Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi ive had a nasty viral infection for about 5 or 6 weeks making me loose my appetite and feel very unwell,, right off my food ,, ive now been given Ranitidine as ive tried omeprazole and another 1 beginning will l and they just made me feel very sick ,, im having a colonoscopy in april,, do you think the stomach acid would go on its own if i didnt take themeds? ### REPLY: Viral infections general have no cure but when symptoms are controlled, you can be ok. Loss of appetite is common with most infections and if nothing is done both medically and psychologically on your part, you may develop gastritis. Generally, anti-secretories and antacids will help to relief you of your symptoms. However, the underlying cause remains going for long on an empty stomach because of loss of appetite. I will suggest you get an appetizer like Timetable. You will need to take your . Hope my answer will help you Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 47 yrs female 78 kgs muscle pain in back right upper side. was having difficulty raising arms above head. been to physio.had muscle pain there before. he didnt seem to find anything. now have difficulty catching breath. I suspect lung infection. high acidity indigestion. temporarily fixed with food or water. Have had problem for 10 days. Im generally healthy with no allergies. I eat healthily although am slightly overweight. ### REPLY: Hello, Thanks for your query. The fact that your pain is occurring with movements indicates a muscle strain. Any strained muscle when stretched gives severe pain. I advise you to follow the below-mentioned guidelines -* Give adequate rest to the involved muscle group and avoid any movement that causes pain* Ice packing once in every 2 hours over the affected area* Moist heat application to relax the muscles* Local application of muscle relaxant gel* Analgesic medications as needed do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am so exhausted all of the time and have a problem concentrating and not being scatter brained but I tried phentermine and was not as exhausted and was very alert and my mind was quite a bit sharper than usual. Could I obtain a prescription for this medication? ### REPLY: Hello thanks for asking from  for your health related queries can understand your concern. The symptoms like exhausted feeling, poor concentration etc. can occur due to persistent stress or mild depression. But some medical causes should be ruled out to make diagnosis of stress as cause of these symptoms. Low vitamin B12 levels, poor nutrition, iron deficiency anemia, hypothyroidism, hyper cortisol levels etc. are common medical causes that should be ruled out for these symptoms. Please consult a doctor for proper evaluation and investigations. Vitamin B12 supplements, Omega-3 Fatty Acids tabs help to reduce these symptoms and are very useful. If symptoms persist then visit a psychiatrist for treatment. Thanks, Hope this helps you. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am married for nearly 3 years now and trying to conceive. My age is 27. I have gone for follicular study and it was good for few months and LUF stage in 2 months. I am taking Ubiphene 50mg from D2 to D6. And ovacare forte, Hyponidd, Obimet tablets daily. My HSG test showed normal results. What else problem I might have that stops me from conception ### REPLY: Hi, Thanks for the query. As you are having latinized unruptured follicle problem previously, better to increase the dose of the iPhone. And also you may need HMG and  injections to make the follicle rupture. You once discuss these options with your doctor and proceed accordingly. You can continue the tablets prescribed by your doctor. Go for follicular study to monitor the ovarian follicle growth. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am being tested for auto-immune disorders as I tested positive for ant-nuclear antibodies and recently had an xray done and a 5 cm lesion was found on my upper arm bone, with sclerotic properties.  I am having an MRI done in a week.  Could this lesion be the cause of my upper body pain, soreness and severe fatigue, or could it be the by product of an underlying disorder?  I have pain in other areas, such as my left elbow but the xray was normal. ### REPLY: Positive ANA doesn't necessarily mean autoimmune disorder unless confirmed by further other tests. Body ache, soreness fatigue, maybe part of this underlying autoimmune process if active and upper arm humerus bone sclerotic lesion may be isolated, not related to cause body symptoms. Consult an orthopedic doctor also. A bone scan of humerus may reveal if its part of some marrow infection or osteomyelitis or just a part of connective tissue disorder. This ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a severe hemorrhage about a month ago and passed 2 huge blood clots about 4 inches long and 4 inches wide. I had severe cramps and could barely walk. The pain stopped and so did the bleeding. But now I get sharp contraction like pain and again pass blood clots and the pain goes away but the clot has a geyish color to them. ### REPLY: I have read and understood your query hope this will help YouGov have not mentioned your gender or did not specify that you pass blood clots in stool or through vagina would try you to give a general advice their will fit both case scenarios you have constipation or irregular cycles?these Clots means this is old blood which took time to travel down and get excreted would suggest you to get an ultrasound asap. Clots in stool suggest upper gastric tract lesion. An abdominal scan would help to identify any obvious anamolystart taking a PPI like omeprazole 40 mg before breakfast and a painkiller like mesenteric acid if you are passing blood in stool. If they are through vagina, take mesenteric acid, it will receive pain and decrease the bleed. Get a scan Dona hope you have answer to your query regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I m 21 years old, about 5 foot 6 inches and around 260 pounds. For years I have been getting pimples or boils (according to the internet) on my mon pubis . Typically I get one right before or after my period or after shaving. I would normally wait until it came to a head and pop it. First pus would come out, and then blood , and it would go away. I had one about a month ago and went through the same process, but now it s staying around. It s not so much a pimple anymore, it s slightly raised but there s no pus or anything in it. It s a darkish red color and I can t seem to get it to go away. Help! ### REPLY: Hi .thanks for your query. From the site and pattern of eruptions you have described, I can think of two most commonly occurring possibilities:1) Folliculitis : Bacterial infection occurring in hair follicles. Frequently recurring and very persistent. Occur due to colonization of bacteria like Staphylococcus.2) Molluscan contagious: Viral growths. Usually asymptomatic. Appear as pearly white pa pules, either in clusters or singly. Spread due to inoculation in surrounding areas, e.g. shaving. In either case, you should visit a dermatologist and get treated appropriately. Hope this helps. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 60 year old female, short and thin. I live in NYC, so I walk a lot. I limit my intake of sweets, meat, dairy and processed food In general. I have diabetes on both sides of my family. My recent check up said I have high cholesterol and sugar. It doesn t seem right to me, but my doctor did not test me for diabetes. Could diabetes result in high cholesterol and sugar? Thank you ### REPLY: Hello there I have read through your question and would like to tell you that if you have diabetes running in your family then you have higher chances of having it. High blood sugar that is fasting sugar above 100 and post radial sugar above 140 is diagnostic of diabetes. But I would advise you to get an HBA1C test done to confirm the diagnoses. Also, high cholesterol levels can also be due to Diabetes, or It can be an isolated occurrence. If you have diabetes you may need to take oral hypoglycemics depending on the level of your blood sugar. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 m so confused all the time, I feel like each time things start going well it all turns to shit. At first I felt sad for a while(a month or two), then I started feeling angry but now I feel numb. I don t physically hurt myself in any way but I do mentally. When I have loads to do such as homework I choose to procrastinate not only because I m lazy but in my mind I think when I finish this I ll be back on track and things will be okay and I ll be happy but something about just stops me and says no you can t. ### REPLY: Hello, Your symptoms need more elaboration but the things you have put here if considered together then the inference is - you are suffering from moderate depression, which gradually affecting your working capacity. Being lazy - it might be your lifestyle or a symptom of depression called Loss of energy and loss of concentration. Again when ever you decide to become happy after some time, your poor confidence (because of depression) you can't.  Depression is a clinical condition because of neurochemical problems in the brain, and needs medicines to correct the biological changes in the brain. So, don't waste your crucial time in sufferings. Either go for treatment or see counselor at least.  Set life goals and try to achieve them. 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: A week ago i thought I got a pimple overnite. It s been a week and i have a small moveable ball like thing under my skin. It is a bit tender. It is in an area where a cyst had been removed a few years ago and had juvederm put in to fill in the scar a few months ago. I m nervous about it. ### REPLY: Hi. Thanks for your query. Read and understood that you had a surgery in the same spot a few years ago. Now that there is development of the movable lump at the same spot. It is a bit tender too. I would advise you the following:First try to consult the same Surgeon who had operated it. Get an opinion and request for removal of the lump in total to avoid further complications. Do not worry so much, the histopathology of the lump will confirm what it is. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 me- I am a 35 year old woman who has been having Palpitations on and off since January-in the past two weeks I had two scary episodes which involved my heart racing. I went to the ER, got an ecg done and now it seems that I now have a Bifascicular block(RBBB with LPF). A chest x-ray came back normal as well as blood tests for Cardiac Enymes etc. Apart from the Palpitations I am in excellent health. Im due for an outpatient follow up -with an echo and holter etc in a few weeks. Im totally freaked out and have told no-one including my family as they would get hysterical over this. I looked up the Internet and found that a bifascicular block is often caused by Aortic Stenosis(which can be caused by a childhood infection). I think this is the most likely cause as there is absolutely no history of heart trouble in my family. Ive looke up Aortic Stenosis on the Internet and it seems pretty horrific.Am I going to die or have a reduced life expectancy? Im out of my mind with worry ### REPLY: RBBB is common in 855 of person and does not affect you you should go for a 2d echo if left ventricle ejection fraction is normal then bifascicular block and BBB has no significance. You can just live a normal life for palpitation, get your thyroid profile done. And a 24 hour holder is to be attached to find out the nature of palpitations. Aortic stenosis has many other symptoms like syncope, angina, dyspnoea, don't worry ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I lost my virginity on the 12 used a condom but after I was nervous & cleaned my penis with rubbing alcohol & a little bit got in the inside. About 4-5 days ago I started having this tingling feeling in the middle of the shaft. A few days ago I keep getting the urge to pee even if I don t have to go. & today I seen a little bit of yellowish discharge. Do I have an std or is my body reacting to the rubbing alcohol? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it seems that although if you have done protected sex but still as you have yellow discharge from penis and frequent urge to urinate then there is a most probable chance that you have Urogenital infection which can be Sexually Transmitted Infection a can be probably Gonorrhea. You need to consult an Infectious Medicine Specialist and get evaluated, and he can advise you Urethral Swab Culture, Urinalysis, blood test etc. to confirm the diagnosis and treatment can be done accordingly. You can be given treatment according to the cause like a course of antibiotics. Abstain completely from sex, and also you should get your partner tested and treated. 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 Doctor, my granddaughter has been diagnosed with Allergic Keratoconjunctivitis . She has had a cough for about 2 months and seems to suffer from allergies. Has been prescribed cortisteroid drops and antibiotic drops. What is the buildup on her eye composed of? How would she get this? Could it come from her peers in a play day situation? I.e. Is it contagious? Thank you ### REPLY: Hello. Thank you for asking at .First, I would suggest you to complete the course of corticosteroid .  I would also add montelukast & levocetirizine orally.First, in case of allergic keratoconjunctivitis, there is abnormality in structure of eye. So please don't worry about build up of her eye. Allergy is an abnormal reactivity of immune system. If she has recurrent allergic conjunctivitis, it is important to identify allergen causing her symptoms. For that I would suggest consulting an Allergist-Immunologist who will advise her some allergy testing and identify the cause. Allergic keratoconjunctivitis is usually due to an allergic reaction to air-borne allergens like pollen, molds, etc. So they usually come from environment rather than from peers directly. And therefore, it is not contagious. (If it is contagious, it is not allergy!) Hope you got all the answers for your questions. Wish your granddaughter the best of the health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom having back pain. we took scan also. some doctors said need to surgery in thoracic curve affected. if any other remedies for back pain. my mom taking tablets when she have a pain. that is for few hour of relief. i just want know about status, surgery need or not, and approximate surgery expanse ? ### REPLY: Hi, For back pain it is required to diagnose the condign first n if there is no any gross bony abnormality or neurological involvement then the treatment is conservative through regular physiotherapy, analgesic, PPI, it, n prosthesis, warm compression with life modification.  But as your doctor advised for surgical intervention n you forgot to mention CT and other radiological reports so I can suspect for some gross abnormality. But if you have doubt take 2nd opinion.  Thanks n 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 son is 12 years old and i struggle constantly with getting him to do anything. It is like he struggles to stay  concentrated on any task given to him. He is very lazy when it comes to helping out in the home as well. Is this normal behaviour for a 12 yr old boy? ### REPLY: Child .  Many times they do not feel a sense of achievement and growth which makes them apathetic and unmotivated. Many teens would prefer to do nothing but lie about, play video games and rely on their parents for all their needs. This is a temporary condition and usually due to complicated emotional and psychological landscape in teenage group. Consult child psychologist. He may help you to get rid of the problem. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am having problems of severe dry cough , cold , nose blockage and acute fever(99-100) at times for the past 6 months. All my blood reports and chest X-rays are quite positive. I had a history of bronchitis around 10 years back and i had the full course of medicines over a period of time. Consequently, after visiting several doctors, they say it is just allergy that i am suffering from. I suspect that i may have eisnophilia. Could you please advice on how to confirm this and the process of treatment, if any? I travel frequently all over the world, hence a quick reply would be very helpful. ### REPLY: Hi, Thanks for posting your query. You are most likely suffering from acute bacterial sinusitis or allergic bronchitis with secondary bacterial infection. You should consult with internal medicine specialist and pathologist simultaneously and should go for thorough check up. You should go for complete blood count, absolute eosinophil count and IGE level for detection of allergic reaction. You should also go for x-ray PNS and chest for better diagnosis. Furthermore, you should take complete antibiotic course, Multics and anti-allergic medicine for complete recovery. Take care, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 25 years old ..i started using mtp kit on 5th of august. and the bleeding started on 7th of aug for two days which was heavy...but after 1 month i didnt get my regular periods yet...I did check for pregnancy after the abortion and the test was positive...im tensed now...plz help me... ### REPLY: Hello, Thanks for letting us know your health concern. If you self-medicated for inducing the abortion, you should see a specialist for further help. You also need a sonogram of the pelvis preferably in the trans-vaginal route to clarify. Any retained products would have caused persistent bleeding/infection and so on. Ineffective abortion can lead to continuation of the pregnancy, but, since you had heavy bleeding after medication, this is unlikely. Pregnancy test remains positive for sometime after the abortion since the hormone levels take time to decline. The test can be repeated now. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor.am from chennai AAAAAA,22.i was using propy salic nf6 oinment on heat boils weneve i get..but my bad luck b4 1week i got red bumps on my cheeks again i applied this ointment on red bumps gradually weneve i need per day,its reaction is so bad, epidermis layer peel off coin shape size please doctor help me want to get rid soon it looks so ugly,more peoples asking wit me u met accident..suggest me right solution,i have crystal clear yellowish normal to dry combination skin. ### REPLY: Hello, Thanks for writing here. It seems you are having acne. This is age released problem. It will require proper care and treatment under the guidance of a dermatologist. Propysalic contains steroid and salicylic acid. This is responsible for worsening of your acne. Stop the cream completely now. Avoid sun exposure. Use mild cleansing lotion like Getafe. You can apply clindamycin gel two times daily, but it will be better to consult a dermatologist. Hope this will help 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. Ok so im a 15 year old guy , and recently ( a week ago or so) noticed a pea sized reddish lump on the skin of my scrotum ( leftside at the bottom). Recently it has been tender to touch, and from what i can feel , it is much like a spot. Bubble on top with an semi flat surface underneath. I woke up this morning to find a clear liquid coming from it (cyst?) and the swelling had reduced by around half. Im going to head to the doctors next week, but i am worried this may be a tumor or even cancer, please respond and thank you in advance ### REPLY: Hi, Lumps and swellings in the testicles are a relatively common symptom in boys and men, and can have a number of different causes. The vast majority of testicular lumps and swellings are caused by benign (non-cancerous) conditions that may not need treatment. Some main causes are: varicocele, HY .  Some more serious issues such as tumors and carcinomas are less common but should be considered if there is pain and rapid growth of it. In every case, it would be good to do ultrasound of testicles by urologist and this will show us what type of issue this is. If this is benign then there is no need for urgent treatment unless there is pain and inflammation. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir, i am 36 year old male. having asthma from child hood. last 6 year i am using Foracort 400. mostly just i puff / day. some times i skipping that also. 5 months back i just consult with a allergic & asthma specialist Doctor, He suggest to use seroflo 125. once i am starting this instead of foracort, i felt very uncomfortable then again i continue with foracort. Sir, my query is that, if ther is any side effect causing of the continuous use of foracort. Thanks if any better and alternative medicine available. ### REPLY: Hello dear, Foracort consists of 2 medications:1. Budesonide- a glucocorticoid which controls the inflammatory process in the airways.2. Formoterol- a long acting bronchodilator. Since the medications are administered through inhalation, there is minimal risk of systemic side effects. Long term side effects may include symptoms like Palpitations, fluctuations in blood sugar or lipid profile, hoarseness of voice, oral thrush, etc. If you experience any of the above-mentioned side effects, kindly seek medical attention. Alternately you can also use:1. MDI Aeroflot 2 puffs twice a day.2. MDI Stalin 2 puffs during acute episodes. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Fell of mountain bike landing directly on tailbone, in a lot of bone for a week now. Most severe when clenching butt cheeks, so going from sitting to standing but other movements not as restricted just a lot of general pain. Haven t been able to get on a bike since way too sore but been swimming to see if it helps, don t believe it to be broken but wondered if there are ligaments or tendons that could be damaged seeing as its my butt muscles that cause the most pain? ### REPLY: Hi, thank you for providing the brief history of you. A thorough clinical musculoskeletal assessment is advised. As you have problem getting up from a chair and sitting down, also you have directly hit the tail bone from a fall, I suspect it to be a lumbosacral spine issue. Taking an X-ray or an MRI should help the understanding better. Since MRI will reveal the soft tissues and also the bony regions which will allow a better understanding and a safety measure for future pain and aches. There might be a disc injury or may be a bony fracture which is not noticed yet. Post MRI we can figure out one. The choice of treatment is normal, physical therapy. With therapeutic ultrasound therapy and TENS therapy the inflammation and pain can be reduces. Post which exercises will be planned to regain the muscle strength and also the stability of the lumbosacral joints. In my clinical practice such cases comes with listless and with the help of physical therapy they respond well. 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: I am currently under going radiation treatments, about 4 more days left, had my chemo,finished this past July, one of the drugs in chemo caused me to develop neuropathy in both feet.I asked my podiatrist to give me a precription for lyrica, I want to start taking it to relieve the pain my feet. The pain is so unbearable, I need to get back to work soon, Thanks Eary ### REPLY: I'm not sure if I am clear on a question in what you've stated.  I agree with your wanting to take something to calm down the neuropathy in your feet as soon as possible.  Has gabapentin been tried yet?  That is usually the first step when treating chemical induced neuropathy of the feet.  Also, have you had the proper lab workup to be sure you are not either B12, Folate, Mg., or vitamin D deficient which can also play huge roles in peripheral neuropathy. If this information is useful then, your brief written feedback with a STAR RATING would be most appreciated. Also, I am a neurologist and would be amply able to help you with any other questions on this matter.  Please write me on this or any other questions you may have at:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is often suffering from cold and specially caught from last 2 yrs.....He consulted pulmonology and told probably initial state of asthma and under medication. But he has also pain in throat, specially while shalloing water or food. pl suggest. ### REPLY: Hi, If your father is suffering from throat pain then it might be due to upper respiratory infection or acute bronchitis then he would require antibiotics (quinolones or accolades or cephalosporins or amoxicillin with clavulanic acid) with antihistamines, nebulization and steam inhalation. Now.asthma is itself an allergic disease due to cold or dust or pollen or grass etc. irrespective of the triggering factor. You can go for pulmonary function tests if not done. Treatment is mainly symptomatic which might require steroids inhalers, beta receptor agonists, anticholinergics (as MDI or rota haler) as a regular treatment. To decrease the inflammation of bronchi and bronchioles, you might be given oral antihistamines with mast cell stabilizers(montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation. The best way to cure any allergy is a complete avoidance of allergen or triggering factor. Consult your pulmonologist for further advise. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My granddaughter injects herself each day with Clexane a blood thinking drug. Two days ago she had trouble with the needle, it didn t feel normal as she pushed in the needle, but she continued with the insertion of the Needle,12 about a few hours she developed a lump and it is the same two days later,with some pain, it is redissh blue in colour, can you advise, thank you ### REPLY: Hi. Thanks for the query. As per your complaint a painful lump which is reddish blue in color suggests that there is perforation of the blood vessel while insertion of the needle leading to spillage of blood into the adjacent soft tissues leading to formation of a HEMATOMA. Pain can occur in case if the nerve fibers are also pricked during needle insertion leading injury of nerve fibers and eventually causing pain. The swelling and discoloration will slowly resolve as the hematoma will slowly get disintegrated, and the nerve healing will take place. You can apply alternate hot and cold packs over the lump for faster disintegration of hematoma and relief. In case of pain over the counter painkiller like Ibuprofen can help. Hope this helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have chest pains that i know are gas pains but i get them so frequently lately that it is starting to worry me. Is there anything i can do to relieve the gas pains? I know its gas pain cause i can feel it but it is on the left side of my chest and back and my arm is uncomfortable as well ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should rule out cardiac pain first. Because left sided chest pain with arm pain is characteristic of cardiac pain. So better to get done ECG first. If ECG is normal then no need to worry about cardiac disease. Your chest pain is mostly due to HERD (gastroesophageal reflux disease). It causes burning epigastric pain and gaseous distention of Stomach. So follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. 3. Start proton pump inhibitors and prokinetic .  4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 5. Avoid smoking and alcohol if you are having these habits. Also lose weight, if you are obese. Don't worry, you will be alright. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a 40 year old female who was basically healthy until a few years ago. I m wondering if you can shed any light on what might be going on with me. For the past several years, I ve experienced joint pain symmetrical joint pain in the lumbar spine, sac joints, knees and sometimes ankles and toes. There is no apparent swelling and Osteoarthritis has been ruled out. My thighs and calves often feel fatigued as if I ve run a marathon, when I haven t done anything to cause it. I run low grade fevers off an on, sometimes when I feel well otherwise. I also am tired all the time, sometimes absolutely exhausted. My symptoms flare and tone down. I have headaches as well as migraines. I have started breaking sometimes when I m in the sun. I also get pustules on my skin during the summer which look different from the breaking out in the previous sentence. My hair which has always been very thick is thinning considerably. My BP runs on the high side. My ANA is negative, my sed rate is normal. Drs have noted livedo reticularis, small fiber peripheral neuropathy and macrocytic normochromic anemia, but that s pretty much my different diagnoses, which don t explain most of the symptoms. I have had extensive blood tests. RBC morphology was abnormal (Anisocytosis slight, Poikilocytosis slight, Macrocytes slight) IgG was low, Uric Acid Serum low, Phosphorus Serum low, MCV high, MCH high, MCHC low, RBC Low. I have found the rheumatologists I ve been to aren t very open to possibilities when all the autoimmune diseases are ruled out, even though they do run on my paternal side of the family which consist of RA, Lupus, Takiatsyu s Arteritis, Sjogren s, Polyarteritis Nodosa, Addison s, and Hashimoto s. I would appreciate any expertise you can shed on possibilities to be tested or treated for. I currently have a neurologist 2 hours away and a Rheumatologist in that area as well. My Dr here will likely order any test I request. It seems everything has been ruled out according to my labs, but there has to be something that has been missed or not yet tested for. ### REPLY: Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to be having some sort of vitamin or hormonal imbalance which might be causing multiple complaints.  Osteoporosis seems to be more likely that might b causing calcium deficiency in your body.I suggest u get a detailed blood profile done including calcium and magnesium. . Dexa scan for bones. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 put on antibiotics for a chest infection, but my symptoms seem to be getting worse, coughing up blood, finding it hard to breathe, very tired, my skin sometimes turns a purple sort of colour, my cough is also very chesty and Im coughing up thick phlegm with blood... I dont wanna go back to the doctor and look stupid by saying I think I have Pneumonia... ### REPLY: Thanks for your question on . I can understand your concern. You are having hemoptysis (blood in sputum) a day breathing difficulty despite taking antibiotics. This suggests that your antibiotics are not working, and your lung infection is worsening. So better to consult pulmonologist and get done sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. By this we can achieve speedy and accurate recovery. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my 2 year old daughter vomited on Wednesday afternoon then again on Thursday morning. Se has not vomited again and never had a fever. Thursday afternoon she developed red spots on her buttocks and thighs. By Thursday evening they were gone and now on Saturday afternoon they were back on her buttocks and now on her face and top of her feet. They dont seem to bother her, she s eating and drinking as normal. Not sure what I can do or what this is. thank you ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. But I can assure you that an active kid is a well kid and as you say that she is normal and active...do not worry. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 crown on one of my lower molars in the back of my mouth. The crown covers a tooth that was ground down due to the fact that no more fillings could be used on the surface of my tooth...(No root canal done here then). 10 years later....I have been having some minor toothache whenever I bite down on my crown with my upper teeth . Sensititve and slightly hurts...Its not a massive toothache at all but a slight tooth pain whenever I bite down on the CORNER of my crown....Not sure why I have a slight tooth shooting pain when I do that. Does that mean bacteria got underneath the crown and if so, does that mean I will have to have root canal??? I ve made an appt to see the dentist next Wed.... Thanks!!!! ### REPLY: Hello, Thanks for sharing your concern with us. If it is painful for you to eat, the culprit could be tooth decay, or a slight fracture (crack) in a tooth and have infection developed. Your dentist may advise you to take ibuprofen, acetaminophen or aspirin to dull the pain. Over-the-counter medications containing endocrine may reduce pain in the affected tooth, or surrounding gum area. To reduce discomfort from swelling, you may be advised to swish warm saltwater in your mouth periodically throughout the day. You can contact me again directly through my profile. 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 hope u can help me my partner has found a lump on his private parts made an appointment at the doctors the doctor didnt even look at it and sent him to a clinic that he said would help they told him he had to go to a walk in centre that have now told him his doctor shouldnt of sent him but go to local hospital he rang them and has got to wait for an app its now 4 days of waiting and hes worried sick i just want to no why the delays when it could be very serious i dont know what else he can do to find out what the lump is ### REPLY: Hello, Without a physical examination of the penis, it would be impossible for anyone to provide you any diagnosis on this matter. The lump could be pimples, pearly penile pa pules, genital warts etc. For the time being, do not worry too much about it because it may not be anything serious. Wait for the doctor to inspect and then investigate. Hope I have answered your query. Let me know if I can assist you further. Take care .  V. Anand, Psychologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 told in Nov. 2012 that i had Adenomyosis. I have had alot of trouble getting pregnant and i just found out in March that i am pregnant. : ) I have my first appt. with my doctor in a week . I was just wondering is there anything i should be concern about with being pregnant with my first child and having Adenomyosis? ### REPLY: Hi, Thanks for query.  Congratulation for your pregnancy.  Don't worry now you are pregnant with adenomyosis.  Study said it is difficult to become pregnant with adenomyosis.  But when you get pregnant with adenomyosis don't worry some says in pregnancy progesterone level is very high in pregnancy it will decrease symptoms of adenomyosis because it is a disease of high estrogen level.  So consult your doctor and continue your pregnancy under doctor supervision.  Everything will be fine.  Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 19, average height and weight (not fit, not obese) and have had tonsillitis a few times in the past year or so. I believed until now that I had tonsillitis for a third time, yet this time Ive got a red rash over various parts of my body. This made me think Strep Throat, except now strangely my throat has cleared up complete ( looks fine, doesnt hurt at all ) but my rash remains. Does this mean I still have Strep Throat ( or did I ever? ) or is this just an allergy or a cold. Any help would be much appreciated :) ### REPLY: For tonsillitis, you have to take some antibiotic after advice from expert physician preferably cap appoint or cap augmenting after meals with some anti-inflammatory agents like tab Coquitlam or tab ibugesic-plus every 8-12 hours with tab rant ac or tab carotid empty stomach. You have to take syrup bronzed or syrup shaking every 8-12 hours for soothing. Also do steam inhalation to relieve the congestion of your throat. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been suffering from severe upper right back and neck pain. I cant move my neck to the right it is so painful. Other symptoms are a swollen right lymph node in groin and at my  recent visit to my obgyn they noticed swelling in one ovary where I have numbness that goes down the front of my upper leg. I am 47 never had children I do have endometriosis. I have swollen and sore breasts. I also have a bit of bloating in my stomach and alot of gurgle sounds or gas in stomach. My appetite is normal no sudden weight loss or gain. No temperature. I have had some difficulty with bms and being constipated but no diarrhea and no vomiting either. I had an ultrasound done and go to doctor tomorrow however I am too frightened about the prognosis being cancer. I also had an MRI done regarding my upper back pain and neck a few months ago and they saw problems in my C4 C5 where the spinal nerves were pushing together I have scoliosis as well. It did not show cancer or life threatening illness however Im not sure if that would be seen in an MRI or not. Could the pain in my neck head area be connected to the symptoms in my pelvic area? I had a recent blood test and donated blood in November and all tested fine, would that show signs of cancer? I cant sleep toss and turn nightly as you can see it is the wee hours in the morning and I am reaching out to you. lease let me know what I may expect to hear from my doctor tomorrow...I feel like cancelling the appt. I am so scared and nervous. I know my body is not right the pain is not a normal pain. Please help........ ### REPLY: Here the back pain problem could be because of scoliosis, and c4,c5 disc and nerve issues also. Along with this constipation can also be related many times with scoliosis. For this you have to consult orthopedic and physiotherapist for discussing on possible treatment plan. As far I have seen for sever damage in spinal curve with scoliosis orthopedic doctor will give surgical option. As well if there is no much damage as well if surgery can not be performed, then for this kind of case orthopedic will suggest for physio treatment and exercises. This will help to improve strength and stamina along with scoliosis curve too. You can also use hot and cold pack frequently at home for some more pain relief as well to relax soft tissues at back. Next is about your lymph node swelling and tenderness in breast:Here I suggest not to cancel your appointment and visit your doctor. And take treatment as per the diagnosis and report. It can be cancer related lympjnode swelling or normal lymph node swelling too. But early detection will help you a lot for treatment and will be good to recover fast. Next is constipation and stomach problem:Here it can be related with scoliosis as well lymph node problem, or it can be just general gastric issue. I suggest not to worry and change your food habits and lifestyle. Keep healthy eating habit like having food on time, keep your diet fiber rich, Don't Take spicy food, do take fruits regularly, have water daily 3-4 liter, etc. And you will improve gradually. With suggestion of your doctor if your want can take anti acid tablets too. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is Frank ,i v had prostate cancer 4 yrs age , been good so far ,but lately I ve had back paine now I m having pain from my private parts going down my leg, shooting pain doesn t ,do you think I might need to see my cancer Dr. or regular Dr. ### REPLY: Mr. Frank, I presume you had some form of Cancer treatment and might be on followup since these years. For some, prostatic cancer grows slowly and spreads to nearby bones of pelvis even after treatment. In this way backache is progressive symptom we should be worried especially when it is involves legs also. So I suggest you see cancer doctor and not GP to assess its impact on your health and help 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: Okay so today I listen I noticed that I had small patches of bumps on the side of my lips (bottomlip) but theres also are the bomb spread out on my lips! everyone says they not noticeable but theyre noticeable to me! I kerp applying chapstick. What are they? Do I have herpes? ### REPLY: Hi. Thanks for your query. Read and understood your history. The appearance of small patches of bumps on the side of the lower lip is definitely suggestive of herpes simplex-also called as a cold sore. As you be knowing, there may not be any specific treatment for this. The bombs spread out on your lips are not noticeable by others, so why to worry; and secondly these may be indicating the problem you have which has reduced your resistance power. I would advise you the following:Stop applying anything to the lips as nothing helps and may in fact cause more problems as you have swollen lips too. Take plenty of oral fluids. Full bed restConsult a Doctor to find out what may be the medical probable that is causing these all the problems and get treated accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 taken immunotherapy treatments with two injections each week. Now I am off the shots for two weeks and then I have another skin test. My problem is, I have had a terrible week with sneezing, dripping and watery eyes. Why is this happening. Shouldn t I have less symptoms? ### REPLY: Hello, Welcome to , When you are on immunotherapy, for first few weeks your symptoms may increase, but you have to continue taking the treatment because in immunotherapy known allergen is given to you in different dilution so that your immune system will be primed to fight against the allergen. The symptoms will improve gradually continue taking immunotherapy, while having the immunotherapy you can take Tab Monte LC to reduce the symptoms. This . Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been trying to conceive for the last 1o months. There are no issues in the physical conditions of my husband and myself as diagnosed by the doctors. however, still no results. I want to know can i start the IUI process immediately or should still give this more time? Also, should I consult an infertility specialist? if yes, who? ### REPLY: Hi, I have gone through your question and understand your concerns. Infertility is said to occur when a couple fails to conceive after one year of successful unprotected intercourse. You still have2 months to try. Moreover, GUI does increase the chances of conception, and you can get it done, if you want, by an infertility specialist. Hope you found the answer helpful. Wishing you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, i m 24 years old undergoing infertility treatment last month took clomid 100mg for five days and pregnyl 0000 units injection on 14th day of periods after ultra sound but unfotunately no postive result and this month my doctor advised me to try naturally and asked me to use metaformin. please advice your suggestion since i m having PCOD and trying to conceive. Thanks & Regards ### REPLY: Hello, You are suffering from POD and trying to conceive naturally. Do the following things:1) Other investigation like Fresh Semen Analysis for Husband, Thyroid profile, Blood estrogen & progesterone level, HSG for tubal patency etc.2) Continue above medication as prescribed by your doctor along with Vitae & Folic acid supplements3) Control body wt by regular exercise & avoid stress by deep breathing/ yoga4)Use Ovulation Prediction Kit (OPK) to predict ovulation time and prepare for intercourse on that day. Ovulation occurs approx 14 days before due date.5)Take healthy diet, maintain personal hygiene and need adequate sleep. Be well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have a swollen bump about the size of a 20c coin on the outside of my left heel just above the soft cushion part. it hurts to walk on so i have been walking on my toes. it has also started to bruise. i think i did it playing touch rugby. any ideas on whats wrong with it? ### REPLY: Hi, Dear thanks for the query to  virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from Retrocalcaneal Tend Achilles or Ankle bursitis. And is caused by improper cushioning of shoes/ and could be associated with defects in plantar arches and needs to be investigated and treated from a pedestrian or tho doctor. X-ray and USG study would fix the cause of this painful bump behind the heel. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. . N.M.S. Genl-CVTS -Senior Surgical Consultant ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 there I have had a recent virus 2 month ago which has led to an increase of my emphysema symptons saw a respiratory doc last week had a cat scan among other thing .....It shows I have a minor atelectasis involving the medial basal segment of the right lower lobe.I am on a/bs for 3 months and will be having respiratory functions test in 10 days...seeing the dr in 5 weeks.should I beconcerned about the ct result ,,I become extremely breathless walking up the slightest incline....prioe to this infection I was well. attended aqua aerobics 3 times a week.....Should I try to see my specialist earlier Thank you Sandra ### REPLY: Hello, Welcome to , I went through your history and understand your concern, I would like to make suggestions for you as follows:I would like to specifically emphasize importance of technique of using inhaler. Please make sure that your technique is perfect, if it is not so, there are high chances that the . For allergy, I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid exposure to them. Based on the reports of allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on your immune system and improves allergy symptoms over a long run. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. Regular breathing exercises and a healthy nutrition will help you in a long run by improving your lung capacity and immunity respectively. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom has a severe toothache that goes all through her lower jaw its been there for two days now and no matter what she does she cant get rid of it she has tried Advil and b.c powder but neither work what should i do it make the pain stop?The pain comes and gos. ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as your mom had pain in tooth this pain can be due to carious tooth, decayed tooth or infection in tooth due to abscess formation may be periapical access or periodontal access. Don't worry I will suggest you to consult dentist for oral examination and investigations Iowa X-ray of tooth to rule out the cause of pain ND go for its treatment. In meantime do warm saline rinses two - three times a day, for pain your can give her medicine like petrol DT dissolve in water or diploma SP. Consult dentist for treatment as early as possible for treatment. Hope this will help 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: 23 yo; male - Over the last six months I have been experiencing sporadic chest tightness/spasms. Initially it was diagnosed as esophageal spasms due to GERD and anxiety, but the results of my endoscopy all came back normal. Ive also had two EKGs and blood work performed all coming back normal when I thought it was something cardiac-related. Additionally, I have also been given an inhaler that doesnt seem to have an affect. When these episodes occur I feel like my body undergoes a huge wave of adrenaline. Now I feel like my body is on constant alarm, and its starting to really wear on me.Any idea what could be causing this? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you're all symptoms are due to stress and anxiety. No need to worry about heart diseases or HERD (gastroesophageal reflux disease) as EKG's and upper GIs copy are normal. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My name is Keitha. I am 150mg of Pristiq and feel it is not helping me. I am 71years of age and have a Husbane with Alzheimers and a Daughter with Bi Polar. Should I be so impatient and angry in the afternoons and exhausted. I have an Inmune System Disease and Chronic Back Problems. Am I expecting too much of myself or am I feeling sorry for myself. Thanks for your help ### REPLY: Dear Keith.I am very sorry for your problems. You have chronic back pain. In your age group it is mainly because of osteoporosis. That is weakness of bone with decreased mineralization. It is sometimes associated with small fractures of vertebral bodies. That is very painful situation.apart from that their may be some muscle weakness or spasm. Few more serious conditions such as multiple myeloma etc. can cause back pain in your age group. You need a complete work up for all those. Osteoporosis can b treated with high dose of calcium with vitamin D supplements. You can increase the dose of your painkiller if u don't have any kidney or liver disease. Physiotherapy will also be helpful in this case. But if it is something serious you need complete work up to rule out those. Hope this will help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been suffering from mouth ulcer formed particularly on tongue right from the time of my childhood and still the disease is haunting me like any thing though I entered into 52 years of age. I am not able to get any powerful medicine for its immediate cure. I have no other ailments such as diabetics or B.P. or any other chronic disease. Can you kindly help me please? ### REPLY: Hello and welcome to  forum, i would be glad to answer your query, first I would like to inform you that an oral ulcer can develop due to any of the following causes, vitamin deficiency, medical condition, poor oral hygiene, smoking, spicy food or even due to constant irritation from a sharp tooth margin or a filling.I cannot rule out the cause for you until your oral cavity is checked clinically. Therefore, it would be best see a dentist, he /she will rule out the cause and plan a treatment accordingly. In cases with recurrent oral ulcers it is very important to remove the cause permanently.I would recommend a few instructions for you to follow;1. Use an antibacterial mouth wash(twice/day) for 1 week,2. Healthy diet,3. Avoid spicy food for a few days,4. Visit your dentist soon.I hope I answered your query, i wish you good health, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am currently taking metformin, I started taken it November 1, 2013. I was taken 2 pills a day. On 3/12/14, my doctor started me taken 2 pills twice a day. I take for PSOS, will taking this medicine possibly increase my chances of conception. I have 1 tubal pregnancy and suffered 2 miscarriages. ### REPLY: Hi, I understand your concern. You have PCs and history of miscarriage. I would suggest consulting gynecologist and undergo USG scan, ovarian follicle study and take proper treatment under advise. - Metformin: It will help in induction of ovulation and decrease insulin resistance. - You can ask following medicine also to increase fertility chance: Progesterone pill in second half, Tablet Camphene citrate from day 3rd to 8th. Tablet Acre. Avoid stress, take healthy diet (avoid excessive sweet, take small frequent meal rather than large meal), do regular exercise and reduce 10-12% body weight, . Hope this may help you. Contact further if follow up needed. Best regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain in the cervical area of my neck. I have had exrays.utra sound and ctscan. I have been diagnosed with mild arthritis and degenerative discs c2.c3.c4 c5. I have been through physical therapy, I have had those shots )cortizone and now am seeing an ortho doctor who has given me shots of marcaine and lidocaine. Am still hurting. What can I do. . ### REPLY: Hello & Welcome to , I had gone through the case and found that these are for temporary relief. You must go for proper cervical exercise with Vitamin D-3 once a week with milk and avoid bad lifestyle. Do not use pillow or use cervical pillow for sleep. Having more pain than can take painkiller. Hope my advice will be effective for you. I will be pleased for further query. Thanks, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Please find below the details from reports of patient. Need help in understanding how far has cancer progressed and if there are any chances of surgical removal of infected tissues? 1. XRay was done and the report said some mass was noted in left lung (canon ball shaped mass) and CT Scan was recommended 2. CT Scan was done : CT confirmed about a foreign mass in lower lobe of left lung 3. CT Guided Biopsy ( FNAC ) was done: Report confirmed Non-Small Cell Carcinoma . Probably Squamous Cell Carcinoma 4. Whole Body Scan was done and below was the analysis: Physiologic traser distribution noted. Left lung shows increased uptake Left Interlobar node increased uptake Right Adrenal Shows increased uptake Rest scan unremarkable PETCT Scan findings consistent with left lung tumour Left Interlobar and lobar nodal metastases Hypermetabolic Right Adrenal ### REPLY: Dear friend, welcome to . A well asked question !!all data indicates a cancer of left lung lower lobe, probably locally spread to nodes. A . There are many factors including age, stage, cytology, metastasis etc. Which affect surgical decision. Better to see an onco-surgeon to get detailed evaluation with all reports. Or post all details to guide.  Take care and keep me posted on the issue. Would be glad to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have not been able to use the bathroom for a few days now, my next door neighbor is a nurse and she told me to check myself to see how far up it was. I did that but i dont feel anything. Its stuck for some reason all the way up by my lower stomach. What should i do ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  These symptoms is never related to mental health. But to answer your query, if your symptoms are correct, please visit a physician for further corrective measures. 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: Dear Dr. my two year old has a number of symptoms that I m not sure are related. She has had a cold which presents as a night cough and generally runny nose for the past two weeks. Today she developed soreness/redness around her vulva (we changed nappy brands so it could be that, she has very sensitive skin). I checked her mouth for white spots in case it was thrush and didn t see any but did notice that her tongue is covered in little red dots. Any advice? The soreness is really bothering her, the night cough too, for that we are using a humidifyer. Regards, Eimear. . ### REPLY: Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY .  This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. 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 took a Plan B pill and my doctor said to start my birth control on Sunday. I woke up late so I figured I ll just start it the next day because she suggested taking it in the morning rather than at night. But that night I started bleeding lightly, so I didn t start the pill the next day. I normally get dysmenorrhea for the first to second day of my period so I didn t think anything was wrong, just that it was really bad yesterday. I had a headache. I was dizzy, had lower back pain and thought I was hungry because of abdominal pain . I was also sweating even though I felt it was cold. After eating I threw up and I just thought it was the dysmenorrhea. But I feel the same way today, except I haven t actually thrown up. And it s weird because I m on my third day. I should be fine already, but I m not. I m not sure what s wrong. I really want to get better. I had to leave work early yesterday and I have to go in tomorrow. ### REPLY: It is very common to have a period after taking plan B, and it takes some time for things to get back to normal.  I would assume that this is the most likely explanation for what has happened to you.  Once you start taking the birth control, things should get back I normal again.  I do believe that this is the simple and most likely explanation for what you are going through.  I hope this helps, please let me know if you have any more questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor, My mother having joint pain since 1995, she is 65 years old now. From last two years her joints start dissolving. Now she didn t have both elbow joints. How we can avoid further damage plus is there option that we can put artificial elbows? Regards & Thanks, M. Amir ### REPLY: Hi, It seems elbow joints are damaged due to bone resorption. In such situations, instability is the main issues at elbows and hyper movements will affect the functions of upper limbs. There is orthosis with elbows joints locks are available which will be controlling excessive movement at elbows and provide stability. You are advised consulting orthopedic expert and Orthotist to get a solution.  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 am allergic to almost everything around me and to get rid of the running nose and breathlessness have a habit of popping Avil 50 pills..upto 3 pills a day. I am allergic to fine dust, pollution,agarbatti smoke , cigarette smoke, many eatables, a lot of medicines as well..including Crocin , Saridon , Dolo etc and touch of wool, satin etc. I cannot withstand the AC ..But my job demands for me to work in an AC environment and also have to travel in pollution for 60 kms everyday. This has increased my allergy and in turn i end up taking Avil 50...although the tablet relieves the allergy (sometimes....sometimes the 2-3 tablets also dont help), I feel very heavy headed, dis-interested in what is going on around me and many a times feel like Im not even in that place. I dont follow what is happening around me and feel extremely weak after taking Avil. This feeling lasts for more than 6 hours. Ive tried switching to other tablets like Allegra ..but both Allegra 120 and 180 dont seem to have any affect on me...citrazine is also useless to me...Ive also tried a med called Branchozine but that also is of no use. I m not sure what to do in this situation. Would be really helpful if one of you could guide as to what I can do to cure the allergies..Thanks in advance for looking into it ### REPLY: Hi, Greetings, though your query was not in Ayurveda section but even then I am replying to this. As I am an Ayurveda expert so have dealt many chronic allergic patients with very good results. In Ayurveda, we do not simply treat the disease, but we treat the patient as a whole, so the cure rate is much higher. Ayurvedic medicines are without any side effects its Malayan . I think you must think of such harmless Alternative medicines, if you're really looking a cure. Wish you a very good health soon. Bless 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 got my blood test result back today. i have a high red and white blood cell count. i have had no periods for 5 months. i have headaches dizzy spells and blurred vision whicChatDoctores and goes. i had a c section nearly 4 years ago...no problems since but did have a blood transfusion too. ### REPLY: Hello and welcome to , Increased number of red blood cells occurs in a condition called polycythemia. The other symptoms mentioned by you-headache, dizzy spells and blurred vision are characteristic of polycythemia. However, exact diagnosis can be made after clinical assessment and relevant investigations. Increased number of white blood cells is seen in case of infections. The differential count showing reactive lymphocytes is suggestive of viral infection. If there is history of fever, there are chances of viral infection. Thus, clinical assessment is required for further management. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: . Rashes appears on my body sometimes of its own and sometimes by scratching as there is lot itching also. I was not able to sleep .this problem started in May ,11 . I consulted dermatologist , he recommended   Vozet to be taken daily at night without missing it . I started the course from July,11 . I am not satisfied as rashes still appear . According to the doctor this problem ll take long time , is its safe to take this medicine it don t have any side effects, ### REPLY: Thanks for asking via , you might be suffering from scabies as it aggravates in night.  Scabies is an itchy, highly contagious skin disease caused by an infestation by the itch mite Scopes scabies. Symptoms of scabies include a skin rasChatDoctorposed of small red bumps and blisters and affects specific areas of the body. Other symptoms can include tiny red burrows on the skin and relentless itching. The itch leads to frequent scratching, which may predispose the skin to secondary infections. Consult your dermatologist for proper diagnosis. Vozet is a safe . 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 mother has been in the hospital for 16 days, they first said she has breast cancer, then they said Lymphoma, then they said Non Hodgkins Lymphoma, now saying she has Leukemia - they keep saying they are 95% sure but then come back and say they were wrong, do you have any suggestions for me as to what to do from here?  We are in Richmond, Virginialisa ### REPLY: Dear, First we need to have full history and examination of the body report. Then a blood picture with peripheral smear examination to arrive at some provisional diagnosis. If she has a lump or swelling on any part of the body a fine needle aspiration biopsy report. This will definitely give a diagnosis. I think your primary physician will definitely do what is necessary to arrive at final conclusion. The different diagnosis conveyed to you must be provisional on the basis of simple general physical examination. Lymphoma, Hodgkin's or non Hodgkin or leukemia is confirmed only by biopsy. Truly, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 liver enzyme result came back 129 I ve been told this is quite high but my dr didn t explain what it could mean. I do not drink any alcohol and haven t taken Tylenol in 15 years. I am currently only on ibuprofen every 6 hours for jaw pain. Should I be worried about this result and what can it mean? Also I am 24 years old. ### REPLY: Hi, you are 24 yrs old and the painkiller what you are using might be for just few days that will not cause so much damage to liver, you said that enzymes are high but you didn't say that what enzyme is high because diagnosis changes. But even though I will try to help you, if you are obese and on ultrasound there may be fat accumulation in liver that might have damaged some hepatocytes and there is derangement of enzymes, if so try to reduce weight, avoid fatty and oily food, regular physical activity. And recheck the enzymes if still they are high considering your age you need to be rules out Wilson disease and other autoimmune causes. Hope this information helps you 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: Good morning, I have had a sore back for the past 2 weeks, I notice when I sit down it seems to be alright once I get up the pain returns. I am obese maybe that could be the problem? When I m lying in bed and turn over my stomach and back hurt. I m finding it really difficult at times. I have changed my diet and hoping this could make a change. ### REPLY: Which aggravates after walking or straightening of spine (such as during lying on bed and turn over my stomach) and relieved with bending forward, sitting or taking rest suggests lumbar canal stenosis .it's a dynamic phenomenon in that neural canal diameter decreased due degenerative spine disease. Obesity aggravates the problem. In initial stages analgesics such as ibuprofen, weight reduction and flexion regime exercises (series of exercises in which abdominal muscles strengthens) gives some relief. For this you need experts guidance by rehab specialist and physical therapist. 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. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife had a severe pain in abdomen on right side below chest in front and back side. Slight pain also persists. In the ultrasound of abdomen two days back, everything was normal but only the gall bladder is contracted in spite of prolonged fasting as per exact wording of the detailed report of ultrasound. If it had been a stone, is it necessary that it must have been diagnosed in the ultrasound. If so, the report means there is no gallstone . Is it that the bile is not being formed? and if so, what are the caused that it is not formed? Should I had LFT of my wife. What are the indicators that can conclude to non- production of bile according to LFT. Can LFT diagnose the cause of this gallbladder contraction? ### REPLY: Hello happy to answer you Thais it that the bile is not being formed? It is not possible b/c bile always being formed normal. What are the caused that it is not formed?hepatic failure. Should I have LFT of my wife?yes off course with serum amylase. What are the indicators that can conclude to non-production of bile according to LFT?lots will raise/derange. Can LFT diagnose the cause of this gallbladder contraction?lots will tell about the disease in liver and bile duct obstruction. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im not a very smart person, so this might seem like a dumb question. Ive had about ten ct scans over the past seven years, and about just as many X-rays. Have I put myself in any kind of danger? What are my short term and long term risks of getting cancer? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Ct scan and X-ray both are injurious to health.  It gives you radiation exposure and radiation causes damage to the cells.  It causes mutation and gives chance of cancer.  Short term risk is not increase much but long term risk is definitely increased. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI I M FROM PAKISTAN. SIR MY UNCLE IS BETWEEN 40-45. HE IS SUFFERING FROM LOWER BACK PAIN . ACCORDING TO MEDICAL REPORT AT THE LEVEL OF L4-L5 THERE IS BULGING ANNUALS POSTERIORLY CAUSING INDENTATION ON THECAL SAC AND EXISTING NERVE.AFRAID FROM SURGERY HE DESIRES TO CURE THE PAIN BY SOME OTHER PROCEDURE. IS THERE ANY REMEDY EXCEPT SURGERY. ### REPLY: Thanks for the query. L4-5 disc prolapse usually cause back pain and if there is any nerve pinching due to disc then it will cause leg pain as well. Does he have low back pain only? Any leg problems? Treatment differs in both situations. If he has significant leg pain or tingling then nerve root block (means spine injection) may help. For back pain physiotherapy and medicine should help. Need to see his imaging to tell you exact course of treatment. Thanks. ### END