day everyday and has got worse as the last 6 months have progressed I also get pain in my legs/back and stomach but is mainly my legs and chest the pain on my legs comes and goes and is the same if I m exercising or sitting down.the pain in my legs can be described as a cramping ache or a pinching feeling that can be inmy calves or thighs aand my chest pain is like an achy sore feeling and canhave sharp pains occashionaly the pain is mostly on my left side by my heart or just above it can radiate to my right side but that doesn t happen quite as often as the left.I have had a chest x ray about 4 months ago and an ECG scan botChatDoctore back fine but it jus seems to be getting worse I m in agony as soon as I wake up also my chest pain seems to get worse sometimes when I sit down if thats got anything to do with it.when I go to the doctors I m told its just anxiety even though I know something is wrong with me its a struggle just to get through the day 90%of the time but am to imbarrased to go to the doctors because they barely ask me any questions tthey just say its your anxiety good bye and that s it . I hope it is but am really scared I m in pain nearly everyday just would like some insight and advise. Thank you ### REPLY: Dear serve understand your concerns went through your details. Body pain and chest pain are a characteristic symptom of anxiety disorder. There are many reasons for this chest pain which links it to anxiety disorder. Anxiety causes digestive issues and acid reflex problems. This acid reflex issues can cause congestion of chest and thus chest pain. Anxiety breathing will be usually fast and this fast breathing can cause hyperventilation. Hyperventilation can cause chest pain. Panicking on chest pain can cause further deterioration. Relaxation techniques, cognitive therapy etc. can help you overcome this problem. If you require more of my help in this aspect, please use this URL. http://yyyy.yy/yyyyyy. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 33 years old women, 2006 i got married, 2007 i got MTP, 2008 girl baby was born(cesarean). After that i used IUD for 3 years. I removed in 2011 but till now i am not getting pregnancy. We concerned doctor, she refer to make ultrasonography. In that my Follicular sizes are day 9th 11mm, day 11th 16mm, day 14th -16mm day 20- 17mm. They told that we will see for next cycle. Can u please suggest that what to do for my follicular size increase ### REPLY: Hello user, As per your history, there were 2 times when you got pregnant before Caesarion. That shows that your reproductive system is without any problem, section. As far as I know, follicular size is not the only criteria which help you to get you pregnant ! The main point of concern is the Caesarion section performed by the surgeon might have made the inside of the uterus a bit difficult for the egg to implant, Which might be causing you infertility. There are hormones and . Hope my info helped you 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 husband has a baseball size lump on the top front of his shoulder.  It feels like a soft ball, but squishier.  It is under the skin.  He had not noticed it until tonight.  Could something this large, grow this fast?  There is no pain, it just feels tight when he raises his arm out.  It looks quite odd.  Any ideas? ### REPLY: Hi, Dear,Thanks for the query to .-I went through your query in-depth and Understood your health concernsRemedy and Cause-In my opinion lump in front of top of the Shoulder-is Sebaceous Cyst.-But could be fibromyoma/ Lipoma-as being painless went unnoticed till this time-So growth is not in a day but over many months or yrs. Its only today you noticed remedy advised-a-Consult an ER surgeon.b-Get the Clinical reasoning from Him. If its SEBACEOUS CYST-Excision after Nucleation in tools the curative treatment for it.c-If its benign tumor suspected by your Surgeon-FNAC BIOPSY would fix the tumor nature and would plan treatment by Excision / Nucleation of the benign lump. Hope this would help you to work a plan with your doctor. Wishing you early and fast recovery. Wellcome to my  Clinic for further queries in this matter. Wishing you Good Health ASAP. Have a Good Day. . S. Genl-Thorasic CVTSSuper specialist in Asthma/Cancer and non-curable diseases. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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...My daughter is 4 years old, fell down from bed accidentally, hit her mouth on the floor and had her upper lip cut. Bleeding stopped but she had a cut in upper lip and a large swelling. Can I use metrogyl DG Gel in the area, and what else I can give her. She is not complaining of any pain. There is no fever whatsoever. ### REPLY: Himetrogyl DG gel contain metronidazole -an antibiotic used for preventive or therapeutic for anaerobic infection. There is Little Chance of getting anaerobic infection this highly vascular lip. So by applying it will be very little useful. Topical cream of gentamicin g can be given if the cut is deep enough to produce infection.  If the cut is not deep much, no other antibiotic required. You should give some anti inflammation medication (ibuprofen) to reduce swelling and pain. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Respected sir i am 22 year old i am suffering from skin itching nearly 2 months , i had took antihistamine tablets ,that tablets gave me temporary relief when i stop medicine again i feel severe itching in my whole body ,but my skin looks normal , i could not found the reason my RBC level low due to typhoid (7 months back) .please help me. ### REPLY: Hello, The itching that you are suffering from could be related to the previous infection, a condition known as infection-related urticaria. However, if your skin appears completely normal, then you will need several tests in order to ensure there is no specific organ related pathology.Some tests include liver function tests with gamma GT, liver autoantibodies with ANA if Lots including ALK for very abnormal (and raised bilirubin); thyroid function tests. Typhoid and a viral hepatitis can very rarely co-exist or happen, so it is important that viral entities are excluded. The treatment will then depend on the results. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 50 year old male in relative good health.  Today at work I started to get slightly lightheaded.  I drank a few glasses of water and ate a salad, but the lightheadedness has continued.  It is slight, but I present.  No other symptoms seem present. My primary is on his day off.  I am uncertain if this feeling is worthy of going to the emergency room. ### REPLY: Howell come to ChatDoctorThank for asking a question Your concern being appreciated, light head symptoms may have several causes but the most common is hypoglycemia, cerebral ischemia, labyrinthine, some time may be undetected hypertension, and others, have some rest, eat something, if you are hypertensive then check the blood pressure, and in case of diabetes get done the plasma glucose level, Only advise I would give you is to try Betahistine till you see your doctor, but is nothing to worry, if the symptoms are not severe else you have to see the ER just to rule out the cerebrovascular condition hope this information helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a long time allergy sufferer (50) years.  Asthma since childhood but totally controlled with Advair.After 30 years of allergy shots and , I have had no attacks to speak of in the past few years. Occasional nasal polyps.Yesterday afternoon I had what seemed as an immediate allergy attack. I have taken my standby antihistamine Chlorophenaramine with no affect.  Also taken 40mg cortisone which my doctor lets me keep on have for colds that seem to move to my  chest to be taken at my discretion.My upper right nostril is extremely sensitive and pouring mucus.  Should I call my allergy/asthma doctor on a Sunday?Mel ### REPLY: Yes you can as physical examination will be best to diagnose reasons at present the answer to your question is in allergies the mucosa of nose become sensitive and even a slight temp change in air going through nose affects the sensitive mucosa causing excess mucus formation till you see your doctor can use anti-allergic tab along with application of Aureomycin hydrocortisone ointment in nose twice a day and hypertonic saline nasal .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I need help.I ve been working on stopping masturbating. Its disgusting. Could you please recommend medication or treatment to stop masturbating permanently? Will medicaid take care of my medication. What type of doctor in my area specializes in this disgusting embarrassing area? I want to be totally free of this. Thanks ### REPLY: Hi, Thanks for posting in . I understand your concern. It seems that you are simply worrying about natural phenomenon. There is no need to be disgusted regarding masturbation, and you cannot stop it permanently. Masturbation when done properly with adequate spacing is normal and physiological process. It doesn't affect health in any way like physical weakness, decrease in penis size, premature ejaculation, decrease in sexual performance or fertility. Since it is a voluntary act, decreasing its frequency can be achieved by ones own will power. If you continue to do it once a week or thrice in a month, it should be alright. Kindly indulge yourself in certain amount of time-consuming work, physical exercise or workouts and meditation to keep away from feeling to masturbate. Gradually, you should be able to gain control and be confident in life. Hope the information provided would be helpful. All the best.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have noticed over the last 4 or more days that I have a bitter taste in my mouth - similar to the one you get after drinking coffee or soda.  I thought maybe I wasnt drinking enough water.  I havent looked at my tongue at all, until today.  The first inch or so from the tip is the normal pink color.  After that it turns a dark yellow color.  I am thinking that has to be related to the taste in my mouth.  What can it be?  Should I be worried or go see a doctor? ### REPLY: Hi. Thanks for the query. Dark yellow appearance of tongue can be due to improper oral hygiene leading to deposit of debris over tongue. There seems to be overgrowth of bacteria and fungus leading to thick layer over tongue. Bad taste is also due to it. I would suggest you to start using a tongue scraper to clean your tongue. You should also gargle with a solution of HY . . Use a soft toothbrush and dip it in HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Doctor I just got my health check report back and it appears that I have a high level of GPT , which is 75 and from the lab report it says 0-50 is the normal range. I also appear to be very tired and dizziness . The dizziness never appear to go away for about 2months already. I will like to know if it because of my GPT level or is there any further tests I need to take to know the cause of the dizziness and unsteadily. ### REPLY: Hi, Thanks for posting your query. The information you have given is inadequate. With just SGPT report alone, it is difficult to give an opinion. I presume the rest of the liver function test was normal. This SGPT report shows only mild increase and it most often is due to fatty liver. An ultrasound scan of the abdomen may be done to rule out fatty liver. You can get tests done for other causes as well which include tests for hepatitis B and C viral infections. I hope that answers your question. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had plastic surgery on my hand about 5 years ago. (I cut threw my tendon) I did all the follow ups and went threw 8 weeks of p.t. I have now noticed a bump that moves when I move my finger and it is now in pain all the time. I don t know why this would happen 5 years later. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some ganglion cyst. You should go for examination. If needed go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was thrown to the ground playing rugby,i landed on my bak,it hurt alot when it happened after a few mins i got bak up and carried on,but my bum cheeks hurt at the bottom ov my bak,,my tail bone is ok it just on either side ov it which hurts...what could be wrong please. ### REPLY: Hi, Welcome to . After going through your query I think You are suffering from acute pain due to soft tissue injury. Treatment of it is rest and analgesics(diclofenac). Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. You can discuss with your treating Doctor. You may need to do MRI TO RULE OUT DISC PROLAPSE. I think your query answered. Welcome to any follow-up query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a sore through and my back hurts although I have taken medicine for the back the rest of my body hurts as if I had an advanced form of flue, I take alkaseltzer plus but it made my symptoms react to worsen me what should I do? because I have a primary doctor but I can not see him today or tomorrow, please help me with this little problem turns out to be two problems. ### REPLY: After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor,      i am 36 year old married woman.i have an eight year old son.My weight is 48kgs.i have treated for dental problems.i dont have sugar,B.P,...I am doing even karate ,yoga.i feel healthy but bad breath is my problem.i couldnt find the bad smell.but others told about this.so i feel so dejected.can you help me? ### REPLY: With your query, bad breath could be of many reasons either due to systemic diseases or local/dental factors.  IN order to start with the treatment one have to rule out the cause to start with treatment. Since you have mentioned with no systemic health related issues it would be better you visit your dentist and get his opinion regarding the same after thorough examination of your teeth and oral structures and start with the treatment till t hen you can use mouthwashes for temporary relief. 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: have had mild chest pains off and on for a week, but have not gone to dr. because I have been pushing my husband around the va hospital for the past three months and figured it was just strain. Since it is till around it concerns me. The pain comes also when I bend over. Bad Family history of heart problems. ### REPLY: Thanks for your question on . You should consult cardiologist first and rule out cardiac cause for your chest pain. Because you are having the following risk factors for heart disease.1. Strongly positive family history of heart disease2. Chronic left sided chest pain3. Going through lot of stress because of husbands health issues. So get done 1. ECG2. 2d echo to rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. Just relax and keep calm. You will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with fibromyalgia and it is very bad at the moment.i take solpadol 30/500 4times a day but the pain I am in is so bad it s not enough what can I do .i can t sleep and I am also finding work hard I am a stylist it s my own company. Please can you help me my doctor is doing bloods next month but it s now I need some help. Thank you sue .sorry I didn t no there was a cost silly me so I will just have to leave it to the NHS ### REPLY: Hi, thank-you for providing the brief history of you. A thorough clinical examination is advised. As fibromyalgia is a condition where there is inflammation of the fibers of the muscles. A single muscle contains numerous muscle fibers and this muscle fibers act together to produce muscle contraction leading to movement of the muscle. As most cases in my clinical practice respond well to a combination of physical therapy, meditation and breathing exercises. Physical therapy includes - therapeutic ultrasound therapy, TENS therapy and exercises Meditation - helps to reduce the anxiety and depression Breathing exercises - this helps to improve the blood carrying oxygen cells and reduce the metabolic waste formed. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes I have one question, I had a Partial Hysterectomy 9 years ago, my doctor let my tubes and ovaries, now 9 years late I have severe pain in my lower and on the close-sides, I went to visit the doctor He could barely examine I was in so much pain, but we talked about the pain and all and he did finally examine me, so he said that he thinks that I have the Entermectreosis again and wants to remove the rest of the organs, is this real, has this ever happened before??? (dede) ### REPLY: Hi. Thanks for your query. Read and understood your history-partial hysterectomy 9 years ago - tubes and ovaries kept - now have severe pain in the lower and close sides - Physical examination with difficult and your Doctor say this is endometriosis. Endometriosis is a possibility that your Doctor has said about and this is not a confirmatory sentence. I would advise you the following:MRI of the pelvis. Diagnostic laparoscopy and removal of the parts if there is a disease. Routine tests of blood, urine and stool. Only this way the diagnosis can be confirmed and treated accordingly. So insist on detailed investigations. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having back pain for some time now nearly two years back i had serious back ache Doctor expected slip disc and asked X-ray x ray revealed Crack (Gap) in D12 I had no history of falling or an accident Doctror asked for Neuclear scanning for hips shoulder and spine and it was declared to have lowe BMD (-2.3 ) Is taking GEM CAL KIT regularly since then some two months back had a similar pain a spine specilist asked for MRI for both cervical and lumbar spine. Though abnormalities are observed they are more age related and both Doctor and radiologist concurred that the crack/gap in D12may be congenital. But doctor is more worried about my beathless ness,walking little I start breathing deep though momentorilly. Pulmonary test was conducted and it is normal for my age 965) they said. I am also a Cradiac patient for last 12 years. Twice had angiography . last was nearly one tear back. Two block 75% and 45%. On regular medication and is not having any problem can pain in back to do any thing with Breathing.? Advised to see cardilogist once again and come back as Spine specialist feels some surgical intervention may be required. Your advise please. Regards. ### REPLY: Hello understand your complaint. You explain very well the situation. My opinion is that it would be good to see the cardiologist again. If he excluded any heart problem related with the breathlessness the next step is to control more your lungs. For example a chest X-Ray, arterial blood gases and a DCO test with is done with the Spirometer device. If these tests come negative we are sure that breathlessness feeling is caused by back pain.Thank 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: Hlo dr. I am 10 weeks pregnant now i have small blood clots so dr. Advise me medicine tab progestrone 200mg and tab anin and follic acid and advise me to take these five days after that scan should be done if i am not ok i want to know that my baby is safe? ### REPLY: Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. Please take rest. Avoid jerky movements and lifting heavy weights. Your treating doctor has rightly suggested you to take Natural micronized Progesterone tablets. It is protective for pregnancy. To know the condition of the pregnancy, I will suggest you to get USG done. It will help to know about the viability and gestational age of the pregnancy. I will also suggest you to take Folic acid and vitamin B 12 supplements. Take vitamin C tablets two times a day for 5 to 7 days. Usually this kind of bleeding subsides with the above-mentioned treatment. The things will be fine in the due course of time. May God bless you with a bundle of Joy. 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: My daughter has bronchitis for two weeks was put on Zithromax she still has it we went back to dr today she said her oxygen level was alittle low and put her on amoxil and nebulizer 3x a day...,should I be concerned I m leaving for vacation in three days out if the country and I m now nervous ### REPLY: Thanks for your question on . . If your daughter is not maintaining normal oxygen saturation and not getting relief from this treatment, in my opinion you should get done chest x-ray to rule out pneumonia. She may need higher antibiotics too. Bronchitis will not cause fall in oxygen level. But untreated pneumonia can cause low oxygen level. So better to consult pulmonologist and get done chest x-ray.  She may also need sputum culture and sensitivity to guide antibiotic therapy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Every now and then when I eat foods or take in drinks with high sugar concentration, I get blood in my stool . The blood colour is always pure red, just like the blood you get when you have a cut. As indicated, this happens once a while and sometimes 60 days can elapse without this experience. The last time I had it, I started the day taking porridge and sweetening it with some honey . In the afternoon after lunch I took a drink of Lucozade (energy sugar laden drink) and just before bed I eat a lot of sweet water melon. This condition has been with me for years. I am 64 years and one doctor said it could be due to piles or hemorrhoids . another assured me that since the blood was pure red it was unlikely that I have cancer . I will be going for further checks but in the mean time what do you think. Thanks ### REPLY: Hi, thanks for writing to . Your condition is called rectal bleeding/hematochezia. This bleeding can happen if there is any bleeding in the intestinal tract. Since you say the color is bright, it is possible there is internal bleeding towards the lower intestinal tract i.e. rectum or anus. But, you should also be concerned if there is possible cancerous cells. In regard to diet, I am glad you have noticed that sweets do not work well with you. It may be because your Gastrointestinal tract is sensitive towards sugars and hence may be the resultant bleeding. Since you know it well, avoid sweets and foods that irritate the digestive tract such as fatty foods, heavy pastas, etc. Please consult a doctor as soon as possible. Good luck!!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son (21 yr old) was diagnosed with pleurisy a year and a half ago. He was and is very active. Ever since the pleurisy he has been unable to run with out chest pain and feeling short of breath. The doctors think that maybe he has exercise induced asthma. He didn t have that before the pleurisy. Could the pleurisy have done damage to his lungs? ### REPLY: Thanks for your question on . I can understand your sons situation and problem. Yes, you are right. Pleurisy can cause permanent damage to the lungs. It is actually an inflammation. And if inflammation is stayed long, then it can cause permanent lung changes and give rise to bronchitis. So better to consult pulmonologist and get done1. Repeat chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out pleurisy.PFT Ia needed to rule out bronchitis. It is also helpful in diagnosing exercise induced asthma. So better to consult pulmonologist and first diagnose him and then start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 27 year man. i am sufferring from slight pain in my right lower abdomine. 3 month ago my sgpt & shot ware high(114& 58). i have done usg of my abdomine but nothing is found. doctor gave me viboliv & golbi300. with those medicine i controlled my sgot sgpt. but now after 2 month i am feeling unsual in my right lower abdomine. what should i do? ### REPLY: Hi. Your liver problems are over. The most probable causes of pain in the right lower abdomen are: Appendicitis, colitis, or any inflammatory pathology related to the internal structures. The best way to get a diagnosis is to undergo a clinical examination, ultrasonography, a trial with a course of an antibiotic and metronidazole, bold, urine and stool tests. The reports of the investigation will decide the further course of action. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is dawn i was on the depo shot for 3yrs 1997-2000 after i stop the shot i didnt have a period for the next 4yrs so i went 7 years with out a period then in 2004 i had a period but i hurt so bad on my left side during my period and down to my left knee. not to mention i havent got pregnant since then and its been 16yrs can u tell me what is going on please ### REPLY: Demo is a progestin, and thins the lining of the womb.  Many women either have light irregular bleeding or no menses while using demo.  It can take six months to a year for a normal cycle to resume, but it is out of your system completely by a year.  Your irregular/absent menses has another cause such as chronic absent ovulation due to a like of cycling in your hormones.  It is important to have the reason looked in to.  In some cases uterine cancer can arise from this condition. Please see a competent gynecologist or reproductive endocrinologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a hard, non-mobile, lump behind my ear, the size of a pea. It is directly behind my ear on my neck just above where my lobe stops. I believe its in my lymph nodes. I have had some tooth pain due to a wisdom tooth. I am 37, high anxiety, not overweight, normal dr. visits. I just noticed this bump two days ago. Should I just wait for my dentist appt. for removal of the tooth, or should I see my family dr.? ### REPLY: With your query, yes with an infected wisdom tooth you do get lymph node enlargement. Treatment of choice is either go for extraction or restoration depends on the condition and situation. Most of the time one have to be on antibiotics with analgesics nothing to worry you have to visit your dentist if it takes time to get an appointment then you must go to your family doc for antibiotics to get relief from the pain after that visit your dentist fit complete treatment. 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: Hi, may I answer your health queries right now ?  Please type your query here... I have a knot that has grown double in size the last couple of months. The knot is located between ribs right where gallbladder would be. I have had my gallbladder removed. This limp is not painful but is growing. What could it be ? ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Cause of the knot -In your case it seems to be-kelloid in the scar / or could be fibrous or could be just sebaceous cyst. Diagnosis needs clinical data from a Doctor. And Hence for further treatment I would advise you to Consult ER Surgeon who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to . Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc,i am trying ttc from last 6 months. I have done HSG this month and my report says tube ampullary coiling and mild dilatation. Cannulation is done on right tube. Both tubes Fimbrial end clumped. Both tubes are patent and it is of category 2A. What are the chances of getting pregnant, if I try this month? Two months back I was diagnosed with PCOS, for which I am taking Glycomet.ThanksTanu ### REPLY: Hi, I think you can become pregnant. In pod patients, the problem is with ovulation.  So you may need some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks after the rupture.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My name is jackie and my 12 year old sister and her friend have rashes on there side, back, and face. It started as just 3 spots which looked like bug bites. But when she woke up the next day, it spread. The day before that, her and her friend were swimming in their family pool. But my mother thought it was mosquito bites. also she has a fever and she said it does not itch but it s very painful. Please help ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your sister have symptoms of fever and skin rashes which is due to viral infection mainly due to herpes, and it is due to poor immunity of body. Need not worry. You should avoid intake of outside food. I would suggest you to apply calamine lotion on these rashes. You should take antiviral medication such as Acyclovir. Take plenty of fluids and avoid intake of any outside food. Visit dermatologist once and get it examined and start treatment after examination. In some cases it will develop bacterial infection as well, so you should apply mupirocin gel on these sores and take antibacterial medication. You can go for application of retinoid cream over the affected area with proper medical supervision. 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 have a bump on my lower lip that (at first) appeared to be a cold sore, but is below the lip line and keeps growing. It is getting wider and is very sensitive to the touch. I no longer think it is a cold sore, but I do not know if it is serious enough to go to the doctor. I was using Abreva on it. That usually works good for cold sores, but instead it is getting larger and is heading downward instead of on my lip. Can you help? ### REPLY: Hi, thanks for sharing your health concerns with ! If I were your treating Doctor for this case of lower lip nodule, I would consider infection of minor salivary gland in the lips causing a chronic abscess formation and this needs examination by a general surgeon and if still you are not convinced enough I would suggest you to go for an FNAC of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was admitted to emergency on wednesday with high temp low blood pressure joint and muscle aches excruciating headache ect they have taken blood to do cultures etc. I also have a very heavily coated tongue that my husband said my breath could be used a weapon of war. I tried Mycostatin but it only made me vomit is there a betadine product that could help. I am taking Panedine Forte and IBrufen every four hours to keep my temperature down and help with the headache etc ### REPLY: Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to flu like symptoms. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the fever. I also suggest gargling with salty water for antibacterial properties. Furthermore, I recommend using Myostatin to relieve the fungal infection in the tongue. Furthermore, I suggest to .  Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I developed a itchy rash after working in my lawn. The rash started on the inside of my elbows and has spread to wrists, ankles, waist and neck. It has been three days and has gotten better but has not gone away completely. Each area randomly itches now. I have never had this type of reaction after working in the yard however it is a new yard for me. I just hope its not something more that I should be worried about. ### REPLY: Hellowelcome to , regarding your query it seems that your skin is allergy to some substance in your lawn like hay flowers or anything like that...someone may get very severe breathlessness due to allergy some gets sneezes depending upon their immune status.you got only body rashes.try anti-allergic tab.to relieve this itching.but finally you have to quit that lawn. For further working there you may get more severe changes in the body(already said).try to avoid working there or search new place ...have a speedy recovery hope you will satisfy with my answer thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is sinai, my little 5 year old Brandon has had stomach pain for about a month and a half, he had a fever and vomit, cough last month and was give antibiotics because doctor said it was a virus that turned bacterial... his tummy hurt almost every day, specially when food gets in the stomach pain starts i took him to the doctor last week because he started vomiting and had diarrea literaly like water and could not retain anything inside so doctor said he needed IV and stayed there 2 days, first night he had a slight fever 101.3, doctor found salmonella tifico in reacciones febriles blood test at 320 number and took a stool sample gave him antibiotics for 7 days for salmonella he continued to have stomach ache and diarrea, stools are getting more formed now, pasty but stomach ache is persistent and little appetite , he looks very thin and pale so i wonder if we are missing something here, appendicities? hope not, pain was coming from the belly bottom area, lots of rumbling noise in the tummy... roundworms? what can i do? we are from seattle but came to puerto vallarta for a year and i feel like the level of knowledge is less here and also the fancy tests in the USA are better... i am willing to take him to the states if needed, but could you advise me please? ### REPLY: This gastrointestinal tract got infected due to contaminated food or water. It is Gastroenteritis. In appendicitis, loose motions are rare. Rumbling noise is due to intestinal movements. He should be given antibiotics like Ofloxacin, ornidazole/metronidazole, antispasmodic like dicyclomine, Pre and probiotics. Add paracetamol for fever. His symptoms will come down gradually. Nothing to worry. Regarding shifting to states, it depends on the response that he is getting here. Wish him good health and speedy recoveryRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has done semen analysis . Reports say he has 2ml sperm , active sperm 15%, sluggish sperm 35%, non active sperm 50%. His liquefaction time is more than 2 hours. There is clumping also. Please advice if he can help me conceive? Waiting for reply. ### REPLY: Hello Welcome to  forum No doubt his semen report says it is of poor quality. But improvement can definitely be achieved by taking antioxidants like & high proteins & vitamin rich foods. Stop smoking & . You can also go for intrauterine insemination with his semen to get conceived. Sperm concentration & sperm wash can be done & only active motile sperm can be inseminated. So there are many choices for you. Wish you good healthDisclaimer ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got a swollen vein this past tuesday. I didnt go to the doctor I just put ice on it and thought the swelling would go down. Well it did but it made my arm worst then it was. I now have a huge dark bruise on my left arm. When I touch it I can feel a lump and it hurts. I want to know whay is causing this bruise to not go away... ### REPLY: I, Dear,Good Morning, and Thanks for your query to my virtual Clinic At . I studied your query in depth and understood your concerns. Causes for the lumps in the arms are as follows-a-Mostly they are-Thrombophlebitis with bruise in left arm.Don't worry of them, as they could be relieved with proper treatment.-Treatment -a- Tab-NDAIDs/b-Hot fomentation, c-Rest and Elevation of left armc-Antibiotics if it does not respond in a day to earlier treatment. D-Surgeon consultation and needful further treatment with him is advisablee-To remove that lump-I would advise Germophobe point locally x 1 was time. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and . Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i always have a dry sensation in my hands. they are not dry to the touch eg: if i asked someone to touch the surface of my hand they would say they are EXTREMELY SOFT and thats because i cream my hands ALL THE TIME. i always have lotion with me to apply when the dry sensation comes. things that off set it can be touching certain materials that i cannot stand to touch. i am in full time education which means im always doing school work. one of the materials i always have to touch is paper and i cannot stand the touch of paper along with other materials so you can imagine the struggle. running my hands under water also off sets the sensation. when the sensation attacks i have to clench my fist and some short term relief is even to lick my fingers if i dont have lotion. i know its sounds gross but the sensation over comes the idea of how gross it is to lick your fingers. the sensation came in year 4/3rd grade and im 14 and still have it. some people say it is OCD or my hands are overly sensitized but i need a doctor to help as i read these conclusions on online forums please help ### REPLY: Hello, I can understand your concern for .  After analyzing your query I can get that you have the problem of necrosis of the skin and especially of hands. It is quite a common condition which basically results either as a genetic condition or can be due to simple condition also. In my patients I generally prescribe an emollient cream to be applied over the hands for multiple times a day. A urea based cream is the best suites your kind of condition. It is quite important to not wet the hands repeatedly as can cause more  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 thrush, have been sick with The flu and a cold for ten days and using a Flovent inhaler twice a day. My throat has been sore but I was so miserable I didnt look in my mouth. I just started feeling better and realized this is going on. Is there a home treatment I can start tonight? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint Flo vent contains steroid Fluticasone and use of steroid inhalers can cause oral thrush as reduced immunity caused by steroids can cause overgrowth of opportunist organisms like fungus. You should consult an Oral Physician and get evaluated, and he can evaluate you clinically and in case if thrush is confirmed he can advise you antifungal mouthwash like Statin Mouthwash and clotrimazole lozenges. You can take ample of probiotics like Yogurt and garlic in diet. . . For sore throat do warm saline gargles and steam inhalations. Take anti-inflammatory painkiller like Ibuprofen. Avoid spicy and chilled foods. Suck throat lozenges. 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: Hi my 5year old daughter suffered from typhoid on 22august we treated her with azithromyin and around 5 days back was completely okay so we send her to school but now the fever below 100 is back.Is this a cause of concern.She took antibiotic for 15days approx. ### REPLY: Hi, welcome to .contour child is fully recovered from typhoid, and he again develops typhoid, you need to understand how typhoid is caused. Typhoid fever is contracted by .  People with acute illness can contaminate the surrounding water supply through stool, which contains a high concentration of the bacteria. Contamination of the water supply can, in turn, taint the food supply. The bacteria can survive for weeks in water or  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 amd 25 years old have a family history of heart problems. I have been very stressed out during the past year and occasionally get a light soreness in my chest. Is it smart to go to a cardiologist to have him run tests, if for nothing else, for peace of mind? ### REPLY: Hi, Highly unlikely to have cardiac problem at this age, the more likely possibilities of gastritis and reflux. Still there is no harm in getting evaluated with ECG, lipid profile but not absolutely warranted. You should avoid spicy and fatty foods. Avoid smoking and alcohol if any. Also maintain sleep habits regular and also do regular exercises. Have some walk after meals instead of taking rest immediately. You can take acid suppressant like tab Pantoprazole. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi - I have a lot of pain in my lower neck and between my shoulder blades. I went to the Urgent Care on Saturday and Dr said cervical strain and to treat with 800mg ibuprofen every 8 hours and ice. Its now been 5 days and it doesn t seem to be easing. Ice does offer temporary help however. Does it usually take this long to heal from a cervical strain? What should I expect going forward? ### REPLY: Hi, thank-you for providing the brief history. As the pain is in the mid thoracic region in between the shoulder blades, I suspect it to be interscapular muscle spasm. Also, there should be some sort of trapezius inflammation as well along with this. I will advise you to undergo Therapeutic ultrasound therapy and TENS therapy which will help you reduce pain and inflammation. Exercise on later stages will help improve the strength and postural correction will also be beneficial. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Father-in-law is having Blood uria arround 9 his pressure is fluctuating arround 80-150 to 90-190 left & right leggs are having high pain , What is the actual treatment ? Dr. gave Zyloric (arround 500 tablets 2 /day)& pressure monitoring continued -Please help ### REPLY: Hello, I would like to tell you that your father needs to be on a low protein diet and continue with tablet Pyloric for high Uric acid. His systolic blood pressure is on the higher side which needs to be managed with diet, lifestyle modification, and medicine. Kindly consult a physician personally for Blood pressure management. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have the following symptoms for about 3 weeks and there not getting better. Bright red blood clots on the stool , blood clots in the toilet water, feeling of fullness, increased passing gas (this part s been going on for a number of years), slight cramping in abdomen area lower right. What could be causing these symptoms. I m worried it s cancer . ### REPLY: Hi and thanks for the question, passing out blood as such is somewhat a medical emergency. It is imperative to exclude a gastrointestinal bleeding of hemorrhage. Uncontrolled bleeding could cause hypotension and shock in some cases. Other causes of bleeding like hemorrhoids and infections are possibilities. Consulting a gastroenterologist for a clinical evaluation, stool exams and endoscopic examinations to exclude bleeding is urgent and very important. Hope this helps, Thanks and best regards, Luchuo, 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: Hi doc Had got severe pain in left abodomen and got tested with ultrasound scanning in which i camet to know my left kidney  is funcionting only also my left kidney  has been enlarged due to PUJ obstruction doctors had advised to keep a dj stent kindly suggest ### REPLY: HeloT hanks for query. You have pain in left abdomen and detected to have enlarged left kidney due to PUB obstruction on left side. The treatment of PUB obstruction is decided by the degree of obstruction and function of the affected kidney. You need to consult qualified Urologist for clinical evaluation and get following basic tests to decide regards future course of action as regards need for surgery .1) Renal Function Tests 2) Intro Venous Paleography (MVP)3) DTPA scan . Putting a D. J stent is a temporary solution and can not offer long term results 9Cure) . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What can cause my kids to get dizzy and then vomit out of nowhere they are fine then they get dizzy vomit a couple of times then go to bed its happenned more than once 2 of my for kids do this when one just gets dizzy and never vomits i m going insane not knowing the cause of this plz help me ### REPLY: Kids are very prone to gastritis mostly due to stress from school and bulling. This gastritis causes nausea after feed and don't allow kids to take full feeds. As it causes discomfort and nausea kids progressive take smaller amount of feed and also occasionally vomits. Avoid too sour, too hot foods, avoid fruit juice or 1 month. Try to solve the stress factor if any. Give Nero junior sachet 1 such in early morning every day for 1 month. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is nearly 6 months,has a nasty cold, I ve given her 2.5ml of calpol & 0.3ml of ranitidine for her reflex. Can I also give her some piriton as someone suggested it helps to dry up the snot? She s really struggling to sleep she s so bunged up. I have done all the usual, chest rub, plug in vapouriser, saline nose spray, raised the cot, which just doesn t help. ### REPLY: Hi... Piriton is not licensed to be used at this age group. Do not use Portion. Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there I was doing star jumps and felt slight discomfort in my knee. There is no pain what so ever, however there seems to now be a soft lump almost spongy on the lower outside of my knee near the patella. The lump becomes obvious when doing knee flexion ### REPLY: Hello! Thank you for the query. This lump can be a cyst connected with the joint and filled with joint fluid or varicose vein. Both cyst and varicose vein are soft and usually painless. Varicose vein can disappear when the leg is risen up. Varicose veins have vein like color. Cyst is colorless. I suggest you to consult general surgeon or orthopedist with this issue. Cyst can be removed. If its varicose vein, Doppler's ultrasound should be done. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear doctor i am taking asthalin rotacaps upt15 capusules a day previously it was inhaler my question is is this better than 2 tabs a day of asthalin 25 mg.i am 50 years old and since birth suffering from asthmawith more in monthsof april may june.can i try steriode which i stopped 25 years ago,i tried taking combihale 200fb 2 inhalations daily and very few of asthalin should i continue ### REPLY: Hi, Thanks for posting your query. Stalin contains albuterol which is a short-acting bronchodilator and its action persist for only for 1-1 and 1/2 hours. You should consult with internal medicine specialist/ chest physician and should go for thorough check up. You should go for complete blood count, absolute eosinophil count, chest x-ray and erythrocyte sedimentation rate. You should take combinable containing budesonide, a low potent steroid for a short period. You should take long acting beta agonist such as formoterol or albuterol for persistent long effect. You should also take antiallergic levecetrizine along with montelukast. 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 wisdom tooth is has a huge cavity, is j fected with puss and blood and hurts 24/7. On top of this I have a large lump at the bottom of my ear on the outside of my jaw as well as the inside of my mouth on the inside bottom of my jaw... What is going on? ### REPLY: Thanks for your query, I have gone through your query. The swelling below the ears and inside the jaw can be because of the abscess or cyst secondary to wisdom tooth infection. Nothing to be panic, consult an oral maxillofacial surgeon and get the tooth removed, You need to get a radiograph done to confirm the diagnosis. Meanwhile you can start with a course of antibiotics like amoxicillin and metronidazole combination. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: thank you. my 8 year old has had a green nose for the past few days, this morning she woke up crying, saying that her right side of her chest hurt. Is this something to take her to the er for?? It seems like a pain in her lung, or chest. ?? How would I treat her at home ?? ### REPLY: Dearthanks for writing to ChatDoctorI suppose the little girl must be having a cold or running nose for some time. For the typical mark on nose may be a flag sign as it is called. A chronic cold with little wheeze or cough or breathing difficulty may cause chest pain or myalgic.first a mild analgesic may be Coquitlam as per her body weight along with anti-cold like minaret AF is advisable apart from home remedies like ginger tea, decongestant balms and hot soup. For a chronic persistent symptom we need a clinical examination. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I got married 3 year back.My husband lost job 2 year back during recession. After that he was in depression. He Tried 2 times sucide.Before he was happy with me. After this condition he used to tell everyone i have given medicine to kill him. and evertime he would say cars are coming to kidnap him and about me also he is telling i am with his enemy.  and also he is not eating medince in time. I have 2 year old baby and i am currently working in bangalore and he is in jharkhand.As he is not willing to come bangalore because he lost job here only. and also he feels like i will kidnap him here in bangalore. I dont no what to do really. Please let me know the total cost for this treatment. ### REPLY: Brief Answer: Consult psychiatristDetail answer: Hi dear, what ever you described about him suggest that he has psychotic illness like schizophrenia rather than depression and early treatment is necessary for that. Though he might have depressive features also but for proper diagnosis detail history and mental status examination is necessary. Not to worry much as early you consult you get the result fast. There are many medications available for sucChatDoctorplain like typical and atypical antipsychotic. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I believe I have pinworms.  My internet queries solidly indicate this issue.  Ive been taking albenzole and mebendazole for a year now and they have not gone away.  Albenzole is not a prescription item here and the mebendazole came from another country where its not a prescription item.  Ive been to the doctor overseas here on three occasions, but they say its very rare here, but pinworms is what they suspect.  Months before I started treatment they were all over me, I would put transparent tape around my hips and hundreds would get stuck on the tape.  They were obviously just pouring out of my anus.  I took the tape to the clinic here and it came back negative, but I really think they were clueless.  It was so clear there were these little white v-shaped threads, how could they not figure it out?   After I started albenzole they dimished a lot, but I still feel them crawling on my anus and walking on my scalp.  It appears that they are living in my scalp, it appear they have moved though my bloodstream to different parts of my body.  I have not seen this issue in my internet queries.  I have a metal lice comb that I use daily to try to get rid of them on my head, but they come back daily.  I was taking 1/2 tab albenzole for 5 days, then off for 5 days, but that didnt cure.  Then I went to 1 tab per day, 5 days on, 5 days off, then 14days on.  Still not cured.  Then I used 250mg Mebendazole twice a day for 3 days, off for 5, 3 on, 5 off.  Still not cured.  Im guessing the eggs floating around may be one issue, but Im starting to think I have something far more serious going on.  I have two dogs that stay on one sofa and am thinking they stir up the eggs.  I have treated them for heartworms so unless they are reinfecting themself by breathing their own worm eggs (assuming they have worms, which I see no evidence that they do).  The meds Im taking have reduced the worms but I am taking way too much and they are still around.  I have followed all the different advice regarding sanitation, I am squeeky clean and wash my hands/nails with a nail brush, roller my bed linens with a lint roller after getting up and before sleeping, wash all clothes in hot water, carefully avoid breathing near my dirty laundry when Im changing clothes or putting stuff in the washer.  I hope theres some good advice coming.  Thank you. ### REPLY: HI, thanks for using  Pin worms, as you mentioned, do not usually travel to different aspects of the body. They are not present in the bloodstream, so it is not likely that they have traveled to different parts of the body. A stool sample sent to the lab would be able to determine if you have any parasites in the stool. Blood tests for complete blood count and ESR would determine if any infection is present. You are also correct in saying that using these medications persistently is too much, this is the reason you should have the tests done to see if you need to still take them. A gastroenterologist or infection control specialist may the best doctor for assessment. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i keep getting a sharp shooting pain through my chest so sharp i have to grip it till its gone. but its on my right side right now, but its just a dull ache and its in my right shoulder and right side of my neck its all on my right side bit shoots across to my left side every so often and the middle of my chest. i dont want to go to the hospital and waste any time or be there till 3am to be sent home feeling silly and i dont want to call nhs either. any ideas what it could be and how to shift it? i dont have heart burn i dont feel sick i dont feel sweaty my skin is as warm as it can be in this weather i feel alert its just the sharp pains that are really worrying me ### REPLY: Hello! Welcome and thank you for asking on ! Your symptoms could be related to a musculoskeletal pain or a pinched nerve. For this reason, I would recommend avoid neck movements and take painkillers like ibuprofen or acetaminophen. I would exclude any cardiac disorders, because your symptoms are not typical of any cardiac issues. If the problem persists, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a chest X-ray study- a cervical spine x-ray study-complete blood count, PCR, ESR for inflammation- a nerve conduction study to exclude a pinched nerve. A cervical spine CT scan may be needed to exclude a cervical disk herniation. Hope to have been helpful! Wishing good health,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Please help as I m really scared. History of endo. Thought I was peri menopausal as over past year periods changing. Getting closer together also lasting longer. Went to Gp as bleed for 25 days and he put me on norethisterone with no break pending investigation. Went for scan and have urgently been referred to gyne oncology as uterus lining 44 mm thick . Does it definitely mean I have cancer or can there be another explanation. I am 46 and don t want to die this early ### REPLY: Thanks for your question on . In my opinion you should not worry much about malignancy. As menopausal women tend to have thicker endometrium. After menopause hormonal changes occur specially estrogen decreases, so the effects of estrogen are also lost. Estrogen causes secretory endometrium and absence causes . So mostly 44 mm thickness is due to loss of estrogen effect and not malignancy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 girlfriend has jaundice due to damage in liver because of contaminated food, will she be physically fit after 2 months or will it cause any damage to her liver or any parts in her life time, she is under treatment now for past 2 weeks and she has been advised to have only vegetarian for next 6 months can u help me with this, will this effect her in future (in her life). ### REPLY: Hello, The long term implications depend on the type of the infection contracted. Diet restriction needs to be followed strictly in case of jaundice until sometime after the levels come down to normal. This does not affect the future life. Healing of the tissue is very good for liver. If she is already protected against Hepatitis B, prognosis is good, since this is the type with most future complications. Please discuss with her physician for further advice. 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 Dr. my wife has undergone a follicular study on 9th day of her cycle. her result shows: Uterus measures 82 x 38 x 23 mm No follicle lesion seen endomaterial thickness is 4mm rt. ovary measures 33 x 15 mm left ovary measures 34 x 16mm Rt. Ovary and Left ovary shows no dominant follicle and there is no evidence of free fluid seen in pelvis can u pls suggest what this result means. is there any problem in conceving thanking you ### REPLY: Hi, welcome Santosh At the day 14 of cycle a dominant follicle comes out of ovary into uterus which gets fertilized by sperm.However, you have just started study (9th day), so dominant follicle will not be seen at this stage.  Just continue with daily follicular study up to day 14, then only we can come to any conclusion. You must consult your gynecologist for an ovum inducing treatment and procedure.  Thanking you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sister is always arguing with everybody when she starts on a subject she doesnt let go of it for weeks once something is stuck in her head she will not let go of it. at the present she thinks that everyone is against her and she is right about everything at the moment i was wondering whether this is a medical condition or it is just in her nature she believes that she is right about everything and everybody are her enemies please reply as she is getting worse she has started on a subject since yesterday 11.00pm and the same subject she is going on about all day she just doesnt let go and forget about it. ### REPLY: Hello, Thanks for choosing  for posting your query. The kind of behavior you are describing appears to be part of a personality trait (Feature) and not mostly an illness. It can be some personality disorder, but then she needs to be examined by a psychiatrist. We don't know the exact age of your sister. That would have helped us in providing you a better answer. If it is adolescence, then child . Hope I am able to solve your query. In case you want a direct and detailed discussion about your problem, you can contact me on the following link:http://www.ChatDoctor .com/Funnel?page=askDoctorDirectly&docId=64634Wish you good health! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr.I have a unique problem from past few monthsi started crying suddenly and then my body start shieveringafter half an hour its got normaland i got asleepother times i am normalmy age is 26and i am a femaleplease helpmy height is 52wt-55 kg ### REPLY: Hi, From what you have mentioned, it seems that you are under stress and your symptoms of crying with shivering might very well be due to underlying depression. I would have liked to know about other symptoms like sleep and appetite, irritability, loss of interest in doing anything. You should seek a psychiatric consultation for detailed evaluation of your condition. Treatment with anti-depressants like sertraline would be effective in treating underlying depression and take care of symptoms. Hope this information was helpful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had a dry hacking cough for 3 months now. During which time cold/flu symptoms have came and gone but I am now left with the none productive cough and constant headaches. Added to this I now seem to have tooth ache or what I can only describe as teething itches behind my teeth in the upper jaw and a dull throbbing pain around my nose bone and under my eyes. Any ideas please? ### REPLY: Thanks for your query, I have gone through your query. The itching, pain around the nose and under the eyes is because of the allergic rhinitis or cold secondary to any allergy. Consult an oral physician and get it ruled out and treated. If it is allergic rhinitis, it has to be treated with anti histamines. Take steam inhalation and do saline gargling. Once the allergy is treated the symptoms will subside. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 18months now.she had a throat infection and fever  last week and the doctor prescribed amoxcillin antibiotic,then nasal spray for blocked nose.she got the throat infection from me.after taking antibiotic for 5days she was normal.then started severe cough at night.then went to doctor and said that she had a mild wheeze and was put nebulizer once and prescribed dilanyl 2.5ml three times  and toplexil  2.5ml 3times for 5days.we have finished 5days medicine ,but still she is coughing at the night.iam so worried.iam in uae.i have ventorlin syrup which my peadiatrician gave me when i went india last month.i have given her this medicine when she had cough and fever last time.but now can i give her this medicine.pls help ### REPLY: Hi... Ventorlin is a medicine which is given for wheezing. If you feel that your child is having wheeze associated with severe cough and breathlessness you can give Ventolin as medicine till you see your pediatrician. Sometimes Ventolin can cause increased heart rate if given in excess dose. But as your pediatrician has already suggested nebulization, I see that your kid is having wheeze, so you can go ahead and give Ventolin. But get back to your doctor as soon as possible. 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: Actually it is regarding one of my friends brother. He passed out engineering in 2007 batch but not got job.He has very peculiar qualities and he can t mix with any people. Even he will not visit any doctor s clinic.Can a doctor visit him in home though we need to maintain confidentiality as he should not know the person is a doctor ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  From the given description it is very difficult to diagnose the condition of your friends' brother. He could be having social phobia or simple anxiety. Early and correct diagnosis should cure his problem. I don't think any doctor will visit patient at his home. You may contact some psychologists to assess his condition and give report to a psychiatrist. Then the psychiatrist could prescribe medicines on seeing the report. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. 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: Hello doctor, afew days about 10 days back ihad pain in my abdomen. Suspecting gastric problem i visited a gastroeterologist. After endoscopy and ultrasound scan of the abdomen were found normal, he suggested a LFTs. My total bilirubin came 2.88 mg/dl. My other para meters were also found to be high. I also had light fever with chill and body aches the night before. My eyes were light yellow and urine was very yellow with orange tint. Stools were very pale. However the doctor did not prescribe any medicine but asked me to avoid fatty foods and achohol. However I followed a moderate jaundice diet for a week. Got LFTs done again. Total bilrubin is 1.09 and all other parameters just on the upper limit of normal ranges. My urine and stools are normal colour except that iam passing stools once in 3 days. Visited doctor again. He said there is no problem and ican get on normally. No diet restriction or even on alchohol aslong asit is moderate. Now did i suffer from jaundice? If so what type? Was it serious? Can i follow the advice of Dr and eat and drink normally from right now? Will appreciate your advice. I live in India and am economically well settled and live and eat hygienically. ### REPLY: Hi and welcome to . Of course, it was jaundice. Jaundice is symptom when you have elevated bilirubin levels and your skin and eyes turn yellowish. Now, question is what was the cause of it. Well, good sign is that this is only transitory jaundice and obviously caused by temporary biliary duct obstruction. This is most commonly caused by gallbladder stone, and now it passed through, and you have no symptoms.  Other causes of elevated LFT and bilirubin are hepatitis, cirrhosis or metabolic disorders but if your ultrasound was normal u have no reason to worry about I only suggest avoiding alcohol for next 2 months. Everything else I agree with your doctor.Wish you good health. ### END