Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter fell off in a 3 ft high bed last October 5 and we go to her pediatrician. After examination everything to her is fine. (we co-sleep but now she will definitely sleep in bed after what had happened). Just last Sunday she fell off again while sleeping. I already called the health link and she seems to be fine. After an hour I saw a bruise on her head, right side. Today she seems not so smiley unlike before. I m worried. What should I do? She has a wellness check up on the 27th Oct. Do I need to wait on this date to inform her Doctor? ### REPLY: Hi... Thank you for consulting in . I understand your concern. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had asthma when i was young but it went away and now that i am 26 yrs old i had at 23 yrs old shortness of breath where i gasp every 5 minutes for air and this happens every now and then since i was 23 til now 26 and now i gasp for air all the time after 4 days.. is it the cold weather in LA??? ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion, you are having asthma attack at present. Cold is very well known triggering factor for asthma. So possibility of cold weather triggered asthma exacerbation is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). You need inhaled bronchodilators and inhaled corticosteroid. Antihistamine and anti-allergic .  Don't worry, you will be alright, consult pulmonologist and start treatment. Hope I have solved your query. 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: I have smoked in the past but quit last year when I found out I was pregnant. Ive had a few a day for a couple of weeks the past 2 weeks as I recently lost my dad but stopped again 4 days ago. Im still coughing and wheezing though especially night times and at times feel a bit short of breath. ### REPLY: Thanks for your question on . In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Since you have started smoking again, this might trigger either bronchitis or infection in the lungs and caused you symptoms. So chest x-ray is needed to rule out lung infection.PFT is needed to rule out bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So consult pulmonologist and discuss all these. Better not to start smoking once you have left. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 stopped drinking completely more than 6 months ago. I just had a blood test with asat 20, alat 20, and GGT 94.  My doctor is presently on vacation. Does 6 months strict abstinence, with a still high GGT mean not only that I have liver damage but that its irreversible, that the GGT will not go down with continued abstinence? Is this a sign of liver cancer? ### REPLY: Hi and welcome to . Thank you for your query. I am  and I will try to help you as much as I can.  Yes, but not typical. GGT is one of liver markers which indicates liver lesion, but this alone can't give us enough info about liver condition, so you should check other markers, bilirubin and do liver ultrasound at least.  I hope I have answered you query. If you have any further questions you can contact us. 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: I received results (P-16-positive, vimentina-focally posotive, PR-positive, and BCL-2-focally positive) from the pathology report stating that the above findings are not specific buyt support the dx of adenocarcinoma ofthe endocervix.  Does this mean I have cancer of the endocervix or that I have positive areas that need to be mremoved.  Very anxious here. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have adenocarcinoma of endocervix. You should go for hysterectomy and then take further treatment according to diagnosis. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got the depo provera shot about two months ago, and two weeks ago my period started and has had no signs o stopping anytime soon. Ive never had a period even close to this long! What can I do to stop my period as soon as possible? Ive heard of starting birth control pills, but is that safe if the depo doesnt wear off for another month? ### REPLY: Hello, Since you have symptoms of hormone imbalance, you may need additional hormone supplements to control your bleeding. Yet, you should get a proper evaluation first to see the exact cause of the bleeding. If the demo shot is the culprit, you may stop using it and switch to another form of contraception. Coagulation profiles, hepatic function assessment and urinalysis also may be needed. A hormone profile and a pelvic/trans-vaginal sonogram aid in the diagnosis. Hope your query has been clarified. 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: what is hypokinesis of the inferolateral area? i just had an echocardiogram in follow up to chemo therapy (with 2 drugs that may be cardio toxic - herception and adriamycin). that finished 1.5 years ago. i am being followed as part of a clinical study. this is the first time we have had hypokinesis. i am supposed to fly on sunday. is there some kind of risk? ### REPLY: Hello. Thank you for your question and welcome to . I understand your concern. A hypokinesis of a certain area of the heart muscle is indicative of ischemia of that are. It means that this certain part of heart does not move the same (it is "lazy") in comparison with the rest of the heart muscle, throughout the cardiac cycle. I would suggest you run a blood test for Troponin and crating phospholipase - MB (CK-MB), and lactate deny .  I am assuming that there is a blockage somewhere in your left anterior descendant (LAD) coronary artery or a great diagonal branch of this artery. Furthermore, I would recommend you to undergo a coronary angiogram for further investigation and, eventually, treatment. I hope I was helpful with my answer. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i AM HAVING MOVEMENT(WALKING) PROBLEM. i TEND TO SWERVE TO THE RIGHT, AND i HAVE TO CORRECT MYSELF.iTS LIKE BALANCE CONTROL DURING WALKING.My email is YYYY@YYYY I am unable to pay via PayPal.I can pay by credit Card directly, not through PayPal. ### REPLY: Hello, As you mentioned you have balance and movement troubles you forgot to mention the detailed version of your past medical history.  So let's take that you have balance and movement problems. Now these problems arise due to the balance and movement disorders and a neurologist must be approached.  If approached already then this condition is called as an Ataxia. Maybe an MRI scan will be of help to understand the exact location of the neural tissue involvement.  Well this kind of balance and movement disorders are corrected by a physiotherapist by undergoing a proper training of the balance and movement.  In fact there needs even for a GAIT correction. Consider all this point and take up the right call. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking a beta-blocker for six months.  I began having sever palpitations in late June (>5,300 in a 24 hr. period).  They did many heart tests and my heart is not the problem.   My thyroid blood tests were normal as was an adrenal test.  I still get the palpitations, but they are manageable while I am on this medication.  Now I am getting goosebumps!  From my head to my toes several/many times per day.  Even while I am covered up in bed and not chilly! ### REPLY: Thanks for your question on . I can understand your concern. Since you are on beta blocker, heart related diseases are unlikely to because such symptoms. Sometimes, undiagnosed stress, anxiety and panic disorder can cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need additional anxiolytic .  Don't worry, with counseling an  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 type 2 bipolar disorder. For 3 years I had complete control over it. I suffered a tragedy 22 years ago. ( I lost my dad in an car accident) Fast forward to February of 2013, I suffered another tragedy. My cousin passed away. Instead of seeing my cousin laying in the casket, I saw my dad. My depression with my bipolar is beyond out of control. I have tried for months to get help, but to no avail, there s not enough Dr s here. Is there anything I can do to try and curb these rapid depression violent outbursts? ### REPLY: His understand your concern. Bipolar 2 can require proper assessment of its episodes. Treatment can be depended upon no of episodes and other details. It can be treated with antidepressant with mood stabilizer. Apart from antidepressant medicines like lithium/quetiapine/lamotrigibe can useful. But choice of . So consult psychiatrist and get help. I hope I have answered your query. Happy to help you further. 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, may I answer your health queries right now ? Please type your query here...hi am 34 and been checking my blood pressure its been up and down i do suffer from panic attacks but got concern about my blood pressure it was 157 over 107 ill be seeing my doctor in two days ### REPLY: Hi, You have hypertension (BP 157/107 mm Hg) as co-morbidity with Panic disorders. Selective serotonin reuptake inhibitors (SSRIs) e.g. Fluoxetine or selective serotonin-norepinephrine reuptake inhibitor (SARI) e.g. venlafaxine is usually used at one third to one-half of their usual antidepressant dose for panic disorders. Clonazepam is also helpful for panic attacks. These .  If not, the antihypertensive  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 baby girl of 6 yrs, before her birth we( me & my wife ) enjoy our sex life very much, even 2-3 times a day, but after delivery my wife always insult me when ever i demand 4 sex and use to lye down like a dad body, not even look, touch me also try to fight before night and even hit me or pull my organ very badly, try to hurt me .We both are working, living in separate cities and mostly we meet after 15 days but every time the situation is same. her anger will increase when i ask 4 second issue. If I force with her she started shouting and throw things here and there, and try to go out of the room in nude condition before my parents.Please help me ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  I am really sorry for the state of your affairs. In my opinion sex is a divine act. Both partners should be able to enjoy it. If one of the partners is not interested, the couple should avoid sex. No pleasure shall be obtained on forced sex for both the couple. Please understand the feelings of your wife. She is not a sex machine. She has her own worries and troubles. Talk to her and you definitely can find a way out. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor ...I am taking Metronidazole for tooth abscess ... 500mg 3 x per day for week.  I have three days left, I feel awful ... Upset stomach, loss of appetite, weird taste.  My tooth is still sore.  If I stop taking now what would happen?Thank you. ### REPLY: Hello, Read your query, as you are taking metronidazole for tooth abscess, and you are having side effect of medicine don't worry you can take medicine like Ornidazole by consulting with your local doctor and consult dentist as early as possible and go for treatment of Abscess tooth. Visit dentist go for oral examination and investigations IOWA x-ray of tooth and if possible go for Root canal treatment that will give you relief. In meantime, you can do Luke warm saline gargle two - three times a day, avoid chewing hard food from that side, maintain proper oral hygiene. Hope it will help you. 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 son is July 1980 born. He is 5ft. 11 inches. His weight is 250 pounds. Till Dec. 2010 he was in a good health. But now after his first attack sometimes he feel week and lazy does not want to do anything. Otherwise he is a very hard working boy.He had his first attack of Mirgi on 8th of dec. 2010 and after all the tests were clear Doctor said he was a nero sergeon said no medicine but if he had this again we will start the medicine. So now on 9th of june 2011 after 6 months he had his second attack so then doctor starts his medication. I just want to know what should I do when he had this attack and how he should live his life. will he be able to get married an d have childrens and will it goes to his kids. ### REPLY: Hi.... I understand your concern. By what you say I feel that your son has got seizure disorder. Your doctors or treating him the right way. Coming to your queries - 1. Always keep with him midazolam nasal spray and if he has got an attack give three sprays in each of his nostrils. That will stop the attack immediately.2. During the attacks keep him turned to one of the sides so that he will not aspirate if he vomits.3. Seizure disorder may run in families. So it may or may not get transmitted to his child .  But there is no restriction for marriage. 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: im dealing with bad stomach pains and they go as far down into my vigana. my doctors believe that it could be IBS , but what i am wanting to know is what causes the pain and what can i do to prevent the pain. As of now I dont have a life because I am always hurting or I am afriad of going any where because the pain can hit me at any minute. Earnestine ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You have got bad stomach pain that is up to the Regina, You are always getting the pain and fear of getting the pain at any moment.  As you describe it appears that the pain is in the lower abdomen, the description suggests that the pain is a urinary tract infection, or a stone in the urinary tract.  I advise you to consult a surgeon for diagnosis and treatment. You may need to have an M.R.I.besides other routine tests for confirmation. If follow this recommendation you may not get the pain here after.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was drinking everyday all day hard alcohol for about 4 monthes.  I stopped because I was feeling pain in my right upper side of my stomch.  I had a few withdraws but nothing too severe.  I am not yelloe nor are my eyes. I am just really scared.  I feel full after I barely eat.  Will the swelling go down in my stomch if I stay completly sober? how long before I do not feel so uncomfortable after I eat? ### REPLY: Hi! Good evening. I am  answering your query. At the outset, I would advise you to have absolute NO to alcohol and smoking if you do. If I were your doctor, I would advise you for a CBC, an LFT to see the status of liver function, a serum amylase and lipase to rule out a pancreatitis, and if need be an endoscopic evaluation of your stomach and intestines to rule out a gastric/peptic ulcer. An ultrasound would be a must considering the pain in the right upper abdomen to rule out any gall stone disease or a liver pathology due to alcoholism. Till then, I would advise you for a proton pump inhibitor and an anti-spasmodic .  Further management would depend on the clinical assessment by your treating doctor, and the investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a healthy male in my 50s but have been losing hair on my legs and am concerned about poor circulation. My blood pressure is normal and have a lot of energy. I am the only person in the family who seems to be having this problem.  Can this be an indication of a serious silent problem? ### REPLY: Hi, thank you for asking on .I appreciate your knowledge of poor circulation which may be a cause for hair loss.-- hair loss on legs in 50s can be a normal aging process. There is no need to worry much about it.-- yes, for sure it may be due to poor circulation, but other symptoms like cold feet may accompany to support the cause.--also, stress, medications may cause hair loss.--also, illness like folliculitis, ringworm, herpes may cause hair loss on the specific areas where hair loss occurs.-- rarely, tight clothing like tight jeans or socks may consider to be a cause.-- do not worry, it is a normal aging process. Wishing you a healthy life. 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 was in hospital the other night and they ran EKG on me my tropoline level was 0.02 but my EKG one said borderline low voltage frontal lead and the other said borderline low voltage extremitys and I am still having very bad chest pains around my sternum and under my left chest muscle ### REPLY: Dear patient unfortunately one has to be able to look at the ECG to give the full diagnosis. However, 2 of the reasons of low voltage in the ECG can be 1) Pericardial effusion/Pericarditis : Fluid fills up in the sac around the heart and can cause pain while breathing. Get a 2d echo done to diagnose it.2) Pleural effusion: The pain is sharp and is present on both inspiration and expiration. A chest x-ray can help diagnose it3) Persistent angina: Tightness around your chest can be angina in which case the treatment aspirin 75 mg once a Dante tablet sublingual stat for pain on SOS basisCalcium channel blockers after discussion with your doctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My molar tooth is decayed due impacted wisdom teeth, which removed. But since my molar tooth is decayed, having severe pain while eating, brushing. I approached dentist and he removed a portion of decay and applied temporary filling. But it came off in a day and iam having severe pain. What should I do. When the dentist tries to remive the decay, I am having severe pain ### REPLY: Thanks for your query, i have gone through your question, the decayed tooth have to go for root canal treatment since you are getting pain it's because of the involvement of pulp and the tooth apex...take a course of antibiotics and consult your dentist for root canal treatment,,,, if the extraction of the wisdom tooth was recently done some time the pain might be there for some days....then wait and watch for some days....better to take an opinion from a dentist...take a radiograph to rule out the above said pathologies... I hope my answer will help you...with regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im having chest pain in my left breast. i cant describe the pain because its different its notto where i cant move or fall out  i tried watching what i eat or what im doing but i dont thinkthats it. i could just be sitting watching tv and the pain will come and go away i dont have aclue please help me ### REPLY: Thanks for your question on . I can understand your concern. Possibility of musculoskeletal pain is more likely. But better to get done ECG to rule out heart diseases because it is left sided chest pain. If ECG is normal then no need to worry about heart diseases. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements of chest. Apply warm water pad on affected areas. Take simple painkiller like paracetamol.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have always, even when I was a kid had problems touching my toes. My back is not flexible, I have seen an Xray of my back and all the spacing looks good but the lower back is really thick. If you rub my lower back it has a knot that you can feel. I have tried strecthing and it has not helped. My lower back does hurt, its like a dull pain and I m alway stiff, in the morning it is the worst. Any ideas on what this is and what can I do to help it. I m a 41 year old male 6 tall I weight 285 lbs (I know the weight isn t helping things) most of the weight is in my mid section so I guess that pulls on my back. Otherwise I m in good health. thanks for any help or advice you may give. ### REPLY: Dear Mr. Hollingsworth, You might be suffering from one of inflammatory spinal disease (like ankh losing spondylitis, please google it). Have you done HLA B-27 test? Usually positive in ankylosing spondylitis patient. Consult a spine doctor in your area, they can tell whether you have it or not by looking at your x-ray. Treatment is mostly with physiotherapy. Also, a rheumatologist might give you some medications to reduce the inflammation and pain. It's difficult to improve flexibility, but you can try to save whatever is left by physio. Hope this helps, 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 very frequent uti and my Husband and I are trying to conceive so we are having intercourse more frequently. I know this could be the cause of the uti but lately sex is pain full and there is a lot of discomfort with Oder just in the urin. And when I pee I feel like Im never done what is wrong ### REPLY: Hello dearWelcome to .come have gone through your concern in depth.@ Pain may be associated with or without urinary infection as inadequate relaxation of vagina, anxiety induced spasms @ Causes of frequent UTI during intercourse are - transmission of bacteria as E.cold and others - use of certain irritating feminine products as powders or sprays - retaining urine long time after intercourse - organisms of herpes, gonorrhea, chlamydia, cytoplasm etc. - improper hygiene of private parts - inadequate water intake in much hurry of conceiving - others Hope this will help you definitely. Feel free to ask any further queries in future anytime. Thanks for so much peaceful evaluation of my answer. Regards dear take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 39 years old and have been on Lipitor for 14 years. My dosage is 10mg. My liver tests has always been normal. My last physical my AST was 67 and my ALT was 106. I don t drink alcohol and I m not over weight. I ve been called a health nut . My doctor wants me to retest my blood in 2 to 3 months. My cholesterol was 154. My triglycerides were unusually high for me, at 80. I have been eating more almonds lately, but other then that no big change in my diet. Have I been damaging my liver since I ve been taking Lipitor? Should I be alarmed? Could it have been some flu virus or cold virus in my body? ### REPLY: Hi, For better interpretation of test results I want to know-1) Your height and weight.2) Presence of diabetes, blood pressure problem.3) Family history of Diabetes, high blood pressure, cholesterol problem. 4) Lipid profile at the start of Lipitor. If you don't have diabetes, heart problem or family history of abnormal cholesterol problem your test reading of Total cholesterol 154 & Triglyceride 80 are absolutely fine and it won't require medical treatment. In the treatment of dyslipidemia values of LDL & HDL cholesterol are more important than Triglycerides and total cholesterol. In your case you have not mentioned it. So you can stop Lipitor if -You have no diabetes, heart problem. Normal LDL & HDL values. You have to monitor your lipid profile once in every 3 months. Lipitor is known to affect liver function. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Mild renal pelvic dialation (both kidneys) has been identified for the first time at 27 weeks gestation on my baby boy, measurements range from 4 to 7 mm. I do however have an asymptomatic (not haemolytic and oxygen saturation normal) form of hereditary elliptocytosis, where 30-40% of red blood cells are elliptical. My research suggests that this is carried on the X chromosome and thus I may have passed the condition on to my son - my question is could this perhaps be the cause of this pelvic dilation? ### REPLY: I must appreciate your awareness about your Disease. I would like to re-assure you that one-sided pelvic dilatation during pregnancy is extremely common & less common is bilateral one.& is caused by pressure of pregnant Uterus over urinary bladder & disappears after delivery. Precaution to be taken to prevent UTI by maintaining adequate fluid intake, good hygiene, resting mostly on sides rather than on your back. Lastly, just to again assure you that Hereditary Elliptocytosis is certainly not the cause of Pelvic dilatation ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor i have the stone in upper cylax 6mm and 5mm in kidney.there is often little bit burning in a penis. i have checked the last month urine test. there was 2-3 rbc and now i have again checked the urine test again. there are 2-3 pus cells found. i am treating the stone with lithotripsy. but i want to know there is any concern to my health. does pus cells effect my health or not.i am taking exercise very hard for 35 minutes.i am worried about the pus cells.i have been going through this for six month. ### REPLY: Thanks for asking on . The pus cells in the report are not alarmingly high. These few pus cells and RBC can come from the stone rubbing against the epithelium. Burning pain could be due to the stone or slight infection which is due to stone and obstruction in urine flow. Stones can be formed due to deny .  Sometimes parathyroid secrete high parathormone which increases calcium in blood causing stones. Some stones made of service could be due to some ammonia splitting bacteria. The best way out is to take in a lot of water to keep salts from accumulating in the tubes. Hope it helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Please bear with me. I have been to my GP and a urologist, and they checked me out, but I don t feel like they listened to me. My penis hurts constantly. Specifically the urethra and the meatus. Some key symptoms: it hurts more when I have to urinate, when I urinate and immediately after urinating. If I fart while I pee or try to cut off mid stream, it hurts much worse. The pain is pinching. When I ejaculate, I leak semen for an hour. If I get an erection, presemenal fluid drips out within a minute. My semen seems extra sticky, as in sticks penis to underwear making a painful situation worse. Semen will dry and clog my penis if I fall asleep. I ve had runs of ciproflaxin and other antibiotics as I have struggled for 18 months to get a diagnosis. No STI. Prostate never more than a little mushy . There seems to be a nick on my meatus, but it never bled. The symptoms will lessen periodically, then return. ### REPLY: HelloThanks for query. Based on what you have stated I think you have painful urination and ejaculation mostly due to either 1) Prostatitis 2) Stricture of Urethra. Please follow basic tests done to confirm the diagnosis.1) Seen Examination and semen culture 2) Radiological tests Cystourethrogram to rule out narrowing of urethra (Stricture Urethra). If proved to be due to infection You will need to take long term course of antibiotic like combination of Trimethoprim and Sulphamethoxole for 2-3 months along with anti inflammatory medicine like Diclofenac twice daily. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having this pain in my left leg (the calf and shin area) since yesterday. It doesn t hurt to walk but it is very irritating. I noticed some swelling but no redness or change in temperature. Ligaments were torn from an accident over 20 yrs ago and don t know if this has something to do with the pain. Definitely want to know if it could be a blood clot. ### REPLY: Hello, Thanks for writing to us, Swelling can be due to ligament injury. You may need, MRI which may shows ligament tear and chondomalacia. Tendon graft may be required to reinforce ligament. If there is osteocyte . Till time, you can continue use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. Strengthening exercises along with against resistance exercises will help. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My eyes recently become very bad with dark circle and I use quit a few different products that lead to actually burning my skin which now leave a huge mask around my eyes towards my cheeks Im trying to find something that will help me take away this huge scare that has become so noticeable ### REPLY: Hello and welcome to  You seem to have developed irritant dermatitis to one of the creams that you have been using in this area. The skin around the eyes is delicate and is very prone to develop allergy Or irritation to topical products. I would suggest that you apply a moderately potent topical steroid e.g. fluticasone propionate cream, twice daily over the area of concern for a week and discontinue with everything else.Thereafter, you may use a cream called EGA (contains retinol), for underage darkness, fine lines and wrinkles. Use this cream once every alternate days, initially and then switch over to daily use once your skin gets adjusted to it. Use a broad spectrum sunscreen throughout the day. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I have yellow teeth by which I am facing too many problems. Can u give some advice to remove it ? ### REPLY: Hi, Welcome to  forum, Scaling and polishing will remove the extrinsic yellow stains. Tooth brushing will not help in removing intrinsic stains, so you can go for bleaching. Today, with proper patient selection, bleaching is a safe, easy, and inexpensive modality that is used to treat many types of tooth discoloration. Or can go for Partial (e.g., laminate veneers) tooth coverage restorations which are used to treat generalized intrinsic tooth discoloration in which bleaching is not indicated or in which the aesthetic results of bleaching fail to meet the patients expectations. Brush twice daily. 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: A friend was out dining and apparently choke on food. He was oxygen deprived for over 10 mins. In the hospital now kidneys and liver shut down and he has not regained consciousness since yesterday. He is regaining some kidney and liver function but still essentially in a coma.With the amount of time he was deprived of oxygen, over 10 minutes, are the chances high that he will have some degree of brain damage. ### REPLY: I read your question and I understand your concern. While it's not possible to give exact percentages, the possibility of sustaining permanent brain damage after 10 mins without oxygen is pretty high. However, every case is individual and conclusions shouldn't be .  Exams like MRI can help, but there are cases when there is damage even without focal lesions on MRI due to necrosis of only some neuronal layers which is not visible on normal MRI. EEG also would give some data on electrical brain activity. I hope things work out for the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I got pain in my tooth for about three weeks. Drinking nurofen 500 mg.and pain gone,but after couple hours pain coming back again I think I got infection. Because then I pressing or touching pain is much powerfull.can I use ospamox 1000mg?and how long need to use.thank you. ### REPLY: Hello, If you have a decayed tooth that is causing pain then you should first get an x-ray of the tooth done to check the exact condition of tooth as taking antibiotics and painkillers will provide temporary relief only. If the tooth is deeply decayed but is in a condition to be saved then get the root canal treatment of tooth done. If the tooth is in poor prognosis condition get it removed. You can, however, start taking Samoa along with painkillers. Take the soft diet and do cool compresses over the cheek. 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 started feeling a pain radiating across his chest from his right shoulder right under the collar bone.  After doing more strenuous activity, the pain moved down to an area inside the right arm that I suppose could be the triceps.  He noticed while trying to apply deodorant this very painful thin something (tendon or muscle?) that protuded across the armpit, extending out obviously under the skin.  It was extremely painful to touch and it is now quite painful to reach with that arm.  Could he have torn something?  Is it a muscle or tendon or what? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain due to pulled muscle is more. So ask him to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Give him painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, he will be alright with all these in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: YES IVE BEEN EXPERIENCING CHEST FLUTTERS FOR ABOUT TWO WEEKS NOW,,,BACK IN DEC I HAD IT FOR 2 WEEKS ALSO AND MY BLOOD WORK AND EKG CAME OUT OK,,,,AND MARCH 15TH I DID A HOLTER TEST,, RESULTS ARE STILL NOT IN BUT IM WORRIED SINCE I STILL FEEL THESE FLUTTERS,,,ABOUT 15 A DAY I WOULD SAY...BUT SOME DAYS LESS,,,DOCTOR SAID TO CUT ON COFFEE AND CAFFEINE I DI BUT NO CHANGE,,,,SHOULD I WORRY,,, I FEEL AFRAID OF HEART FIBRILLATION OR BLOCKED ARTERY? ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart diseases as your ECG and Holder monitoring were normal. Stress and anxiety can also cause similar kind of fluttering sensations. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic . Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m in a lot of pain. I had my appendix removed in hospital on Wednesday morning and was discharged Wednesday night. It s now Saturday morning and the pain in operated area is now worse and my stomach is very swollen. Could this be because I am very constipated and have not had a bowel movement for over a week and certainly not since operation due to the painkillers (endone) which I have been on which are full of codeine? What do you recommend I do about the pain and also the constipation . Would be very grateful for your advice. Thank u ### REPLY: Hello, Welcome to . I appreciate your efforts for medical consultation in so much distress. Well, its already 4 days since surgery and presence of pain with not passing stools clearly directs the cause towards constipation, and as you were taking codeine as painkiller it also contributes to constipation. Now coming to relieve this, I think you should start taking laxatives and if not relieved than Dulcolax suppository may be required Wish you good health.  Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir, I am 24 year old and diagnosed with lichen plasus pigmentosus. It is at its early stage with few spot on neck and face . I have family history of this disease. I am prescribed with skinlite cream containing hydroquinone . I want to know that whether my condition is curable and how long it will take to cure. Please help me out. ### REPLY: Hi! Neha, Welcome To  forum, NEA, LPP is a chronic problem and sadly its response to the treatment is very variable. I am sure your treating dermatologist would have told you. It appears as ash colored patches over flexes of body and chest. You can apply skin lite if you want, but the more specific medicine is oral it A. We usually give it for 2 weeks, once a month and then repeat it next month too. Similarly, we can 3 such cycles. In resistant cases even oral retinoids can be tried. But for that you should consult a good dermatologist.Also, before giving retinoids one needs to undergo certain blood investigations and take specific precaution (esp in females). So discuss the possibility of retinoids with your treating doctor.It's an excellent tablet for pimples, but works good for pigmentation too. If you are using skin lite over exposed areas of body then don't forget to use a good SPF sunscreen in daytime. I hope this answers your question, if you have any further query you can write back to us. Regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 4 yrs old, and he keeps breaking out with red blister looking wheps on his face, hands and legs. Any ideas? We give him Benadryl and it goes away and may not come back for a couple days. We are remodeling the house, so we thought it was something that he was getting into there, but he broke out at daycare today. Please help. ER sends him home and doctor has no clue.... ### REPLY: Hi... Thank you for consulting in . By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m havin two teeth located in the fifth position to its extreme ends(from both sides) they are very sharp and look like vampires teeth. and major problem wid dat teeth is i always feel like biting something hard,and a  kind of waving sensation always lies in dat teeth ### REPLY: Hello, You can have your bite evaluated. Your teeth may not line up well and cause uneven wear which can create sharp edges, sensitive teeth and risk fracture. Certain teeth such as canines have very pointed edges. Enamel can be resized with reshaping and reduce sharp edges. Other options include bonding or porcelain veneers. Braces will move your teeth into better alignment and usually proves aesthetics. Schedule a routine exam with X-rays and your dentist will discuss options to the best ad .  Schedule a visit with an orthodontist if you are interested in braces. Thank you for your inquiry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went thru all the test for heart health, the first group of drs said I need a pacemaker and possible triple bypass surgery, the other hospital said I have a healthy heart and do not need anything. Just to be safe, should I take asparin dailey and how much? I am 67 and over weight but do not smoke or drink. Thanks ### REPLY: Hi, After going through your case it is evident that there are two contrasting opinion regarding your heart. I want to know-1) Your height & weight (BMI) we can estimate degree of overweight.2) Any associated conditions like diabetes, high blood pressure, cholesterol problem.3) I want to know symptoms for which you have underwent evaluation of heart.4) Any symptoms like palpitations, sweating, dizziness, fainting episodes. 5) Whatever the tests done their results. I will advise doing following tests that may be helpful if not done earlier.1) ECG.2) 2DEcho of heart.3) Stress test.4) Coronary angiography (CAG). Sorry, I can not advise you regarding continuation of aspirin without knowing more about you. If it is already started by your doctor then better to continue it.Otherwise, consult the cardiologist along with all previous tests records depending on it further evaluation if needed can be planned. Try to reduce weight by following diet and exercise (exercise pattern needs to be decided depending on your heart condition). If you find it helpful please vote helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: if you can t sleep and don t eat enough food and you have a sharp pain in your chest and your heart hurts. what do you think would be called. it happened to my friend and her doctor said its stress and she thinks it could be cancer. Do any one of you doctors maybe have an idea what might be the problem.? ### REPLY: Hello thank you for trusting ChatDoctorDear not eating and stress both may aggravate stomach acid production which may cause ulcers in stomach and also cause acid reflex lead to chest pain and burning.stress/anxiety cause release if hormones may lead palpitations and chest tightness and pain. Panic attacks may also present like chest tightness and palpitations. Use tab.pantoprazole before breakfast, and she may need anxiolytic. Please consult your doctor he will examine and treat the case. I think I answered to your question if you have more questions feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 14 year old black girl . I used to have acne for 2 years but it has gone now but I have been left with hyperpigmentation on my cheeks, upper arms and upper back. I am currently using Lush products (only cleanser, toner and moisturiser) which have been working well. However, I would like a very effective solution that would hopefully solve my hyperpigmentation please. Thank you. ### REPLY: Hello thanks for using  .  I would be pleased to answer your question For the hyperpigmentation, the best option is to get your skin exfoliated by a better method like a glycolic acid peel done every 15 days. A better option for you would be to visit a Dermatologist to avail of these peels. Alternative peel treatments like trichloroacetic acid are also very useful. I would suggest you get your skin examined by the dermatologist.  For a home based treatment, Application of vitamin C based serum can be safe over long run. Thanks and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Bit my tongue working out and now I have a piece of tongue hanging off. It s about the size of a bb or a caper. It s on there pretty good but it doesn t seem like its going to heal back on. It s kind of like a golf divot on my tongue. Very annoying as it feels like I always have food crumbs on the side of my mouth, plus it s still sensitive. Btw, it happened three days ago. Should I go to a doctor and if so what kind? ### REPLY: Tongue biting and cheek biting can occur because of stress or anxiety or can occur unconsciously. Some sharp tooth or some missing tooth can also lead to tongue biting and cheek biting. Tongue in cheek biting is a deleterious habit and can lead to irritation and also increases the incidence of canker sores. Tongue biting can also cause bleeding on tongue. You need to make a self-conscious effort to stop this habit of tongue biting. If there are any sharp teeth or missing teeth or your bite is not correct, then you need to consult a dentist. Your dentist can correct the sharp teeth if present. If there is some missing tooth present, then get them replaced. If bite is not correct, then you can get braces treatment or invitations done to correct the bite. Chewing sugar-free gums may provide some help. If bleeding occurs on tongue biting, then you can keep a piece of ice or ice-cold water on it and can use an antimicrobial mouth wash to reduce chances of 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: 86 YR. OLD FATHER HAS HAD OVER THE PST 5 YRS. 2 MAJOR BACK OPERATIONS INSERTING PLASTIC TYPE BRIDGE IMPLANTS. tHE PAIN HE NOWW EXPERIENCES IS UNIMAGINEABLE WHEN STANDING. hIS DOCTOR HAS SUGGESTED PAIN KILLERS EVERY FOUR HOURS AND AN 8 WEEK COUSE IN THE HYDROTHERAPY POOL. QUESTION....... IS THERE ALTERNATIVE PAIN RELIEF YOU CAN RECCOMEND WHICH WILL BE MORE EFFECTIVE THAN THAT HE IS CURRENTLY BEING SUBSCRIBED ### REPLY: Hi! Welcome to ChatDoctor5 yrs back he had done some operation on the back portion. So what ever the operation as you are mentioning of inserting some bridge like, so there might have the case of a disc prolapse (If there is not any past history of traumatic injury to spinal portion). Now he is severe pain that indicates of pressing of any nerve root due to slipped disc. The exact thing what has happened can be detected by MRI of spine. If there is in slipped disc that pressing completely to any nerve root then the pressure must be released either by surgical procedure (if his body condition agrees at this age of 86). Other options are traction, physiotherapy, lumbar belt using but under the supervision of a good physiotherapist. Yes there are medicines in homeopathy and Ayurveda to relieve the pain. You can consult to any qualified Ayurveda or homeopathic doctor near your area to start treatment. With the treatment you should consult to any physiotherapist too.  Thank you for contacting us ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Doc ----My husband underwent an angioplasty one week ago . He had one block and a stent was inserted. CAn he resume his daily walks and if so the duration? He has been asked to take PLAVIX medicine is it life long? What is the effect of it? Can he resume driving scooter, car?HIs weight is 65kg is it normal? or should he reduce his weight? What is the perfect diet to be taken post angioplasty. PLease could you answer my Queries? Thank You ### REPLY: Hello, he can certainly resume daily walk until he gets shortness of breath or chest pain, he can also .  Plavix needs to be taken up to 3 years then he can alone be on Aspirin. It basically keeps blood thin and avoid stent blockage.  He should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I was in the ER 8 hours ago with severe pain from several kidney stones, one 5mm., that are about 15% of their way through.  I was given morphine and another drug to relieve pain. So far the pain has not come back and I dont seem to have passed the stone.  Will the pain come back at this point or do u think I am clear?  Thank you ### REPLY: Hello & Welcome to , thanks for asking the query to , It might be reoccurred the pain, whenever it obstructs the way of urination or sore the kidney wall it creates the pain. Well first you must go for ultrasound of lower abdomen and the exact position of stone and take the proper stone removal treatment along with take precaution in your diet and . Hope my answer will be effective for you. Thanks & 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 had lumps and dents on my scalp along with little pimple like red spots. it sometimes feels like i have bugs crawling around in my hair (but i dont). my scalp itches and my head is very tender. i have patches of scaly flakes, and this is all accompanied by lots of hair shedding. my hair has gotten 10 times thinner over the course of the 4 years this has been going on. the dermatologist had given me salinium sulfied for it which helps with the itching but not the hair loss. i have had blood tests and all are normal. after i wash my hair and run my fingers through it, a ton of hair comes out. when i get out of the shower and comb my hair a lot more comes out.  i need help and im not getting any answers from the dermatologist. even when i am not touching my scalp it is very tender. please help ### REPLY: Hi! Welcome to . Com. I have read your query in detail and do understand your concern. Excessive hair fall can be due to male pattern baldness, physical or mental stress, anemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Use of hair supplements containing biotin will be of help. Minoxidil 2% lotion can be applied over the affected area twice daily for hair loss. You may use certified based shampoo twice a week for improving infection of the scalp which might be causing tenderness. Avoid routine application of gels or frequent blow .  Hope this helps! Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my mother is going to the doctors tomorrow they said she had a bunch of white spots on her kidneys, i think i recall my mom saying she has cystic kidneys? I m not sure what any of that means but she seems convinced the doctor will tell her it s cancer since her mother had kidney cancer a few years ago, but her mother started with lung cancer due to chronic smoking . What are some of the possibilities the white spots could indicate? ### REPLY: Hi there. Cystic kidneys are found in 1 to 2 persons per 1000 persons. This means many persons do have cystic kidneys but do not know it yet. Usually cystic kidneys are harmless but are known to cause high blood pressure, possible cysts in pancreas, liver, heart and brain. This is seen in Polycystic kidney disease or Autosomal dominant variety. Your mother needs to discuss this with her Doctor and get required check-ups for early diagnosis and prevention of any problems. There is not a problem unless your mother has lost significant weight recently. Cancer may be a part of the differential diagnosis but less common, so not to worry. Wishing good health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have inflammatory erosive osteoarthritis, according to my Rheumatologist, and recently had a rash that lasted over 4 months, while using Triamcinolone Acetonide cream USP, 0.1%, prednisone (5 mg/day), and hydroxychloroquine 200 mg 2x per day. My Dermatologist tested for ANA (positive, 1:4), and anti-Smith Antibodies (positive, 155), along with skin biopsies. They seem to feel the above 2 blood test results together were a fairly strong indicator of Lupus, or at least an autoimmune connective tissue disease, in addition to all the other blood tests and urinanalysis I had done, which also show inflammatory factors. Is it really likely that I do have Lupus? ### REPLY: Hello, If u want answer in short then yes.  Lupus or SHE is I would say the best example of autoimmune condition in which body acts against its own. Symptoms of lupus are very wide as it can affect almost any organ in body. But usually it is said to affect young to middle age women. Usually starts with joint pains, swelling of hands, redness or rash over face, photosensitivity.  This is the time lupus is commonly suspected. Along with routine blood work what I usually do is order and ANA, urinalysis and DSNA which can help in diagnosis. As I'm your case you had ANA positive along with anti Smith which is probably 100% specific for SHE.  Based on this I would say your diagnosis is almost clear. You need to undergo few more investigations to assess extent of disease and need for aggressive treatment. I think you should discuss with your rheumatologist regarding same.  I would be happy to answer any of your queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, this is sriram 24years of age . Freequently these days am having breething problem. At the time am not able to breath properly with nose and am taking breath through mouth. At that time I feel discomfort with my stomach as it expands. From the past two years am facing this issue. I get this problem mainly in winter nights. ### REPLY: Thanks for your question on . I can understand your concern. Breathing from mouth is known to cause aerophobia (air in the stomach due to oral breathing). This is mostly due to blocked nose. You are having this problem only in winter months. So possibility of seasonal allergic rhinitis is more in your case. So better to consult ENT doctor and get done clinical examination of nose. You may need intranasal spray containing steroid during winter months. Oral combination of antihistamine and anti-allergic .  Once you are able to breath through nose, your mouth breathing and stomach upset will resolve by its own. 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: Hello my boyfriend has congestive heart failure and he is peeing very little he also has stomach aches and has a history of drinking alcohol sometimes his sex drive is not there we barely have sex cause of his breathing and he has a history of asthma do you know what can be going on ### REPLY: Hi, A history of congestive heart failure with a recent onset of a decrease in urine volume needs to be evaluated as this can be what we call "Cardio renal syn .  His stomach aches can be related to many factors which may include the liver (as in congestive nephropathy in heart failure) or a problem in the kidneys causing too many levels of toxins not being excreted in the urine (uremia).  I would suggest a consult at the Emergency Room to check for his present status, appropriate diagnosis of the present condition, and to check for any co-existing problems, like infections which can further aggravate heart failure, if not treated promptly. This may require hospitalization for observation and definitive treatment. 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: 20 year old female with only Asthma on my medical history. I ve been sick twice in the past month which includes a high fever . Everytime I have a fever or sleep at night I wake up with large lesions on my skin. They itch and burn slightly and they seem to start small and continue to grow in size. They re red on the sides and skin colored in the middle. We thought it was bed bugs but it only happens when I m warm? Even when I took a hot bath this morning more started to appear on my wrist and inside of my thighs. HELP! ### REPLY: Hello thanks for writing to  I think from the description that you are having skin allergy you history of asthma also supports this normally asthma may be associated with other allergy like...........skin allergy, allergic conjunctivitis etc. try to find out and avoid the allergy causing substance if possible normally antihistamines are prescribed for treatment of allergies of skin hope this helps take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Do i have schizophreniaI was diagnosed with schizophrenia after being somewhat paranoid in a psychologists office and telling a psychiatrist that i felt as if i was somewhat high after i woke up and kind loopy, she put me on meds for schizophrenia but it got worse, all started when a friend asked me if i was gay when i was on e and i forever thought he was going to tell the world . Now three years after being on meds when i try to come off of them two or three weeks later i will be fine until something substancial sets me into a mode of being crazy ### REPLY: Hi, thanks for the query. Based on the symptoms you described; it's not possible definitely rule in or rule out whether you are suffering from schizophrenia. Can you describe in detail what do you mean by feeling paranoid? As per ICD-10 (a diagnostic system to diagnose & classify all diseases designed by WHO); a person is said to have a definitive diagnosis of schizophrenia when he has 1 months of continuous symptoms of 3rd person auditory hallucinations of commenting, discussing variety, delusions of thought insertion, with .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sorry i know its a lot but i need help....I am so undecided about everything i feel like a crazy person, sometimes I m doing good accomplishing things, & then the next I m weak & extremely depressed. I can t find what to do with my life! My bones hurt, I m itching all the time, it seems to be with the humidity. One day my face started to numb & my left body area. My lower back of my head is always hurting, my feet are in pain when I wake up & my thigh is in pain now. I m never comfortable anywhere or anyplace. The only place I find myself comfortable is at church and when I am helping others with my same problems...but I think I need help now. I get huge Panick attacks that make me shake in heat flashes when I m in fear of trust, alcohol, or drugs. I can t anymore...My head hurts because I can never concentrate and my body is always in pain. I hate my heart beat racing so fast that the next I can t get up in the mornings. ### REPLY: Hi, thanks for query. I think you need help with your health. Please visit a physician and get your self properly examined. You may need some psychiatrist help also. You seem to be having some anxiety disorder which needs proper evaluation and treatment. Do not worry you will be fine. Try to avoid the situations in which you are not comfortable. Talk to your friends about this. Take good diet, keep your self busy all the time.bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor. i am 28 yrs old undergone for renal transplant in july 2008. I am suffering from diarrhea from few days. I was admitted for 2 days and was given ciplox 100 through IV. I am taking medications as under. Pangraf(tacrolimious)-1.75 mg-----6am & 6pm omancortil 10 mg--------9 am azoran 100mg-----------10 am nicardia retard 20mg---------- thrice a day. This is the 3rd time i have been suffering from diarrhea. my Creatinine level was 2.2 high but now it is 1.8 lowered. I need help to come out of this diarrhea. ### REPLY: First you need to look for the cause for diarrhea. You should do stool examination for routine microscopy and for opportunistic infections. These may give clue to possible pathogens, and we may treat by specific antimicrobial. Second for high creatinine you should do program level to look if doses are high.Also, non-infective causes of diarrhea needs to be evaluated in consultation with your doctor. 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. I am 19 years old, 55, and 200 pounds. (in case you need to know...) I have a small lump underneath my armpit. When I fist found out about it, it sort of hurt, but now its just there. I went to see a docter and they said to use a clean razor when shaving and if it doesnt dissapear, to see them again. Just recently though, I pooped blood. (by recent, I mean 2 hours ago...) ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have ingrowing hair or infection of hair follicles or some other lesion.  You should go for examination. If needed to take a course of antibiotics or go for biopsy according diagnosis.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi.....i maturbate once a day does it stops height.........i started it doing since i was at the age of 13 my height 5 feet 3 inches......i want to grow upto atleast 5 feet 6 inches pls tell me the ways to increase my height........ currently  i am of 16 years ### REPLY: Degree understand your concerns went through your details. Masturbation cannot stop your growth process. Masturbation is safe and healthy. You are just 16. You are already 5 feet 3 inches. Furthermore, you could grow in height up to an age of 22. So you will grow for another 6 years. I am sure you will reach at least 6 feet 8 inches. Do stretching exercises like pull-ups. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a horrible tooth ache, #19.   Some history.  I recently got my braces off after having them for 2.5 yrs.   about a year ago, this same toothe started bothering me when I would bite down.  At my regular dental checkup, I told my tent its and he checked the bite and said it was off, so he file the tooth down just a little bit.  It was fine after that.  Then about 6 months ago, while I still had my braces, the same tooth started hurting again.  Only that time much worse than before.  It came on very quickly, and felt like the tooth had raised up over night, so that every time I closed my mouth it hit the top teeth.  The pain was horrible.  I couldnt bite down on anything.  I went to the dentist and he checked it, and again my bite was off.  He filed it down, and I had immediate release, however, it wasnt 100%.  He did X-ray it and and mentioned a brown spot on the root, but sati that it could be because of the orthodontia work, so said hed monitor it.  Since then, Ive tended to avoid eating anything on that side for fear of it hurting.  Sometimes I would try it just to check and it felt okay, but not perfect.  More recently, it has been more sensitive to cold.  Ive experienced this off and on through my life, so it didnt concern me until this past month when heat started bothering me.   This was a mild irritation until last week.  Now, it hurts dreadfully, And not necessarily in response to temperate changes.   It can be fine one minute and the next I feel like crying it hurts so bad.  At first it was just the tooth and then gum around the tooth.  Now when it hurts, its like its throbbing around several teeth and in my cheek.  I went to the dentist this morning, and he took an xray and said it looked fairly normal.   But because of my symptoms, he could see som areas where it may be a problem, so he referred me to and endodontist.  Well, now its been throbbing off and on all day.  The whole lower side of my mouth hurts and so does that side of my tongue and neck.  And for some reason, a spot in the roof of my mouth is sore.  Why is my neck, my tongue and that spot in the roof of my mouth hurting?   Is this typical? ### REPLY: Hello:)Welcome to . Repeated episodes of heat and cold sensitivity suggests you have a pulpits on the tooth. Also, the dark spot around the root suggests a periapical infection. Dental pain can be radiated to the neck, ear, head, and whole jaw as in your case. Do not worry, take a Novato 500 for 5 days b.i.d. Also take Idol plus (analgesic) t.i.d for 3 days.(Make sure you are not known allergic to these medicines, not asthmatic). I suggest you to get the x-rays done and go for a root canal on this tooth. Also check if there are nearby teeth which are also infected. A root canal for this tooth will ideally remove the infection and eliminate pain. You did not mention if you use a retainer. Check if it's hurting on your palate to get it trimmed. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i was wondering if you could help. My 16month old son has bowed legs. His feet are turning inwards when he walks. I took him to the gp and he was referred to orthopaedics at london guys hospital. They said that it was normal and would straighten by the time he turns two. I personally think it is getting wors. I massage his legs and feet everyday but i am not seeing any progress. People look at my son and everywhere i go i always get asked by someone who is being kind whether i give him vitamins or i have seen someone about it. I was hurt today when one child tried to copy how he was walking and he laughed. This is heartbreaking to see. Someone mentioned physiotherapy to me. D o you think that this is something i could try and look into. He is getting taller but i am not seeing any progress. thank you ### REPLY: Hello! Thank you for writing us here.It's a congenital deformity called PES valgus or club foot. Don't massage or go for physiotherapy because it won't make any improvement. It would require a minor surgical procedure for the correct fixation of bones and the recovery would be within 4 to 6 weeks. I highly recommend you to see an orthopedic surgeon for this. Physiotherapy and massage would fix the bone because I've seen few patients who used to massage their limbs, and now they cannot move them properly. You can take your time and I highly respect your decision what to do next. Best regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to the dentist about a week ago to get a crown on both sides of my mouth at the top. I had 3 of my lower teeth filled in. It has been a week and yet one whole side of jaw has been aching. Also my gums are hurting as well. I can t eat on that side of my mouth or drink anything cold over there. It s stopping me from sleeping at night. ### REPLY: Hello there...there are two things to this...one being, pain owing to excessive material in the area of restoration (filling), if the decay is really deep enough it would cause pulpits resulting in pain. Secondarily, sensitivity could be from the region of your crowns (if you have got them)...there would have been a marginal exposure leading to sensitivity. Get your self examined on these lines...Don't worry your problem is treatable. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 yr old fell 5 days ago from the top of playground equipment. He is complaining of stomach pains when walking or running and as of this evening has a temp.of 102 I was not at the park when he fell n was told on the day of that he fell while playing n was told by my son just yesterday of what actually happened. Now im stressed. Is this er worthy ### REPLY: I don't think that the fall and the following fever are related at all. This fever could be a flu which he has contracted in this season. Abdominal symptoms are also due to viral infection. If the child is playful in between the febrile episodes, you don't need to worry at all. Give SYR Cronin for fever and SYR .  Give plenty of fluids and high protein diet, it will gradually resolve in few days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6year old son has developed a rash, which is not itchy and initially started on his legs and arms, 4 days ago. it has now spread to the rest of his body including the face and its blotchy and clear when touched. today his penis started to swell and looks bruised. I have given him an antihistamine. I saw a doctor yesterday who gave no exact diagonsis but stated that it was a virus of sorts and if it got worse to go back ### REPLY: Hi, it seems that your son is having viral infection, measles. You immediately consult either dermatologist or pediatrician. He will examine clinically and if needed he will investigate to rule out other diseases. Encephalitis, Otis media, bronchitis and pneumonia are the complications of measles. So, good care should be taken to prevent them. There is no specific treatment for the measles. The following may relieve symptoms:Acetaminophen restVitamin A supplement. Anti histamines to relieve itching... If needed, antibiotics may be given..... Ok .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently found out i have anemia and my white bloos cell count is low. I have had several problems including fatigue, dizziness, exhaustion, low breast milk supply, blurred vision, dizziness, trouble loosing weight.. etc. I am going to have to get IV Iron 2 separate doses over the next few weeks.... I am wondering if the iron defficiency could be the result of my vision seeming to get more and more blurry???  I have found it to be the cause of the low breast milk, and the lack of energy by "googlon", but still looking for answers on the weight and vision. thanks and God bless! bonnie ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Your symptoms are all related to anemia. Yes blurred vision can be seen in anemia, particularly due to poor oxygenation.2. Due to anemia, you have become fatigued, and your body BMR has decreased. This is causing your trouble loosing weight.3. You need to take iron supplements. 4. Improve your anemia. If it's too low, packed red cell transfusion may be necessary. Discuss with your doctor and correct your anemia as early as possible. Hope it helps. Any further queries, happy to help again. ### END