Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had fallen 2 months ago and jammed my shoulder causing my back and neck to hurt real bad. I notice that the top of my spine is protruding at the top of my back right where my neck starts. If I bend my head back it really protrudes even more than normal. I still have burning across my upper back at times and that spot starts to feel really sore if I start doing things with my arms. I don t have headaches anymore but for some reason that protrusion wont go back to normal. I see a chiropractor but he wont try to adjust my neck cause he doesn t want to cause further damage. I did have a regular xray and it should no broken bones or fractures . Its just so weird to me. Should I get an MRI? ### REPLY: Hi, Welcome to  forum.  As you describe, it appears to be the dislocation of the shoulder joint, or may be some other joint nearby.  I advise you to consult an orthopedic surgeon for diagnosis and treatment. You may need to have an M.R.I. for diagnosis.  If there is dislocation, you may need to have a reduction of the dislocation, and immobilization.  I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically, calcium supplements, and painkillers.  Avoid taking potato, other tubers, tomato,egg, chicken, and and seafoods.  Wishing for a quick and complete recovery. 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 daughter is 1 year and 11 months old ansd frequently suffers from cough and cold.Recently she has been prescribed with LEVOLIN  INHALER(two puffs every fhrs when there is cough / wheezing. AND BUDECORT 100 INHALER(2 PUFS TWICE DAILY for 8 weeks).hOW FAR IS THE USE OF SUCH INHALERS SAFE FOR A BABY OF this age..WHAT ARE THE SIDE EFFECTS OF SUCH INHALERS? Does it contains steroids.. Are there any other option of treatment without the usage of steroids... ### REPLY: Hi; your daughter is around 2 yrs & it is common for small child . This problem will be off & on till she is 5 yrs or more;but the severity & frequency will reduce. Cold gets settled in chest to produce mucus which blocks the airway producing cough /wheeze. Your doctor has prescribed inhalers which is good practice;of that leveling is a bronchodilator & Decor is a steroid. These inhalers are safe & better than medicines as inhalers contain dosage in micro grams & medicines in milligrams ;micro is smaller, so your child gets benefited with the minimum dose. Budecort is a safe steroid and also its dose is in micrograms so no need to worry. Inhalers are safe & can be used as long as they are needed. These inhalers are more effective & safer than medicines for long term use. As for other options you can try to keep away your baby from too much pollution ;cold things ;or few things she may be allergic to, but it is difficult in child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! Please help,I have a small, slightly bumpy white splotch on the inside of both my cheeks. It is surrounded by small prominent purple veins. Is this cancerous? Im a 23 year old non-smoking male. Should I wait a few days or see a dr immediately? Thank you for your kindness. ### REPLY: Thanks for posting your query to . After going through your history, I want to assure you not to get worried about it. White spots in oral cavity can occur due to many reasons which can only be told after proper visual examination. Do you have any other skin problem as sometimes these spots may be related to other systemic conditions? I would suggest you to visit a dentist and if needed a dermatologist for proper examination and treatment. Hope my answer 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: Hello, I am a female, 31, and 3 weeks ago I travelled to Mexico City, the first 5 days I was ok but then started feeling very dizzy with a heavy headache and difficulty to breath. (This was on June 26th) I went to the doctor and she said it was low BP (80/60) and gave me some drops to feel better, I felt slightly better but kept getting very dizzy to the point I could not even walk more than 5 min. I went to the cardiologist and the ear doctor and they both said I was ok, and gave me some Medicibe for the dizziness, which helped a little but u was still feeling I could not breath and I got insomnia as well. Then went to the ER and my blood results were ok and they sent me home. I had to take a plane back to the U.S. And even though I was very dizzy I did ok in the flight.( July 5) Doctors in Mexico though it was related to the high altitude in Mexico (8,000ft) and once I got to lower altitude it would get better. Before my trip to Mexico I participated in a triathlon (June 14) and it was really rainy and muddy, I reached Mexico on June 20th and the next day I participate in a half marathon but I could only run 8 miles and felt aweful (June 21), the next day I was ok. I have been a runner for 10 tears and t was not my first long distance run and a triathlete for 4 years. In June 5th I started getting some fever (99.2 F) and it goes away when I take paracetamol or ibuprofen but then it comes back ( usually in the evenings, around 5-6 pm), I went to the doctor and I took an urine test and a thyroid one, still waiting or results. I have had a heachae ( in the frontal part) for 2 weeks now, it occasionally goes away but comes back with the fever and have been feeling really tired, also the lights bother me a lot and can t stand the computer for more than 4 hours. I am still not sleeping 100%, keep waking up every 2-3 hours) What can it be? We had a tick problem at work and I m worried it could be related. Thanks! Monica ### REPLY: Hello Monica! Thank you for asking on ! Regarding your concern, your symptoms seem to be related to a chronic infection. The episodes of fever are very concerning about an infection. I would like to know if you have noticed any strange lesions in your skin, that may lead to a tick bite. Usually the first signs are skin lesions and then the other symptoms occur. The other symptoms (dizziness, fatigue, headache, difficulty breathing) could be related to a tick bite or any other chronic infection, affecting multiple organs. Anxiety could also be related to these episodes, but it can't cause fever. I recommend consulting with an infection disease specialist and performing some general blood tests (complete blood count, inflammation tests, blood electrolytes) and some specific tests for chronic infections (like Lyme disease). A brain MRI may be necessary to exclude possible intracranial lesions. Hope to have been of help! Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a chronic type of whitish discharge and i try to check what it was, and i found out that i got gonococal infection. then i take treatment for this infection.while i get rid of the gonococal i still got gram negative rod shaped bacteria and staphilococcus, and also yeast infection. i try home   remedies as well medicene but i cant get rid of the discharge. pls help me out.am 24 years old 155cm and 53kg weigh. ### REPLY: Hi, Welcome to . I am glad that you have been treated for gonococcal infection. Based on the details you have mentioned in your query, you are suffering from genital infection whicChatDoctormonly presents with discharge, itching and pain during passage of urine. I suggest you get culture and sensitivity test done for the discharge and take appropriate antibiotics based on the test results. Antibiotics have to be taken for at least 7-10 days. Strict personal hygiene has to be maintained. As you have a history of sexually transmitted infection like gonorrhea, I suggest you also get a consult at an STI clinic to rule out any other STIs. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 21 years old, 260lbs, 5 11. I ve had pnuemonia about 3 times in my life. Other than being overweight which causes me to have high blood pressure on occasion, there is no other health conditions. My lungs are burning and my chest feels heavy for about 3 days now. I cough once in awhile and when I do, I can taste mucous but nothing comes up. I am not feeling any other symptoms. I do not smoke. What could this be? ### REPLY: Hello, Thanks for posting your query on  ...* Brief Answer: chest pain needs to be checked, blood pressure need to be controlled by weight loss, diet and medication if needed.*Explanation: My opinion is that high blood pressure on many occasions is an indication for control. That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure. Then, Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that does not help, medications are a must. That is usually decided by your doctor according to your condition and comorbidities. Some . Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started. I suggest my patients the following : detailed history about chest pain electrocardiogram and some labs as cholesterol and uric acid. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other comorbidities like diabetes, hyperlipidemia etc. *Conclusion: I suggest you consult your physician about your medications. Chest pain need to be checked.  If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband had a bad cough two weeks ago and was taking Sudafed for the sinus drainage and Nyquil at night.  It all subsided.  Yesterday the cougChatDoctore back and he is running a fever.  It also looks like he has a sunburn on his face, chest, arms and back.  He sent me to the store to get the Nyquil Muscous control stuff.  What should I do, take him to the doctor? ### REPLY: Hi welcome to  ... Your husband had taken antihistamine . . But as it is two week since having problem, I would suggest you to consult him to pulmonologist or nearby doctor for auscultation and examination first... Then if needed work up done with... -CBC with AEC count -Throat swab -Chest x-ray only if needed -AS titreAccording to report further treatment guided Ex. If eosinophilic more than Allegra M given... If neutrophil and as positiver than amoxyclav neededTake 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: Yes. My mother has nerapathy in her legs and bone cancer. ABout 6 weeks ago she told me about an open wound on her toe that bleeds. It is still bleeding to this day. She has seen the pediatrist who said to leave it unbandaged and then her oncologist told her to bandage it. Either way she is unable to put on a shoe due to the bleeding and I am not sure who she should see next. ### REPLY: Hi, Thanks for writing in. It is important to know what exact bone cancer your mother has got and the cause for her neuropathy. Any open wound in toe requires attention and since the oncologist has told her to get it bandaged, I guess she should get it done. This will prevent dust from entering the wound and promote healing. The bandage is to be changed and wound should be cleaned regularly till complete healing is there. Let her continue to see the oncologist and since she has a bone cancer therefore consulting a cancer surgeon is suggested for treatment and follow up. She should take antibiotics to prevent infection. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: On Saturday I started to get real bad pain that started like in the middle of my chest. I b early could move, I felt like vomiting but dident. I went to hospital and theyou wanted to do an ultra sounnd,but the Waite was to Pain full I couldn t sit up the only way to easy the pain was in a fetal position It went away slowly ,last night I started getting uncomfortable aging what do you think ### REPLY: Thank you very much for contacting . You have severe chest pain that may be because of heart attack. In heart attack there is lack of blood supply may cause severe pain at chest. In lung infection like pneumonia or neuritis or lung access may cause chest pain. Sneezing or coughing aggravate a pain in lung infection problems. Consent a physician for further diagnosis. Proper physical examination and history give exact idea. Chest x-ray us helpful for diagnose. I hope my guidance is helpful to you. . Take care. 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 a history of orthostatic hypotension, shortness of breath, and dizziness. I had a echo stress test done yesterday. I was told my heart was lazy and very slow. He said my normal doctor is out of town and will get back with me next week. He said he is not familiar with my history but it looks like I could be in the beginning stages of heart failure. I am a very active 45 female. I am not over weight, do yoga 4 times a week and eat well. What could this mean and what will be the next steps? ### REPLY: If you are doing yoga and deep breathing exercise, please add one herbal support to your treatment. My three decades standing in Ayurveda says that you should add ARJUNA i.e. Terminal Arjuna powder. You can get capsule of Arjuna from Himalaya pure herb series 1 bid for 8 weeks and assess yourself. Purely SAFE. No side effects. It is known to increase the efficiency of heart. Cardiac Asthma and hypotension are also widely treated by it. If you can, please additionally take Liquid Arjunarishta 15 ml bid after meals by adding water to it.If you do not feel benefit, you may stop it. But I know you won't stop it. No side effects, no counteraction with other medicine. Do it now please. Hope it helps you. Yes it will. Wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have what I discribe as lightheadedness that only lasts about a second. This happens 10-20 times a day. It is just more of an odd feeling in my head. I don t fall and I m not unstable at all. No headachs or other pains. The lightheadedness is very light but notacable for sure ### REPLY: Hi, Why suggest a medication as opposed to looking for the UNDERLYING CAUSE?  There's virtually nothing more vague to assess and treat than the symptom of lightheadedness which is even sometimes hard to pin down from patient to patient as to what they exactly MEAN?  Make sense?  If this is something that's recently started then, check out any new medications you may be on...especially antidepressants, heart .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 2 year 8 month old... few daz back she complain earache on her right ear then doctor check and gave us wax removal ear drops which was o-carb and otorex... and after 4 days doc removed the wax... but right after one week my daughter complaining earache on her left ear.... what would be the reason??? ### REPLY: Thanks for posting your query at . I am sorry that your baby is not doing well. It would have been easier for me to comment had I known if your child is suffering from common cold. Often, an internal tube that connects our throat with our ear gets blocked during cough and cold, and it could be a reason. You have also not indicated whether the doctor also looked at her left ear and/or cleaned the wax from it. She could, he's having wax in her left ear too. Please get back with the details and I would be happy to help you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has bone cancer. Which has spread to her lung & liver. Chemo was stopped after 1 treatment & radiation after 5rounds. Is shaking & loss of ability to feed self normal? Bone cancer seems to be fast moving & extremely painful,is this normal as well? Any advice? ### REPLY: Thanks for your question on . I can understand your situation and problem. It is not normal at all. It is common side effect after chemotherapy and radiotherapy especially in end stage cancer in old age patients. Furthermore, it is due to weakness from1. Disease itself2. Chemotherapy and radiotherapy3. Decrease oral Intake. So better to start nutritional support in the form of protein supplements, multivitamin containing zinc, folic acid and vitamin B 12.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 every morning I wake up my hand and fingers joint is painful. But after a few minutes it goes away. It s been happening for a few months now and since I have been using a lot of movement with my hand. Eg shaking flasks and weigh up samples. Never have this before. I am 49 years old. ### REPLY: Welcome to  I have gone through your query and understand your concern. Its seems to be rheumatoid arthritis or reactive arthritis. You need to undergo investigations such as rheumatoid arthritis test, ESR and C reactive proteins. Analgesic such as ibuprofen are helpful for pain relief. Disease modifying .  You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. 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: Hi, several weeks ago I had bad abdominal pain, I had been through some stress and my doctor said as a result the lining of my stomach had been stripped away.  I took nexium for 6 days.  I have had dirrohea a couple of times in the last two weeks but yesterday got really bad pains again the same as initially when he said about the lining on my stomach.  I also had 4 bowel movements yesterday and when I wiped there was some blood, not in the stool just on the paper.  Is this in relation to the same problem or could it be something else? ### REPLY: Hi! Good afternoon. I am  answering your query. If I were your doctor, I would advise you to stop eating from outside if you do. Outside food might cause intestinal infections specially meiosis in some regions which might give rise to gaseous distension and pain abdomen on the right side due to colitis. For this I would advise you for a routine stool test for ova and cyst, and treat it if positive. Please carry on taking Medium as before. In case some kind of infection comes out in the stool test, then further appropriate management could be done. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a fairly active, healthy 35 year old woman. I have noticed the left side of the back of my skull where it kindof sticks out on both sides seems harder and bigger than the right side. After a jog the other day, I noticed just below that about an inch on my neck, a small hard knot, under the skin, not noticable on teh exterior, not painful, does not move around, but it is definitely large enough to feel and find without much feeling around. I am concerned. What are some things this might be? Do you think it is imperative to see the doctor, or something that I need to watch? ### REPLY: HI, Dear,Thanks for the query to .1-I have studied your query in depth.2-IN my opinion, this lump in the neck might be a just bony protrusion -i.e. Occipital tuberosity, which one could think as the lump as done by you.l?.3-Dear, cause of this lump is anatomical tuberosity in the Occipital are of the skull. And is normal occur enc.4-So don't worry and forget it, as no other fact is notified by you, i n your query.5-If you still worry I would advise you to consult an ER doctor, who would rule out the medical causes, which are not present in your case -as told in your query.6-Hope this would solve you query to your satisfaction.7-Wellcome for more queries to me On . Thnks once again for your inquisitive query. Have a Good Day.!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is Cassandra! I have this wisdom tooth that has been coming in for a little over 2 years now.. It s on the bottom right.. I can see the whole top of the tooth, but it s not fully grown in yet.. I ve never had any problems with it until sunday morning I woke up with very bad pain in my mouth. From there it progressed to pain in the whole right side of my whole head even down to my neck . I can t hardly open my mouth wide enough to eat because my jaw is a little stiff. It hurts to swollow. My right tonsil is swollen. There is this round lump looking thing right above the back of the tooth on the jaw line. That is what really hurts the worst if it s touched or anything. It s hard to brush my teeth with that there because the pain is so intense.. The tooth is coming in straight, but I guess there is little room for it to completely come in... Can you give me some answers please weather or not I would need to get this wisdom tooth cut out?? And if the lump over the tooth is from the tooth itself?? I have kind of been worrying about it because I ve never had a problem like this before and there s a knot in my mouth... ### REPLY: Hi Hassan . Often wisdom tooth are impacted in the jaw bone due to which they fail to erupt in straight line axis with the adjacent tooth, they may be horizontal, tilted medially or distally in the jaw which makes their eruption difficult leading to pain and swelling in the jaw bone. As the area is difficult to clean, the overlying gum or mucosa is more prone to infection and often gets inflamed know as peritonitis.I suggest you to visit a dentist and get an OPG radiograph done, which will show the exact position of the tooth in the jaw and the related vital structures.Accordingly, the tooth is removed surgically under local anesthesia by an oral surgeon.I 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 now pregnant with 4 months. Please suggest me whether the diet which i am following is correct or should i need to eat more: early morning: Apple milkshake without sugar - 1 big glass morning: Breakfast: 2 chappathis with vegetable sabji 11 or 11:30am: 1 fruit either banana/gauva/orange 1:30pm: 2 chappathis with vegetable sabji, one egg, one glass of butter milk. sometimes rice 3pm: 1 fruit 4:30pm: one dosa with chatni 6:30pm: one small glass of milk without sugar 8:30pm to 9:30pm: Dinner: 1 chappathis with rice, sambar OR rice with sambar 10pm: one small glass of milk. Sunday: meat/mince meat/chicken ### REPLY: Hallow Dear, Prima face the diet you are taking seems to be fairly balanced diet for pregnancy. However, I see that you are not consuming sufficient quantity of pulses and legumes. Please try to include them in your diet. Though dose provides some DAL like Brad, it is very small quantity that you are eating. Please increase the quantity of samba in your diet; and let it be a thick samba with plenty of dals. For good quality proteins, include Thalipeeth of combined pulses. You should have the variety of pulses and legumes in the diet to provide all the essential amino acids required by the body. Inclusion of varied bean sprouts will provide you good, predigested high quality proteins. Also, please include more fruits in your diet. Apple is not that nutritious fruit; it contains more minerals and water. Banana is a very good fruit.  Chico and guava also are good nutritious fruits. Citrus fruits will provide you minerals and vitamin C. Please have the variety of fruits in the diet. I am not clear which vegetables you are eating. Along with fruit vegetables, you should have plenty of fresh green leafy vegetables for vitamins and minerals. Moreover, fresh fruits and green leafy vegetables will prevent constipation which is so very common during pregnancy. During whole day, have at least 500 ml of milk in divided servings. One large glassful of milk in the morning and one at bedtime should serve this purpose. In general, follow the principle:High proteinsModerate Carboy .  For any more guidance, you may ask me Direct question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In May, a CT scan revealed that my husband had a 3.2 sacular aneurysm of the abdominal aorta. We were not told this because he was in the ER for kidney stones. Nov. 15., he began spewing blood from his mouth and nose, and subsequently passed away. Could that aneurysm have burst? Cause of death was listed as complications of ASCUD or ASCVD ...(can t read the writing), and there was no autopsy. ### REPLY: Hello! Thank you for the query. Abdominal aorta aneurysm 3.2 cm is not a large and does not need to be operated. Usually aneurysms larger than 5 cm needs surgery (or rather stent insertion). So this is rather not a cause of his death.AS CVD means arteriosclerotic cardiovascular disease. It does not explain much as every person in older age has arteriosclerosis. Spewing blood from the mouth and nose can be caused by bleeding from esophagus, stomach or duodenum (due to esophageal varices, peptic ulcer or stomach cancer) or by bleeding from lungs (due to pulmonary edema). Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am looking for a pain doctor. I am in severe pain and used to be on the 100mcg fentanyl patch along with oxycodone 15mg for breakthrough pain. The last doctor changed it to 30 mg ER morphine along with the 15 mg oxycodone. It isn t working well at all. I had a gastric bypass and I wonder if the extended release morphine leaves the stomach before it can be broken down and released. I was born with spina bifida and have lots of pain where the scar is from the closure site and I also have a tethered spinal cord which the doctors say I can t have it released because it would leave me paralyzed. It leaves me with only being able to try to manage the pain. can you online doctors prescribe fentanyl patches. ### REPLY: Hi, Online doctors breaking federal law by giving out narcotics without an exam. I don't think this site is going to offer that. Being in a lot of pain often causes people to make unrealistic thoughts and do things that are increasingly risky.  Methadone is both effective as long-lasting pain medication and also keeps people out of harm. Cannot say in your particular case, but we can say what the site and all legal ones will not allow. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a low heart rate--48-52 pretty much all the time--I have had a stress test that showed evrything ok--however--I am always exhausted and one of the ekgs showed sinus bradycardia consistent with anterseptial infarct--Since I had the stress test --and it as okay--is there anything to be concerned with ### REPLY: Hello, I don't know if your electrocardiogram (ECG) seen by a doctor, or you just have seen the computer reading. I am considering the first one, so you have past myocardial infarction, and now your stress test was okay, and you have sinus bradycardia and feels exhausted. Well, it's good that stress test was okay. If you are taking beta blockers that are common in a patient who had infarction you should see the doses you take and probably low these doses or change the beta blockers. I recommend echocardiography, 24 hours ECG recording and a visit to the cardiologist. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has cml and has for 10 years he is allergic to all of the chemo drugs including all the new ones.  He is presently on hydrea to control the platelets but his wbc is very high this weeks labs show 76. something. he also has an enlarged spleen. his platelets with the hydrea are 167,000. He is also on prednisone for his RA, because of severe flare-ups.  All of the other blood tests on the cbc are either high, very, or somewhat low, especially the rbc. has he already advanced to the accelerated stage or blast crisis? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has CML. Accelerated phase of CML depends on percentage of blast cell.  If he has blast percentage of more than 5 then it is called as accelerated phase.  If not treated IIT ultimately end up with blast crisis and acute leukemia. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Respected doctor, i was pregnant for 2 times before 7 years and i aborted them..now i have regular periods,but iam not getting pregnant..so,i went to an infertility specialist and i was told that i have pco s and eggs are not being released..after some tests i was even told that have mycrobacterium tuberculosis in my womb like a small spot and natural killer cells are also active...can u please elaborate and explain my issue in detail..can i be pregnant in future??iam really worried.. ### REPLY: Hello Ramayana, I understand what you are going through, it is very hard to accept for a woman that she can't conceive through proper manner but u can conceive so don't lose your heart, first u should know that you are having mycobacterium tuberculosis in which part of your body? , having regular periods doesn't means that you are ovulating every month there are menstrual cycles which are regular but without ovulation, and the next thing which you have talk about is natural killer cells, these cells actually act as an enemy for your baby because these cells accept your baby as a foreign body, and they try to expel it as soon as possible from your body .so according to my advice u first go for your blood hormonal test then for an ultrasound and your treatment for tuberculosis .this will definitely help you a lot, and my good wishes are with you so best of luck 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: ejected from vehicle in 7/31/13 had hip fracture in 2 places and fracture sacrum.still have pain in groin area feels like I am sitting on a golf ball. cant sit or ride long , left leg is numb and tingles like its a sleep. I limp most time and in pain all time cant sleep or get no relief in hip and leg. ### REPLY: Hi you had sustained Fracture in hip and sacrum and still have pain in groin. I would like to know if you were operated and what was the nature of operation. In my opinion from your description, I think that probably sacrum has mounted (united in different position). The nerve - Sciatic nerve passes very close to sacrum and hip, and it might have been damaged partially. I suggest get an X-Ray pelvis including SI joints and both hips and NCV Studies for both legs. Start painkillers, Pregabalin and Spinal Extension exercises at present. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 some red spots on my chest area that have appeared about a few weeks ago. I was not sure what they were but they are dry and not itchy at all. However there is only one larger one and then a few smaller ones that are on my chest area. I have tried to clean it with neutrogenas acne face wash soap bar but that didnt work. Was just wondering what is this? ### REPLY: HiT hank you for asking . I have gone through your query. Possibilities for your condition are allergic rash to something you exposed or hair bed infection. If allergic rash then it goes and come. In that case taking anti histamines like cetirizine (Zyrtec) and applying HY .  But if it is on hair bed, or it appeared after shaving hair then it can be most likely hair bed infection. In that case washing with warm water and applying provide iodine or brilliant green will be helpful. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi on june 18th my bf and i went to the movies he toucched me didnt even finger me he clamed to have no cum on his hands he said he took a shower before he came to the movies. i got my period the 28th of june about 9 or 10 days after i went to the movies. that day the 28ht i took a prego test in the morning and it said i wasnt pregnant and then that affternoon i got my period. i was wondering if im pregnant ### REPLY: Hi, Thanks for writing in.1. If there was no deposition of semen in your vagina then pregnancy cannot happen.2. For pregnancy to occur the sperm should meet the egg in the fallopian tube and for this semen should be deposited in the vagina. If your boyfriend did not finger you and there was no semen in his fingers when he touched you then pregnancy cannot happen.3. You have written that you got your periods few days after going to the movies. This confirms that you do not have a pregnancy. If a woman has periods after a sexual event then pregnancy is unlikely. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor,I am 30 years old married lady.I have problem with PCOs.We are plannning for baby from last few months but no luck and now undergoing the treatement.I have problem with follicle growth.My Dr. ask me to take CCQ50 mg and then on day 11th,13th and 15th ask me to do Follicle Study scan.The result is left overy follicle size :10 mm and right overy follicle size:8 mm .So can you please suggest me what will be the next treatement ### REPLY: Hi.you are trying for conception and have used ovulation induction with camphene citrate. And your follicle size is not up to the mark, it should grow at least 18 mm for using . .you have tried only one cycle with camphene, you can try 2 more cycles with camphene with increased doses, see your infertility specialist for the dose calculation for you.since you have POD, even that will have effect on ovulation, that needs to be corrected first before going for ovulation induction.have you undergone preliminary hormonal tests, 2nd day FSH, LH, Ultrasound scan. TSH, AMH.?see an infertility specialist for this.all the very best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I bit my tongue last night/this morning as I was dozing off to sleep and now the tip of my tongue feels as if I got some of the anesthestic they use when you have some kind dental procedure done. Its been numb now for 2-3 days theres no cut, no bruise, no bumps or lumps have I lost all feeling in my tongue perminently?! Even food tastes differently. ### REPLY: Hello there, Thanks for writing your query, Your clinical history suggests you have traumatized your tongue during biting, this may lead to numbness due to damage to nerve fibers which is temporary. In few days new nerve fibers will generate, and the tongue sensation will definitely come back to normal. Meantime, maintain good oral hygiene.  Start with multivitamin supplements for 7 to 10 days and vitamin C lozenges will help in resolving the problem.  Avoid alcohol, carbonated .  Apply oral antiseptic, analgesic ointments like denote or mucosal topically over the affected area I 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 have a rash on my arms. It started a few days ago with tiny  pimples like rash on my hands and wrists. About 7 pimples. Now it moved up my arms almost to the shoulder on my right arm but the rash changed. Instead of tiny pimples I have about 1 cm size round red a little raised spots. I have three on my right arm. And had one on my left on on the wrist (2 pimples close together actually become a spot like that). I also have a couple spots on my right hands fingers too. I think I might have a couple pimples on the back of my neck (lower part).It doesnt always itch, but when it does it itches a lot. I never had any allergies. ### REPLY: Howell come to ChatDoctorI really appreciate your concern, two possibilities are there one is allergic condition and second it could be some viral infection in either case first is to wait for some time it may come around on its own, second it can be managed with steroid and antibiotic like "Beclomethasone" and Aureomycin" cream, else this is noting to worry, hope this information helps, take care and have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, 3 weeks ago I noticed a small lump on my lower knuckle on my right ring finger. There is no pain until I hold something that puts pressure on it. When I googled this, it said it could be a cyst and it might go away. How long should I wait to see if this goes away before consulting my Doctor? Thank you, ### REPLY: Hello, * The lump on ring finger without pain can be of soft tissue lesion as wart, callus or some sort of sebaceous or ganglion cyst. * There should be an evaluation with ultrasound for the soft tissue evaluation with an appointment to doc though it is not immediate care requiring issue. Hope I have answered your query. Let me know if I can assist you further. Take care .  Patel, General Surgeon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have experienced severe pain after I have sneezed just feels like inside my lower right side of abdomen and upper center abdomen inside is just being twisted inside out.What would cause this and is this something to address? I have had this at least 4 times not back to back only when I sneeze very hard.Thank you! ### REPLY: Hello, Thanks for your query. The sharp pain that you experienced while sneezing today is probably a pulled ligament in the pelvis or a little strain. I do not think it is appendix related. If it were this, you would have continued pain that would actually make you reach the ER at the earliest. So, please relax; rest a while.  .  Take simple pain relief medicine like Acetaminophen (Paradox). I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a problem with aa crowned tooth which became infected about a year ago, I went to the dentist had an xray which shoed some bone loss and was put on antibiotics then referred to a hygenist. I have since had trouble again and went back to the same dentist, he said wanted me to go back to the hygenist, I went to a different hygenist who said I had to change way way I brished to get rid of the bacteria. I tried his way but still have a problem, it has also been quite sensitive at times. I isnt as red although not pink like the rest of my gums and I notice a small red spot above the tooth, just want it to come right ### REPLY: Thanks for your query, I have gone through your query. The infected tooth which has a crown can be treated with root canal treatment and root planing with bone grafting. The red spot over the gums can be a pus discharging sinus tract. Consult an oral physician and get a radiograph done to confirm the diagnosis. Get the root canal treatment done by endodontist, followed by root planing and grafting by periodontist. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom is around 50 years and weighs around 75Kg. Her TB gold test came positive around 3.5 -4 months back. Also ESR was around 90.She has been on medication (earlier AKT3 and now AKT4) since then. Her ESR has also came down to 28 when she got it retested last month. However mild fever (99-99.6 does not reach 100F) and weekness still persists. Is it normal ? ### REPLY: Hello, Welcome to . I am  answering your query. I can understand your concern. After 3.5 or 4 months of treatment, fever is not very common. Though Rifampicin has side effect of flu like symptoms. Please a temperature chart so that the pattern of fever can be interpreted. She should also get tested for any other associated infection like urinary tract infection. Hope I have answered your query. If anything else you are welcome. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to my OB for left sided lower pubic/ abdominal pain . I have a 25 day cycle. This was 8 days past ovulation. I had a temp of 99.8. I had a transvaginal ultrasound which showed prominent endometrium at 16.7 mm and minimal fluid in my cul de sac. Also my urine showed a moderate amount of ketones And protein. I am not diabetic nor do I have high blood pressure. Urine pregnancy tests also showed negative though I am trying to conceive. ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You have got left lower abdominal pain, low grade fever. You had a trans vaginal ultrasound 8 days after ovulation, Which showed prominent endometrium at 16.7 mm minimal fluid in cul-de-sac. Urine showed ketone and protein. You are not diabetic nor hypertensive.  These changes may be normal to be before period.  Your lower left abdominal pain suggests urinary tract infection, stones in the urinary tract, or pelvic infection, which may also influence the fertility.  To be fertile the partner also should be tested for sperm count etc. I advise both of you should consult a doctor for infertility.  Wishing for a quick and complete recovery.  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 too fell and hurt my left side of my chest. I have a large lump and I am very black and blue. I need to fly out on Sunday this fall happen last Sunday. I have been taking aleve for pain and arnica gel. Should I be worried about the flight? I am 70 Thank you, ### REPLY: Welcome to ChatDoctorYou may be having rib fractures. You have to do x-ray chest as early as possible. Rib fractures can cause pneumothorax/air in chest or hemothorax/blood in the chest which will be seen on x-ray. Only rib fractures needs no treatment except painkillers. But if pseudo or hemothorax is present that needs ICD tube insertion in the chest. In that case air travel should be avoided. 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 doc. I recently had my medical test for pre-employment medical test for automobile company. the reports was normal accept the sgot ang sgpt level. the sgot level was 258 and the sgpt level was 193. I am really tensed that it will affect my joining in the company. please tell me that can it affect in my joining and what are the precaution should i take to readuce my sgot and sgpt level ? ### REPLY: Hi, Damanpreet, welcome to  family, Your both SGPT and GOT levels are very high and more investigations are necessary. It shows there is some pathology in the liver. It may affect your joining the company. You go for ultrasound of G.I. Tract and liver as there is possibility of fatty liver etc. You go for urine test for jaundice. You take less fat, more carboy . Take rest. Stop taking alcohol as it causes more damage to liver. Consult your physician for further evaluation. Ok and bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 21 and have had the implanon birth control since October, and it has pushed its way close to the surface of my skin and feels like its going to push through and if I lean on my arm wrong it feels like it is trying to poke out, is my body rejecting it? ### REPLY: Hi there, More than the worry of rejection, if the Implant is not properly intradermal it may not be an effective contraception. You need to get it removed and replaced preferably on the opposite arm by a trained medical professional. Implant doesn't reject but can become ineffective if dislodged from its proper site. Implanon is one of the safest and reliable methods of long term reversible contraception and is effective for 3 years. Irregular spotting is its major . Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am rahul,i stay in washington ...i am suffering with fever since 15 days,i went to doctor and he did all tests including lambar puncture..but noting is there in reports,every report is negative,,but my fever is not controlling ..its getting reduced only when i put tablets i have lot of headache also.plz advice me ..the doctors said its an viral fever or flu.. ### REPLY: HelloWelcome to ChatDoctorYou are having what is called as fever of unknown origin (DUO). As you have undergone all the lab test Randall have come negative. Fever for 15 days withal investigation coming negative fulfill the definition of DUO. You should be managed symptomatically. You need anti pyre tics, antibiotics and NSAIDs. If the symptoms are not coming down you may require hospitalization. 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 am 58 years old and had an unusual experience at work. I stepped out into the hallway after using the restroom and realized I did not know which way to walk or which door to go through. It was very upsetting. I knew I was at work, but was completely disoriented as to where I was in the building. In less than a minute, I got myself re-oriented. It was VERY scary. I associate the loss of internal maps with Alzheimers. thoughts? ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. You know yourself well. Alzheimer's cannot make you forget internal maps all of a sudden. That is a long process. Once that happens, you will not even know. Let me clarify to you. You were working, and could recall you were stressed. Naturally stress leads to disorientation. Disorientation is a scary sensation and naturally, because of disorientation, you got scared or got anxious. Naturally because of that the disorientation symptom worsened. You got back your orientation within a minute too. I don't think there is anything to worry with the current episode. You should be active, indulge in physical exercise and activities, socialize, do brain games and creative hobbies to keep dementia or Alzheimer's at bay. I also suggest you to consult your physician for a routine complete check up and investigation, though there is nothing to be worried about. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 15 years old and 3 days ago my scotum felt itchy and the next day a wee bit sore and itchy then I decided to look at it and on the left and bottom part of the scotum were it was there was a red circle about the size of the thumb fingernail. At first i just thought it was a rash but then the next day it was just sore and I took a better look at it and there is tiny tiny deal red spots inside the circle and in the middle there was a tin tiny darky yellow coming outwards. None of its like pimples or anything I see on images. At the moment its quite sore if I touch it help me please I am embarred to ask my parents about it, is there another solution. Also I have really tiny White spots on the end of my foreskin and no where else they arent sore or anything but they are really noticeable when I pull the foreskin back. Ive had that for about three quarters of a year now thinking it will go away but it hasnt please help. ### REPLY: Hi, I have gone through your medical history carefully and understood your concern. The itchy and sore scrotum with red dots with dark yellow discharge coming out are suggestive for possible bacterial infection. You can ask a premium question and send to me a photo of your scrotum for a more specific opinion. I advise to:- keep good local hygiene-wash with warm water and soap-do not scratch-do not share your utensils with others-apply antibacterial lotion you find OTC at your local pharmacy mixed with HY .  Wish fast recovery! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I was dx with walking pneumonia today and put in erythromycin and robitussin AC. There is mucous in my airway 100% of the time. The robitussin AC is not helping with suppressing the cough or thinning mucous. I am 33 year old female by the way. I have a consistent fever between 100-103 depending on what stage Advil is at. And the worst sore throat of my life which is getting worse from coughing. I don t know what to do. I ve been awake for almost 24 hours because I can t sleep. Would a heating pad help my chest? The only reason I m not calling my GP at the moment is because it s 2am and I feel bad. ### REPLY: Thanks for your question on . I can understand your situation and problem. Yes at present you can definitely put heating pad on the area of pain. It will definitely help you. I also advise you to get done chest x-ray to confirm pneumonia. And since you are still having high grade fever (fever more than 101), I think sputum culture and sensitivity is needed. Azithromycin is not helping you. So we need to identify the organism and start treatment according to the sensitivity report. So better to consult your doctor tomorrow and discuss all these. At present, you can use heating pad. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For a few days now I have been experiencing a warm feeling (like a rush) in my abdomen while drinking hot coffee or other fluid (sometimes also when eating hot food). It happens just after the sip is taken and lasts for a second or so. Any idea what this could be? ### REPLY: Hi, That can be initial stage of gastritis. The hot food could have damaged the stomach mucosal lining to cause an ulcer, leading to your symptoms. Also, presence of food increases acid production in the stomach, which irritates the ulcer to cause the sensation of rush. I would suggest that you take a course of PPI like omeprazole or pantoprazole, to allow the ulcers to heal, and till then avoid hot foods. Hope, I have been helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from shoulder and neck pain causing from bilateral cervical ribs. I am taking medicine like pain killers and muscle relaxing. I want to know Can I get rid off permanently from the problem causing the cervical ribs? I used to have physical exercise like pushups, sit ups ets. Will all the exercises permanently forbiddden for me? ### REPLY: Hi, As what I see is that your cervical ribs are leading to problems with your upper limbs a lot. There is a solution for the cervical ribs is that to get it artificially removed. As this ribs cause compression the nerves, to be precise the brachial plexus which is one of the important branch for the nerves which supplies the upper limbs.  The decision has to be taken only after the physical examination and considering other factors that is it really needed to remove it or not to touch it. Coming the therapy part, a lot of painkillers in the long run can rotten the kidneys leading to increased creatine levels which can not be of help and a matter of worry, so avoiding too many painkillers will be advised. Use hot water fermentation if it is helping you reduce the pain. You even need to figure out the muscles which need attention as there might be possibilities that some weaker muscles will be aggravating the pain as they might change the posture and leads to nerve compression. A good physical therapist should be of use to examine and advice a good exercise prescription. Please feel free to contact me with some more detailed history. For time being avoid too many push-ups. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: about 8 months ago i developed a celebrity crush but it wasn t anything serious it was just fangirling if i saw his face but now its gradually got worse. If i see him i hyperventilate and start to cry uncontrollably and now i think about him everyday. my family think im going insane, am i? ### REPLY: It is a variant of obsession disease. I would suggest meeting a behavioral therapist as well as a psychiatrist. A psychiatrist will be able to suggest some medications for youths medicines can have some side effects, so it is best left for a psychiatrist to prescribe after reviewing you fully think actually you realize the futility of the obsession yourself. Otherwise you won't have entered the query. Yes, everyone has a favorite celebrity, usually of the opposite sex, but one does not obsess over it. Best of luck .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi? I would like to refer my diagnosis if it is right regarding hematology .This is the result I obtain for a 62 years old patient, in which he got a HB % of 12.3, HCt is 36.7, RBc is 4.83 WBC is 3.6 while the MCV 76, MCH 25 and MCHC is 33.5 the differential count neutrophil 34 , LYmphocyte is 60 while Monocytes is 6. So I describe it as Mild hypochromic, normocytic anaemia, Mild leukopenia with relative lymphocytosis ,Normal platelets count and morphology. ### REPLY: Hi, Welcome to , I am  The test report indicates the hemoglobin level it mildly reduced from normal for age and sex, RBC count is also normal, MTV, MCH , all are reduced mildly, MCHC is normal. What was the RDW value? IT is a crucial for diagnosing anemia. Overall, the report shows a mild hypothermia, mild anemia. It is not normocytic.  Regarding the WBC, it is neutropenia with relative lymphocytes. What is missing is what is the morphology of these lymphocytes? Was there any abnormal cell? In this age group this type of lymphocytes may turn to serious disease. That's all. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has had her thyroid removed. She is now having more problems since having surgery. Levels are off the chart. She has been given depakoat and atavan. She is like a zombie, crying spells. slurred speech, cannot make rational decisions. She is in management with a large celluar company. She has been seeing a dr. at M.D. Amderson for about three years before having thyroid removed. We are at our wits end. She is now seeing psychiatrist who have diagnosed her as bi-polar, which seems to only make things worse. I want my daughter to be healthy and happy again. It has been a long road. She has now been given abilify to try. Does any one know what is the matter with my daughter? ### REPLY: Hi. I had gone through your concern. If she diagnosed with bipolar then treatment with mood stabilizer is advisable to maintain her mood in euthymia. Depakote is one of the mood stabilizer and can be useful to treat bipolar disorder. Thyroid removal can also cause mood features so medical treatment of it also necessary. Depakote will take time for its action. It will show response within 3 weeks of treatment. Regular treatment and compliance to medicine will help to recover fast. Psychological counseling will help to elevate her mood and boost her confidence in work. I hope I have answered your query. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi for the past 3 days I have had a pain in lower back on my right side just at bottom of the ribs. It feels all stiff and tight and I get spasms if I move around. It also hurts to stand straight,bend down and stretch. It takes me ages to sit down or get back up. The pain relieves for a while with heat and paracetamol. I also have tight neck muscles and upper shoulder pain. ### REPLY: Hi, I had gone through your question and understand your concernsWith such presentations in my clinic, I would first reassure the patient and I prefer to exclude certain problems as : First condition: Myositis and generalized musculoskeletal spasm due to overactivity and for this condition I suggest rest and muscle relaxant medication before sleep, Warm fomentation and NSAID when needed. Second condition :Cholecystitis as the pain usually radiates to the back and shoulder and I suggest doing abdominal ultrasound to exclude gall bladder problem Third condition :Renal problem as real stone or Infection also should be excluded by doing abdominal ultrasound ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 to go to the emergency room last night because of abdominal pain and bleeding. They said I had a bad urinary tract infection and a kidney stone about two centimeters. I only have  one kidney. I had to have the right kidney removed in April of 2013. They found a mass on it. I just wanted to know if the kidney stone will damage the kidney I do have because they told me I needed to go back to my kidney doctor within the next day or to. I was wandering why. ### REPLY: Hello, Untreated kidney infection and a kidney stone would keep on damaging your kidney unless and until stone is removed and infection treated. This becomes all the more important since you are having only one kidney. You must learn from your kidney doctor, how to keep your remaining kidney healthy. Consult the doctor as early as possible. Once this remain kidney gets damaged, you have no other option except to go for kidney transplant. 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 daughter is 17 years old. She has been in and out of the hospital three times in the last 3 1/2 months. They did a cat scan and several tests the first time. Her white blood cell count and platelets were at the high end of normal. She had several ovarian cysts that were 4 cm in size. They burst and her pain was relieved. Following up with her primary and GYN tests were run. at about six weeks and her platelets rose a bit and testosterone was elevates. GUN put her on birth control to ease the enlargement of the cysts. Then about a month ago now she landed back in the hospital. Another cat scan and blood work revealed three lynphnodes attached to her intestines that attach to the abdominal wall were enlarged, very painful and her white blood cell count went up again. We were referred to an endocrinologist and gastroenterology but had to cancel the appointments last week due to their offices closing for Hurricane IRMA. I went and received the third round of blood work today from her primary and the count is up again to 444 which I was told is high but not astronomical. We were now referred to an oncologist / hymoptologist. Please tell me what you think. ### REPLY: After hearing you history as your daughter is having high white blood cell count and platelets and scan reveled 3 lymph nodes in intestine I would advise you to do a biopsy test of the enlarged lymph nodes. A biopsy test is a simple test were a needle is inserted to take out specimen and looked under microscope. I will also advise you to do a colonoscopy test and blood test for tumor marker CEA and CA 125 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: Sir I have developed a keloid on the front if my left ear after a piercing . Its 4 years old now  . I went to a homeopathic doctor who said that he can help . But instead of reducing, the size of the keloid has increased 4 times in 3 years . Is there actually any solution in homeopathy? ### REPLY: Hello and welcome to  forum. Keloids basically are over enthusiastic healing of the skin after a trauma which can lead to a raised scar, and it can keep on growing with or without medicines. It is a difficult and sometimes painful condition which can sometimes be managed by corticosteroids injections or radiotherapy. In Homeopathy cases have been managed successfully when it controlled the further growth of the keloid and reduced the scar thickness significantly. You can get back at the following link with further details of your problems for a better understanding of the problematic://www.ChatDoctor .com/doctors/ . G extra salt, sour, raw vegetables, meat, eggs, milk, pickles etc.)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: mrs davidson 41 year old been having very strong palpitations for 3 days getting worse made an appointment at the doctors tomorrow . had flutters beore but not like this been constipated for 4 days this started after straining on toilet something doesent feel rite ### REPLY: Hello, I would explain that your symptoms could be related to anxiety. Anyway, before coming to this conclusion, I would recommend performing a resting ECG and some blood lab tests (complete blood count, blood electrolytes, thyroid hormone levels) in order to exclude other possible causes, which may lead to palpitations.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Jeanine Pate,I m 48 years old I have bad disc in my neck,I have SPINAL STENOSIS. I have went 3 months in such pain cause of the nerves in my neck. It was really painful hitting bumps while driving. I have 3 chiropractors that looked at my X ray. MRI and Radiologist report and they all say the same thing that I m a definite candidate for surgery.SO I get my Appt to see a Neurosurgeon and he tells me he wants to let it heal on its own. What I don t understand is how can a disc heal itself and why did my Chiropractor and two others insist on me having Surgery. My concern is I don t want to end up in a wheelchair by letting it go too long. ### REPLY: Hello. I have been through your question and understand your concern. The cervical discs and spinal stenosis are common findings in the MRI and not always related to serious problems that need surgery. Neck pain is not an indication to surgery, while weakness of the extremities and sensation problems are, which are caused by medullary compression. I think the neurosurgeon after seeing you decided to opted for no surgery because luckily you don't have medullary compression. The chiropractics do not have any competence on surgical indication. Consider yourself lucky and trust to your neurosurgeon. Hope this helps. Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi... Im due for BA surgery next Friday.... I have come down with a severe chest infection. Im on antibiotics and I feel its clearing... I have fevers and everything really bad last Thursday and Friday, but Im wondering if this clears before Friday would they still choose to postpone? ### REPLY: Thanks for your query at ! Yes it is likely that they may postpone the surgery for your breast augmentation. I suggest first get treated for your infection. Its good you are responding to antibiotics, so there is no need to change them. Monitor your fever constantly. You can get tested for blood culture & sensitivity(aerobic/anaerobic) if fever persists. Get you sputum tested for gram stain & culture & sensitivity(aerobic/anaerobic) if fever persists. Get your complete mammogram done with chest X-ray. Investigations will help to reach etiological diagnosis, but most of such cases are due to viruses (Rhinovirus, influenza, para influenza, etc.) which are self limiting. You will have to take antibiotics to prevent secondary infections, bronchodilators, cough suppressants, anti-inflammatory and analgesics for which you can visit your general practitioner or a pulmonologist.1.  . 2. Get plenty of rest to help your body recover.3. If you smoke, stop. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby is 7 1/2 months old teething. . .  never cries and is crying sounds weezy I believe chills on infant ibprofen few wet dipairs/BM yesterday drank 3ozes formula and 1/2 cup friut 3 hours ago. . .should i be doing more, should i take him in? dehydration?  Ahh new mom! ### REPLY: Hi, Welcome to , I understand your concern. You seem to be doing very well for a new mom. Infants of this age can sometimes have abnormal sound while crying. Can be due to some secretions in the throat and sometimes mild nose block. But these things usually recovers without any problem and without much treatment. So as long as baby is active, feeding well and passing urine and stool well, don't worry and enjoy your motherhood. Tale care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having arrythmias throughout the day. Examples are 103/59 pulse rate 103 waking, after nap 100/59 pulse rate 104. Pulse has been high as 135 and low in the same day in 40 and 50s. I have chest and back pain bit its more like pressure. Like something is sitting on my chest. I had possible tias back in march but no nerve damage. Ive had a problem with nerves causing muscles spasms but dont know whats causing itr. I wonder. If its whats causing thw arrythmia. Sorry my eys also are causing problems just typing. Thank you. ### REPLY: Hello Welcome to . The heart usually beats rhythmically. Arrhythmias are irregular heart beats. Fast or slow heart rate but regular (rhythmic) as not called as arrhythmias. In your case it is not arrhythmias, it is just slow or fast heart rate called as bradycardia or tachycardia.  Your BP is on the list side but acceptable range. However, due to fast and slow heart rate intermittently throughout the day, chest pressure and history of Ties, I want you to undergo a cardiac evaluation with an ECG and a stress test. This tests can predict whether you have blockages in your heart. If both these tests come normal, and you still got similar complaints then you should do a Holder Monitoring in which a machine is attached to your waist with some leads on your chest and your heart rate is recorded continuously for 24 hours while you go about your normal day-to-day activities. This will show the heart rate disturbances you have and treatment can be offered accordingly. Please do the above tests and revert. Wishing you good health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: have had wierd lumps in the left side of my neck for about a month now and lots of other symptoms such as dry scalp muscle cramps in my arms, and a uti that wont go away, and am waiting on blood test results. also have had some pain in my mouth and throat that comes and goes. woke up this morning and the left side of my jaw and mouth is numb and tastes like blood, what should i do? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you lump in neck with pain and bleeding in mouth which is mainly due to infection in oral cavity which could be related to particular tooth which is leading to abscess formation and pus is not finding its way to eliminate which is leading to facial space infection in that area. It could be due to tonsillitis. Need not worry about it. Visit dentist once and get it examined. Go for IOWA (X-ray) of particular tooth and start root canal treatment as per level of pulp exposure. If it is due to enlarged lymph nodes or tonsils visit ENT specialist once and go for course of antibiotics after proper prescription. Do warm saline gargles. Maintain oral hygiene by brushing and flossing. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. I slipped and fell pretty hard on my right side a month ago. The bruises have resolved, but I now have two hard ball feeling things under my skin around the greater trochanter area, where I had a large bruise.  It is still tender to the touch.  What is this? ### REPLY: Hi... Sorry to hear about the fall. Thanks for choosing us to answer your query... Your lump and swollen area could be a hematoma that could have been due to fall... Now it is healing...since it is over the bone it is tender to touch. If I were you... I would have iced it frequently on that painful area.... Gently knead the area surrounding the painful spot... In case I have any Anti-inflammatory gel I would apply over it twice daily... Hope this is helpful for you... Kindly revert in case you need any further help in this regard.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dr. A Chakraboty, I have a 13 year old daughter with braces and for the last few days she has had 3 white bumps on her lower labial frenulum. The area around it is sore and red . So are her lower gums in that area. She s tried putting Witch Hazel on it with q-tip,and cotton balls.We ve also tried salty warm water. What do you recommend. Please help. ### REPLY: Hi, Thank you for the query. White bumps about what your talking are ulcers formed because of the braces impingement or lack of proper diet leading to vitamin deficiency or stress related. This can be cured by taking multivitamin tablets for 10 days and warm salt water rinses and application of topical anesthetic will help in taking food without any pain. The area should be kept clean not allowing any food lodgment or plaque deposition which may irritate the gums leading to infection of ulceration. Hope this information 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: in year2000 my esr 256 and i had a problem of cold and cough. during that period i used to take oxygen daily at least five or six times a day. this problem was started in the year 1995 at that time the esr was 65 and some skin problem started .but by certain skin medication the skin problem resolves.i thought evrrthing got fine.but the esr goes on incresing.5years i took the medicine. every doctor gave me tuberculosis medicine but the problem does not solve. than my family doctor gave me 15days medicine and i got fine. but in the year 2012my esr again was 36and i suffered from demographism and year 2013i suffered from urticaria and now in year 2015my esr is 76 and again the same problem of cold and cough started. wat shall i do now. why does it occur again ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of chronic cough and cold almost since 15 years which seems to be due to chest infection/ chronic upper respiratory tract infection due to poor immunity of body. I would suggest you to take cough expectorants. You should take nasal sprays and do warm saline gargles. Apply mist humidifiers in room. You should take antibiotic Amoxicillin in combination with antiallergic medication Minaret. Visit ENT specialist once and get it examined. You should get paranasal sinus x-ray and x-ray chest done and start treatment after proper prescription. You should get routine blood investigations done and start taking multivitamins tablets. Avoid oily and sharp food.  . Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...My one year old (2 weeks ago) had bad sickness on wed and loose napppies, hasnt been herself since, is a very good eater and has been off food but hungry as well. last two days has had very pale stools slightly formed but looser than her normal motions. very irratable. once motions passed in the morning yesterday no more passed and same thing has happened this morning ### REPLY: Hi... by what you say I feel that you are child is recovering from acute watery diarrhea which is usually viral in origin. Please do not worry about her appetite because it may take even one or two weeks after the diarrhea settles, for the appetite o return to normal. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards -  ### END