Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good evening Doctors. I m an overweight male, 26 years of age with no general complaints. I ve got a family history of diabetes, hypertension, hyperlipidemia and prostate and colon cancer. 1 year ago my fasting blood sugar was 80 mg/dl. I was a heavy smoker and my blood pressure started to go up to 140/90 occasionally. I quit smoking and unfortunately started eating excessive fat and sugar daily for the last year. My fasting blood sugar today was 100. Moreover an abdominal ultrasound (done due to acute prostatitis) revealed only incidental liver enlargement of size 170 mm(with no other abnormalities) which wasn t there 1 year ago. My question is if I change my diet and start exercising will my fasting blood sugar and liver size go back to normal or is it too late. Thank you so much. ### REPLY: Hi thanks for asking question. Mostly you could have fatty liver alcohol history present then hepatitis can be there. Complete LFT profile with viral marker done... Yes dietary control will help you in normalizing liver.... Take low fat diet. Regular exercise.Don't eat refined sugar more. Use very minimal oil in diet. Avoid trans fat diet like cheese, butter, meat, chips etc..... Fruits more. With your LFT reports further comments can be done. Regular follow up needed for colon cancer detection as you have positive family history. 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 50 year old lady my problem is i can not remember the faces of people this problem is from begining if i meet few persons specially man and talk to them for few minutes and they come back to me even after one hour i dont remember them but to remember their names i never make mistake ### REPLY: Earle understand your concerns went through your details. I suggest you not to worry much.  I sincerely do not think that you have any memory problems. This simple forgetfulness are normal and take heart that you are not forgetting their names. That is a blessing. If you be obsessive these thoughts, you shall lead yourself into trouble. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, i am trying to conceive my first child, i have been montoring my morning temps daily, i have low temps average of 35.8, they peek after ovulation to 36.2 are these temps too low?  Im 28 years old, no medical history, periods average 35 to 38 days.Thank you ### REPLY: Hi, I think it is fine to have such body temperatures. Just confirm that you are ovulating or not by repeated ultrasound or ovulation detection kits.  If you are ovulating, you can try naturally for 6 months before undergoing any fertility treatment.  Be in contact with your husband every 2 to 3 days after your periods stop.  It will increase chances of your pregnancy.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old has a soft raised lump in between her eyes. She hasn t recently had any head trauma, but has had a few goose eggs in her time right where this lump is. She says its tender and you can see it at an angle. She only complains of headaches once in a while. Curious and worried as to what this could be? ### REPLY: Hi welcome to ChatDoctorI have gone through your Query regarding small raised lump between the eyes. For your info, Lumps can occur for a variety of reasons. Some may be avoidable and some just happen, are caused by elevated lipid levels, then they serve as a warning to make diet and lifestyle changes. Small skin colored bumps that form in clusters around the eye from benign sweat gland tumors are known as Syringes and can be removed using heat from an electrocautery or laser device, but they may recur, or removal may cause scarring. Treatment usually involve using warm compresses for 5-10 minutes, three to six times a day and possibly using prescription antibiotic ointment or .  Never pop or squeeze either of these eye bumps. Take care to make diet and lifestyle changes. You follow a diet having fibers, fresh veges & fruit, diet low in saturated fats and cholesterol.  As she is just 5 years, You may also need to increase her activity level, Make sure she eats right, plays well jumps, and sleeps well, regular deep breathing, Panama, yoga for proper blood circulation and detoxing your system will help you alley such problems. To eradicate toxins from her system. Avoid fried, fast foods and junk foods, , constipation which produce toxins in your system.  If problem persists, consult your doctor for proper guidance.regular deep breathing, Panama, yoga for proper blood circulation and detoxing your system will help you alley such problems. Hope this helps solve your query Take care All the best. Wish you good health ahead ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 problem started one year back. My age is 45 years. Suddenly my heart beat was 120.min. pressure was 160/90. My voice and head was shaking. headache was constant. Doctor adviced some blood test. Neck xray. My blood test was normal but xray shows cervical spondalytis. Doctor said that it is a case of head neck tremor and cervical spondalytis. They prescribed losar50 and indral 40 twice a day. now my heart beats remains normal. pressure around 135/90. But i feel non comfortable during evening hour. IN the mean time, i felt shaking of my body during going on bed. movable pain in my chest which goes an comes. i was gone for ecg, holter monitor , echo, EEG and tmt test. all was ok except tmt test in which st deviation was 2.4 and doctor said that tmt is positive. after that dr. suggested for thalium stress test which was found normal. Please suggest for further. thanks. ### REPLY: Hi, Thank you for posting your query. Regarding your tremors, it seems to be a case of essential tremors, where shaking can occur in head, voice, neck and hands. Treatment is with federal (beta blockers). Losar is a good medicine for BP control and can be continued.TMT positive and normal stress thallium are conflicting. However, if you continue to have chest pain or breathlessness, you can go for a coronary angiogram to confirm if you have a blockage of any heart blood vessel. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My fathers wife has had numerous health issues for years, currently on 20 pills per day. She is very forgetful and is now not making sense when she speaks. She is very aggressive and nasty talking to my Dad, but when she is find talking to her brother, she is fine. She will not leave the house and she calls me up at 2AM ranting about various things; yet in the morning, does not remember. I am trying to get her to talk to her cardiologist and Internal Med doctor as I think the meds are making her unsteady mentally. She brings up the past and it has been a rough year for her as she lost 2 brothers, a niece and her son which I do understand is difficult. Is it her subconscious mind that is bringing this out? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. I can help you in this aspect. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello ,I have had afib for going on 4 yrs . I have been on many meds ,did a cardioversion that lasted 8 mo . I feel the same as I did when this all started and don t know how much longer I can take being this tired ... I bought a new camera a yr ago to start a new bus . but didn t even open it . why bother im to tired . ive been on metoprolol er 100 2x day now im on diltiazem er 240 2x day . nothing changes my pulse is in the 90s and my blood pressure is within normal range .my afib is fast but the meds don t realy help. im 61 ### REPLY: Hi welcome to . I understand your query and concern. Atrial fibrillation is known to cause Rapid heart rate and fluctuations in blood pressure. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a daily is useful. . Reduce the intake of fatty and fried food. Electrophysiological study with or without Radiofrequency ablation is the procedure of choice in your case. You may also need Coronary angiogram to look for any co-existent blocks in the heart. Consult a Cardiologist and discuss for further expert management. Post your further queries if any. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I found a lump on my inner thigh two days ago it is painful to the touch. I went to the doctor yesterday and she thinks that it is STAPH. I have had STAPH before and know what it looks and feels like this is not the same. She put me on Bactrum for it when I awoke this morning it seemed to get bigger any advice? ### REPLY: HI, Welcome with your query to . Based on the facts of your query - you need to change the antibiotics to non-sulpha . Use Tab floating 200 MGM with script from your GP. Get Second Opinion on the knee lump from Orthopedic Surgeon. Who would treat it accordingly as per the need of your case. Hope this would help you to plan treatment with your doctor. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at . 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: Hi,Im pregnat and in 2nd trimester (14 weeks completed) now. Im severely having tooth ache pain for the past 2 week, went to dental doctor and they told me to undergo root canal treatment. First day he started the root canal procedure and he cleaned the infected teeth. Next day morning I got fever and consulted gynecologist,  doctor told me not to do root canal treatment now and it may affect baby. He told me to take imol and novomox for pain relief. Immediately I went to anoth dental doctor and closed the opened teeth without completing the root canal treatment.  Im taking imol plus and novomox for pain relief. Everyday Im getting severe teeth pain. Is it advisable to do root canal root treatment now? Bcoz the pain is untolerable and not able to sleep properly.  Kindly advice. ### REPLY: During pregnancy also considerable attention should be paid to the hygiene of the oral cavity, because hormonal changes can contribute to swollen and bleeding gums, increased sensitivity of the gums to the emergence of plaque and tartar. The daily care of the teeth during pregnancy include:- the need to brush your teeth at least two times a day and after each meal is obligatory to rinse the mouth of boiled water;- to clean the teeth only use a soft toothbrush to prevent possible damage and bleeding gums;- to stimulate the circulation of the blood after each brushing your teeth need to massage the gums pads of his fingers;- after reception of the food will be necessary dental floss, the careful use of which will help to remove trapped food residues;- the use of chewing gum without sugar after meals will help to avoid the emergence of dental plaque. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor,Iam suffring from back pain since 6months.Doctor doing some test Ultrasonography abdomin in tha test Liver:Ismildy enlarged in size with regular outline ang echotexture.It shows diffuse fatty change.Nofocal lassion or biliary dilatation.portal vein,common duct,IVC and hepatic are normal.spleen:is enlarged in size (13.9).No focal lesion.Pancreas:NormalKidneys:Normal in size (Rt:11.3cm;lt:12.2cm) and echotexture.There is Parenchymal scar in mild pole of left Kidney.No calculi or hydronephrosis.Urinary Bladder:Normal.Prostate:Normal.  -   No free fluid in abdomen-   No para-aortic lymphadenopathy.Impression:     * Mild Hepatomegaly wit fatty change.                         * Splenomegaly.                         * Lt Renal. Parenchymal scar.Please sir tell me this is dangerous. Please some daignostice. ### REPLY: Thank you for posting query at ChatDoctoryour condition as per now is not dangerous, if you take care and follow advice. Alcohol is toxic to liver (kitchen . It should be avoided and strictly avoided if liver enzymes are elevated (hepatitis).further evaluation.is hep A, B C viral serology Negative??do a lipid profile test?if all above results negative then advice:abstinence from "Alcohol and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 25 weeks pregnant and I m having strange sensations in my head, when I blink my eyes wobble and feeling like I have extra fluid in my head. I m currently decreasing my tablets duloxitine 20mg every other day, amatriptaline to 10mg a day & oxycontin to 20mg a day. I m not sure what would be causing these symptoms the pregnancy or reducing of my tablets. ### REPLY: Hi, thank you for providing the brief history of you. As certain symptoms arise due to medication and contacting the gynecologist for the same should help change the medication. In some cases few medicines do not get adjusted to the physiological of certain individuals and change of medication can help a lot further. Also, during pregnancy there is a high physiological process occurring for the development of the child. This head wobbling can be due to less oxygen reaching the brain and performing Lamaze's exercises will help you to ease the physiological health and also improve the delivery process. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a relative that has the following symptoms - these symptoms may not all be related but this is what he is experiencing - 1)  falls asleep standing up, 2) frequent lower back pain on lower right side of back, 3) frequent/daily heartburn, 4) trouble urinating - feels like he has to go but cant right away - 5) itchy eyelids( under rim of eye) (occasionally), 6) complained of sore throat recently ### REPLY: Hi, welcome to .after going through your query my opinion is that your relative is suffering from urinary tract infection. Due to it, he cannot take proper sleep that lead to daytime sleepiness. Take analgesics, antibiotics, antacids and increase daily fluid intake. Visit ophthalmologist and gastroenterologist, and urologist. Get sonography of whole abdomen done. Hope your query get solved. Welcome further queries. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 this weird pattern on the outer of my right leg, covering my thy, knee and lower leg. The pattern is flat, no bumps, kind of like a honey comb butt a bit distorted. It s been there for 5 days and has not gone away from different temperatures or pressures. Should i be worried at all? ### REPLY: Hello, I have studied your.  It can be ecchymosis that it collection of blood under the skin. Other cause can be contact .  So I have the following suggestions for you. You should show this to skin specialist. Take tablet Evil for allergic reaction. Bethamethson ointment is also helpful. I hope this answer will be useful for you. Let me know if there is any other followup questions. 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 mrs tapanita chatterjee, 30 yrs. i am suffering from hyper mobility joint. now i have severe pain in every joint of body. and it happens after 7 to 8 months gapping .it stayed for 20 to 25 days.rehumatologist suggested for phisiotheraphy. what will be the future effect of it? may i become invalid? ### REPLY: Hello, As mentioned in the history of the hypermobility of the joints, I think you need to work on with the physio to focus on the joint stability exercise and weight-bearing.  This will be low intensity and high energy consumption exercises. But effective for sure. Research supports the effect of physio in cases with hypermobility of the joint with using the right pattern of the exercise implementation and joint stability. In my clinical practice of over 12 years, most hypermobility joints have responded well to stability, strengthening and controlled movements exercises. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! The right side og my tongue and actually mouth hurt a lot. I first thought it was because I was about to Get a new tooth (even though Im nearly 20). I have felt thus for there day and it only gets worse. Now I even have excessive salvation and I Cant swolloe properly. What is wrong with me? ### REPLY: Thanks for your query, I have gone through your query. The pain in the tongue could be because of the ulcer secondary to trauma or herpes infection. Pain can also arise from the wisdom tooth. Consult your oral physician and get yourself examined completely and take radiograph of the wisdom tooth to rule out any pathology. meanwhile you can take topical anesthetic and analgesic like Anabel gel. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter has been advised by a doctor to put shunt bcause hydroceplus is forming. at the age of 21days she had gone through by the same procedure that is vp shunt & it was infected after 4years when she was 41/2years &it was operated.now  with in month again same process. so my question is there any shunt in india  that we can put to my daughter so that  the chance for infection will be less. ### REPLY: Hi, There is minor risk of infection in any procedure however aseptic precaution is taken. The shunt was changed in view of blockage or malfunctioning which will lead to recurrent HY . Programmable shunts are better than fixed pressure shunts. Allow the neurosurgeon to set the pressure at which the valve will open, allowing the shunt to be programmed for the individual needs of each person. If needed, the pressure setting can be easily changed by the doctor during an office visit. 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 was diagnosed with COPD - emphysema 3 years ago. I m 41 years old and a non smoker. My FEV is 79.5. Right now I m going through a very bad spell of breathing problems that is a combination of wheezing and breathlessness. Inhalers have a marginal effect on my condition since it is irreversible. Montek helps me a bit. I was wondering if I should increase my dosage? Is there any thing else that can make me feel better? This bad spell has been on since July. ### REPLY: Thanks for your question on . Yes, you are right, COPD is irreversible disease but surely manageable and controllable through proper treatment. COPD treatment needs simultaneous application of below-mentioned steps.1. Meter does inhaler containing long acting beta 2 agonists and inhaled corticosteroids. So make sure that your inhaler is having these.2. Enroll yourself in Pulmonary Rehabilitation Center where chest physiotherapy is available.  Deep breathing exercise is also helpful.3. Get done pulmonary vaccination with adult vaccines like pneumococcal and h. Influenza. This will help in prevention of future infection. Try to do all steps simultaneously for better control of COPD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past couple days, I have been experiencing tingling/numbness in both arms to my finger tips, heartburn/tightness(in my throat area-that s where I get my heartburn is),tightness in my chest with an uncomfortable squeeze feeling that radiates to my back. Antacid doesn t help nor does milk. ### REPLY: Thanks for your question on . I can understand your situation and problem. We should first rule out cardiac cause for your symptoms because heart diseases often present with similar symptoms. So get done ECG and 2d echo. If both are normal, then possibility of stress and anxiety related symptoms is more. Stress causes laxity of gastroesophageal sphincter. And because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest tightness, pain etc. So start proton pump inhibitors. Avoid stress and tension. Be relax and calm. Avoid hot and spicy food.  .  Don't worry, you will be alright. Milk is useful, so you can  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 7 years ago after some particularly rough sex with a girl, while wearing a condom, I developed a small cluster of clear liquid filled bumps on the shaft of my penis . I did not get tested at the time because I was literally leaving the state in a couple days. I was sexually inactive for several months afterward and didn t have the issue during that time that I can remember. Since then I have had 3 different lengthy, monogamous and serious relationships where I have had unprotected sex on a regular basis, and approximately 6-8 times this symptom has recurred, always following rough sex or self pleasure at the location where the most friction occurred on the skin. I have had no complaints from any of those companions, even after I told one of them about this she was tested and the results were negative for all STD s. I had not had any recurrence of the issue since I started dating my current fiancee 2 years ago, until just a few days ago, again after some unusually rough sex. My fiancee has also been cleared for any STD s recently. Being that I am in the military I am tested for almost everything on a routine basis with the exception of Herpes or Gonorrhea . The Navy doctors that I described the symptoms to a few years ago said it sounded like ingrown hair or sensitive skin and said there was no need for a test if I did not have recurring symptoms. ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have cluster of fluid filled bumps on shaft of the penis after having rough sex with your female partner and after masturbation. This is most likely to be due to . Since your screening tests done repeatedly for STD are reported to be negative you need not worry at all. You need to take broad spectrum antibiotic like Čeferin along with anti-inflammatory  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For years I have lumps, or hard spots in my calf muscles on both legs. Pressing on those spots is sometimes painful but is mushy. I workout at the gym everyday, and the trainer used a roller to roll these out, or I use a rolling pin at home. But why are they there, and keep coming back after rolling out. ### REPLY: HI, Dear,Good Morning From INDIA. I studied your query with all its details and understood your health concerns. Causes of pressure lump on both legs and calf muscle--Causes in your case are-i-Chronic Compartment Syn . Ii-The lump is of valvular insufficiency of-short saphenous system and perforated vein with a soft lump as described you.iii-They come due to this varicose vein defect. So consult your doctor and wish you fast recovery. Hope this will help you to recover your urgency. Wishing your fast recovery. Wellcome for any further query in this regard. IF you get relief-write a good review and recommend my  clinic to your foes and friends. Have a good Day. With Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sirs,my father had met with an accident 1 month ago. the head was hurt. we got treatment from deep hosp. ludh. but no improvement at all. he is speakin but mund is upset. memory is half lost. we hv referred to come to ur hosp. plz advise us.thanksmanjit, distt-moga ### REPLY: Welcome to , after a head injury treatment will start from first maintaining his airway, breathing and circulation.  The headache after injury is due to the increase in CSF pressure, so the next step will focus on maintaining the cerebrospinal fluid (CSF) pressure. So we use mannitol, and hypertonic saline is used. These reduce the CSF pressure.  While doing these things your father might have been investigated with ct brain which will tell you whether he has intracranial hemorrhages.  In your follow-up please tell us and upload his ct results which will be of more use in treatment plan. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At first, about a month ago, the muscles in my arms & up my shoulders hurt, joints too, now they have been itchy & tingly, as well as other places in my body. Now inflamation has set in, Itches on both sides of my neck too, and I have vertigo which I take meclizine 12.2 for and helps a lot. Dr gave me some Naproxen 375MG, which helps with the inflamation & tingling, but now it seems I m feel like I have a fever, low grade at times, & sweaty, nauseous & where my liver & pancreas area are feels inflamed. I m am at my wits end and scared to death. I ve been looking up so many scary things it could be, but I need help! Don t seen my dr for several more days. Maybe I should go to the ER? Thank you for listening and would appreciate what you have to say. ### REPLY: Hi, Regarding your concern, I would explain that your symptoms are not concerning about any serious medical disorder. The joint pain in different joints, indicates an inflammatory disease like arthritis. Fever may be part of generalized inflammation. Coming to this point, there is no need to go to the ER. I would just recommend consulting with your family doctor for a physical exam and some tests:- complete blood count, PCR, sedimentation rate-liver and kidney function tests-blood electrolytes- Rheumatoid factor-ANA, ANNA for possible autoimmune disorder Hope to have been helpful. Let me know if I can assist you further. Kind regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have severe back pain in the left side.consulted the doctor and he asked to do a MRI.MRI report shows partial compression collapse D7 vertebra with slight anterior widging and evidence of mild marrow edema.mild dorsal disc herniation seen at D11 -12 causing ventral thecal sac impingement.Degenerative changes of spine showing variable disc dessication,marginal osteophytosis and small schmorls node in the D7 upper and lower D11 lower end-plate.while sleeping the pain increases...at times i wake up at night due to severe pain..wheareas in the morning i hv less pain while moving...the pain which i feel is in the muscles...please let me know what should i do and how do i get relief.D.C.Das70 years.maleAssam.India ### REPLY: HelloThanks for writing to  You have age related degenerative disease of spine in the form of osteophytes, disc prolapse etc. Disc prolapse is due to weakness of annulus fibrosis and disc prolapse is causing pain in your case. Treatment is physiotherapy and surgery. Long term benefits are same in both the modalities. Other modalities are ozone ablation and radiofrequency ablation. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got a lump on my penis but it went fairly quickly. Then it returned about a month later and from there a spot type thing appeared. Day after day and at the moment went a dark black colour and painful to touch. Whilst cleaning it popped after a soft touch then alot of puss came out. Is this a sign? ### REPLY: Hi, welcome to . Your history looks like there is either some infection in the penis or Urinary tract infection. It needs to be ruled out. So I would like to suggest you to visit a local doctor for local examination to rule out the diagnosis. You may need some investigations also like culture & sensitivity of pus, routine & microscopy of urine etc. So no need to be late. It can be cured with medicine. Good luck. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a 34 yes old female in decent health. Currently 31weeks pregnant. I had the Tdap done a year ago for a booster. Now my OBGYN reccomends to get the tdap again a year later.My questions:1- if my baby and I are sharing EVERYTHING including blood and antibodies why would another dose be necessary? 2- what is the overlap period, as in when is too soon to get a second dose? (Especially considering my primary care dr is not wanting to give it to me stating it s good for 4-5 yrsI am a believer in vaccines and plan on getting them for my daughter once born but something about contradicting views between drs is making my gut question whom is right and whom has an ego problem. ### REPLY: Hi, Thanks for the query. I understand your concern.  Trap vaccination is given to pregnant woman in 3rd tri master-so as to protect their child from pertussis in early months of life, So women who had been given Trap are also to be vaccinated.  You had taken the Booster dose for continuing the resistance for yourself. But to offer the effect to baby you need to have a normal vaccine repeated in third trimester (taking it next year has no significance- for by the time the vaccination schedule for baby will start. ) & then adjust next boosters in the future.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father is 48 mn he is suferring from ostreoarthritics from 6 years he is nt able to walk we wre told that his hemoglobin is 9 n suferring from minor thalesimia what should we do ?????????does it need a replacement operation or lazer treatment?????????ny home remedy to increase hemoglobin withouht the intake of iron????? ### REPLY: Hello, Thank you for writing to , Brief answer -Low hemoglobin levels due to iron deficiency anemia can be corrected by including iron rich sources in your diet. Explained Answer -1. Leafy vegetables like spinach (Paley) and fenugreek leaves (meth), beans and lentils like masseur deal, whole, moon deal, too deal, Brad deal, Rama. Asparagus (Shalwar) and sesame seeds (til) are other good sources of iron. Grains like barley (Jay), rice, semolina (Shoji), Basra and maize (Sakai) can also be included. You could use combination of these sources to cook delicious iron rich recipes. If not, munch on .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ANXIETY OR SOMETHING MORE?Ok for as long as i remember ive had problems with things being close to my eyes and glares. Even my eye doctor visits are torture. Here over the last couple years and more recently Ive been having episodes while im driving. Im fine if my windshield is clean but the moment i get a speck of mud,bug or even rain within my field of view i start having issues with keeping focused and if i have the wipers going holy crap its really hard to concentrate. Night driving has been getting a little harder because of this and the headlights of oncoming traffic make it almost impossible.Eventually i work my way thru it but it seems to be getting worse. What should I do? I cant find anything online that resembles my issues. Is it just anxiety? What makes things worse is im considering Lasik which i think is mentally driving me crazy.Physically i want/need it done but mentally just thinking of a person that close to my eyes makes me sick. personally I think im screwed. I dont know what to do and i dont want to look like a psycho to my Lasik doctor who i meet in a week for the first time. HELP! ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I can understand your problem. In my opinion this is not anxiety. In psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes.  Though the basic problem is obsession, you are anxious about your obsession. In that case, you need counseling and if need be psychotherapy. Consult a psychologist. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I occasionally feel a flutter or pounding on the left chest wall. No chest pain but recently got lightheaded during that brief episode. It will at times feel like a vibration,  the feeling as if I had my cell phone in my shirt pocket and the phone is not there. ### REPLY: Hello, Vibratory feeling in the chest is commonly seen with arrhythmia (rhythm disturbances in the heart). You have also developed lightheadedness. So we should also rule out hypertension. So better to consult a cardiologist, and get done blood pressure monitoring, ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal, then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. You may need anxiolytic .  Don't worry you will be alright with all these. 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 gums pain please help me i have remove upper two teethes  when i was 10 yeas old now my age 27 the one teeth left side another one right side both wear removed last 15 years ago i have visit many doctors but no use please help me i used to take ponastan 500mg /amoxiln / 500mg. to relief pain please help me what to do ### REPLY: Hi, Thanks for asking the query, According to your symptoms I suspect that you have developed severe gum infections. I would suggest you to visit to a Dentist and get checkup done, take an OPG radiograph. Go for complete mouth scaling and polishing, curettage and gum planing. At home take lukewarm saline and antiseptic mouthwash rinses. Take a course of antibiotics and analgesics. Maintain a good oral hygiene. Hope this helps out. 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: 6 years ego my right neckhumourous was broken by an accdient then it was not setting by doctor .now i feel very pain and no movement of my hand , some doctor advice me to operation , how can i do in vellore hospital now i am 45 years , biood group a+ , my waight approx 78-80kgs ### REPLY: Hello, thanks for writing in.(I am not sure of your pregnancy status, as this question has been posted in this section, and you have not given any details about it). I would suggest you consult an orthopedic surgeon at the earliest, as you need a clinical examination, and investigations (X-ray/MRI) to evaluate the status of the fracture and development of complications. Proximal humeral neck fractures are prone to complications especially damage to blood vessels/nerves to the arm. Further management i.e. need for surgery, can be decided once your doctor evaluates your case. Hope this is helpful. Thank you 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: I am about 4 weeks pregnant and leave to Guatemala for vacation. I will travel by bus (bumpy bus rides), sleep in backpackers hotels, carry my backpack around, and visit dusty local markets. I wanted to do adventurous things (tubing, caving, snorkeling, horseriding etc), but I guess I d better skip that. Would you have any other advice for me? Are bumpy busrides dangerous? Sleeping at midrange hotels (small chance on bedbugs)? Pressure on my belly from the strap of my backpack? Your guidance will be appreciated. ### REPLY: Take short, frequent breaks and . Cut back on activities - avoid weight-bearing and stressful activities. Use trolley rather. Avoiding bending much and activities that increase intra-abdominal pressure. Keep up your mild exercise routine. Take a brisk walk after. Go to bed early. Aim for seven to nine hours of sleep every night. Resting on your left side will maximize blood flow to your baby and ease swelling. You may place pillows between your legs and under your belly for added comfort. Not much affect of traveling journey in initial days but try to avoid in gradual days. Hope you find the answer helpful, please do get back for further queries I will be happy to assist you. Wishing your good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is jessica and about 4 days ago I got my tooth extracted on the left side for orthodontist purposes. The bottom extraction is healing perfectly, but the top causes a little pain. Ive looked at the extrction and theres seems to be like a cut or opening on the edge of the extraction thats causing the pain. The edge is a little inflamed and irritated. I was wondering if this could possibly be an infection or is it just a cut from brushing my teeth? I accidentally hurt that edge of the exteaction when I brushed my teeth the day after the extraction. It doesnt bother me a lot it just has me worried. The extraction does seem to be healing but just not as fast as the bottom one. ### REPLY: Hello there!  Thank you for asking. Dental procedures are risky one and have a lot of complications if not done under strict protocol. Now in your case I am sure this is just a post extraction inflammation. Give it some time to heal. You remember lower teeth of baby comes first. They area bit blesseder than upper ones in blood supplies. that's why they healed bit earlier. If you don't have any redness or fever associated i am sure its just inflammatory response, and it will heal. Use some anesthetic gels and ANti-inflammatory gels it will relieve the trouble., No worriesregardsS Khan ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 uneasiness in the chest since more than one month. My heart beatings are fast when I sleep on bed. Some there is a catch in my ribs. Please suggest me what may be the cause. I am also taking tablets for acidity and gas from one week. I am 45yrs female. 20 days back my cholestoral was one point high, and sugar is at higher end in the range. ### REPLY: Hello, I passed carefully through your question and would explain that your symptoms could be related to acid reflux.  For this reason, I recommend performing a fibrogastroscopy in order to investigate this possible issue.  A 24-48 hours ECG monitoring would help examine your heart rhythm trends and exclude possible cardiac arrhythmia.  Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...my eleven month old son is vomiting every evening after his bottle before bed. He is recovering (We hope) from an ear infection which is being treated by antibiotics, but is so full of mucus he cannot keep milk down. HE is losing weight and I am getting worried. ### REPLY: Hi, The fact that the child is losing weight means that he is underfed. It seems that he can't expectorate all the mucus he has. Eventually the mucus gets swallowed, accumulates in the stomach and causes the vomiting after milk intake. You should give him an expectorant as Murine to help him get rid of the mucus. Also make sure the child . 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: hello sir, I am trapti. I am very fair in color and getting married in november. i am having facial hair and do wax on that..due to this i am having open pores and acne scars ..One of my beautician has advise me to take treatments and given home care , but i am worried it would work or not and its too costly..she has given me products and treatment of cheryls s ### REPLY: Hello. Waxing facial hair cannot give rise to acne scars or open pores. Acne scars occur following acne. No Cheryl products can treat acne scars. Scars have to be treated with a procedure like lasers or microneedling.  For open pores application of retain A cream applied once at night will be helpful. Application of the cream on affected areas only at night should be done. Please let me know if you have any queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lot of rashes in the neck and sides of the cheek, and jawlines. Its been like this for over 6 weeks. I visited the dermatologist and was given a Acne moist cream and some medicine to take in the night named as Xylene. But this treatment didnt work and I ahve the smae condition. ### REPLY: Hi, You have given very short history, so it is difficult to pinpoint the diagnosis. However, as it is on face and side of neck and your dermatologist has seen giving acne related cream, I feel that most probably it may be folliculitis.  Few months course of cap Minocycline daily would improve the condition. Apply Clindamycin gel on the lesions at night. Avoid soap for washing the face and neck. Detail cleansing lotion may be used. 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 taken Z-pak 5 days and after the 5th day I am having loose stool accompanied with cramps, belching and abdominal pain. It lasted for 2 weeks and never stopped and ask my doctor to examine me however he gave me K-dur 10meq for abdominal cramps and lactos bacillus but 1 week has passed and my symptoms remained the same. I asked another doctor and prescribed me Fkagyl 500mg tid x 2 weeks, no stool exam done and said it might be c-diff colitis. I am now on my 2nd week course of treatment and continues to have loose not formed stool with adominal pain, belching and cramps and these symptoms occurs mostly late in the afternoon. ### REPLY: Hi, It seems the antibiotic had disturbed normal intestinal flora (which protects normal digestion), the Lactobacillus. Replacement of bacteria is needful. However, accompanying cramps suggest secondary infection of bowels. Instead of going by trial and error, I would suggest culture and sensitivity of test to recognize causative bacteria and suitable antibiotic. This would help cure it. Light, easily digestible food, regular medication and maintaining electrolyte balance and rest would assist in relief. Please consult your physician / gastroenterologist. Hope I have answered your question. 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 uncle has just had his 2nd triple bypass and on his 2nd day of recovery he went into cardiac arrest twice! the firs time he lost o2 for 10 mins, they have him resting now for 24 hours. He is stable at this time but his echo showed changes with an ef of 50% to an ef of 25%. I was wondering what were the chances of his ef increasing and how could we make that happen? ### REPLY: Hello, After going through your medical query I understand your concern and I would like to tell you that chances of increasing EF is less and life expectancy won't be good. Be careful with all his meds and pro n cons with Low EF. Kindly have a word with your treating Cardiologist and cardiothoracic surgeon for better in view. 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 three year old daughter has been complaining of a sore ear , stomach hurts, her back hurts(left flank) been running a fever off and on for two days, lethargic, no appetite, drinking small-mod amounts of fluids but has not voided at all today. Last bowel movement was yesterday. ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs (WITH NON - SPECIFIC SYMPTOMS LIKE THIS) could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently (6 months ago) had a TFCC repair done on my wrist. I thought it was caused by twisting the hand and hard yard work. Now my other wrist is bothering me on the ulnar side as well and I m wondering if it wasn t a mechanical problem but maybe caused by lupus. What are your thoughts? ### REPLY: Hello, If you cannot relate it to any mechanical stress then we cannot rule out the possibility of other conditions. The hands and wrist are frequently involved in immune-mediated inflammatory disorders such as rheumatoid arthritis, systemic lupus erythematous (SHE) etc. TO CONCLUDE : 1) discuss with your doctor about the possibility of autoimmune conditions2) check for the symptoms in out of the joints carefully and note them 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 some problems with my lung/heart area. I ve been told after numerous EKG s, that my heart is fine. Every time I go to the ER, the doctor s tell me that I have an infection in the lungs, or that they are baffled. Even still, I experience chest pain/ pain breathing/ and tenderness to touch in the back/front area after a long periods of the mentioned symptoms. ### REPLY: Hi, thank you for asking . With this presentation, one would still need to ask you some few questions like the précised location of this pain, whether the pain is always there or it is intermittent (on and off). Notwithstanding, I think it might be related to peptic ulcer diseases or an inflammation within the pleural cavity. Concerning peptic ulcer diseases, I would suggest you try an antacid with another .  If you feel relieved, then continue for about 2 weeks. If there is no improvement, I think you would require some tests like a chest X-ray or chest scan to rule out an inflammation within the pleural cavity. I hope that helps wish you well ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had pains in my testicles, groin and penis for the last 5 days. They come and go, and can be sharp pains as well as tingling dumbness, like pins and needles. I can t seem to get an erection and the pain can get worse when I move. I have also felt unwell during this time and have had tingling feelings in my lips. What can this be? ### REPLY: HelloThanks for query. Pain in testicles and penis can be due to infection of testicle (Orchids) and needs to be confirmed. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Ultrasound scanning of Scrotum.In the meanwhile start taking Please take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to . To keep your urine dilute This will help to control dysuria. Further treatment will depend upon result of these tests and final diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 13 month old has ulcers on her tongue red swollen gums very tired fever highest 105.5 had a fever for 5 days. greyish coating noted on some teeth. went to doctor and was diagnosed with croup but I doubt it now. these symptoms did not come about until the next morning.  What could this be?  She was playing with toys at the dentist office the day before and I think she picked up something there. I am taking her back to the doc in the morning. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query symptoms such as ulcers on tongue, swollen gums along with high fever seems to be due to dental infection such as gingivostomatitis. I don't suspect this to croup as your child has no symptoms of breathlessness and decreased activity. I would suggest you to visit general physician once and get it examined again and get blood tests done. Start treatment after proper diagnosis. You should give child antibiotic along with Ibuprofen or acetaminophen. Apply Colonel on tongue and oral cavity. It will soothe ulcers of oral cavity. Give child plenty of water and liquids. Give multivitamin tablet as well. 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: Hello Doctor, I banged myself on to a electric pole while driving on a scooter, by hitting straight on my left side so as that my left face, chicks left of forehead had immediate swelling.Jaws were shaken, mouth not opening properly. I am taking antibiotics, do u think i need to got for more evaluations ### REPLY: Hello, As you had a direct impact on the facial bones I think a CT scan is a must to see if any fracture has occurred. Any ignored fracture can land up into long term pain and aches. Also, any soft tissue damage which has occurred cannot be seen from outside so needs to use the scanning machines to understand the pathology better. I think if you get a physical examination and opinions in person will be of benefit. 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: hello sir. my 4yrs daughter suffering from join dice, her test report of blood on 23/09/20011 sgpt is  1090 I.U./LITRE and bilirubin total 3.4 and direct is 2.8 mg/dl. Today her sgpt is 216 I.U./LITRE and bilirubin total 1.2 and direct is 0.5mg/dl. pls tell me how much time it takes to come norml ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. There are many causes for jaundice including viral infections. The test report points more towards viral hepatitis only. But you have not mentioned the tests done to see whether this jaundice is due to viral infections. Acute viral hepatitis due to hepatitis A is common in this age group especially if she is not vaccinated against it. You need to consult her doctor for tests to find the cause of jaundice. If it is due to hepatitis A it may take about 2 months for complete recovery. I hope that answers your query. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi past week and a half pain in lower abdomen. Started out of the blue one day. Thought it was thrush so used internal pessaries. Symptoms subsided for a day then flared up again. Increased urgency to pee though no burning sensation. Have had a few nights sweats cloudy pee and white things floating in my pee. Had backache too. Took powder over 2 days to treat cystitis and all symptoms gone! What was this? ### REPLY: Hi, thank you for writing to . With this presentation, you probably had an upper urinary tract infection (kidney infection). If this infection is well treated, you can have some serious consequences. In my opinion, I think you should consult a doctor, do urinalysis and take proper treatment irrespective of the fact that symptoms have subsided for now. I hope I have answered your query wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just received test results for fertility. I am having trouble understanding the results? It says: Volume 3.50count per ml 34.20#total count 119.70motility (rapid prog) % 7Motility (slowly prog) % 15Motility (non prog) 3Motility (immotile) % 75Abnormal Forms % 80please could you help me understand this? ### REPLY: Hai, i will help you understand. Your semen report indicates motility problem(Asthenozoospermia) and morphological problem with sperm. Regarding Motility - active rapid progression sperm -more than 50%(yours- 7%--less than normal)more number of immobile sperm (75%) indicates Asthenozoospermia which means decrease in sperm motility. Regrading morphology of sperm - you got 80% abnormal forms of sperm Like (double head, fused head, double tailed etc.) which will not lead to a healthy fertility.50 to 60 % normal forms of Sperm cell should be there. Your total count is normal.(20 -200million)volume is also normal - (2-7ml)as of whole your report indicates infertility, consult an infertility specialist to rule out cause for your condition and treatment. Thank you Hope I answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im 26yrs old. am alittle over weight but dont know my weight. i have ibs. i have a 4 month old baby boy, who for the past 2 months has had vinegar smwlling stool s, he fills his nappy every 2 days. he started havin a quater rusk b4 bed at 7 weeks from the advise of a doctor. n on monday he started having yogurt for breakfast as im startin to wean him. he is very healthy but i think he mite be teething as he always now has his hands in his mouth and if he gets hold of my hand he chomps on that. please help, my health visitor is useless. ### REPLY: Actually teething starts at 6 months, and you should continue breastfeeding exclusively up to 6 months and then start weaning. For vinegar like smell of stool? Had it occurred just after starting baby on food other than milk or on milk also?? Had your baby undergone TMS (metabolic screening)? Is there any family history for the same?? And prevent the putting of thumb in mouth it's not good for 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 brother is epileptic and mentally retarded. 59 years old with mind of 3 or 4 year old. Had grand mal seizure on friday and is now unable to sleep and doing strange things like taking clothes off, cut teddy bear and pulled stuffing out, undressing and just standing there, flushing toilet repeatedly, etc. am unable to reach our doctor at this time. still trying ### REPLY: I appreciate your concern and asking on . I would suggest the following:1. Give him medicine for the epilepsy which he is already taking. You can share the medicine details and dose can be adjusted accordingly.2. Need to add sedative and antipsychotic medication for a while to reduce the activity that you have mentioned. 3. If you can share the medicines that he is taking, I can suggest any changes or additions needed. I hope you find this 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: Its my 4th day today post extraction Ive kept a clean gauze in it ever since Ive gotten the procedure, I had 2 at the top right get pulled one was infected and inflammed my whole cheek, and also I dont have stitches in neither just a big black hole. Seems to be healing fine just paranoid about getting dry socket. Ive been smoking just pulling very lightly but I havent ate anything in 3 days because Im nervous Ill mess the healing up, because everytime I try & eat something I catch myself swallowing and causing suction just a habit for me so thats why I havent ate. I need someone to tell me how long I should be taking it easy for and when can I normally start chewing and eating stuff without disrupting the clot. Its still a big hole and wouldnt want to get nothing in it to get infected again..... any answers? ### REPLY: Hi. Thanks for the query. I have gone through your query and can understand your concerns... As per your complaint in case even after 4 days of extraction if still there is a large hole at the extraction site and if you do not see any white tissues filling the extraction socket then you must make a visit to your Dentist. This is because it is looking like the blood clot is already lost from the extraction socket, and it is progressing towards . . So my suggestion is to get a clinical evaluation done by your Dentist. In case if there is  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Doctors i am suffer the problem to weekness after marriage ,my age in 30.,weight is 54 Kg..i talk to the doctors for that prob. he say you check the haemoglobin 1st.i gave the report .my haemoglobinis 9.90 gm%,& say you are  Beta Thalassemia Minor..in that case which syrup or mediacne i use to increase my haemoglobinis ? plz answer it..... ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that Liven Z is the best available tablet you can have it one tablet a day for as long until you have good hemoglobin plus 3 months to replenish the store of iron in the body. If you have thalassemia minor than your hemoglobin might go to be down. So for your continuous treatment with the hepatitis is necessary. Do not discontinue the treatment. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m talking abt my mother she is 56 year old. she can t trust to anyone, she is angry and reacting on small-small things. talks much more on it.she is doing more work so as she may want to busy the whole day. due to this she said i m busy the whole day.the whole family disturbed especially my father. he is retired. please help me the problem is serious. ### REPLY: Hello, Thanks for choosing  for posting your query. The description that you have given is not sufficient to comment on the diagnosis, but it appears that she may be suffering from a serious mental illness like schizophrenia or schizoaffective disorder. But then we need further details as certain times even normal people can have these kinds of personality traits. You should take her to a psychiatrist, you can examine her in detail and prescribe her some medications. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications.  In case if you want to discuss with me directly you can use the link:http://www.ChatDoctor .com/Funnel?page=askDoctorDirectly&docId=64634Wish you a good health! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When I kneel down on my left knee I instantly get a very sharp, unbearable pain that shoots out the left side (the outside) of my knee. This pain only occurs when I put that pressure on the front of my knee. I don t recall doing anything specific to bring on this pain. Any advice? ### REPLY: Hello, I have studied your case. According to your symptoms and findings there is osteoarthritis of your knee. You can start cartilage protecting medication like Chen . I will advise doing X-ray knee and if required MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done. Physiotherapy like ultrasound and tens will help, along with knee exercises.Lifestyle changes will help in reducing pain which include, LOAD REDUCTION : Protecting the joint from excessive load may slow down the rate of cartilage loss. It is also effective in relieving pain. The heavier you are, the more stress you put on your joints. Weight reduction for obese patients, wearing shock-absorbing shoes, avoiding activities like climbing stairs and using a walking stick are worthwhile. ANALGESIC MEDICATION : Simple over the counter medications like acetaminophen is sufficient in most cases. If this fails to control pain, a non-steroidal anti-inflammatory  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a female 19 years old. For then past 6 weeks I have been experiencing very sharp pain in one location on my right side posterior rib cage without injury. the pain feels fine right when i get up in the morning but after about 10 minutes of starting daily activities i can feel the pain to begin to get worse. It feels as if the pain has been getting worse over the past 2 weeks. Im just curious what it could possibly be. ### REPLY: Hi, Thank you for providing the brief history of you. Also, a thorough neuromuscular assessment is advised. As, you have pain in the posterior aspect of the chest cage, it could be a muscle spasm, since due to performing some physical activity, this could have occurred. Since you did not mention anything about the cold, cough etc., I do not think it will be a lung pathology. So, looks more of a muscular pain, which needs an attention. Undergoing physical therapy assessment and post that, Therapeutic ultrasound therapy and TENS therapy should reduce your pain. As, pain level reduces, the therapist will teach the exercises. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with Benign fasciculation syndrome almost a year. A neurologist prescribed gabapentin and I ve been taking it almost 5 months. I take magnesium supplements daily especially before I sleep. This horrible twitchings are frustrating the hell out a me. It s also over my body. I can t sleep. I wake up exhausted and still have to go to work. I m seeing my family doctor tomorrow. Us there any other mediations she can prescribe to help me out. I ve already done all she suggested. I stopped smoking, sleeping med and have cut out all caffeine and a single improvement from day one. I wake up with calf cramps most nights. ### REPLY: Hello, As the neurologist prescription is correct and needs no modifications in it. Since you have cut down all the habits of the past, I will advise you to continue the neurologist prescription and regular exercises.  As most times the body heals on its own due to its own medicinal effects it's just a matter of the time which needs to work now. Be patient and continue the same you will find results. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a pain in my lower right side for about 10 days. I assumed it was from lifting something that was too heavy. I had a hysterectomy many years ago and I was told that my appendix was removed at the same time. There are no other symptoms that relate to that part of the body. I accept that I must avoid lifting weight that is too heavy for me, but how long a time should I wait before reporting the matter to my doctor if the pain continues? I accept that I must avoid lifting weight that is too heavy ### REPLY: Hi. Thanks for your query. Well with the hysterectomy and appendectomy, the cause of right lower pain in this regard is obviously ruled out,. With the history of lifting heavy objects that can can such pain, but continuation for 10 days is an indication for you to visit the Doctor, get examined and get investigated like high resolution ultrasonography and all.  Take full rest till you are diagnosed and treated well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im a 70 yr old woman with stage 3 breast cancer that has matastisized to 4 lymph nodes.  seriously, will chemo really help me - couldnt I live a better quality of life for a while without the treatment.  and by the way, I had a mamogram a year ago with no sign of cancer, so whats the deal with that. ### REPLY: Hi, Thanks for writing in. Cancer is a difficult condition and curability depends on the response to treatment. Sometimes one or more treatment methods have to be implemented to make sure that there is better survival. As you had no sign of cancer a year ago, the 4 lymph nodes might be a recent development and require immediate attention. It is best if you consult your treating oncologist and discuss the treatment in detail after a complete followup imaging. This might include chemotherapy with newer medication and that way your disease might be controlled. For widespread or significant lymph nodes radiation might also be indicated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 chest X-ray PA shows bilateral broncho hilar prominent, no focal parenchymal lesson seen, costophrenic angles are clear, cardiac size is normal, the rib cage is normal, soft tissues are normal. I am a COPD patient and underwent treatment for chest congestion in hospital two weeks. After two before review the X-ray report says this. Please let me know what does it indicate and what is the treatment. Regards Pradip Kumar Mukherjee ### REPLY: Hi. Pradeep I can understand your concern. As you are a patient of COPD and had undergone treatment for Chest congestion recently. So this BrochoHilar prominence may be the consequence of Recent Chest Congestion/Infection you had. Changes in X-Rays can remain for few days even after resolution of symptoms. If you don't have fever or cough at the moment, there is no need to worry. If you have these symptoms, see your Medical Specialist for possibility of Chest Infection. I hope your query has been answered. 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: Hi Dr.Chetna Jain,my wife is 24 yrs old carring a fetus of 28 wks old.During last USG our dr.informed us that there is mild pelvicalycial fulness found on the lt.kidney of the foetus.Can you please guide me aboutb this condition?Is it a symptom or diagnosis?What is the treatment for this? ### REPLY: HelloGenerally mild fullness of pelvi-calyceal system in kidneys in antenatal period has good prognosis. In the majority of the cases with mild fullness in second trimester, it gets resolve either during pregnancy or in the early postpartum period. It may be due to fetal PUB obstruction, VUJ obstruction, posterior urethral valve etc. It is expected to improve with advancement of pregnancy. You may only need follow-up ultrasound. If findings persists then it can be managed after birth also. Wish you a happy and safe pregnancy. 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: how to treat high CO2 in blood ### REPLY: Hi, thanks for query. Normally our lungs do this balance and oxygen is taken in and CO2 is expelled out. This regulated by various mechanisms including brain. When ever there is some problem either with lungs or brain this system does not work properly and lead to this kind of problem. The treating doctor of yours can only treat this by treating the problem responsible for this. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey, I woke up yesterday with a mild sore throat . I didn t sweat it and kept my day going around sunset, my eyes started getting pink and irritated, then I noticed some yellowish greenish looking mucus was coming out of my eyes, I went to bed and I had cold chills, a fever of 101-102 the whole night, my head is very lightheaded my eyes keep getting stuck together as I sleep and I can t even swallow .. Also My nose is plugged and I can t breathe out of my nose. Do you think it is just a cold or something severe? I have not ever had mucus come out of my eyes with a cold Then again I just moved to Illinois from Arizona and the winter is harsh so it might just be severe allergies. Also what medications should I take? ### REPLY: Hi, Thanks for posting your query. You are most likely suffering from Acute Viral pharyngitis with conjunctivitis along secondary bacterial infection. Presence of yellow colored mucus with sticky eyes suggest the diagnosis. You should consult with internal medicine specialist/ ophthalmologist simultaneously. You should take complete antibiotic course along with decongestants and anti-inflammatory medicines. Furthermore, you should also put antibiotic eye . 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: Sir i was bitten by my puppy 4 days ago, it is just a scratch, i squeezed the bitten part little amount of blood  only like a drop and i burn the bitten part by a lighter..  will I gonna be okay? do i have to take anti-rabies? we vaccinated the dog after the bite. HELP! ### REPLY: Hello, Welcome to , Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease, but it is 100% preventable by proper and adequate treatment. As you were bitten by a 4-month-old puppy while playing with the puppy which has led to small amount of bleeding from the site of bite, according to WHO categorizes it has been categorized into Cat III. As you have vaccinated the puppy after it had bitten you, following measures should be followed. Cat III requires both active and passive immunization. Active immunization with antirabies vaccine on days 0,3,7,14 and 28. The passive immunization with rabies immunoglobulins should be given in and around the bite site as early as possible. You need to take a shot of tetanus injection. The aforementioned treatment will protect you against developing the disease rabies. Thank you. ### END