Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been sick with upper respiratory infection and asthma for the last two weeks. I m on prednison and have completed the Z-pak. However, for the last week, I have been experiencing a burning/pressure/pain sensation next to my left breast and underneath it. I haven t been wearing a bra to try and avoid this pain. Any advise. I ve already had shingles and the vaccination for shingles, but at times the pain seemed to mimmick those symptoms. Please help. ### REPLY: Hi, The pain may be of three things 1. Cardiac have an ECG for that2. Lungs that are pleuritic chest pain Have a X-ray for that. That is lower respiratory tract infection can spread to the pleura the outer covering of the lungs3. Musculoskeletal that is inflammation of the costal cartilages known as Costco .  You should have painkillers for that now that includes Tab. Ibuprofen 400 mg thrice daily for 03 days and have proper workup for the chest pain. I hope I am successful in solving your query If you have furthered you can ask me Take care and good rest ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir, my mother is 92 years old ... she s been in the hospital almost a month now..because of her pneumonia absena .. now her lungs is cure..and doctor found that her a creatinine is high at 800.. and needs to dialysis . doees she need to go dialysis? is that critical? her heart is good and the neurologist said her brain also okay.. ### REPLY: Cellophane you for getting in touch with us. As I see, your mother has creatinine level which is really high. Normal creatinine levels in the human body are less than 1.2 mg/DL and a level of 800 is really high. It would have been better for us if you had told us the Blood Urea Nitrogen levels as that would have helped us in recommending some suitable treatment for you. If you have those values, please feel free to share with us. As she is also suffering from pneumonia, it might be a case of multi organ failure. She needs to be kept under observation. Hope this 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: Hi sir, iam a 17 year old boy.i have a great and very best girl friend. Both of us are very close. Me become selfish in her love. I want her always with me vice versa.sir i dont know why iam so selfish in her matter? I cant live without her,and also she cant live without me. But problem is i dont like onething from her, she make chatting with friends, and facebook chat,i know they are her friends,but when i know this, my mind get disturbing. I dont know why this? I always want her only with me. And sometime i think that,she dont love me,she tell only lie...sometime me think my lifestyle is not apt for her... I need a way to avoid my bad thoughts about her? Please sir , give a solution for this. ### REPLY: At this age these could be apparently normal The answer and solution to your problem lies in your question narration Because of your over possessiveness you get negative thoughts that means the meaning of these thoughts are not real.  When it is not real, then there is no point in not allowing her to live her life in her own way If still you need a further discussion, I would love to have in my premium forum ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 53 years old and have had asthma my entire life.  I was explained yesterday that I have a high amount of red blood cells and they asked me if I spend a lot of time in the mountains.  Is it normal for asthmatics to have high red blood cell count because of the breathing ? ### REPLY: Hello dear, High red blood cell count in asthmatics can be explained by the following reason:1. In asthmatics, there is obstruction to the smaller airways of the respiratory tract.2. Due to this, there decreased availability of oxygen to the tissues.3. Depletion of Oxygen in quantity or molecular concentration results in a state of Hypoxia.4. This hypoxia is sensed by few specialized cells in the Kidney & they produce a hormone called Erythropoietin.5. Erythropoietin in turn acts on the bone marrow & stimulates the production of Red Blood Cells. Thus, asthmatics tend to have a high red blood cell count. Hope I have been able to answer your query. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had surgery 1 week ago and they used idione was used to wash the trunk of my body. I am having allergic surgery reaction to the same area of my belly and under chest. I have pink bumps that are itchy and red. I am using the cortisone cream and benydryl but not helping. Please advise. ### REPLY: Hello, It is very important that you avoid the agent that is causing the allergic reaction. If it is Iodine you will need to thoroughly wash the wounds to completely wash it off. Sometimes, it is the band-aid used to stick the gauze that is the cause of the allergic reaction and these may need to be avoided and the area gently and spotless to remove any remaining on the skin. You may go on with the Ben .  Sometimes, oral steroids are used for better effect (you will have to get permission from your doctor to use these-depending on the surgery you had). If you get face swelling or shortness of breath you will need to urgently see a doctor. I hope this answers your query. I remain at your disposal in case further medical assistance is needed.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife was diagnosed with GBM IV in 2008. She underwent an operation followed by 60 fractions of radiation and 12 cycles of chemo and immunotherapy (temozolomide and nimotuzumab). In Jan 17 the tumor has reoccurred extensively as seen from MRI. Docs have ruled out operation due the size as also Radiation. She was advised Stereotactic Biopsy. After the biopsy her left side is paralyzed. Is this temporary or permanent. What is the treatment. Also what will be the prognosis for the tumor. Her age is 48, wt 75 and physiologically healthy. ### REPLY: Hi, Usually, a biopsy may not cause palsy unless there is an injury to the internal capsule or its blood supply during biopsy, which can lead to palsy. MRI brain, clinical examination may give clue where the problem is. Please do physical therapy, carotid Doppler, complete blood picture. Please consult your euro physician, he will treat it as cerebrovascular stroke or brain edema related ischemia or malignancy related space occupying lesion leads to palsy. 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: Recent blood work returned t levels of 320 and free of 4.04. My doctor is in a rush to put me on trt.I still have great strength and muscle mass is good. I can perform in bed but I will say libido is minimal. I am a 47 yo male. Is trt necessary and what else can I try first? ### REPLY: Hi, Thanks for writing in to us. Testosterone is an important sexual hormone in the body. At 47 years of age the average testosterone level is 606 and free testosterone is 9.1 and therefore your levels are below the mean. You might be able to perform in bed and the low libido is because your testosterone is about half that of an average male of 45 years age. You can try and improve your testosterone by following methodsMaintain a healthy weightExercise regularly. Take multivitamins and minerals. Sleep for 7 -8 hours every day. Eat healthy foods. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 girlfriend and I were dry humping, but no sexual intercourse. However, some semen got on her leg somewhat near her vagina. She had her underwear on, but according to her she was supposed to get her period the next day. It has been five days since the projected date, and we are both concerned as to whether or not she is pregnant. Please help. ### REPLY: Hello Welcome to , thanks for posting your query. I read your question completely and can understand the situation. I can, with 100% certainty tell that there's absolutely no chance of pregnancy if that was the case as you described. Because. 1.  .  2. Semen on leg, near vagina and not inside of vagina. And most importantly, 3. Periods expected next day can never fertilize ovum. According to physiology, ovulation occurs around 14 days before cycles. So you can be tension free and chill out. And yes, the thing that she didn't get her cycles should not worry you. Sometimes there's delay of one week here and there. Hope this helps you, and you can always get back to me in case of any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pain in my left chest.  It feels like a pulled muscle, but I have a shorteness of breath when I take a deep breath, and it hurts worse when I bend or move.  I assume a pulled muscle, but I dont remember doing anything that would have caused a pulled muscle ### REPLY: Hi welcome to .... You have pain in particular position suggesting it could be musculoskeletal pain by muscular strain.... Any unaccustomed situation can lead muscular pain... Take simple paracetamol analgesic if needed. Proper sleep posture taken... Avoid strenuous work... Avoid movement causing pain... Physiotherapy can be taken if needed by stretching exercise. Apply hot compress over chest... If still problem remains chest x-ray done for further work up. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 year old was just diagnosed with Pneumonia- We have a trip this weekend to visit with her great great grandparents for 4 days The Drr said she has a slight pnemonia and should be fine as long as I take her medications..Is it safe for her to fly? ### REPLY: As per guidelines it is recommended not to travel if patient is suffering from pneumonia because there are changes in air pressure in the cabin resulting in reduced oxygen levels which can create serious consequences. The Aerospace Medical Association recommends that people diagnosed with pneumonia, tuberculosis or other pulmonary infections not fly until they are well enough to handle the stress and are sufficiently advanced in recovery that they cannot infect other. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 almost 37 weeks pregnant with my 3rd child. My c-section is scheduled for a week and a half from now,and I have come down with Asthmatic Bronchitis. (I get it every other year) I dont smoke,Im not allergic to anything, How do I treat this to try and get rid of it before my daughters birth. My OB/GYN is out of town until Sunday,he is my primary and therefore cannot refer me to a regular doctor. He also prefers his patients to not go to a regular doctor,but to deal with him. What can I do or take to alleviate the coughing. The drainage I can deal with. The cough hurts. Thank You. ### REPLY: Hellos you are pregnant (37 weeks) and having asthmatic bronchitis. You are having severe cough with post nasal discharge ( .  When such type of patient visit in my clinic I advise them to take MONTELUKAST+ ALBUTEROL tablet one / day. Also take some aerosol syrup to facilitate phlegm from lungs. As all this medicine are safe for you and your baby.However, note one thing that albuterol sometimes causes mild tremor, but these are for time being, so need not worry. Hope this will help you. Good luck for both of you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is suffering from Chronic depression Our doctor has been trying different drugs in last 12 months but there is no relief We now fear that due to this trial her body may lose the ability to react to any drug Kindly suggest what can be done Should we consult another expert ### REPLY: Hello.  Your mother may be suffering from what we call treatment resistant depression. So, she may be resistant to usual anti-depressants and that's probably why the doctors trials are not working. In such cases, there are some other modes of treatment that might help. Some of them are psychotherapy, thyroid hormones' supplementation, mood stabilizer .  You can discuss these options with the doctor. Consulting another expert might not be necessary.  Hope this helps.  Abhijeet Deshmukh, 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: hi, iam 27 years old, when my foot and legs are sweeting, i feel like active(more eneregitic),when my foot and legs are not sweeting, i feel like sad, dullness,please help me , iam not able to concentrate in my work. because of this i feel low confidence. ### REPLY: Hi dear, having such symptoms since when?other symptoms like appetite decreased or increased?sleep disturbance or not?also is there any stress you have?any change in your regular schedule ?such symptoms you experienced first time?is there any family history of psychiatric illness?without such history one can not put diagnosis, but you might have mild depression or anxiety.don't worry you will be all right. For better result consult psychiatrist. 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, my question is I had a bad infection from I think my swimming pool. And I was sick for a few weeks. And my research has lead me to believe that it was legionella bacteria that infected me. What are the symptoms from this type of infection? As it was exactly 1 year ago that I contracted this disease. I am a lot better now,but I will not swim in a pool ever again,because in Florida it s always hot and humid and the water is easy pray to parasites. Thanks from Mike YYYY@YYYY ### REPLY: Hello, The symptoms of bacterial infections depend upon the mode of transmission or spread such as:1. Airborne (coughing and sneezing)2. Contact with infected people, especially through kissing and sex.3. Contact with contaminated surfaces, food, and water.4. Contact with infected creatures, including pets, livestock, and insects such as fleas and ticks. However, the most common symptoms of bacterial infection include fever, coughing, headache, inflammation, vomiting, diarrhea, fatigue, burning micturition, foul smell vaginal discharge, etcetera. Legionnaires disease is caused by a bacterium known as Legionella. Its symptoms usually develop two to ten days after exposure to Legionella bacteria and include headache, muscle pain, and fever with chills. By the second or third day the signs and symptoms that may include cough which may bring up mucus and sometimes blood, shortness of breath, chest pain, nausea, nausea, vomiting, and diarrhea. Confusion or other mental changes appear later. Although Legionnaires disease primarily affects the lungs, it occasionally can cause infections in wounds and in other parts of the body, including the heart. The most commonly reported infection from the swimming pool users is diarrhea which can be caused by Cryptosporidium, Guardian, Shell, Norovirus, and E. coli. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband had laproscopy appendectomy day before yesterday. He was only able to pass urine nearly 20 hours later and has been able to open bowels only this morning. His stomach was very very bloated yesterday and he now has a tube inserted through his nose to collect bile. He has just vomitted a lot of green bile. He is also diabetic. I am worried that the docs are not telling me everything ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. It can be paralytic illus that is decrease movement of the intestine which can occur after any abdominal surgery. It will take time 2 to 3 days, and will resolve itself. Furthermore, it can be confirmed by doing X-ray of abdomen which will be showing dilated bowel loops. I hope I have answered your query and this will help you. Wish 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 mother has had a stroke a month ago .she is 83 years old . she was given olimelt by a doctor but later on her neuro physician kept the medicine on hold. what are the sideeffects of the medicine .are there going to be any withdrawal symptoms. my address is YYYY@YYYY ### REPLY: Hello, Aliment (olanzapine) is an atypical antipsychotic medication prescribed to treat a variety of mental disorders such as schizophrenia, depression, and bipolar disorders. Its common side effects include postural hypotension, weight gain, sleepiness, abnormal muscle movements, increase in body fat and cholesterol, .  If limit is stopped suddenly symptoms like sweating, unable to sleep, tremor, anxiety or nausea and vomiting might occur.  So, its dose should be gradually reduced before stopping the treatment. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 20 yr old daughter has a large lump or ball of skin at her rectum. It has bleed when she s had strenous bowel movement but not constantly. Years ago in her early teens she tore her rectum from straining and she frequently gets explosive diarrhea. She thinks this lump is a hemmorhoid and found info on the web that it should be cut off. I am not sure its a hemmorhoid based on that fact that there is no more pain just a huge lump of skin making it had to wipe the area clean. What do you think? Could it be a polyp? What type of Dr. should she see? ### REPLY: Welcome to  I am  and I will help you with your problem I have gone through your question. Lump at rectum that bleeds painlessly and there is history of straining in the past, is probably hemorrhoids. There are four degrees of hemorrhoids, first two are treated conservatively and with injection chemotherapy while grade 3 and 4 needs operative management. In your case it appears to be grade 2 or 3, and needs a review by general surgeon. Who after performing Digital rectal examination and photocopy will assess the grades of the disease and will then guide you about further course of treatment.  Hemorrhoids are common conditions and easily treatable. Newer techniques like Hemorrhoidal artery ligation operation (HALO), have much better results with shorter hospital stay and early return to active life. I hope my answer will help you. Do rate my answer if you like it. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my family member has just been diagnosed with a liver tumor, has a GGT level over 500- is this number indicative of advanced disease? I have looked up the reference numbers and realize it s high, but how high is high as far as clinical significance? Thanks in advance... ### REPLY: Hello, Yes, your gamma-glutamyl transferase (GGT) level is significantly high. The reason is a liver tumor that already mentioned. For that ultrasound or CT guided biopsy taken to classify tumor if needed. And then according to the extent of involvement and according to biopsy report, further management plan decided. Consult the surgeon for an examination and discuss your case. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 yr old is getting over a virus (10 days) fever,chesty cough, thick green nasal discharge, swollen glands sore throat. For the past 2 days has been complaining of lower back/bum pain, she wont wear knickers or trousers saying it hurts, she has been having frequent small/very small bm s. ### REPLY: Hi, most probably your child is suffering from upper respiratory tract infection or tonsillitis. The weakness of body can occur due to fever. You should give child some rest. Avoid activities. If symptoms persist then throat swab culture should be taken. For fever, you can give antipyretic like Paracetamol. Give adequate fluids to child to maintain HY .  If symptoms persist then antibiotic needs to be given. Have a good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 50+ old male Cholycystectomy done in 1990 after that I became a Patient of Incisional Hernia now swelling is more and feeling more conjunction just at the centre of Rib Starting Point tell me some treatment with medicine only. ### REPLY: Welcome to . There are not any proven . You will have to opt for repair surgery. Please visit your Surgeon and get evaluated to know if you are fit for surgery. Laproscopic surgery is also available. Meanwhile, if you have chronic cough please see that you get treated for that. If you are a smoker, Quit smoking and see your Chest Physician. Hope I answered your question. If you need more information feel free to mail me. 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: Hello Dr, I am 31 years old. I was a very very fair baby. My parents and siblings are fair. However, my skin color has been getting darker. My trunk from neck till knee are fair but my face, neck and forearms are dark. Especially my face is becoming darker. I would like to be in wheatisChatDoctorplexion if not fair. Can a fair baby become dark over time? Is there any way now at this age, I can reverse it? Thanks for your time and answer. Sami ### REPLY: Hello the part of the body you are mentioning is less likely to be covered and due to sun exposure it becomes darker. Apply sunscreen. Choose a sunscreen. SPF, or Sun Protection Factor, is a measurement of how well a sunscreen will protect skin from UVB rays, the kind of radiation that causes sunburn. If your skin would normally burn after 10 minutes in the sun, for example, wearing an SPF 15 sunscreen would theoretically allow you to stay in the sun for 150 minutes (10 x 15) without burning. This is a rough estimate, however.30 minutes before you go outside, apply an ounce of sunscreen. Applying sunscreen just before you go into sun will not be effective. Hope this answer helpsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 All, please guide me i got a result in Alpha Feto protein test 109.08 ng/mL . and i was not feeling well. pls tell me whats should i do? my doctor already recommend Ultrasound of obstetric. any one tell me how can i decrease the said result. i dont want abnormal baby. May Allah guide me in this problematic moments. kindly advice. ### REPLY: Hi welcome to . Thank you for posting your query. I understand your concern. I shall guide you about alpha photo protein.  It is a protein produced by the liver and yolk sac of a developing baby during pregnancy. This protein level decreases after birth. Its levels are measured in 15 to 18 weeks of pregnancy to find out neural tube defects(like, spina bifida, autocephaly.), chromosomal disorders(downs syn .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been sitting quietly for about an hour and about 30 minutes ago I felt my heart racing. I checked it and for the last 15 minutes its been 112 beats per minute. I have been having these episodes for the last two weeks . I was diagnosed several years ago with mitral valve regurgitation. I am 44 years old and a female. Should I be concerned? ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that your symptoms could be related to a cardiac arrhythmia. I recommend consulting with your attending physician for a careful physical examination and some tests: -resting ECG and cardiac ultrasound to examine your cardiac function-chest X-ray study-blood lab tests (complete blood count, thyroid hormone levels, fasting glucose, PCR, sedimentation rate, blood electrolytes). An ambulatory 24-48 hours ECG monitoring would be needed to examine your heart rhythm trends during the day. Hope to have been of help! Feel free to ask any other questions whenever you need! 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: We have a female relative that has Paget s disease ( vulva and rectum ). I am concerned that it might be contagious if she uses the toilet seat. I know this is a rare form of skin cancer .... and I do not believe any cancers are contagious. (Even though certain things can bring on cancer .... if not treated in early stages.) I am most concerned about this because I have young women in my family. Please have a GYN (skin cancer) doctor answer this, as this disease is rare. ### REPLY: Hello welcome to  In the query you didn't mention the age of your relative suffering from Pages disease. It generally occurs in post menopausal women. Generally pages disease occur in the breast,if it occurs in other sites it is called extra mammary pages disease.pages disease of the rectum may extend to vulva area. Pagets disease is not contagious,you can safely use the toilet consult general surgeon, and he will give further suggestions and treatment.surgery is the only treatment. Hope you understand my answer thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a very small purple spot that came out of nowhere on my gum above my front tooth . I do not smoke and I brush my teeth twice a day and floss at least 4-5 times a week. I am Caucasian in my late 20 s. The spot doesn t hurt and it is level with my gum (not raised). What could it be and should I be concerned? Will my gum go back to it s normal color? ### REPLY: Hello and welcome to  forum, according to the history provided by you, it seems some kind of pigmentation spot has appeared which is nothing to worry about, this kind of pigmentation appears due to number of factors, like vitamin deficiencies, oral medication, etc.I would recommend maintain your oral hygiene as you are, use an antibacterial mouth wash(twice/day)message you gums with your finger for at least a minute, take oral antioxidant capsules for a month(1capsule/day), i wish you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 12 year old daugher has been complaining of a stitch like pain, initially it was in the centre of her abdomen but seems to have shifted to the left side. When it goes she acts completely normally so isn t unwell otherwise and then she will double up with the pain. Any ideas? Many thanks ### REPLY: Hi, From history it seems that she might be having abdominal colic giving this problem. With this history only this can be concluded. You have not mentioned other associated symptoms like bowel movements, nausea, fever etc. There might be having possibility of starting her period as this is the age when menstrual bleeding starts. Give her symptomatic pain reliever medicine like Metal spas or Cyclops to get temporary relief. Give her rest. Give her light diet. Ok 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: Thanks Doctor. I am 71 yrs.old. I was prescribed Rozavel F. My cholesterol is 254 mg. After taking this tablet for 10 days I felt weakness in the body. Should I continue this tablet. I think it may be due to some side effects. Please advise me. ### REPLY: Hi, Suggestive of Rozavel-F induced side effects. Rozavel-F is a combination of rosuvastatin and fenofibrate commonly prescribed the treatment of combined hyperlipidemia (high blood cholesterol and triglycerides). Based on the history you seem to have developed symptoms suggestive of myopathy apparently caused by Rozavel-F. I advise you to stop taking this medication and ask your doctor for an alternate effective but a safer medication. 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: Hi, I ve just been diagnosed with an intraosseous lipoma in the femoral neck of my hip. I have been discharged and have been told I need no further MRI imaging in the future. I was just checking this was appropriate as I have read on the Internet that these lesions need periodic imaging to keep an eye on it as they pose a rare but real threat of malignant transformation? ### REPLY: Thanks for your question on . In my opinion you should not worry much about cancer. Lipoma is benign soft tissue tumor mostly containing fat tissue. It is painless and harmless. Rarely it turned into malignancy, liposarcoma. But the chances of this is very, very rare. Only 0.0001%. So no need to worry much about malignancy. But, yes you should definitely get done follow up of this lesion annually by MRI. Look for size and contours of lesion in follow-up scans. But at present no need to worry much. No possibility of cancer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 22 years old male, 200 pounds, 6ft 4. I have been suffering with strange symptoms that are hard to explain. Waves of mental confusion and Nausea. Difficulty concentrating. It seems to intensify once a day for around 20 mins but is always present in the background. I am NOT depressed or having panic attacks. I feel calm during these "symptoms". I am happy, I have energy on the whole. ### REPLY: Degree understand your concerns. I went through your details. I suggest you to keep calm. Mental confusion do not always mean depression or anxiety or panic attacks. People who are utterly disappointed can also be mentally confused. I think that is the case with you. You are 22. There are a lot of developmental milestones you need to reach during this age period like role identity, social identity, family identity etc. During this identification, setbacks are normal which results in disappointment. The volume of disappointment depends on the incident. Confused and lethargic mind can stimulate nausea symptoms. Keep your cool and consult a psychologist. In case if you need more of my services in this regard, please post a direct query. I am happy to reply you. 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: Doctor , my wife delivered a baby girl in Nov 2010 by C-section. After a month or so of delivery she started having boils over her body. The problem still persists as every week she develops a boil or two which is painful and irritating. She had been on Iron ad Calcium medication postpartum. Any specific reasons for the boils? What could be the remedy? ### REPLY: Thanks for choosing  .this could be because of some skin infection.First you need to treat it. Apply some antibiotic cream over it. Take help your primary doctor for medication as she is nursing mother, so antibiotics cannot be taken on own. Your doctor may advise some blood test to have look at some infection responsible for this. In mean time if you are leaving in high humid conditions avoid wearing tight-fitting clothes. Use more of cotton clothes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Myself Rohit from last 6-7 months i am suffering from small giddiness. I have consulted nuerologist doctor. He conducted CT scan and MRI test luckily nothing found. I suffer whenever i see a moving object with high speed (eg train sound & speed to watch) & whenever i sit idle suddenly if it reminds me of same problem. Please guide me to solve this problem. My head pains very high whenever i take stress ### REPLY: Hi, Based on the symptoms you have been experiencing you are suffering from Benign positional Vertigo. Vertigo is caused by labyrinthine dysfunction, neck injury, cervical spondylosis, head injury, stress or rarely tumors. As the CT and MRI is normal you need not worry. The cause in your case could be stress. Using labyrinthine sedatives like cinnarzine or Beta Sistine will help you by relieving vertigo. Along with that using Anxiolytic like Alprazolam will help you combat stress and resultant headache. Few labyrinthine exercises called Repays maneuver will also help. Whenever you have a headache, take a cup of strong coffee. Please consult your doctor and discuss the above-mentioned treatment options. Wish you a speedy recovery. Take Care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 45 years old my mother is suffering from diabetic,hypertension,hypothyroid and as per her present ultrasonogram abdomen report shown gallbladder grossly distended.wall thickness normal GB diameter:6.17cm internal floating echoses seen.About 1.73cm impacted calculus seen in the neck.what is your opnion sir? ### REPLY: Hi, I am so sorry to hear about your mothers' diagnosis. The gall bladder (GB) stores bile and empties it into the bile duct through the cystic duct. Stones form in the GB most of the time and is seen as an incidental finding in most USG scans of the abdomen. In most people these stones do not cause any problems and so do not need any treatment. But unfortunately for some it causes infection and inflammation in the GB, necessitating surgery to remove the GB. In your mothers case, the stone is blocking the cystic duct of the GB, causing distension of the GB, and I am sure pain and fever as well. Since the wall thickness is normal, inflammation has not set in yet, but given that your mother is a diabetic, she is at a very high risk to develop it. So I would suggest you seek surgical help at the earliest and proceed with a laparoscopic Cholecystectomy (removal of GB). It can be safely done at most surgical centers and is a routing procedure now-a-days. Hope this helped and hope your mother starts to feel better. Please do not hesitate to contact me for any further details required - rxsuresh@gmail.com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mum had a heart bypass on thursday. she seems to still be very drowsy and not very responsive. the drs arw not aure why as she is not on pain relief. my mum has previously had brain hermorage. strokes she is epileptic and diabetis. she is 66 years old. please help. is thia a bad sign ### REPLY: Hello, Post bypass surgery many reasons can be the reason for .  Most common and easily correctable are low sodium or other metabolic reasons (hypoxia, low sugars, impaired renal and hepatic causes) As you said pain medication or sleeping pills, some antibiotics and other rarer medication which can cause the same. Considering her history of stroke and epilepsy, A EEG to rule out silent continuous seizures. Lastly during bypass the blood supply to the brain is  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 28 weeks pregnant and have suffered with thrush this pregnancy. I also have group b strep. I have noticed the past few weeks lots of small dark purple lumps just inside my vagina and starting to spread all over. They are not painful and do not bleed or anything like that. I am married and have talked to my partner when i found them as genital warts was of course the first thing that popped into my head but he assures me it can not be this as he has only been with me. Could they be something to do with the thrush or the strep b? Thankyou. ### REPLY: Hello, You seem to have a complex problem of pregnancy with vaginal varicose veins as these are painless multiple lumps caused from 28-week fetus pressing on pelvic veins, which has lead to these unexpressed curiosities due to the high intrapelvic pressure due to growing fetus. The thrush and group B streptococcus (GBS) infection have expedited the occurrence due to increased vascularity from the inflammatory process in the vaginal area. Hence, both these facts need to be considered while planning treatment of these lumps when need be. In the above scenario, you need to be very cautious and take the needful treatments for the varied unknown health issues you may have, which requires a thorough evaluation of your case. 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: From lsat one year, I use to feel anxiuos various times. I purchased blood pressure monitor for at home BP measurment. While measuring, the first reading is high like 155/93 and after three / four readings, it reaches to 125 / 74 to 132 / 82 and then does not get high above this range. This occurs every time I measure at home at different timings. I checked with doctors, in doctors office due to fear it some time high. I have seen cardiologist and under gone stress test, echo, lipid, TSH etc and are normel. Does it mean high BP. Doctor says, in case of high BP, the number will not touch 125 /74.Please advise me. ### REPLY: Hi... Blood pressure of It is certain that BP varies from time to time depending on the status of patient, but a hypertensive patient usually do not record normal BP such as 125/74 if they are not on medication. Based on your history I think you are not hypertensive but I would recommend,1. Regular BP recordings at 3-month interval with doctor2.meet a Psychiatrist if anxiety symptoms are troublesome3.IF BP fluctuates a lot you need to rule out conditions causing episodic hypertension such as pheochromocytoma with help of doctor.4. If you are still not sure get 24hrs ambulatory BP monitoring ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 5yrs 4month old daughter is suffering from high fever for last 3 days.My doctor has prescribed only Crocin DS suspension once 4hourly if fever persists.Today her fever is rising to 103 Degrees once the effect of CROCIN DS subsides & it is not getting below 100-101 for last 2 Days. Today i have given her 4 Doses of Crocin 8ml each but fever stays.Is it safe to keep her only on Crocin Ds any further? Pls advise ### REPLY: Hi...at the appropriate dose it is safe to give Paracetamol (Crocin-DS). Paracetamol can be given in the dose of 15 mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a caucasian female (39 years old) and are suffering from brain cancer stage 2. I am not taking kimo but am taking B17 (from apricot seed). My condition now is not serious. But I am praying that I would cure. My question is can I get pregnant and when could that be. ### REPLY: Thanks for your question on . I can understand your concern. No, it is not advisable to conceive during any cancer of the body. Pregnancy causes extreme stress to the body. And this can flare up cancer and can cause spread to distal organs. The treatment, you are taking is also teratogenic. And hence it can damage and deform growing fetus. So better not to get pregnant. 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: in january i was diagnosed with coccidioimycosis in my lung. i had erithma nodosum on my legs, too. now my nodule in my lung diminushed to 1/3 of its initial size....but i started to cough and have nose congestion. CT scan test showed a sinusis. My cough diminushed considerable after an antibiotics.treatment but after a week and daily use of flonase....i started to cough againI want to know why steroids treatment is not recomended in the coccidioimycosis cases. thank you. ### REPLY: Thanks for your question on . Steroids are known to cause immunosuppression. So patients on steroids are more prone to infection. They are also prone in flaring up of underlying infection. Coccoidiodomycosis is fungi. It is seen commonly with immunosuppressive diseases. So steroid will further deteriorate or flare up the infection which is already present in the body.Hence, because of this reason steroids are not given in the treatment of coccoidiodomycosis 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: .can an avm leak while apersn sleeps enough to cause an .intercerbral hemmorrage after I worked 3 ten hour days that involved strenous .physical activities such as (lifting)Iwent to sleep nothing wrong with me around 9:30 pm I awoke 4 am the next morning with my left hand seized shut. then the symtoms went .away after I pried my left hand open .because I couldn t open iton its own.then at 5 am Ihad a intercerbral .hemorrage. arteriovenous malformation rupter right frontal lobe . ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms. It is difficult to ascertain the reason for rupture of anterior venous malformation (AVM). Most often, the reasons are not known and occurs at a rate of 2% per year. This means that all people would have a rupture of AVM, if they survived for fifty years or more after the diagnosis of AVM. You should continue anti-epileptic . In addition, you should sleep adequately- 7 to 8 hours per night and avoid stress. I hope it helps. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Chest pains, shortness of breath, headaches, sweaty palms &feet, salt cravings-rays, loss of appetite, insomnia, frequent sinus infections. I ve had all of these symptoms since January. I can t get answers. All of my blood work, chest x-rays, EKG, echocardiogram, MRI come back fine, other than sinus congestion shown on MRI. 37 years old 135lbs, 5 6 ### REPLY: Hello. Thank you for your question and welcome to . I understand your concern. Well, if the cardiac check-up came back fine, then we can exclude cardiac origin as the culprit of this situation. You are young to have angina, though it is not impossible. Therefore, I would recommend you to do a cardiac stress test, which has a high probability on confirming or excluding the coronary artery origin of this problem. On the other hand, the other problems you reported, can come from a common situation which is called deviation Sept NASA. Septum NASA is located inside the nose, on the upper side, and is found deviated or deformed in many people worldwide. It is totally benign and harmless. But, when it is deformed, it blocks the discharge route of one of the sinuses. It results in liquid accumulation within the sinus, its walls become inflammation, hence the headache, nose congestion and sinusitis. If this often happens, I would recommend you to see an otorhinolaringologist (ENT doctor) and discuss the possibility of repairing this deformation. I hope I was helpful with my answer. Take care. Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir My friend met with an accident on October 25. He had lot of injuries including a head injury and underwent a neuro surgery next day of the accident. He was under full mechanical ventilation for almost 15 days and partial ventillation for 7 more days. Now he is shifted to hospital room and now his SGOT & SGPT shows a very high range. 183 and 280 ... Is this cause anything worse ?Doctors said this may be because of the after effects of medicines he had . How long it will take to cure? ### REPLY: Hi there, obviously your friend has had a very tough period in the past few months and I think elevated GOT and SGPT is least of his worries now. As suggested by the attending doctor the high values can be attributed to medications that he has been receiving. Once his health stabilizes, and he is weaned off the medications especially if he has been receiving anti-epileptics and high dose of antibiotics then the levels will come back to normal levels provided there is no residual liver disorder. Wish your friend a speedy 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, i m talking about my sister age 52 years. he suffering by filaria. she is complaining last about 4 years some thing is walking under skin. many doctor is treated by many medicine several time with high power antibiotic and other but no result. now a doctor said after diagnosis she suffering by filaria. she have no elephantiasis but leg is going to be black and complain something walking and bit in leg and her back side of arms. so please give me suggestion and treatment for her. thank you ### REPLY: HelloSign diagnosis is established, so I am advising accordingly. The . It has selective effect on microfilariae (MF).MF in peripheral blood are killed but those present in nodules and in translate are not killed. So take this treatment because in your sister it seems that MF are in peripheral part. Doses :1 mg /kg body weight in 3 divided doses;thereafter increased gradually to 6 mg /kg body weight daily over 2-3 days for 21 days for 4-6 weeks. Treatment may be repeated after 6 months. Also give her albendazole 400 mg twice in day for 21 days. Concomitantly these both  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i got kneed in the chest by mistake while playing beach volleyball last night and i have sharp pain right in the middle of my chest. it hurst when i open my arms wide and it feels like i bruised a bone or something. could this be something serious or just a temp pain from the hit? ### REPLY: Thanks for your question on . I can understand your situation and problem. You are having blunt chest trauma. And possibility of musculoskeletal pain is more in your case. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant .  Apply warm water pad on affected areas. You will mostly improve with all these. But after 7-10 days, if you still feel pain, cough, shortness of breath than get done chest x-ray to rule out internal damage. 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: my boyfriend and i had sex lastnight in the shower.... because we had finished bathing my vagina was clean and was not aroused... he entered me which was kinda painful... this  mornin he woke up and had little red spots on his penis... which i think are blisters.. are they? can they be friction burn? ### REPLY: Hello. I have reviewed your query and here is my advice. From the given information, the blisters are supposed to be due to friction related skin burning and further inflammation. There may not be anything to worry. Still it should be better if your boyfriend approach a physician for a good look at the skin and the blisters. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My age is 27 and weight is 70kg my first daughter is of 4 yrs and i want another baby i am trying for conceiving from last 3 months but still not i go to gynac she tell me for choriomon injection today is 9th day doctor tell me take injection on 1oth day she gave me 2 injections of choriomon 5000 iu. I want to ask that is it safe i can take risk of that injection or not? ### REPLY: Hi, I have gone through your question and understand your concerns. Horizon injection is  hormone which is given for ovulation in a mature follicle. It is usually given once the follicle reaches the size of a dominant follicle on ultrasound, or around14 TH day of the menstrual cycle. It's of no use if given on day 10. It is not harmful for either mother or fetus. Hope you found the answer helpful. Wishing you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 27 year old son has had about 4 widely spaced episodes of costrocondritis which have required him to go to the emergency room for relief. Now it appears that he may also have sleep apnea and is about to spend a night at a hospital to determine that. What might be the connection between the two conditions and would healing or lessening one help with healing or lessening the other? ### REPLY: There is no connection between these 2 disorders. I am a Pulmonologist. Costco . ... It will disturb u but will not do a harm. The best u can do- avoid exposure to cold, motorcycle riding, use NSAIDs for acute chest pain. For sleep apnea, do an overnight Polysomnography. An AHI> 30 in this study needs to be treated with a CPAP machine. Sleep apnea should always be treated, otherwise in future your son may have cardiac problems/stroke. I do polysomnography regularly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor,My Sreum Cretitine is 3.4 and Hemoglobin is 12.4.Suffering from CKD since 6 month. Now I am on BP medicine like Lonitab, Selokan XL and Fabulas 40 mg.Question is how bad my kidney is and which stage of renal failure. Can be improved? ### REPLY: Dear patient, I do not see any ACE inhibitor or Arms in your therapy. It is a good .  You can ask your physician to start with April, 2.5 mg once a day and increase at the maximum tolerated dose (10 mg). It can be an excellent substitute of minoxidil. You can expect a transient increase of serum creatinine, but it has been demonstrated that renal survival, at the long term, will increase. Your physician should strictly follow serum potassium at least for the first months of treatment, since potassium can be found higher than normal, and it may because of severe hyperkalemia. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 back pain just to the inside of my left shoulder blade along with this pain that wraps around my chest and in to my arm pit I also have two fingers numb all the time the chest and back pain together feel like a stake driven through my from the back causing anxiety and cramping in my chest muscles ### REPLY: Hello, I had gone through your questions and understand your concern. Looking at your description I am thinking of following possibilities,01) Heart related problem: pain due to heart diseases may radiate do back, left shoulder, arm. An ECG will help to rule out this condition.02) Neurological problems: A slipped disc, entrapped nerve, fibromyalgia may cause pain in back muscles, arm.03) Muscular pain: Any kind of muscle stress due to weight lifting, abnormal posture while sleeping, walking may cause this. I suggest you to change your posture while sleeping for some days, avoid sleeping on pillow, do some easy exercises, reduce mental stress if you have any, include vegetables, fruits in your diet, avoid smoking, avoid spicy food and carbonated . If your problem persists even after all these it is better to consult your nearest physician. You can ask any follow-up question or any other queries. Hope this helps. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I hvae had pain in the right side of my abdomen for a few days thats getting worse, i have a mild feever and vomiting, i do not have an apendix, and the over the cunter pain medd are no longer working. It gets worse when i eat, and imediately afterwards. ### REPLY: Hi. The history of pain on the right side of the abdomen with fever, vomiting, getting the worst on eating and not relieved by over-the-counter medicines is suggestive of appendicitis unless proved otherwise. It seems that you have not yet consulted any Doctor or a Surgeon as you are taking medicines on your own. I would advise in such a patient to undergo tests of blood, urine and stool and an ultrasonography to see what is it that is causing the problems along with a physical examination to be done by a Surgeon. The treatment will obviously depend upon the diagnosis you get on clinical judgment and 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, I have some question that I really want to know, hopefully you can give me the answers, thanks! 1. what color liquid leaks from the nose and is a sign of a concussion? 2.what knid of abnormal eye pupil exam is shown? 3.identify two tests that are done to diagnose a concussion? ### REPLY: 1. In a concussion, there shouldn't be any visible changes to the head. If there is fluid leaking out of the nose and its clear, it could be cerebrospinal fluid (CSF) meaning there needs to be a leak repaired or there could be a meningitis. This can happen from a cribriform plate fracture often seen in frontal head injuries.2. There also should not be an abnormal pupil exam. If there is one, you need to go to the ER immediately.3. To diagnose concussion, it is basically any head injury that causes an alteration in mental status. There can be tests done, but they are usually done to rule out something else like a contusion (blood in the brain) or neck fracture for example. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 33 year old male, I caught a general cold around 3 months ago & since then i have been suffering with sore heads, the pain is in the middle of my forehead & can sometimes be in both my temples. My right shoulder & neck aches & sometimes i awake from my sleep with pins & needles in my right hand. I feel completely jaded & lethargic all the time aswell. I have been to my GP on a number of occasions & unforunately they have diagnosed me wrongly with sinusitis, hayfever, stress & i am now being treated for tension headaches, which i dont think it is. i have been taking ibuprofen, 400 mg, 3 x a day for the last week to no avail, I have also had a blood test carried out whicChatDoctore back all ok. I have another appointment with my GP on monday. Can you suggest what i may have?? ### REPLY: Hi, t is unfortunate that a clear-cut diagnosis has not yet been established in your case. Multiple causes have been suggested, which do not seem likely. It is possible that you are suffering from post-viral Athenian and fatigue syn .  Viruses are known to cause damage to muscles and the healing is slow. However, there are effective medicines and physiotherapy, which can help you get better. If a brain scan and nerve conduction studies have not been done, please get them done. 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: Hi, my nephew, 30, working with a very prestigious international company at a very good salary is addicted to alcohol. His liver enzymes were alarming. He was treated under supervision of very good doctor and was almost normal. Was on leave for one and half months. He assured us that now he was fine and once he left to join his job he again started drinking. He drinks neet and did not listen to any one, including his wife whom he married not long ago. He never accepts that he drinks..We heard that there was a good de addiction  n re habitation center center at Nimhans.. Pl let me know ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. Liver markers AST and ALT should be below 40 IU, and bilirubin should be less than 20mmol. However, even higher liver markers values till 60 are acceptable, but alcohol should be in every case reduced and liver condition should be evaluated with ultrasound and CT scan. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish 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 NEphew wqho is old 17 years young boy suddenly he ho weak we tested his blood HB appeared 5 point we shocked and the Dr. says his kidney works just 15 % and slowly going reduces we are really shocked please tell us what we do we are from GUjranwala ### REPLY: Hello and welcome to . As a Urologist and transplant surgeon, i can understand your anxiety.You've not written if one or two kidneys are affected. I assume it's both. According to the reports, your nephew has kidney failure with anemia. Anemia is part of kidney failure and till need treatment with erythropoietin. Blood transfusion with packed cells will also be needed. The kidney failure will need a maintained dialysis or a kidney transplant. If you've any doubts, you may send all reports, as a direct question to me. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my  nephew is  21years  old...he  was  having  back ache  for  2-3years  now...it  increased  so  much  thAt  he  was  taking  2-3  pain killers  in  a  day...mri  relult  showed  some  shadow  around  spine  area....surgery  was  conducted  in  delhi  hospital...biopsy  result  shws  no  tubesculosis  and  no  tumor....but  tissue  growth  is  there  and  doctors  have  taken  out  50-60.,% of  tissues..patient  is  relieved  but  no  clear  diagnosis  could  be  done...problem  might  reoccur  doctors  have  to  say...what  is  your  opinion ### REPLY: Hello, Welcome at . I have read complete details of your question. It looks from your details that you are having backache which is troubling you. If biopsy had not shown any tumor or TB then you should not worry. Such type of pain in your age can also be there due to infection of disc or abnormal posture. There are several other reasons like Schumann disease, previous trauma leading abnormal strain over the vertebrae. At present, you should take care of your posture & should avoid abnormal strain over your back by avoiding abnormal bending. Learn some exercises for your back which does strengthen your back muscles- http://orthoperson.blogspot.in/ Do these exercises only under supervision & recommendation of your orthopedic doctor. Hope this all will help you. With best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I Had an elective colon resection in August from diverticulitis where I had 2 huge abscesses. I am a 35 year old male. I now have a nickel sized keloid below my naval. It pretty aggregating in this area due to my pants and underwear constantly rubbing on it. I went and bought the silicone scar strips that are highly recommended what do you recommend? I have a follow up at the end of December for a colonoscopy to make sure everything looks good on the inside. Should I go to a skin doctor or let my surgeon look at it when I go? Please advise! ### REPLY: Hello! Thank you for the query. Silicone scar strips won't make your keloid disappear. Due to some factors, your scar does not heal property, so you get larger than usually scar. You do not have to go to skin doctor, surgeon is enough. But you need to know that scar creation takes up to a year. During that time it can grow. You may try Edema cream instead of silicone strips. After a year, if it will be disturbing you, it may be removed. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a somewhat soft lump on the outside of my right calf - it has been there for several years and nothing shows on an xray or and MRI - it now has some sensitivity - slight burning - if I lay on the right side it will awaken me w/an unusual feeling - any thoughts? ### REPLY: Hello! Thank you for the query. This lump is most likely a varicose vein. Due to increased venous blood pressure in the leg (due to gravity), veins in this are got enlarged and result with soft lumps. It can be less visible when lying down and more visible when standing for a long time. Pain in such lump area can indicate blood clot inside. That is why, I suggest you to consult a surgeon (in next day). Doppler's ultrasound should be done and surgery scheduled in case of veins insufficiency. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi!  I have ALWAYS had periods like clockwork - 29-30 days but this months I spotted on cycle day 27.  I never have early periods and never spot.  I did have unprotected sex with my husband around ovulation - cycle day 13-14 by bbt charting.   The spotting was a small spot of mucus with pink and brown streaks and it happened again later that evening.  I was bleeding heavier the next morning but I noticed it looked pinker than usual and it didnt last the entire day.  I usually have a medium/light flow on the first day that turns into a very heavy flow by that evening or the next morning.  I have noticed brown/pink tissue when wiping yesterday and today and one small tissue clot came out when I urinated yesterday,CD 31.  I have had severe bloating, mild constant cramping, moody, gassy, headaches, shooting pains in breasts, indigestion/heartburn, insomnia and my bbt has stayed around 97.3-97.5 (usually 97.0-97.1) since.  I had BFN on CD 29,30,31, 32. Could I be pregnant?  THANKS! ### REPLY: Hello, and I hope I can help you today. Pregnancy symptoms vary widely between women, and many of the same symptoms (including a temperature jump) occur with PMS as well as pregnancy, and the most common sign of pregnancy is actually a missed period.  Urine pregnancy tests purchased over the counter are just as accurate as a doctor's office, so if you already have had multiple negative tests, you are definitely not pregnant. Your menstrual cycle may be irregular this month for a number of reasons-the most common one being the stress of trying to become (or avoid) pregnancy.  So if you are trying to conceive, I recommend just having regular unprotected intercourse (at least 2-3 days/week) without BBT charting, actually because your body temperature only goes up AFTER you ovulate, so if you wait for your temperature to go up, you can miss your fertile time.  Furthermore, if your cycle is longer than average, your ovulation actually occurs later, more around day 16-17. So I would wait a bit longer and see if you develop a full menstrual flow.  Once you do, the bloating and other symptoms should go away.  If you continue to have irregular cycles, you may want to see a local physician for a hormonal evaluation. I hope I was able to answer your question today and that my advice was helpful. Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi zdoctor, my dad is going through dialysis weekly twice. and he went for an angioplasty 2 years back. He is having diabetes also, ex smoker. now some times he is getting pain in hand neck and respiretory problems at night specially after food. i want to avoide dialysis, is tghere any suggestions or can i get few tips ### REPLY: Hello and welcome to . As a Urologist and kidney transplant surgeon, i understand your anxiety. Your dad has renal failure, diabetes,CAD, and H.T.(hypertension).CAD is coronary artery disease, for which he's already had an angioplasty. Dialysis is done for people with end stage kidney disease (ESD). The only two options available are: 1.dialysis or 2.kidney transplant.You've not written your dads age and medication.He's has a high risk for a kidney transplant surgery. So, no option to dialysis. If you've any other doubt, send all the reports to me, as a direct question. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Chest pain,I am 31 years old, male , about 100kg.I discovered a sharp pain in my chest and dont know what is the caused, though have been abit worried during the period because of my exam that was a bit bad, and also i do sit on the floor and my laptop on a chair. I checked the possible cause of chest pain and i quickly buy aspirin over the counter, and the following day i went for EKG test and the test was good. I took the aspirin for 5 days and i was asked to stop. I dont feel pain when i touch my chest now but at night i do feel the pain and my inside body is not as it used to be yet. Please i need an answer. ### REPLY: Thanks for your question on . I can understand your concern. No need to take aspirin as your ECG is normal. Normal ECG rules out cardiac chest pain. In my opinion, you are mostly having musculoskeletal pain. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My girlfriend who is 25 was experiencing chest pains about a month ago. When she went to the doctor they did a CT scan which found a mass in her chest. They sent her to a surgeon who did a medianoscopy. Her lymph nodes were swollen but the biopsy came back negative for cancer, TB, and sarcoidosis. The only thing they were able to find was inactive fungal spores. We feel like we are back at square one here and looking for advice on what to do next. Her only symptoms so far have been chest pain. Any suggestions would be great. ### REPLY: Thanks for your question on . I can understand your concern. Fungal spores on biopsy from mediastinal lymph node is seen with histoplasmosis. Histoplasmosis is fungal infection of mediastinal lymph node. It is chronic infection. So treatment is also prolonged. In my opinion, she should start amphoteric B and itraconazole for 3 months. Oral corticosteroid (prednisone) is also beneficial. Hope I have solved your query. I will be happy to help you further. Wishing good health to your girlfriend. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am coughing for a month. I tried all natural remedies from warm water to milk -turmiric and cinimun with honey but nothing helped. I have been to a doctor and they prescribed me Amoxicillian 500mg to be taken 3 times a day for 1 week. I have completed this course and my coughing has declined but not fully gone. When I lay on the bed to sleep I can hear the cough in my chest. Can you please help. ### REPLY: Hello Thanks for posting at . Since you have got persistent cough for one month despite being on antibiotics we must rule out if there is any baseline problem with the lungs like underlying asthma or bronchitis or pneumonia. So I recommend you to do a chest x-ray and a PFT. PFT is a breathing test which requires you to blow into a machine and lung capacities are determined. It is a very informative test and will help in the diagnosis of persistent cough and breathing issues. Chest x-ray will show us if there is any pneumonia affecting the lungs. Second since you have no relief despite medications, I recommend you to give a sputum sample (which you cough out) for testing. (aerobic culture, TB gene Expert and sputum for AFB. This will show us what organisms are infecting your lungs and the .  If all above tests come out normal, and you still have cough, a HRCT chest is recommended which shows us fine cuts of lung tissue to rule out other causes, or hiding infection and also can live information about heart, lymph nodes and other structures in the chest. Please do the above and revert. Wishing you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I did a left split without stretching and something snapped in the back of my left thigh. There was an imeadiate pain but I was able to walk for an hour or so. I went to dance practice and I was fine when I was lunging but it hurt when I kicked my leg above my head or did any leaps. Whenever my leg was bent there wasn t any pain, but when my leg was outstretched straight it hurt from the length of my knee to right under my bottom. I would like to know what I did and how I can heal it in the fastest possible way, thank you so much! ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to musculoskeletal injury.X-ray of the left leg can be done to rule out any pathological cause for the symptoms. Symptomatic relief can be obtained by application of ice, analgesic & muscle relaxant gel, intake of analgesics like Diclofenac (to be taken after food) + Pantoprazole (to be taken 30 minutes before meals). Supplements of Calcium & vitamin D can be included in his diet which will help in strengthening of bones. Physiotherapy exercise will also be helpful. There is no need to worry, you will be fine. Till then, maintain adequate HY . Wishing a Good Health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have some chest pain for a couple of days, and it s exactly where my heart is. also, i can feel my heart pounding when i put my hand to the chest, strong as if i put my fingers to the vain,,, what can cause this? i don t have any fever nor tachycardia... no pain anywhere else, and normal breathing, ### REPLY: Thanks for your question on . I can understand your problem and situation. In my opinion, we should first rule out cardiac cause for your chest pain and chest pounding. So get done1. ECG2. 2d photo rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. Get done CBC and thyroid profile to rule out anemia and thyroid diseases. As both can cause chest pain and chest pounding. If both are negative than probably you are having anxiety and related symptoms mostly. So avoid stress and tension. Be relax and calm. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a clear mucus discharge from my rectum.  I have had radiation in the last year for prostate cancer.  My intestinal problems began during radiation.  I also have had several instances with diverticulitis resulting in removal of part of my colon.  Pain and fever have subsided but I still have the mucus discharge. ### REPLY: Thanks for your question on . No it is not normal to have mucus discharge from anus. You need to evaluate this. Since you had prostate cancer treated with radiation and diverticulitis, possibility of internal disease is more. So you should consult gastroenterologist and get done 1. Microscopic examination of discharge 2.  Lower GI scope. Microscopic examination of discharge is needed to rule out infection. Lower GIs copy is needed to rule out diverticular disease. So better to first diagnose yourself and then start appropriate treatment. ### END