Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my niece has been diagnosed with kidney stones whilst on holiday in Spain but was also bleeding heavily with an in between period and has severe back pain. Does extreme bleeding have anything to do with kidney stones. And also been given nolitol and Masapan to take . She is extremely sleepy during the day. Could it be the tablet. Also has urilit to take Thank you. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your niece has kidney stone. But ID she has vaginal bleeding in between periods then it is not related to kidney stone. There is some disease of endometrium. She should go for gynecological examination and ultrasound study. It will help you to fine the cause. If needed go for D & C or endometrial biopsy it will give you exact diagnosis. Then she should take treatment accordingly. If she has bleeding in urine then it is related to kidney stone, and it needs treatment. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My best friend and I met because we have epilepsy. Now I am taking care of him (home health) because I am an LPN but he had a large wound on his back from a fall so instead of staying in the hospital for such a long time I agreed to keep him here. The problem is, he is hallucinating about times he was in the Navy and I have had epilepsy for 20 years and Mike has changed so much lately. I know he is hallucinating because of the things he says. When I first started having seizures I hallucinated so I do know what it is like, but that was a long time ago. Now, Mike seems like a different person and I am trying to help him with his wound and colostomy bag and other things recently done in the hospital. my question is why is he like this? what do I? and is this happening because of the epilepsy meds? ### REPLY: Hi, I am .  I have read your question with care and understand your concerns. Let me try to help you Question : Will epilepsy medicines cause hallucination? Answer : Yes. Few medicines can cause Hallucination, but more common that that Epilepsy itself can cause Hallucinations. There is a type of epilepsy called Temporal Lobe Epilepsy which causes Hallucinations. Chances of Temporal Lobe Epilepsy Causing Hallucinations are more than Epilepsy medicines causing Hallucinations Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is being investigated for pancreatic cancer. He has a 3.4 cm tumor an the tail and the PET scan ruled out a PNET. He is going to have a EUS next week as the Dr has given us some hope that this maybe now benign. The interesting thing was an enormous amount of blood tests show all to be in normal range or NAD. I m not a fool and I know that they are doing a biopsy to determine if this is a malignant tumor but I just want to know would we expect his bloods to be more abnormal if it was cancer. He s 55 and was extremely healthy until 8 was ago when he developed pancreatitis with gallstones ruled out and he only drinks socially. I should add there s a 1.8cm lesion on his liver but our pancreatic spec is saying that on the PET scan they are possibly unrelated. I m an RN and my husband is now telling everyone he doesn t have cancer. I wish I could share his optimism but he s now lost 12 kg in 8 weeks. Would appreciate your comments re normal bloods!!!! Thanks a wife of 35 yrs whom still love my husband dearly!!! Jilleen ### REPLY: Hi and welcome to  thanks for the query. It is not easy to determine is this cancer or some benign lesion but size of it isn't promising. It is always good to have hope, but cancer in tail of pancreas commonly don't show any lab abnormality including tumor markers and pancreatic enzymes, so this should not confuse you. Ct feature may show signs of cancer but of course it must be confirmed with more specific test. Weight loss isn't good sign too so I wouldn't be very optimistic, but there is still reason to hope for cure even if this is cancer. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doc. Im a 35 y/o housewife taking care of my two nephews dx to have PTB. Is there any medicine that i can take in order to prevent myself from being infected since ive been exposed to them even before they were diagnosed and treatment started? ### REPLY: HiT hanks for choosing  for your query. Since TB is highly contagious disease, the close contacts of a person with pulmonary (lung) tuberculosis are prone to develop infection because TB spreads by . Visit the treating doctor for the skin testing like Contour test. You will have to take Isoniazid tablet once daily for 6 months or Isoniazid and Rifampcin once daily for 3 months. This will prevent you from TB infection. This preventive treatment should be given to all family members including the housemaid and servants. I hope your query is being explained.Feedback in this regard is highly appreciated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 age is 28 ..i am a marriage lady...i am suffering fileria disease since 7th class first one time fever then my foot is swelling ---my teatment is going on but still now i am not all right --only one time i had suffer from fever--but still now i fooet is seweling ---due to more tretment its not very much swelling --its effec less sweling my left leg at the sleeping its less and also morning time when ihv leave mybed its less swelling --but during working time its effect so much swelling --before day iam treatment elepathy but right now i hv treatment homeopathy medicine like hydroqtyl-Q--plz give me way abt my proper tretment ### REPLY: 1. Because foot is swelling, this means Filariasis stage has converted into elephantiasis.2.  Because it is only in Left leg, i.e. asymmetric thus cause can be venous (DVT) or Lymphatic (Lymphedema)3. What are the Symptoms resulting from the pathology?4. As the condition is disabling and disfiguring seek medical care whether the infection is active or has progressed to complications. 4. DEC (betrayal) is the .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2 spine surgeries (L4, L5) Discectomy 1st 15 years ago and the last June 2009. I was told at the last surgery I would have to have a fusion of L4, L5, sacrum. In the last few weeks, my back has been hurting alot along with my right testicle. I asked my Dr about this, and he said the 2 are not related. However, My testicle only hurts whne my back hurts and the Dr cannot give me another reaon for the pain. Is this because of the back pain? Also, if I do have the fusion, how much range of motion will I lose? ### REPLY: Hello, As per your history, it may be due to nerve compression. For further assessment, I would suggest you to do MRI back, nerve conduction studies after spine surgeon consultation.  For testicular pain you may require Doppler scan. Till then for pain you can take tablet acetaminophen. Apply diclofenac gel. Heating pads will also help. Use scrotum support. Avoid strenuous activity. Hope I have answered your query and let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a lump a little bit under my right butt cheek closer to the inside of my leg and it hurts to the touch. It is large, I tried to squeeze it but nothing came out and it pushes my skin out a little. I estimate it is about the size of a large marble. And I am only 16 and physically active everyday. ### REPLY: Hi, Dear,Good Evening, and Thanks for the query to . I studied your query in details and understood your concerns.@My impression of your painful lump on the buttock-is as follows--Could be-Cellulitis of the bruised right butt cheek? Boil in the bruised area? Abscess in the fatty butt cheek with Cellulitis? Treatment Suggested-a-Conservative treatment-With Cold comprises / Tab-NSAID-like Voltaren-x 5 days /Antibiotic-like Amoxicillin x 5 day.b-If no relief in 5 days time, FBS and PPS, with planned I and D-Incision and . This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at  clinic. Wishing you fast recovery.!! 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: I have trigeminal neuralgia and am taking gabapentin 300 mg x3 times daily. Although this helps some I still have 3-4 day spells ,about every ten days,where the pain renders me useless. Are there any proven ways I might adjust my diet to assist in the lessening of these attacks? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint Trigeminal Neuralgia is a nerve induced pain caused due to either compression or injury related to Trigeminal Nerve that is the nerve of face. It can cause severe bouts of pain and the pain can be electric shock like and severe. Along with taking medications to control pain, certain dietary modifications can help in improving metabolism and reducing nerve inflammation leading to reduced episodes of pain. You should limit the intake of Saturated fats like Potatoes, butter, coconut oil, white breads, dairy, meats and processed foods. Increase the intake of monounsaturated fats like groundnut oil, grape seed oil, corn and canola oils, nuts. You should take Omega-3 and vitamin B supplements as well as foods rich in these nutrients like Flax seeds, nuts, yogurt, soda milk, green leafy vegetables, raw foods and fruits. Take multivitamin tablets daily. Eggs and whole grains can also be taken. You can also consult a Dietician a get a diet plan prepared. Do warm compresses or cool compresses over the face can help. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 23 year old male and have what appears to be an enlarged Right apical lymph node. Rubbery, definitely movable (can move it from subclavicular to supraclavicular), non-tender, about 2cm in diameter. I have a family history of colon cancer and have read the colorectal cancers can metastasize to the apical lymph, although nothing that i read has been specific on left or right. ### REPLY: Thanks for your question on . Yes, you as right. Colorectal cancers can spread in cervical lymph nodes but not as a primary symptom.  It spreads somewhat late in the course of disease. First patient develops intestinal symptoms like pain, blood in stool etc. and then patient can have distant metastases like in lymph node. So in my opinion you should not worry much about malignant lesion as you are not having abdominal symptoms. But you should definitely get done biopsy of this lymph node to reach the diagnosis. You may have infective lymph node. So get done biopsy and don't worry about malignancy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 46 year old female 5 ft 7 weigh 120lbs i am continually having finger nail infections where the nail turns white and red and sore below nail bed i am treating it with polyfax ointment and daktacort cream prescribed by my doctor but not having great results any suggestions would be welcome tks ### REPLY: Welcome to . I appreciate your concern for the finger nail infection. Apparently you have some sort of fungal finger nail infection which usually does not respond to Daktacort cream or Poly fax ointment. You need to be examined by a dermatologist for probable use of Oral Anti-fungal .  It may take four months or longer to eliminate an infection. So you have to take these medications for a period of 6-12 weeks. Medicated nail polish containing Ciclopirox is also effective. You have to paint it on your infected nails and surrounding skin once a day. After seven days, you wipe the piled-on layers clean with alcohol and begin fresh applications. You may need to use this type of nail polish daily for a year. Hope the suggestions given above could be beneficial to you. Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a knot on my breast that is very red. Its right where the brown part of my nipple is and its a little bigger than the size of a quarter. I can feel its deep under my skin and its not getting any better. It hurts pretty bad too. I am starting to get very scared. Can you help me figure out what this could possibly be please? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You may have benign proliferative breast lesion like fibroadenoma or fibroadenomas.  Or you may have breast cancer or other lump.  You should go for mammography and biopsy of breast lump.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , my 8 yr old has tubes & is complaining of ear pain @ base of ear lobe where it meets neck... It appears there is a crust around the tube. Should he wake up in night w pain should I do children s Tylenol or Advil? I plan on calling his ENT in am. Thc ### REPLY: Hi, Thank you for asking question on . The pain i at the ear lobe may be due to wax in the external ear, celluliis of the external ear or mastitis. Better consult your doctor as it is difficult to say without seeing the patient. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diabetic, had foot surgery and lost most of the density in my foot and ankle. It is coming back slowly but none the less it is coming back. Recent blood work shows that my Alkaline Phosphatase are high. Could this be due to the bone density loss I had in my foot? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  There are many causes of high alkaline phosphatase.  One is liver disease.  Other is bone related. You don't have any symptoms of liver disease so mostly its due to bone related.  Consult your doctor and take treatment for that. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had moderate to severe pain in my lower pelvic area for about 5 months. I m a 53 yr old female and have to get up to urinate multiple times at night. The pain has been intense and then can disappear for days. Lately, there is a lot of pain and pressure when in the bathroom. Like I need to push. Tonight I took some tissue and wiped higher up and it came out with blood on it. I have had kidney stones, this pain is more near my bladder. I no longer have a period. ### REPLY: Hi, welcome to . Looking to your history, it seems that you have cystitis. Stone can precipitate urine infection. You need to do basic urine report with culture, CBC, S.creatinine and sonography. These report will tell us presence of stone, urine infection and kidney function. Maintain adequate HY .  Then you can consult your nephrologist, or you can communicate with me also with above reports. I think this would be helpful to you. Best wishes. Tc.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctor has given Zanocin 100 syrup and meftlal syrup to my 7 year old child. It cured 12 days old fever. After gap of 7 days fever is repeated and we have also repeated same treatment. It seems curing. temp not crossing 100 F. Should we continue zanocin for 3-4 more days. ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs 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.METAL CONTAINS METONYMIC ACID WHICH IS A NSAID. IT CARRIES THE RISK OF GASTRITIS AND RENAL PROBLEMS IN THE LONG RUN. PLEASE DO NOT USE METAL. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey, I have recently gotten checked for an sti. My results came back and I have clymida. Im prescribed with 4 tablets of co-azithromycin monohydrate, 10 tablets of doxycycline. My problem is that everytime I per or masterbate, it burns. Is this normal? Someone help ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have burning urination every time after you masturbate. During erection and ejaculation there is increased flow of blood to the penis and urine to the extent of 20 times more than normal blood flow that results into congestion of urethra and penis.Moreover, there is semen deposited on the walls of urethra during ejaculation. The dual effect of thick semen being deposited in urethra and residual congestions gives rise to pain while passing urine immediately after masturbation. This pain will go away after semen gets washed away during first urination after masturbation. Ensure to .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir..i m a student..and i used to masturbate often few months back and when i do not masturbate it leads to nightfall..now though i have given up masturbating frequently and practise it only once or twice a month..even though my eyes are getting weeker and dark circles around my eyes ..i also feel tired and very low self worth .i m 25 but i look like very weak due to my eyes and skin.i take good diet juices and milk etc then also i m unable to regain my health..plz suggest what should i do ### REPLY: HelloThanks for query. You had been indulged in masturbation since many and now facing problems related to your health and night emission which you attribute them to be due to masturbation First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and improve your health.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, its been 62 days since my last period and I am looking advice on what to do next, as I am currently trying to conceive.  I came off microgynon 30 nearly 7 months ago and had 3 periods approximately 42 days apart.  It has been 62 days since my last one and I am confused as an ovulation test showed an lh surge on day 29, however 2 home pregnancy tests have shown as negative.  Can you please advise me what to do?  I had a blood test at what I thought was 7 daps past ovulation which showed no hormonal imbalance, although my progesterone was just 2.3 which I understand is a low post ovulation result.  I am starting to worry I am not ovulating at all, despite this positive lh surge on a digital test.  I would appreciate if you could shed some light on this.  Please note, I am 26 and healthy. ### REPLY: HelloThanks for your query. LH surge is indicative of ovulation, but that does not necessarily result in a conception. Having delayed, and irregular periods is a sign that you might need help in regulating periods and also in conceiving. Just relying on progesterone measurement is not enough. Please consult an Infertility specialist and have thorough evaluation for irregular cycles as well as for difficulty in conceiving. Anxiety, stress, ingestion of medications, being on birth control, hectic travelling, changes in weight, recent illness or fever - all are reasons of irregular cycles. Thyroid hormone disturbance, a . I would urge you to get professional help at the earliest. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Savita this side I got to know that my father has detected elevated microalbumin in Kidney due to Diabetis, pleaze tell me some precuation. According to the net, range should be 20 n my father report has detected 32.5 pleaze advise something asap. ### REPLY: Hi, Thanks for writing in. By definition, it corresponds to an albumin excretion rate of 20 to 200 micro/min (30 to 300 mg/day) or an albumin to creatinine ratio (mg/MML) of 2.5 to 25 in males and 3.5 to 35 in females. Microalbuminuria is an important clinical finding because it is not only associated with an increased risk of progression to overt proteinuria (macroalbuminuria) and renal failure, but also cardiovascular events. A stricter control of diabetes and any heart disease is required, and please follow up regularly with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dentist is making me an apointment at hospital as i have white patches in my mouth, I will have to wait 4 weeks or so , now I am worried, and I am trying to give up smoking but Im worried now so making it hard . sometimes my gaw is a bit tender but I forgot to mention this to the dentist should I have done ### REPLY: Hello and welcome to  forum, Thank you for writing to us,First, I would like to appreciate you for quitting smoking.It's Good to let your doctor know everything...all the signs and symptoms you have. Makes it easier for the dentist to provide you will the treatment.It's never too late, next time you see your dentist kindly mention the jaw tenderness too. White patches on the inside of the cheeks can be either from smoking or other factors. In order to rule out the cause some tests are required which I assume will be done when you visit your dentist next time. Smoking is one of the biggest factor responsible for white patches and quitting smoking can reverse the condition too. Kindly follow up with your dentist. 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: is left basal pneumonia contagious? i had may chest xray last saturday for my employment but the result was "left basal pneumonia is not ruled out." the doctor said since i have cough that would be the result. i lost my job because of that. is it possible to have my xray again after a week? ### REPLY: Hi, Dear,Thanks for your query to . Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-If its TB with basal pneumonia on left side-it would be contagious and carries social risk of spread of TB and affection of colleague employees. dangerousness check up with family Physician and Chest Physician to rule out above possibilities. Many other problems need to be ruled out, which could occur from left basal pneumonia, in not isolated from working place. Dos-Start treatment with Cap-Augmentin 1 x 2 times / Bronchodilators / 1 x 2 times a day x for 10 days time. Repeat X-ray Chest with recheck from Second Radiologist, after a week is not going to help Much. Support treatment with High protein diet / Vitamin Supplements/ enough fluids and Rest would help you to recoup fast. Before starting Antibiotics, Get Sputum AFB and LCR test of sputum and IRA blood test to fix the diagnosis and cause of the Left Basal Pneumonia. This would help to assess the extent of the damage in the lungs and the possibility of spread to contact people around. Other causes needs to be ruled out by Consulting Chest Specialist.Don't be callous to get examined with your doctor. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. There is Need to Check with Chest Physician, if things don't recover.-Other causes need to be verified with your Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from Consulting Chest Physician-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!!  . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend has bone cancer and only just finished the chemo tabs,the one that makes your hair fall out but its no better and now she just been put on a driver at home because she is in so much pain,she cant understand why she has so much pain after the chemo,as that dont seem to have worked,is this the end do you think?they brought a hospital bed in for her as well. ### REPLY: Hi, Bone tumors may be of many types. As per your information she seems to be suffering from malignant bone tumors. Without proper diagnosis and staging it is difficult to comment on prognosis. Malignant bone tumors may be osteosarcoma, wings sarcoma, Chen .  Prognosis and treatment is different in each case. Anyway, bone tumors can itself cause severe pain due to nearby nerve involvement and bone destruction. There are high chance of response after treatment. At present proper diagnosis of pain to be made. Titration of analgesic medications to be done and if needed local radiation therapy may be considered. Please consult your oncologist. Take care of your friend. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just finished taking Amoxicilin for a sinus infection but still have so much drainage down the back of my throats that I cough a lot. Now my right side hurts right at the height of my bra strap. Could this possibly be from coughing so hard and so much? Heat doesn t seem to help and Naproxin hasn t touched it. My next resort is to try and put an ice pack on it. Any thoughts? ### REPLY: Hello have gone through your question and understand your concern. People who cough very hard may strain their rib muscles or cartilage, causing pain in the chest, particularly when they breathe in, move, or cough again. It could also be pleuritic chest pain which is typically sharp and stabbing in a part of the chest. The pain is usually made worse when you breathe in or cough. Use OTC medications like paradox 500 mg every 6th holy for 3 days. If the symptoms does not improve or fever increases, see a GP for further examination to rule out lung infection. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sir, My sister s son is disturbed with severe cough,doctor says as Food allergy.His Ige level is 3860.something like that.Now homeopatChatDoctoredicines are prescribed,x-ray shows block or spreading of spasm near left chest.He has this problem before 4months.Can it be permannetly cured.What are the basic home remedies if anything we could do? ### REPLY: Thanks for your question on . In my opinion you should consult him to pulmonologist and get done PFT (pulmonary function test) to rule out Bronchial asthma. Possibility of asthma is high in his case because of following reasons.1. Raised IGE level (allergic disease)2. Presence of lung spasm.3. Recurrent symptoms. So better to first diagnose him and then start treatment accordingly. Asthma is manageable disease by inhaled bronchodilators. Home remedies are not helpful in this disease. If food allergy is present than he should avoid taking particular food. But inhaled bronchodilators are must if he found to have asthma. So better to consult pulmonologist and rule out asthma first and start Treatment accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My right index finger has been swollen for a last 3 month now. the knuckle is painful to the touch, but i m not able to bend it. Any ideas what it could be?? i also had a X ray but nothing came out of that. I went to a Bone specialist he recommended me to take IBUPROFEN thrice a day for 2 months. Is it the feasible option? ### REPLY: Hello, I have studied your case. You can take broken for pain relief but I think you should reach at some diagnosis also. I mean you should not what is the cause of this, and then you can treat the root cause.  Most probably it is tenosynovitis or trigger finger. A good orthopedic surgeon can examine this and confirm the diagnosis. I hope then you can take treatment in form of steroid injection. 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: Ihave bleeding in urine and some pain in my back for 5 days,went to drs who sent me to emergancy who sent me for immediate stent placement for a 6 cm kidney stone,more pain in front crotch area and still bright red blood in urine Hurts when done urinating,Im a 50yr menopausel women with underactive thyroid I weigh 96 lbs and have lost 20=25 lbs in last year. ### REPLY: Hello and welcome to . As a Urologist, I can fully understand your concern. The kidney stone causes pain with its movement in side the kidney. As the stone moves, due to friction, it causes bleeding. Kindly confirm, if the stone size is 6 cm or 6 mm. A 6 cm stone is quite large, and causes more bleeding. The stone can be treated with several methods.ESL, is fragmenting it from outside, with shock waves. PNL, is fragmenting it through an endoscope. Laser lithography is another option, or a combination of these. If you've any doubt, you may send it as a direct question to me. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: just like when you crack your knuckles or back or whatever.Been going on for a couple of days. Leaned back in a chair and felt a crack or pop in my sternum. It felt good and I ve felt the need to do it again whenever I feel a bit of tightness in my sternum. Now I can just do it by spreading arms and expanding the chest cavity. Is this normal? I lift weight 4 day a week. upper body on Mondays and Wednesdays ### REPLY: Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, this is probably coming from the muscles and not the bone, as stretching of the muscles cause, relief tightness sensation, so continue with this and see if you have any other associated problem. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i was lifting something heavy and i heard a popping sound in my back or i felt it at least and i was in slightly severe pain for about 10 to 15 minutes and its been 2 days and it is still moderate pain and when i move it gets worse whats wrong with me doc? ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely damage to intervertebral disc or a muscle strain of back. A physical examination with an orthopedic followed by an X-ray and an MRI if needed will rule out that. In both case initially is managed by conservatively. Usually I prescribe muscle relaxants like thiocolchicoside and NSAIDs like diclofenac for short duration and rest for 5 days followed by physiotherapy and exercises. In case of damage to disc physiotherapy should be done for long term. Lumbar supporting belts also will be helpful in such case. Hope this may help you. Let me know if you have any 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: Dear Dr.My self Gajanand Pandey. I am sr. Software Engineer. We are trying for baby since 1 yrs. but my wife is pregnant since 1yrs. Now we have consult to sr. lady doctor she advice for some test. and give one medicine  Folvite 5mg. Why use Folvite 5mg.ThanksGajanand ### REPLY: Hello, Folvite is a vitamin supplement useful as a prenatal vitamin to help facilitate conception and to prevent neural tube defects after conception. It is routinely given along with other B-complex medication when one is trying to conceive. The methyl-tetrahy .  Yet, since you have been trying to conceive for the past one year, you should get all the protocol investigations done and management planned accordingly. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good morning doctor. ever since my c-section 4 years I have been suffering from persistent very painful stomache cramps . they are so painful that I cannot sleep and continue for several weeks. I have gone to my gynae doctor and she s done numerous tests on my uterus and ovaries but all is fine. she cannot explain the reason for this pain. I also had ultrasound tests but also everything is fine. What is the cause of my pain and how can I cure it completely? ### REPLY: After any surgery over the abdomen, there is chance of adhesions formation inside. The bowels or fat(Momentum) will get attached to the inner part of the scar inside the abdomen and there will be pain when these structures move or get pulled. If the adhesions are dense, the abdomen will get distended followed by vomiting and constipation. If these are not present, then cramps may be due to mild adhesions. Please take smooth muscle relaxant like Dicyclomine during pain. Nothing to worry. If the symptoms still persist, go for CT scan abdomen. Wish you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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...hi my husband is a dialysis patience and he has mild chest pain in the middl e of his chest.... what causes that and he did hes treatment today 4hrs and 15 mins of treatment ### REPLY: Thanks for your question on . I can understand your concern. Dialysis patients are always at risk of heart diseases. So we should first rule out heart diseases for his chest pain. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes gastritis can also cause similar kind of chest pain. So gives him combination of pantoprazole and levosulperide twice daily before food.Don't worry, he will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. 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 feel problem in taking breadth, When i try to take long breadth I feel Blockage, I feel that i am wearing tight clothes, doctor suggest me for the test ECG, XRAY, PFT which is normal, Now he suggested me to go for gastropinion..I feel blockage in food pipe.. ### REPLY: Thanks for your question on . I can understand your concern. First no need to worry about major heart and lung diseases because you're all reports are normal. Possibility of stress and anxiety related symptoms is more likely. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic . Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am amrit pal from amritsar i want to know how hiv test is reliable at 120 days and thats antiboady test , i have some problem like shortness of breadth and white coated toung after my sex exposure when condom breaks inside the vagina, pls reply me ### REPLY: Hello, It's very much reliable and if you have any doubts you can get it repeated and if negative, then chances of you having HIV are very, very less. Shortness of breath could be because of multiple reasons like lungs, heart problems. You should get your chest x-ray, hologram.  Do you have fever, cough etc. if yes it suggests chest infection?  Do you have any wheezing, chest tightness etc., it could be asthma?  So get back with some more information and reports of investigation. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom had a total knee replacement 8 days ago and has severe burning on the front of her knee. It s worse when she s sitting and extends her knee to straighten her leg. She s considering going to the Emergency Room. Is this level of burning pain normal at 8 days post op? ### REPLY: Welcome to  I have gone through your query and understand your concern. You are likely to be having burning pain due to some of cutaneous nerves may have been damaged during surgery of knee replacement. You should also look for other causes of neuropathy such as diabetes and thyroid disease by ruling them out. Analgesic such as ibuprofen for pain relief can be of use. Mecobalamine is of use to reduce burning sensations. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey i had my 3rd last back top right tooth extracted and have stitches but my socket has a white substance that i can rub out with my tounge. it smells so bad it makes me gag, but i can continuosly taste and smell it on my breath. what is this and how do i fix it? all doctors are closed for the nxt 2 days? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your query white stuff coming out of the extraction socket seems to be most probably due to infection in the extraction socket leading to pus formation that you are tasting as bad smelling discharge. I would suggest you to start gargling with antiseptic mouthwash like Betadine gargles. Do warm saline gargles. But you should see your dentist soon and get evaluated, and he can do a clinical evaluation and investigations like x-ray. A course of antibiotics like Augmenting can help in resolving infection. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i am 41 year old male having high blood pressure. today morning it was 145/94 digital monitor measured. i am taking prolomet 100 xl,olmezest 40 and natrilix sr . my cholestrol is ok. do i need a medicine change. amlopedine cause me swollen ankles. ### REPLY: Hi, Amlodipine is a calcium channel blocker commonly prescribed alone or with other medications for the control of high blood pressure. Its common side effects include increased heartbeats, flushing, constipation, dizziness, and edema around the ankles. Since the digital monitor may not give accurate readings I advise you to get your blood pressure checked by a nurse or doctor if blood pressure is found to be high on two separate occasions your doctor would adjust the dose or prescribe an additional . 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: I went to the dentist yesterday and they told me I had an infection in my tooth, i was prescribed amnioxcillin and tylenol 3 its been one day, the pain hasnt gone away yet.  My dentist said its the infection thats causing the pain. and i should feel results within 48 hours. Is this correct? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint if you have infection in the tooth with pain there is a possibility that there is dental abscess formation and although medications can help in resolution of infection and relieve pain, but it is not permanent solution. Yes, you may see improvement in 48 hours, but a Rue time slot cannot be given and everything will depend on the exact condition of the tooth and treatment of the tooth will finally resolve the problem. I would suggest you to consult your dentist back or an Endodontist and get evaluated and an x-ray of the tooth will be advised to you. In case of deeper decay root canal treatment of tooth can help. In case if tooth is not in a condition to be saved extraction is advisable. You can also ask me a direct question by going to my profile and clicking on ask me a question and there you can upload the scans of the x-rays so that I can guide you appropriately after evaluation of the x-ray and asking further details. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been having pain in my left lower quadrant/abdomen since I woke up yesterday morning. It s painful when I try getting up from a sitting and laying position and when I walk. I ve put an electric heating pad but hasn t helped much. I have a lot of gas and diarrhea. ### REPLY: Hi, thank you for posting! I have read your query and I understand your concerns. According to your symptoms, I think that you may suffer from colonopathy (bowel infection). The factors that might have caused it are complex, such as: viral, microbial, protozoan and food. You need to avoid spicy food, carbonated .  You need the following tests, in order to find the right diagnosis:- abdominal ultrasound-liver test-complete blood count-urine test-stool culture In order to find the right diagnosis and treatment, you need to consult your gastroenterologist. Ask me for anything unclear. 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: Hai Sir, I am surya from India, I am suffering with eosnophillia at 4 to 8 counts past 25 Years, when it will be faced, i am suffering very difficulty to take breathing, at that movement i am inhaling the medicine, is there any permanent cure is there please ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Eosinophilic of 4-8 is near normal range. 2. You are possibly suffering from allergic asthma. Identification of allergen is important. Until then, during episodes, you will need to be on corticosteroids and bronchodilators.3. If not sure, get an allergen test or serum IGE levels. Based on IG E levels further cause can be identified. Permanent cure is to avoid allergen or desensitization. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: because of sharp pains in my lung area I had a lung xray to diagnose pneumonia or pleurisy  Neither showed up I have a fever and dr said i may have the beginnings of penumonia I do have a 100 degree temperature  she is concerned about a possible blood clot because my heart rate was 122  she did an ekg and it was done to 99she did not want to do a ct scan because of the radiation   she gave me anitibiotics and sent me home to see if that helps  what are the chances that this is a bloodclot ### REPLY: Thanks for your question on . I can understand your concern. Possibility of pulmonary embolism is very less in your case because you are not having hemoptysis, shortness of breath and your ECG is also normal except tachycardia. Possibility of lower respiratory tract infection (LETI - pneumonia) is more. Tachycardia, chest pain, fever etc. are more suggestive of pneumonia. So start antibiotics without thinking too much about pulmonary embolism. You will mostly improve with antibiotics. Also, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 very busy single mother,student and a 3rd shift worker. I have taken phentermine, that was given to me by a friend,  in times when I was extremely exhausted. It helped trememdously,of course. But is there something that I can discuss with my doctor to help me out in these situations. I dont want something I have to take everyday. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You must understand stress is an everyday affair. Very difficult to run away from it. Stress do come in one form or other. If you start running away from stress, you shall reach another stressful situation. Three out of 5 people are stressed and 1% of total population takes medicines to tackle stress. Please learn to adjust yourself to adjust with stress. Understanding stress creating situations is the first step. Then altering your perception to this situation is second. Learning to enjoy those situations is the third.  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: Hi Dr. I have a lump in the middle of my chest that is not going away. I ve had them before but this time, a lot of puss came out of the lump and it is now extremely painful (with and without touching). Some blood and clear fluid also came out of it. This is the first time this has happened. Should I be worried? ### REPLY: Hi. From the location of the disease, this looks to be an abscess gone into a chronic stage for want of proper antibiotic and treatment. The skin in the center of the chest can not be stretched and does not allow healing the way it occurs at other places.Maybe you need to see a Surgeon and may need a curettage for the disease to be cured. He will also prescribe you antibiotics and other medicines as required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: One of my wisdom teeth is partially sticking out and is kind of irritated. That was the first syptom. My throat stated getting sore and I had fever. I have had fever for 4 days now and my throat is hurting much worse. Now I have pain in my gums around the wisdom tooth and in a couple of other small spots. Today I noticed to small white sores on my tongue. I cant get in to see my dentist for about 2 weeks. He did prescribe me pinicilin for now. I have been on that for 2 days and it isnt getting any better. ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have erupting wisdom tooth yes it is painful sometime not to worry, you do warm saline gargle two - three times a day You can apply anesthesia ointment McCoppin or Colonel on tongue twice daily you will get relief.  Take one painkiller Paracetamol 500 mg twice daily for one week. Consult dentist and go for curettage. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I m Hemant. My BP is going high. 6 days back it was 170/120 n now it is going around 150/110 to 130/95. I m preparing for civil services so my routine is to keep sitting on in my study n keep studying. physical activity is normal n m doing workout for 1 hour daily. All the reports regarding my lipid profile, blood serum, urea all r normal. i always hav a headache n not at all able to concentrate on my study. Plz help. ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. We talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values during day and night. There are two types of hypertension : Essential hypertension or idiopathic, meaning that it has not a definite cause and secondary hypertension, meaning that it's a secondary house of it. This is found in younger ages and the cause might be renal, endocrine or any cardiovascular anomaly. Essential hypertension is a chronic disease, and it should be treated all live. High blood pressure values can give you headache, blurred vision, dizziness etc. You don't mention your age but as I explained above it is essential to exclude secondary causes if you are young. As you explain you have already done blood analyze, and they are normal. This is a very good thing. If I was your treating doctor I will recommend even a cardiac echo, an abdominal echo to evaluate renal structure, your urinary catecholamine and a holder pressure monitoring. All these can give a better view of your mean blood pressure values and exclude secondary factors. If the pressure holder monitoring finds mean values above 140 / 90 than you should treat it with medications. Mean wile avoid excessive salt intake I coffee and energy . Hope I was helpful. Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had restalyne yesterday in folds and slightly on upper lip.  the pink area of lips not above.  The outer corners of my mouth on the underside of the lip have small little bumps under the skin, and the under part hangs down slightly.  Is this a result of swelling??  How long should I wait to have it reversed , if I so choose?  Will diurex help with swelling?  Taking benadryl and tylenol.  Thanks! ### REPLY: Hello and welcome to , The bumps are due to the resale injected in heavy dose. Apply frequent ice packs to subside swelling. Once the swelling subsides, lips will seal as usual. Please do not take medicines until the numbness disappears. Take medicines After consulting with your physician. Meanwhile, plenty of fluids as well as nutritious food has to be taken. Avoid biting on your lips. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 3 year old girl complained of right side stomach pain 12 days ago, brought her in that night and said she could have a start of an ear infection had a fever of 99.1 and put her on omnicef for 10 days. 2 days ago another fever 102 and took her to the doctor no sign of ear infection and throat was clear. last night still fever threw up twice and is back to complaining about her tummy, when on motrin she is alert and does not to seem to have any discomfort, should i bring her back in her fever is still 100.8 thanks ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs 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. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am 22 and about 2 weeks ago was getting frequent chest pain on my right side, the were sharp stabbing pains, thought it may b a slight chest infection as i has a cold/cough a week before. this week i have been having frequent palpitations the oly last about 30seconds each time but have about 3-4 episodes a day ### REPLY: Thanks for your question on . I can understand your concern. At your age of 22 years, stabbing chest pain with palpitations are seen most commonly with stress and anxiety. But better to get done ECG first to rule out heart diseases. If ECG is normal then no need to worry about heart diseases. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. Grief, I keep trying to find symptoms, pictures, healing and what to do about it. I just keep getting thrown to other sights and never find out anything. I ve had a golf size bump on my leg for 2 weeks tomorrow. I ve been in and out of hospitals in the last year and this never happened. Thank you for your time. Lynn Bailey ### REPLY: Hi, If I were your treating Doctor for this case of a leg lump, I would come up with only one and one possibility that is a sebaceous cyst or ganglion or bursa! Nothing to worry about this and try not to get infected there! But definite cure is only surgical excision! I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Starting Friday my three year old complaned of tummy ache and then went to the bathroom. She didn t make it to the toilet and her stool ended up on the floor my husband was home and described it as white mucus with some blood in it. Over the weekend she seemed mostly normal, her stools were loose and each time she went she said her tummy hurt. After she went potty she was fine. I didn t notice the bloody ish stools until tonight. Could that be a parasite? She has been playin with our kittens? ### REPLY: Hi...what your kid is having is a bacterial or bacillary dysentery. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. But blood in stools is a definite indication for starting antibiotics. I suggest you consult your pediatrician. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my heart stings sometimes.  it doesnt always happen, but when it does could last up to an hour. Itll start out as a sharp pain in the heart/left chest area then sting when i breathe.  itll go away for a few minutes then come back until its completely gone. ### REPLY: Hello... There are so many causes of chest pain. It depends on age, character of pain. Any aggravating or relieving factors, associated with other symptoms, underlying any disorders and many more conditions. Your description is incomplete regarding chest pain. In spite of that, after reading your details I can conclude your chest pain like: sharp pricking type of pain in left side of chest, mild to moderate type, intermittent in nature, non radiating, aggravating on deep breathing and subsided automatically within few minutes not associated with any other symptoms like diaphoresis, sweating, gaseous distension of abdomen, palpitation, nausea or vomiting. According to above type of chest pain, it is very non-specific related to heart. So in my opinion not to worry regarding your chest pain if you are thinking it is related to heart. But, to find out the exact cause of chest pain, you have to go for some tests like ECG, Chest X-ray, and some other tests according to your symptoms. Meanwhile, you can take some analgesics like Ibuprofen along with some antacids like Omeprazole. 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: Just recently got a physically demanding job. Experienced dizziness and then left side of chest throbbing this past Sunday night. It started with the left side, happened on the right and then stayed on the left side. It s now Wednesday and my chest is still feeling weird. I don t have medical or else I would go see a Doctor. Help? ### REPLY: If you have shifted from a lighter job to a physically demanding job, your body and tour heart wouldn't be used to endurance training, so in the initial part you would feel the heart beating fast and other symptoms you describe, the best here is to go slowly with your job.  Let the body get used to it.  However, if you feel breathless, chest heaviness, which is more when you are exerting, and it persists more than one week, do visit a doctor for examination.  Also avoid smoking during this period if you do.  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 77 year old father has parkinsons for sevarl years. He has no dementia but the medications he is on seems to have made him more dull and able to comprehend and communicate clearly. His short term memory seems to be affected. A recent brain scan shows his brain working normally. Should we ask the doctor to revaluate his medications ### REPLY: Hi, Thank you for posting your query. I have noted your fathers diagnosis and current symptoms. Memory and language problems may occur in people with Parkinson's disease (PD), especially after several years of suffering. It is good news that CT can of brain is normal, as it excludes other problems such as brain stroke, tumors, etc. Medicines used for treating PD may cause e=adverse effects, so, I would request you to send the medication details, along with the dose and timings. It would be also worthwhile discussing the medications with his neurologist. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . 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: I am female and have a reoccurring infection in the crack of my buttocks that sometimes bleeds. I have been prescribed anti fungal medications, both oral and topical for, it clears up and then comes back. I also dry the area as best that I can after bathing. ### REPLY: Hello, Welcome to , Your history suggests that you may be having interglacial intertwine with fissure. It may be due to candida infection super added with bacterial infection. In this area fissure is very painful due to stretching of the skin while sitting. You need to take rest in sleeping position. Site bath in detail water in tub daily for five minutes during bath would be helpful. Apply antibiotic cream like gentamicin with antifungal cream like clotrimazole might reduce the infection. Painkiller like NSAIDs, antibiotics and antifungal may be given. I would suggest You to consult dermatologist for proper diagnosis and treatment. 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: yesterday when i got up everything was fine. Later in the day when I was standing I suddenly had a severe pain on my right side lower ab area. I curled up in a ball and it subsided in about 10 min. I then had sweats and carried on with what I was doing. Then about 1/2 hr later same thing. I went home from work and layed down. The pain is less when Im laying down but when I get up it hurts. Im 45 male no prior pain. It does not hurt when I push on my stomach area. I feel like I have to go have a bowel movement but couldnt. Sine last night I did have a loose one. Any idea ### REPLY: Welcome to  .1. The symptoms you are describing are mixed - seems like gastritis and enteric causes.2.Meanwhile you can change your diet into a basic form, avoid junk food alcohol, take excessive of salads and fruits, with multiple portions (for gastritis and enteric pathology) for at least 2 weeks and see.3. If any change and better condition you can continue.4. If not you need to at an ultrasound to rule out negative findings and get in to conclusion.5. A CT might be needed for better evaluation of the bowel.6. Get an appointment with your GP and get the needful investigations done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had unprotected sex and 3 days later took a plan b pill. since then ive experienced heavy breast that went away in a week, lactating nipples, my period came on time but left after 3 days usually i stay on for 5. I have morning queaziness. I only have an appetite for veggies and spicy foods such as : mexican, african, indian only. Im peeing every five min. after a beverage, and Ill get extremely tired out of no where, I have dizzy spells and sometimes see white dots floating around in the air. could i be preganant although ive taken plan B and ive had a false home preganancy test reading? ### REPLY: Hello dear, I understand your concern. In my opinion as you got the period on time there might be no chance of pregnancy. The short duration of period can be due to plan B pill. Plan B pill causes hormonal imbalance leading to change in timing and bleeding of the period. The symptoms of pregnancy are nausea, vomitings, sore breasts, increased urination, tiredness start around 2 weeks after missed period in case of pregnancy. In your case there might be no pregnancy, but symptoms are similar. Plan B is effective of taken within 72 hours of unprotected sex. But as you got the period there might be no risk of pregnancy. But just to rule out the pregnancy a urine pregnancy test can be done. Avoid stress regarding pregnancy as it might also make one to feel the pregnancy symptoms. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My heart for the past 6 months has been stopping and then starting back up with a large thump.  When it stops my head, hands tingle.  When it starts back up if feels as if everything is flowing again.  It just happens anytime of the day.  at times a become dizzy and when i sit down my heart does it again. ### REPLY: Hello welcome to . If the heart stops your brain will not get blood supply, and you will have serious complications. In your case you feel dizzy and tingling sensation in the head and hands. So in your case the heart didn't stop, but it skips a beat I suppose. We must get you evaluated for the same. I recommend you and ECG at first. If the ECG is normal, then you should undergo a 24 HR Holder monitoring, in which a small machine is attached to your waist with leads on your chest, and you are sent home. The machine records your ECG throughout the day while you do your normal activities. You are also provided a log where you can jot down what activities you were doing with the time, and also you can mention the time when you feel these symptoms. After 24 hrs when the machine is removed, the recordings are evaluated to see the presence of heart rhythm disturbances. Your symptoms can also be correlated with the ECG of the time of your symptoms. This will give you the definitive answer of whether you have a skipped beat. Your description of heart stop here is unlikely. Please do the Holder monitoring test and revert with the results. Wishing you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: "i have a concern about 3 months ago i got a knot under my armpit and went to the doctor and he told me it was a boil.... and about a week ago my husband was n the hospital for the same knot under his armpit and this am i woke up with another one... when it poops its purple and has white stuff come in out of it ### REPLY: Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be hi .  These lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. Hair follicles get infected. Inflammation and subsequent abscess formation occur.  Medical (proper antibiotic regimen) and surgical (excision or incision 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: Sir, I had by pass surgery during 1996 March. For review the tests & CT Angiography were taken last week and test results are normal except cholesterol level (ie) Total 204 , HDL, 39, LDL 134. CT Angigraphy reveals some blocks in the grafted vessel. I have NO BP, Sugar Pl. advise any medication can dissolve the blocks, if so pl. advise. ### REPLY: Hello, By angiography, the incidence of restenosis/blockade is significantly higher than clinical restenosis because many patients have mild restenosis that does not result in a recurrence of symptoms.  The management of clinical restenosis/blockade is usually to repeat the PCI with balloon dilatation and placement of a .  Once a patient has had restenosis, the risk of the second restenosis is further increased.  The risk factors for restenosis are diabetes, myocardial infarction, long lesions, small diameter vessels, and suboptimal initial PCI result. Antiplatelet  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 exposed to live yeast as an ingredient in insecticide.  there is white residue all over my property.  The tissue of my hands has been altered by dermal contact with these spray residues.  I can peel off what I feel is a bio film from my fingers.  The tissue comes off in plant-like formations with branches.  Any tissue that I peel comes off with no bleeding and the area from which it was removed restores itself very rapidly in a matter of a few hours.  What is going on? ### REPLY: Hi, Welcome to . Based on the details in your query, I am suspecting allergic reaction to insecticide rather than yeast infection. Yeast infections are more common on mucous membranes rather than skin. Skin fungal infection presents with scaly lesions which bleed once peeled off. I suggest you wash off the affected area using a strong soap. Apply calamine over the affected areas. Take Tab Atari 25 mg twice daily for three days. If the lesions do not reduce get in touch with a dermatologist and get those lesions examined. 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 had my first baby in 2006 through c-section. 3 months after my daughter was born I had an appendix operation. Its been 9 years now and I have been trying to conceive and its not working. I was on 3 months depo for 3 years and I have since stopped It in 2009. Its been 6 years not using any contraceptives but not yet pregnant. What could be the cause? ### REPLY: Hi, I guess your concern is-can appendix operation interfere you from being pregnant and in spite of not using contraceptives for 6 years, why you are not getting pregnant, right?  Yes, you can become pregnant. You said you were on demo for 3 years. This might have changed your normal hormonal pattern. But you have stopped it in 2009 and moreover for past 6 years, you are not at all on contraceptives, so this has nothing to do with. You haven't shared how old are u now? What is your exact age? Women from 18-40 years are of reproductive age group, where chances of pregnancy are high. I suggest you and your husband to have sex/intercourse in the fertile period. Try doing this for next 5-6 months. Hopefully you will get result.2. If you are in a hurry to get baby, I suggest you to visit a nearby gynecologist or infertility specialist to get expert opinion. It would be wise if you take your husband along with you. 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 am 6 days post op for removal of an abdominal tumor, I am runing a low grade fever (100.4) with redness and swelling around the surgery sight.  I am also HIV positive with a cd4 count of 276.  I also am extremely thirsty with severe pain when I urinate.  I am taking an oral antibiotic but am wondering if I should be seen sooner than my Monday post op apointment? ### REPLY: Hi, Thanks for writing in. It is possible that you have a lowered immune status and therefore have got an infection at the operated site even if sufficient care was taken during and after surgery. Please go for an early appointment and consult your surgeon. You might require a swab culture and sensitivity test from the operated area. This will tell if there is an active infection that is causing the low grade fever, redness and swelling. Once the swab test results are ready, your doctor might have to put you on a different antibiotic. Please ding adequate amounts of water and fresh juices to keep yourself HY .  Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I am what I would consider a normal woman with normal emotions however since the age of 16 my mother has tried to convince me that there was something wrong with me. At the age of 16 I was given numerous medications for depression and anxiety and they only seemed to make things much worse. I became very depressed and more anxious. I took myself off the medications several years ago and have been living a very normal life. I have felt no depression nor anxiety in years and am actually enjoying life. I finally have goals for myself and my six year old son and life is pretty good. However my mother is still convinced that there is something wrong with me and I cant help but question if she may be right. I am what I consider to be normal and I am very happy but she is a very strong figure in my life and I cant help but wonder if she may be right. This in itself is starting to cause me anxiety and its starting to depress me. Please Help. ### REPLY: Greetings ! Well there is one simple way to find out whether your mothers' diagnosis for you is actually right or is just her assumption and that simple way is to get yourself evaluated thoroughly by a psychiatrist who will be the best person to make a formal diagnosis and may i ad . So as of now without taking any tension about the diagnosis and to put this speculation to rest once and for all, you shall seek evaluation from a psychiatrist and once the assessment comes it is will be clear whether your mothers' suspicion was validated or not and this shall bring closure for both of you. I hope this helps. Regards ### END