Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir, My LFT shown that ALT is 75 mg/dl rest of all readings are with normal including CBC tests, but in the CECT scan shows early stages of cirrhosis, but when consulted with Gastro surgeon, it is not cirrhosis, and he prescribed me the following tablets for three weeks i.e Morease SR. please answer me is it ok? ### REPLY: Hello It is important to know details of CENT (abdomen)findings like liver size, presence of nodules, surface irregularity, its appearance, enhancement pattern etc.CENT may detect early stages of cirrhosis. As there is diagnostic dilemma, I suggest for FNAC/Biopsy of liver. It can only assess exact stage of liver pathology. Elevated ALT may indicate liver injury, but it is important to assess underlying cause. Elastographgy is also helpful in such cases. Treatment depend upon clinical findings and investigation reports. You can these medicines empirically. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have fatty liver disease, my liver hurting much of the day by the way, I have no credit card if this is the way it usually works-so if a credit card is needed then I must stop the contents. I have had a sharp pain in my lower right side and when I take my thumb and put it on my naval, my 2nd finger is where it hurts. the problem is that it didn t hurt al day yesterday just about 8 hours, went away then about l0:00 a.m it is back. could it be part of the fatty liver disease. I was of the understanding that an appendicitis attack does not go away therefore should I not worry about it or go to ER in case it is appendix. it s quite a shorp pain ### REPLY: Hi, I cannot say in your particular case without directly examining. Appendix pain is quite variable BUT is on the right mostly. It is mostly below the naval BUT, this varies. Appendicitis IS an emergency and not at all likely to continue without causing potentially fatal rupture for over a day. Fatty liver is quite common and obviously most people with it do not have significant pain. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, One of my friend is 27 yrs old. She is having small boil like thing on her labia. They are reddish in colour. She tried Candid-B cream after consultation with doctor. There are no itichings and burning sensations. And her periods are normal. After applying of the cream also no improvements. Any suggestiond from your side ### REPLY: Hello, from what you have describes it seems like your friend has furunculosis which is an infection of the hair follicle due to a bacterial infection. My suggestion is for her to apply mupirocin ointment twice daily for a week. It is important that she washes her labia well and keep it clean. If she develops more red boils or a high fever, she should be seen by a physician. Hope this answers your question ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: iam having pain in my right hip, pain in front, same leg at the joint in front. knee pains, shoulder pain,dr. said I have a begign tumor in right knew and lots of arthritis, now it seems to be everywhere,even some in leg below my knee to the outside area, I also suffer from RLS/// is there any answer? ### REPLY: Hi, What you have described there are two possible reasons for your joint pains. First, it can be due to arthritis (most probably rheumatoid arthritis). For this you need to take medication prescribed by orthopedic based on blood test II. Second possibility is that your benign tumor is no more benign (has become malignant) and has spread to the adjoining areas like hip joint and your ankles, the possibility of it straight to the shoulder is rare. To rule out these two possibilities you need to consult your nearby orthopedic or a rheumatologist. Till then, you need to take rest and to reduce pain you can take Ibuprofen for the time being, but this will not cure your disease. This is just a temporary pain reliever. Hope this helps you. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have noticed that I ve been getting these sore reddish spots with a white ring around them on my tounge.the spot on my tounge is reddish with a white ring around it and the other 3 are bigger patches on the back of my tounge but there not red,they do have a white ring around them nd they look as if I been eating to much sour stuff which I have not.the only one that is slightly painful is the reddish one on the tip of my tounge,what could this be and should I be worried? They come and go ### REPLY: Hello there, You may have a manifestation of a micronutrient deficiency. You should have a multivitamin once a day for the next 1 week preferably one with vitamin b-12(cyanocobalamine) and then assess whether your spots go down. If they don't the pleasing visit a doctor who would do tests to evaluate any underlying deficiency. Also adding probiotics to your diet like yogurt would help. Thank you for your query, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had on and off a small slightl painful lump/ bump on the right side near the tip of my tongue . Yesterday I ate a piece of dark chocolate and it felt like it exploded. I eat a piece or two of chocolate every couple of days and it hasn t happened. I went to the doctor and she said it is an allergic reaction to chocolate and to take Benadryl . By the time I arrived home the lump although still there was barely noticeable. I did not take the Benadryl. I woke up at 430 this morning in pain as the lump was back. Any ideas? ### REPLY: Hi, Thanks for your query. Yes your doctor rightly said that this is an allergic response. This response is known as acute urticaria that is giving you this red painful swelling on exposure to chocolates. What you have to do to prevent yourself in taking these chocolates further. You may have Allegra 150 mg or Atari 25 mg once daily for 7 days. Also, you can apply byte lotion over that painful area to receive pain. Consult an allergist and go for allergic skin test and specific serum IGE assay to identify the allergens in the chocolate or food and start immunotherapy may be sublingual immunotherapy (SLIT) to prevent this reaction on further exposure to those allergens. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi...I am sufferring from allergic rhinitis and allergic bronchitis....even with slightest cold air i get throat infection and then fever , cough.  I need to cover my facce with bedsheet in the night.  Is there any immunization therapy to cure this ? ### REPLY: Thanks for your question on . I can understand your concern. Yes, immune therapy is available nowadays. But first you should get done total IGE level. Following are the treatment options for immune therapy. 1. Sublingual immune therapy (SLIT) 2. Subcutaneous immune therapy (SUIT) 3. Omalizumab (monoclonal antibody). So consult good allergist and discuss 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, My step son is 7 years old. And for the past year and 1/2 he has been pooping in his pants. We have tried to talk to him to see if there is something going on at his house but he always says no. Its not only once a day he does it 2-3 time a day whenever he have him on the weekends. What can I do to help? ### REPLY: Hello, First, is to talk to him about this.there may be some event that happened in past and has started it altogether. Second, you can make him wash the spoiled clothes whenever this happens. You don't have to scold or use harsh voice or words but simply say that - "as you have spoiled them and I have several other works to look into can you please wash them yourself". Do this each and every time he spoils the clothes asking him very gently to wake them. Let him wash as he can and if you want you may rewash them properly. After few days you will surely notice that he will hesitate spoiling his pants and make talk you beforehand that r wants to go to toilet. Try doing this after telling all family members about the plan. Wish you 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: A 43 YEAR OLD MAN GOT A FRACTURE OF THE FEMUR, HAD SURGERY AND THEN DISCHARGED....HE RETURNED A FEW DAYS LATER WITChatDoctorPLAINTS OF SWELLING AND OOZING IN THE SAID LEG A WOUND SWAB DONE SHOWED POSITIVE FOR PROTEUS MIRABILIS.....HOW CAN A BACTERIA PRESENT IN URINE OR THE GUT GET INTO A FRACTURE ON THE LEG? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No, its false belief that its urinary or gut bacteria. Actually it is ubiquitous to found everywhere. Actually when you are operated upon the condition becomes favorable for these bacteria to grow. In such situation if single bacteria grows on that part it will multiply easily and cause infection. I advise you should take the .  These bacteria are notorious for resistance, and it may be difficult to treat it without sensitivity report. Please maintain good hygiene by frequent cleanliness 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: Cc: Rib pain Hist: Fell from ladder 4/11/2012 INCENTIVE SPIROMETER q 2 hr 3 - times MEDS: Percocet q 6 h Valium q 6 h Motrin 400 mg q 4 h Asprin q 4 h ACTIVITY LEVEL QUESTION? BEDREST WITH BATHROOM PRIVILEGES? OR LIGHT ACTIVITY ONLY? OR ACTIVITY WITH WEIGHT RESTRICTION? OR NORMAL ACTIVITY? ### REPLY: Hello, If the fracture of the rib of more than 6 - 8 weeks old you can perform any activity you wish you. The activities should not lead to pressure over the chest region. If the activities you're planning to do or doing are not giving pressure over the fractured ribs than any normal activity can be performed. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , My Name is Zahid Khan age 30. I have been married this March and My wife became pregnant but lost her baby within a month.She is Living in Patna and I am right now in Bangalore. Her Doctor Suggest her that her miscarriage can be occured due to many problem so suggest me to get a check up .Please Suggest me What to do .from few month i am feeling pain some time in my lower Abdomen and Headroseal. ### REPLY: Hello, Your wife is having history of abortion. So you need to rule out cause for that like diabetes, Hormonal imbalance, chromosomal problem, lupus, thyroid issue, Torch infection etc. I suggest you investigate her with random blood sugar estimation, serum TSH estimation, karyotyping, Hormonal estimations etc. for primary work up. Along with that USG scan and pelvic examination also need to be done. For your abdominal pain you can take fiber supplement and antibiotic course. If no improvement than USG abdomen scan or colonoscopy might be planned. 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: Hey can you please tell me any sure shot remedy for psoriasis . I have it all on my hairline and a part of my forhead is also covered with. I have a small patch on my eye which doesn t look as bad as the forhead one. Also, I have it n my ears, back on the nape of my neck and even on my cleavage. Can someone please tell me what to apply and do. I don t want to use any steriod creams as I am 22 and dont want to mess myself up. Thanks ### REPLY: Hello would be pleased to answer your question.  There is no sure shot treatment for Psoriasis. Non-steroidal approaches to the treatment of psoriasis include Tacrolimus which should be applied on the areas involved. Tacrolimus is an anti-inflammatory which will help in reducing the inflammation. It is safe to be applied. Another applied creams include those which contain urea, moisturizing factors and Amy lac applications .  Thanks and take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have an oval white spot that is a bit concave with a red ring around it located on my inner jaw hinge/ above my back gums . could you tell me white this could be? what* ### REPLY: Hello, Welcome to , As per the description provided by you, the white oval spot is suggestive of an authors ulcer. It is mainly due to trauma from sharp cusps that injure the tissue of your cheek while biting. You can wait for a few days, and it should disappear by itself. In the meantime you can apply Hegel on the spot twice or thrice daily. If the spot doesn't heal up in a week, I suggest you see a local dentist who will evaluate the spot and may ask you to get a biopsy done to ascertain a diagnosis. Hope this helps. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My mum (73) is on dialysis due to kidney failure, she is 5 foot 1 and weighs 69 kilos.  Last night she was poorly after coming off.  Her blood pressure was 175 when she left the unit at 7pm  and 210 later in the night ( 2hours later)she had a really bad headache and was sick quite a few times-   she refused to go to hospital .... Is this dangerous. what should I do if it happens again.  she seems better today ### REPLY: DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERNS IN BLOOD PRESSURE CAN BE EITHER COM SHE IS PREVIOUSLY HYPERTENSIVE OR BCO OF VOLUME EXPANSIONTHE the BEST WAY TO REDUCE SUCH BLOOD PRESSURE IS TO PERFORM A LONG DURATION HEMODIALYSIS NEED TO COUNSEL HER ABOUT THE BENEFITS OF HEMODIALYSIS BP CAN BE CONTROLLED IN CKD PT BY STATING THEM ON TABLET LIKE PICARDI, METHADONE AND BASIC AFTER CONSULTING THE NEPHROLOGIST FOR THE SAMEREGARDING THE HEADACHE SHE HAS POST DIALYSIS WAS PROBABLY BCO OF DIALYSIS DISEQUILIBRIUM SYN . . SO YOU NEED NOT WORRY ABOUT IT HOPE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,im a 23year-old boy, I have alot of problems with alergy.my head and also whole body have itch when I walk in a warm and sunny weather and also when I consume pepper or take shower with hot water.My skin around neck and face sometimes get red in some points.what should I do?thanks for your help ### REPLY: Hello. Thank you for asking at . I went through your history. I would like to make following suggestions to you:1. Were I treating you, I would prescribe you an antihistamine like levocetirizine or cetirizine or fexofenadine for at least 2 weeks.2. I would suggest you to avoid exposure to warm temperature, sudden shift from cold to warm temperature, hot water baths, physical activities causing excessive sweating and hot, spicy foods for at least 2-3 months.3. I would suggest you to apply calamine lotion over areas you itch.4. Personally I would also suggest you to avoid tight-fitting or woolen clothes. Loose-fitting, cotton clothes will be the best option. Hope above measures will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m suffering from ezcemz/psoriasis from the past 20 years. i use topical creams and ointments whenever it comes back. Recently i m using Amylac cream, Salisis ointment, Sorifix ointment and Tazret forte along with Codesoft capsules and Vitamin D supplements. This has happened for the first time that the healty skin around the psoriasis/ezcema is peeling off and it has formed a dark red patches on my feet.kindly advise ### REPLY: Latest studies show that psoriasis is chronic inflammation of skint can be treated as allergies and due to high number of patients seen by me my experience is that if you stop milk and diary products completely stop mustard coconut walnut groundnut almonds and soda oil use live for body and cookingTake methotrexate tab 5 MGM per week for 3 months use nontoxic shampoo cream and soapsfexofenadine 120 mg SOS if itching apply Hispanic ointment and histocalamone lotion you will be fine after 3 months ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two palpable lymphnodes in my neck. When turning my head to the right I feel one on the upper side region, and when turning my head to the left I feel on on the lower bottom region of my neck. I have felt at least one of these nodes for about 3 years now. I have a history of tonsil and sinus infections, and chronic post nasal drip. Could this be the cause of my palpable nodes or could it be signs of HIV infection (after searching the Internet on lymphnodes this is a result that has come up many times and has started to cause fear/paranoia for me. Thanks for your response in advance. ### REPLY: Hello I have studied your case. Lymph node involvement can be due to infection, lymphoma, and malignancy. I will advise doing blood investigation and FNAC of swelling should be done and lymphangiography. If required CT scan or PET scan for early diagnosis and treatment. This could be serious so do investigation quickly. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have symptoms of severe fatigue/lethargy/affecting ADLs, weight gain with no diet or lifestyle changes, generalized pain/malaise, insomnia, fever of 99.5f to 101.5f x 1yr, and I feel worse than crap.  I was dx w/ lupus-like syndrome 18yrs ago and Fibromyalgia 16yrs ago.  Ive always had a fatigue and pain, but my sypmtoms have been markedly worse for 1 yr. I had a Cortrosyn Stimulation Test this AM and 25 mg/l was my baseline;  it increased to 32 after 30 min; the increased to 37 at 60 min post injection.   The high range for normal s 19mg/dl.  I had a normal MRI of the Stella Turcica this AM as well.  How would you interpret my findings?  Ive looked the interpretation up, but its unfamiliar to me and I want to know more about it.  I know it should elevate over time, but Im not exact on what the baseline elevation indicates ### REPLY: Hi and thanks for the query, Interpretation of these results would require that many parameters be taken into consideration. First, you have already been on treatment, and steroid therapy, for that reason. This alters somehow the normal inflammatory response and distorts to an extent the expected physiological hormonal changes. Expertise of an endocrinologist in the interpretation of these results is advised. It is possible you could have a mixed connective tissue disease. Symptoms here span from those from Progress, syn .  Your rheumatologist will certainly ask of an sternal of biological tests (ANA, p ANNA, CANCA, CRP, ESR, CBC, Rheumatoid factor, Anti DS DNA, anti Sm antibodies). X-rays to evaluate any degenerative of demineralization lesions at the level of the joints could also be seen. I strongly suggest you consult your rheumatologist and an endocrinologist. Thanks and kind regards, Bain LE, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old has a middle ear infection. Due to a yeast problem in his gut (hes currently on nystatin), we are waiting to see if the ear infection may be viral and resolve on its own. So weve postponed the antibiotics for a few days. But now he also has a lot of eye drainage in both eyes. Does that mean its a bacterial infection? If so, will that ever go away without antibiotics? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has ear infection with some .  It can be bacterial infection.  He should take antibiotics.  Ciprofloxacin or ofloxacin is helpful. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 59 year old male with diabetes and hi blood pressure, I take medication for both. Recently I have been experiencing some random dizziness with what I can only describe as pressure in my head like being under water or up high in a plane. I have no pain anywhere with the exception of occasional head aches which are very minor and again are more pressure than pain. ### REPLY: Hi, With the history of diabetes and hypertension, all single symptoms related with central nervous system like dizziness, headache, and others should be taken seriously. In my opinion, it is most advisable to get done the CT of brain, just to rule out the possibility of developing ischemia in brain. I always advise to all my patients to maintain the plasma glucose level on tight rule basis, keep close eye on hypertension. Visit the physician on regular basis, exercise is the best to avoid the complications in both the hypertension and diabetes.  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: May I ask just weeks ago I was injured by a dog bite beneath my sleeves although I found it just scratch of dogs teeth.I am the owner of the dog . I had vaccinated it once every year. Do I inflected with rabbies? so far, there is no strange feelings or any symptom I know  on me. P Lease advice me what to do. Thanks ### REPLY: There is no probability of infection of rabies in your case, as you vaccinate your dog regularly and there is only scratch of the teeth by your dog. Most important thing is that whether you washed scratch with water immediately after the scratch or not. If you have done, so there is nothing to worry. You can observe your dog for 10 days from bite. If there are no symptoms in it then there is zero probability of you getting rabies 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: after having a stent placed in an artery and medication for another artery that was 30% blocked, I feel like I cant take a complete breath (not short of air) and Im very tired all the time. No history of HTN or hyperlipidemia. I stopped smoking over a year ago ### REPLY: Hi, You should see your doctor for full evaluation as 30% blocked artery cant caused such symptoms, and the other artery is already treated with stent, which shouldn't cause any complaints. There are three possibilities1. You have problems with inserted stent, for exclusion you will need ECG and/or stress test2. Your complaints are caused by the medications you take3. There is another problem, which is not related to the heart. So you need to see your doctor to find out the cause. Take fearsome back if you have any further questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 33 year old male standing at 6 foot. My weight is 90kilos. I suffer with psoriasis. I was out in the sun for a long period yeaterday. I did use sun protection however I cound not have used a sufficient amount on my scalp which caused some burning. I dont feel any pain although it is sensitive to touch. The worry for me is it has been intermitantly seeping a clear fluid for a 4/5 hour period.Thank you for your help ### REPLY: Hello, Welcome to , From your description it sounds like sunburn alright. In severe sunburn seeping of fluid (oozing) is commonly seen. It will be beneficial if you could apply a cream containing a combination of steroid and antibiotic twice daily. Cold compresses will be beneficial. You should strictly avoid further sun exposure of the sunburned skin till it heals. I recommend you to get this cream prescribed by your general practitioner. Hope this helped, 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: mri cervical spine shows c4-5:small bilateral paracentral disc bulges mildly indenting the thecal sac and right nueral foramen. no evident nueral compression.c5-6:small bilateral paracentral disc bulges mildly indenting the thecal sac and right nueral foramen. Minimal focal compression of right exiting c6 nerve root.can this be treated? What are the precautions to be taken? ### REPLY: Hi, Thank you for posting your query. I have gone through the MRI cervical spine report, as posted by you. Treatment depends on the patients symptoms and the findings of clinical examination. However, what we can say is that your problems are minor and would not require surgery. Treatment would consist of medications such as pregabalin and physiotherapy. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My six year old daughter has had itching on the stomach just at the navel on the lower side & a two inch big rash like has appeared, what should i give her right now as it is 10:15pm night, can i give her Avil25 if yes in what dosage, plz reply my email add. is  YYYY@YYYY ### REPLY: Your daughter is suffering from fungal infection nothing else. For this you have to give her tab cefixime-oz 50 mg twice daily after meals with tab Evil 25 mg three time daily or tab levocetrizine 2.5 mg twice daily for itching with tab fluconazole 50 mg once daily at night for at-least 5 days. Along with you also have to give her tab bandy-plus one tablet stat at night than after 7 days. Use renovate or clobit-gm cream for local application. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 33 weeks pregnant and up until a few weeks ago my resting heart rate was in the 70 range. Now it s regularly 110-115. I m also having swelling in my left leg and it s achey from the thigh down. I see my OB today, but I was just wondering. ### REPLY: Hallow Dear, Swelling during pregnancy can be due to following common conditions:1. High blood pressure (maybe essential or pregnancy induced) 2. Urinary infection: The swelling is usually found on the face first, more in the morning. May be associated with burning urination3. Anemia: Pallor is noticeable. Usually and unfortunately it is misinterpreted as fairness in the complexion due to pregnancy. 4. Hypoproteinaemia: Low proteins usually go with anemia or liver failure. 5. Liver failure, Jaundice, etc. 6. Heart Failure7. No pathological cause. Please get your blood examined from the laboratory to rule out any of the above-mentioned conditions. Since you have a history of the irregular pulse varying from 70/min to 115/min, the cause of edema is more likely to be related to heart functioning. It is good that you have taken an appointment with Obstetrician. With his/her advice, you may plan to visit a Cardiologist also. Please consume high protein, moderate carboy .  Take daily iron, folic acid and calcium tablets. Have close monitoring on hemoglobin percentage since this even complicates the other conditions responsible for edema. I hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have looked all over the internet for an answer and found a page that over 15 people said nearly the same thing. Their scrotum and peni skin were: itchy, sweaty(sticky), swelling and red. These are my symptoms, it has been 4 days now and a few (3-4) small red spots that itch are showing up to the sides of my scrotum and penis and between my balls and anus. Many of the people said they have been to the doctor, if not 3-4 different doctors who had no answer. ### REPLY: HelloThanks for query. You have itching and redness of the skin over genitals, scrotum and groin This is due to fungal infection what is called as Jack Itch. Take antifungal medication Tab Fluconazole orally twice daily with topical antifungal ointment like Fluconazole (Role) twice daily. Observe proper personal hygiene by cleaning the area with warm water twice daily. Wash your inner wares with hot water mixed with antiseptic solution Detail. This will get cured within a week. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was recently in a car accident not as bad as one I had when I was younger but after the accident I havent been the same Im nervous got low self esteem and feel like I dont know who I am anymore Ive been getting angry quickly with my partner over everything. What do you think is happening to me? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The problem you are facing is not just low esteem but PTSD (Post Traumatic Stress Disorder). Only solace is that your problem is comparatively less to other PTSD. Possibly because the accident was not that traumatic. Nothing to worry in this regard. Please try to have positive thinking and do some relaxation techniques. Within a few weeks or so, you shall be perfectly alright. Anger is common with every one. Instead of controlling anger, eliminate the cause. Or else adjust with the cause itself. 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 some 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: My mom has psoriasis for 4 years , there are some redness on her skin. she went to doctors and used defferent treatments, they are going to be better and worse I mean get dry a day but some days after get wet and smooth. What should she do to get rid of that? ### REPLY: Hi. As you said your mother suffers from psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. She may be having scaly plaques on various parts of the body, scaly lesions on the scalp and joint pain due to politic arthritis. Exact cause is not known. Genetic tendency, autoimmunitity, stress, . .etc. may be responsible for precipitation and exacerbation of the disease. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. She may apply mild steroid cream or calcitriol point on the lesions. For scalp psoriasis, tar shampoo may be done. She may apply moisturizer to improve the skin texture. Tell her to avoid soap bath for few weeks. She should avoid stress and worries as that might worsen psoriasis. Your mother might get good result. I hope you got my answer. 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: Dear Sir, I m suffering from Early Fall since day one. Now even erectile problem has also got added to it. There is no sensation of having a Sex during the times I try. My partner is frustrated because of this & life has become difficult now to even lead on. Pl. help out in some way. I ve been prescribed with Sustimax 30 mg for 60 Days. My ID is YYYY@YYYY +0000 Thanks with Due Regards, S.K. Bajaj ### REPLY: Hello SK Bayou need not to worry, I am here to help you out in the best possible way this could be due to any of following conditions 1. Hormonal imbalances like low testosterone2. Poor nutrition3. Stress and anxiety 4.hostile environment for sexing my opinion you should try to rule out these possibilities one by one like spend more time in foreplay make a conducive environment for Sexton take too much stress and don't fear about performance anxiety avoid smoking and alcohol have good balanced diet with multivitamin supplements Hope this helps you please feel free to ask for more clarification I will be happy to help you regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , i have over ejaculation problem since a long time aprox 5 years, i treat but the result only for time being and it start again, due to these i have weakness , i m having pain some time in my bones, and in nerves/vain, and my hairs are falling, please advice me should i use Gonadil-F to regain my health, and will it be helpful to stop hair loss? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. You are probably suffering from That syn .  You need to understand that ejaculating excess amount of semen or night fall is a normal phenomenon and that will not lead to weakness. Furthermore, you also need to understand that the semen is formed to be ejaculated and has no use in the body. Furthermore, you may need some antidepressants for your symptoms. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to further details about your query, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have chipping L5 L6 in my neck i was wondering if this could cause swelling around my neck even in the front. i am supposed to go for surgery but haven t heard from the surgeon yet. i am in a lot of pain in my arms and tingling down my arms to my finger tips. ### REPLY: Hithank-you for providing the brief history of you let me make a correction that C5-C6 comes in neck region and not L5-L6?.as you mentioned your history what I can understand is that you have pain & tingling in the arm up to the fingers.these symptoms arise due to Cervical spine disc pathology. For which I can recommend you to take physical therapy. This will help you reduce the pain and tingling sensation. Also on a later stages exercises will be introduced.in my clinical practice, I have seen many cases with similar issues and all response well to physical therapy.regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, I have a marble sized lump that is firm and moves up and down only when I swallow. It seems like it is attached to the cartilage in my throat on my right side. It is approximately 1-2 inches north of my adam s apple and to the right a little bit. My doctor recommened a sonagram. I am just worried. Does it sound like something serious. Thanks ### REPLY: Hi, Dear,Thanks for your query to . Studied your query in full depth of its details. Reviewed it in context of your health concerns. You seem to suffer from-Thyroid nodule. This is the lump to be worried and concerned. This needs to be thoroughly investigated for benign or cancerous lumps in thyroid.FNAC biopsy of the nodule would fix the diagnosis. Hope this reply would satisfy you and would help you to plan further treatment with your doctor there. Welcome any further query in this regard, which would be replied in next session. Will appreciate YOU, to write your excellent review feedback comments of this service experience, to help the needy patient visitors like YOU, at  services. 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: Hey. I am 57 yrs old. I was born with vsd. Had surgery at 3. Began to hererage so they closed up . Had a echocardiogram done and ekg. Shows Ejection raction 54 %. AO root 2.3, avc 1.0,la 2.8, rvid 2.1,lvid ed 4.0, lvid es 2.5,isv ed1.0,lvpw ed 1.0. Doppler Data: Mitral valve Preasure 27, mitral valve regurgitation = mild, Aortic Valve = mild Trcuspid valve-mild. Should I be worried? Is this normal for vsd, do i have the possibility of open heart surgery in the future? ### REPLY: Hi have noted all your details rearmost of your parameters are absolutely normally Mr, ar and try are perfectly normal findings and have nothing to do with your Vedas VSD is closed and there is no shunt flow seen in echo and LVEF is normal, there is no right ventricle hypertrophy or pulmonary plethora, you need not worry. Your reports are perfectly fine, you should not be worried. Your possibility of having an open heart sure in near future is almost the same as a normal person at present.don't worry you are perfectly normal ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mother contracted chicken pox before I was born, and although most children suffer from some form of congenital varicella syndrome I surprisingly had none of these effects. However, when I hit puberty I developed a rather severe case of dysfunctional uterine bleeding and as far as I know never ovulated. I am essentially permanently on birth control for this condition, but I was wondering if exposure to the chicken pox could have inhibited my production of eggs before birth and these two events are therefore connected? If so, does this mean that I am most likely infertile? ### REPLY: Hello, Thanks for the query, During first or second trimester of pregnancy, there's a slight risk (probably less than 1.5 percent) that baby will get something called congenital varicella syn .  The risk is highest (about 2 percent) if you're infected between 13 and 20 weeks gestation. So you might have just escaped. There is no relation between CVS and infertility in women. You do have chances of conception provided you rule out other causes of infertility. Good luck 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 ride a road push bike and have a sore raised purple lump between my groin and inner thight. It is reoccuring. It looks like a blood blister or vessel is under stress And is very uncomfortable. Should i be concerned? Is there anything I can do to fix this issue, other than stop riding my bike? Thank you ### REPLY: Hi, I Reviewed your query. The lump on your groin is sore and on inner thigh, is worry some as its recurring. It seems mostly a fur uncle / boil, as its very uncomfortable. This lump is due to the heavy cycling and the probable friction causing bruises, leading to the painful lump in the groin. You should be concerned as if it complicates to abscess stage, then it would stop your earnings from road push-bike. So take the treatment from ER doctor.Hence, I would advise you to consult ER Surgeon who would treat it after physical check up by anti-inflammatory and by antibiotics. Still I would advise you to have a check-up from your doctor to get the worry ruled out by a direct physical check up. Hope this would relive your query satisfactorily. Write excellent review and hit thanks if this has helped to resolve your issue. Welcome again further for any query in this regard. Have a 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: Hello i m a male 21 years old. I do 3 times a week significan weight lifting and do drink protein and sometimes pre-workout. I got a blood test and a urine test and it says that my RBC is 3-10, Everything else is in perfect condition shoudl i be worried? What the doctor says is i should drink more water. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. 2 to 3 RBC in urine is normal finding.  You have 3 to 10 RBC, so you should .  Repeat urinalysis after 15 days. If still RBC are there then you should go for complete kidney function test with ultrasound abdomen. Right now no treatment is required. 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 am a 57 year old woman have been to doctors  3 times in the past twelve weeks pain started in groin area then moved round to left side took urine sample 3 times blood & protein in urine  was given antibiotics have been to work today feeling the same again only pain in lower abdomen out & in loo frequently losing weight although iam already slim had a thyroidectomy in my early thirties face hasm been sweating quite abit very red skin on wrist started of as itch 8 weeks ago looked infected tried all sorts of cream now dry and scaly and skin very thick ### REPLY: Hi. Thanks for your query. These look to be different problems:The first one looks to be related to the recurrent urinary tract infection. I would advise you to get the 3-week antibiotic course, urinary alkalinize, plenty of oral fluids and see the results. The antibiotics will be as per the reports of the culture and sensitivity reports. Further, get intravenous paleography, CT scan of the abdomen and if required the cystourethroscopy by Urologist. Get specific causes as tuberculosis and such problems investigated by the relevant blood tests. Second problem looks to be related to thyroid-Since you have a history of thyroidectomy, get the freeT3, Free T4 and TSH reports as get the dosages of thyroxine adjusted for the cure of the skin and related problems ... General and specific examination by a Doctor always helps to assist the diagnosis when considered with laboratory investigations. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My blood iron level is 3.5 . I am very very tired always. I am working full time and 49 years old. My doctor gave me iron supplements. We done lots of tests. They are normal excepts my heavy periods problem due to fibroids. How long I have take iron supplements to feel better. Sriya ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  You have fibroid uterus so that heavy bleeding occur which leads to iron deficiency.  So you should take treatment of fibroid first.  Once your heavy bleeding is cured then your he level will become normal with iron therapy.  Otherwise, you have to take iron therapy for long time till your bleeding is cured. 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: hello my husband had a seman anylisis done and the rults showed that his sperm was fine but his ph levels were high what does this mean and how do we lower the ph levels ### REPLY: HelloThanks for your query, The pH of semen of your husband is high. You have not specified the value of pH. Normal value of pH of semen is from 7.2 -7.8. Any value above 8 is due to infection either in seminal vesicle or prostate. He needs to take broad spectrum antibiotics like Augmenting or Doxycycline for four weeks. And repeat the semen analysis after completion of course of antibiotics. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes please help.. i m Elaine from Malaysia residing in Kuala Lumpur.. i m 61 yrs old ..Thyroid cancer -operated 3 yrs ago Putrajaya Hospital..treatment- radio iodine 3 times but the Doctor here discovered t small lumps on my left neck and have to get my Biopsy test April 7th I m scared worried all the time I m a very alonely lady..What do i do? ### REPLY: HI, thanks for your query to . After reviewing all the details of your query, I would suggest you NOT to worry till the HPR report of the biopsy of these neck lumps confirms its cause. Your worries are to be there from fear of metastasis from operated thyroid cancer. So cool down and wait till the Biopsy HPR report comes. Hope this would help you to plan further treatment with your doctor. Hope this reply would help you in resolving this complex query and anxiety with it.Don't forget to hit thanks and write excellent review comments to help needy visitors at . Welcome for any further query in this regard. . N.M.S. Genl- CUTS. Senior Surgical Specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 13 yr old daughter has severe pain under her lower right rib cage. she keeps saying it feels like there s a bubble in there. today I could feel it while she was breathing- it felt like air bubbling or a bubbling sensation. We ve already been to dr, they thought she either strained her diaphragm or the cartilage on her ribs. He did not feel the bubbling sensation i felt today. What could it be? ### REPLY: Thanks for your question on . In my opinion it is gaseous distention of stomach which gives you sensation of bubble. The most common cause for this is gastritis. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I am from Bangalore, Age-27F, Weight-54. My father is having high levels of triglycerides and cholesterol and he had undergone Angioplasty procedure and placed with 2stents. As iam suffering with severe ACNE I was adviced to take TUFACNE-10 abd AZIFAST 500mg and creams Retino-A, TRI O BLOC, CLINDAC-A GEL. Could you please let me know if there are any side effects with the above medications? Also when my family history is considered is it safe to take these medications and are there any chances of me getting high levels of triglycerides or any heart diseases because of above medications? ### REPLY: Hello, I have gone through your question. I can understand your concern.first let me tell you that this Acne medicine have side effects pertaining to triglycerides and cholesterol. It has minor side effect, but you should take them and report to any untoward effect to doctor who prescribed them. Yes, you should be careful with hereditary high cholesterol and triglycerides. Follow healthy lifestyle and regular check up after age of 35. My best wishes .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a 29 year old female. I had open heart surgery in January 2015 to replace my tricuspid valve due to endocarditis, and a pacemaker placed in 3 days later. Then I got a new pacemaker (biventricular) a few weeks ago in July 2015 due to continuing heart failure. I ve had the hiccups daily for the last week. Pretty much every time I stand up and move around. Each day I m taking: Methadone 12.5mgs Xarelto 20mgs Tizanadine 4mgs Today i started taking Carvedilol 3.125mgs twice daily. I ve heard hiccups can be related to heart problems. Any advice? ### REPLY: Hello, I have gone through your query. Thanks for using . Hiccups have many causes .most of the time it is due to metabolic or electrolyte disturbances. But it can originate due to inferior wall ischemia. But at your age it is unlikely. You should check for any pacemaker lead In right ventricle producing irritation. But it is very rare. In your case it may be due to electrolyte disturbances or Infection above or below diaphragm. If your hiccup is persistent inspire of PPI and antacids. You should he investigations in the form of X-ray chest, Ultra sound upper abdomen and electrolytes. My best wishes .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: am having a gum bleeding and movable gum parts at one location ,after  i suffered an aftous or herpes signs in mouth and tongue ,i suffered also from fever for a week . then when cured from the aftous signs i felt my gum is swelling and my gum bleeds especially at night ,as when i wake up i see my pillow with blood stains.the gum at my front lower teeth became so soft the it is torn away from my teeth and became movable.please advise ### REPLY: Hi, Thanks for the query fragility, bleeding, soreness are the symptoms of oral herpes. As per your details it seems that herpes has affected your soft tissue and this type of herpes is known as canker sores which are slower to heal. I hope that you have taken your antiviral medication and have applied antiviral prescription cream. If not then consult a dentist for proper clinical evaluation and prescription. Topical anesthetics like lidocaine gel and pain relieving medication like ibuprofen will give you symptomatic relief. Take green tea as it is a herbal . Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How many Aleve can a person take in a 24 hour period. I have L4&L5 problems with my back. I have an appointment with a back specialist in 2 weeks, but the pain is severe. I have had 3 injections and none have relieved the pain for more than 3 days! I have Tylenol with codeine, Ultram and Naproxen. Nothing seems to work as fast or as well as the Aleve. Unfortunately, the Aleve wears off also. ### REPLY: Hello, I have studied your case. You can take maximum 4 alive in 24 hours. Ideally 2 or 3 times is recommended dosage. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. If MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had a cortisone injection in my left Shoulder about 3 hours ago and my doctor tried to manipulate my arm (I have frozen shoulder and rotator cuff tendonitis) and Im in absolute agony in my shoulder, arm and injection site. Im in tears and wondering when the numbness kicks in and the pain eases ### REPLY: Hello there, Thanks for your post on . I carefully read your query and understand your point of concern. Frozen shoulder also called adhesive capsulitis, in which range of movement are restricted, I think after injection your doctor manipulated your shoulder for release of some adhesiveness which will increase your range of movement. And by the nature of illness you fell pain due to stretching effects of capsule. My advice is change your shoulder joint position and find the comfortable position in which capsule remain relax. It can ease your pain.Also, you can take analgesic like ketotolac, or ibuprofen along with omeprazole or omeprazole. If no improvement occur then please consult with your treating doctor. Hope it will help you. Wish your good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: pls help us on this below issue.1. Exact location is in the uterus not in ovaries2. size is very small. while scanning they had shown to my wife dots and was also told that is too small and can be cured by if you can loose your weight. she is taking tables for 3. In July  her periods was delayed by 20 days and went to doctor. only at this time she had taken the scan and was adviced to take tablets(for periods and doctor told to her if you took this tables then only you will get periods every month). i want to check if there are some natural cures. or what she has to do next. will this affect me in getting concieved? we have 5 yrs daughter, looking for 2nd child and her weight is 64 before 57 ### REPLY: Hi thanks for your question. She has already given birth to one child and looking for the second. This is called as secondary infertility. Uterus cannot become small to such an extent after one pregnancy that it cannot hold fetus of second pregnancy. Obesity (more weight) does not directly interfere with fertility, however if obesity is due to some primary because it can cause infertility, like hypothyroidism. If she has adequate height, 67 kg is not over weight not to talk of obesity. Your wife has already given birth to one child; she should be able to conceive again unless she has developed some other cause of infertility. I would suggest you to consult a gynecologist who may be able to evaluate her for secondary infertility and may treat her depending upon the cause. Hope this answers your question ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my age is 40 and i am 5ft 10 inches tall male i am having medicine for blood pressure since one years i.e.concor 2.5 mg i am not having errection since  one month .my blood pressure is also varying sometimes it is on low side for eg.120/70 sometime it is on higher side for e.g.140/90.when my b.p.is low i also have pulpation.Please advice i am very much worried ### REPLY: Concord is a beta blocker, which is a very good medication for controlling blood pressure. One of the common side effects from beta blockers is erectile dysfunction; I would discuss this with your physician to see if you might be able to switch to another blood pressure control medication. Additionally, if you are having palpitations when your blood pressure is lower, that could mean you are not well HY .  Please be sure 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: i just had blood tests done and my alt and ast are high. I have been really swollen in my whole stomach area, I mean I look like I m pregnant ready to pop. I have gained 21 ibs in 4 months. My left side kinda where my stomach and ovaries are hurt right now. I know it s alot of symptoms but I m really worried. What could this mean? ### REPLY: Hello, Welcome to . Thank you for your query. AST & ALT is usually elevated due to liver function impairment. Obesity is one of the cause. I think you are obese enough. Control & maintain balanced diet. Regular exercise will help you to decrease weight. Some pathological cause should be considered also. Thyroid disorder & Cushing SY .  If there are associated features of liver disease like jaundice, ankle & abdominal swelling etc. then you have to check other parameter. Cause should be identified. Consult an internal medicine specialist. I hope I have been some help of your query. Please write if you have any doubt. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have been suffing with sinusitis for around 4 weeks. I have been taking antibiotics, im on my second course now. Today though i have noticed a lump on the right side of my fore head, like i have bumped it, which i havent. Im worried about the lump ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor or inflammatory swelling. It is not related to your sinusitis. You should go for examination and if needed to go for fine needle aspiration cytology. It will give you perfect diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . 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: Occasionally I have felt a sharp stabbing pain in the top/side of my foot. After a few steps, it goes away completely. This has happened very occasionally. Today the foot aches in that same place, but seem like a muscle ache or the pain you d get from a turned ankle. ### REPLY: Hi, I have gone through your medical history carefully and understood your concern. The stabbing pain you feel in the top/side of your foot similar to a turned ankle is due to muscle sprain. Try not to move the ankle for a few days. Observe if it is swollen. Apply cold compresses locally and analgesic cream. Take oral painkillers. If it won't go away in a few days, consult further with orthopedic specialist and run X-ray of the ankle to evaluate the changes further. Wish fast recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having localized minimal discomfort on the left side of my stomach approximately 2/3 fingers from navel, and 2/3 fingers below navel. Hx of several abdominal surgeries and IBS....no temp... no vomiting, and bowels are formed and consistent for past few days. ### REPLY: Hi ! Good morning. I am  answering your query. With the history of IBS, and several abdominal surgeries (?reason), I would consider a routine stool test for ova and cyst and treat it if positive, and in case of no relief, might consider sending you to a gastroenterologist for an endoscopic evaluation (colonoscopy) of your intestinal tract, and possibly an ultrasound abdomen to rule out any intro abdominal organ pathology. As this was not an intolerable discomfort or pain, I would not consider for any medications till the reports of investigations were at hand which would decide on further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi since Friday I have had terrible cramps in the very lower part of my abdomin to the point it actually hurt to sit. My bowl movement is normal and Im weeing normally it feels like cramps but I have been in the menopause for nearly three years it has made me feel feverish but there has been no real temperature and I have taken nurofen every 4 hours which does take the pain away. Today I feel in myself a bit better but the pain us still coming and going. Anything you can recommend?? ### REPLY: Hi thanks for your query and proper history. The commonest causes for pain in lower abdomen in a post menopausal woman are :Intestinal infections. Lower Ureteric Colic UTI with severe cystitis. Prolapsed uterus with reconcile and systole I would advise you to have consultation with a general surgeon for clinical evaluation, examination and investigations to come to the diagnosis and give you a plan for further treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, For past one month, my mother is saying she is hearing voices and says that the people in our apartment are planning to get rid of her from our house, although we are in our own house. From what she has told me, I understood she is imagining things.Today, early morning 4:30 she woke up me and saying that people are talking about her and she is afraid. No one is there and it is very silent. Kindly help me on how should approach ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are concerned about your mothers recent problems. Hearing non-existent voices is called hallucinations and having false beliefs that people are going to harm her is indicative of delusions. Hallucinations and delusions are symptoms of a psychotic disorder. So, it appears that your mother has developed a psychotic illness. She needs to see a psychiatrist for a detailed psychological assessment and further treatment.Don't worry because there are effective treatment options for this problem. Treatment can be in the form of medication called anti-psychotics and psychotherapy, which can control her symptoms. So, please take her to a psychiatrist as early as possible for further evaluation and treatment. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had seizures in the past and they were due to a dead spot of brain tissue a good size too about 1/10 of the brain that never developed and was removed and I have a few seizures a year now compared to a doz a day because of another undeveloped spot deep in the brain and doctors don t want to mess with and I was wondering if since i chew tobacco occasionally if it effects seizures at all and how bad ### REPLY: I read your question carefully, and I understand your concern. Chewing tobacco does not affect your seizures, they are related to that lesion in your brain and tobacco doesn't bear any additional influence in their development. You might want to consider quitting tobacco chewing anyway though as it has other negative effects predisposing you to cancer of the oral cavity, esophagus, stomach, nicotine addiction, and other local damages to oral cavity. I hope to have been of help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has had a distended belly for about 3 weeks now. We had an xray done and they said he had an impaction in his lower part of his colon. They gave him a enema and a laxative to get him cleaned out. His belly is normal first thing in the morning. After he eats it begins to swell and it is rock hard by nighttime. He complains of pain in his stomach and also has tons of gas. What should I do? ### REPLY: Hi. Thanks for your query and proper history. The problem of distension due to fecal impaction, relieved by laxative and enema but recurrence after food and regaining the distension by evening has to be investigated properly. I would suggest you the following:-TO admit the child keep him on liquid diet.-Cleanse the bowel by saline enema, laxatives.-Barium studies preferably using water-soluble dye. - Colonoscopy. Once the diagnosis has been made-get an appropriate treatment instituted. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 19 year old woman and I have a question. First a little background about me. I have a really irregular period. Sometimes I dont get it for two months or sometimes it comes a few days late. With that being said I had unprotected sex 2 weeks ago, and although he didnt ejaculate inside of me, I chose to take the plan b pill just to be safe. On Sunday I started bleeding and we decided to have sex again. This time he did ejaculate inside of me. I dont know if the bleeding was my period, but I am still slightly bleeding today Wednesday. Should I take another plan b pill? ### REPLY: Hi, The bleeding you are currently experiencing could be either your natural period or the with .  Either way, you are safe, and you do not need another pill now. The use of emergency pills should be restricted to once or twice a year for the real emergencies. They contain high amount of hormone and hence tend to disturb the hormonal balance of the body badly with repeated use and can cause fertility problems in the future. Please opt for a regular form of contraception instead. 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: Gud night sir, i am from Kashmir. I am a clinical Psychology student. My query is my brother is under Psychiatric treatment from last 15 years. He was initially diagnosed with GAD with PANIC ATTACKs. The condition has now subsided. NOw the Doctor has now diagnosed him with F25 i.e. Schzoaffective disorder. Sir my real query is, He is having good insight of his behavior . He gets angry when someone tells him you are alright. His is having emotional problem as well.Our socio-economic condition is also not sound. Sir we have also genetic disposition towards Depression and Anxiety . sir please help me to understand his real problem, so that i can help him and my family and others as well to get out of this mess. ### REPLY: Hello Nair, Thanks for choosing  for posting your query. You have missed mentioning the exact symptoms of your brother. Many times schizophrenia and schizoaffective disorders are mistakenly diagnosed as anxiety and depression initially. The only way you can get out of this mess is by taking proper psychiatric treatment and adhering to it for a few years with out missing the doses. If you have socio-economic issues, you should visit a government hospital having psychiatry where you can also get the required medications. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In future if you want to discuss with me directly you can use the link:http://www.ChatDoctor .com/Funnel?page=askDoctorDirectly&docId=64634Wish you a good health! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 5 year old daughter has been vomiting for 2 days. she has not eaten in this period but is able to drink water in very small quantities. she had a temperature for the first day but now it is normal however other than water anything she eats comes back up within 30 minutes. what should i do? ### REPLY: Hi, As per your query, your daughter has symptoms of constant vomiting which seems to be due to food poisoning and acute gastroenteritis.  Need not worry. I would suggest you take acetaminophen in the dosage of 15 mg/kg. You should give child proper rest. You should them plenty of fluids to ready .  Take diet rich in multivitamins and avoid any oily sharp and fast food. Visit pediatrician once and get it examined. You should get blood tests done of child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m trying to help my daughter-in-law re; her symptoms: she presented yesterday with abd. pain in the center,burning along the esoph.,nausea& some vomiting , but with numbness/weakness in left arm & some shortness of breath. Sent her to walk-in, was given TECTA. Symptoms subsided, but are back again (milder).Told her to go back to walk-in tomorrow. should we be concerned about possible heart problems? ### REPLY: Hello! Thank you for the query. Chest burning, left arm numbness and shortness of breath can be caused by heart disease and should be always checked with ECG and heart enzymes level. Stress test and heart ultrasound should be also performed. If no heart problems, symptoms are caused by either acid reflux disease or peptic ulcers. Shortness of breath can be caused by asthma disease which is very often associated with acid reflux disease. You should have upper GI endoscopy, abdominal ultrasound, and blow test (spirometry performed). Avoid coffee, chocolate, fruit juices, fatty foods, soft .   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe lower back pain. It radiates down sciatic in right leg making leg weak non stop pain. 10 yrs ago had radio frequency to kill nerves coming out of facet joints it worked. It s back. Could Celebrex help? I walk 5 miles a day try to keep weight down eat healthy diet low carb no sugar etc had performis syndrome Nuerosurgeon removed performis it was pancaked with sciatic nerve. Pain in buttock area on right side constant ### REPLY: Dear patient it seems you are suffering from articular pain in the right lower limb most likely due to nerve Compression in the bar spine. Diagnosis needs to be confirmed by doing MRI of the lumbosacral spine with screening of whole spine. Please get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime. You need to consult spine surgeon with report. Avoid forward bending and weight lifting. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was in a bad Dirt Bike Accident at a desert race saturday landed from about 15 ft square on my bum...thought I broke my lower back but now seem to be walking ok but havent pooped (sorry) since And have eaten a ton my insides feel very tender and kidneys are killing me. is that bad? I refused ambulance care btw...just tried to walk it off ### REPLY: Dear patient Fall from height puts you at risk of vertebral compression fracture and this needs to be investigated. Compression fracture may also lead to nerve compression and both lower limb weakness. I would advise X-ray of dorsolumbar spine anteroposterior and lateral views to rule out bony abnormalities.  MRI of dorsolumbar spine is also required. MRI gives detail of vertebra, nerves and even soft tissues. Visit radiology center nearby you and get it done.  Meanwhile, take strict bed rest and avoid stress to your spine. You need to consult expert spine surgeon with report. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr Grief. I am a 24 year old female and have a red elliptical behind my knee. It started off a a rash: all the elipse was red and ow, after a couple of weeks, the centre cleared out and the outside remained red, forming a ring.What could this be? Could it be related to stress? ### REPLY: Hello, Thank you for posting on . It seems you are suffering from Tina corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal .  You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer 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: Pain and tenderness is left elbow, and down that tendon. Pain and tenderness in right ankle on either side of tendon. Pain and tenderness on the front of left ankle, with an under the skin bump that moves. Pain and stiffness (hard to move, and affects my balance) in my back. Lower back and running along top of hips is the worst. Very painful, yet feels good at the same time to push on the dimples on either side of , and just above and below tailbone. I m 54 year old female. ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you seem to be having a condition called enthesopathy which is seen in inflammatory arthritis such as Rheumatoid. I would recommend you to get yourself investigated with X-Rays and blood investigations under the guidance of a Rheumatologist and then proceed further 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. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END