Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good day, my brother has his SGPT levels checked and he was advised to take ursofalk 250mg cap twice a day. however, his SGPT hasnt been normalized since then. I would like to inquire if there is a chance to normalize his SGPT again in a few months even without taking any liver medications? Thanks. ### REPLY: Hi thanks for asking question. You have not mentioned cause for elevated Sept ... It will be jaundiced by viral hepatitis mostly as you have given this tablet. Viral marker done. If you have hepatitis A or hepatitis E then no need for worry. Within few days mostly you will recover and Sept will normalize. But if you have hepatitis b or c then after few days repeat viral marker study done. Because there are more chance of chronic hepatitis as compare to hepatitis A or E. If you are carrier or chronic case of hepatitis then Sept will not come down. Heart problems can also lead elevated Sept. So rule out it... Take low fat diet. More fruits. Green leafy veg. Exercise done. If obstructive jaundice present then correction might be needed for obstructive cause like for ex. Gall stone. So rather than . Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,i am xxxx..age 26 years..i have been suffering from psoriasis for 5 yeas...today I noticed that it spraed in my back portion..doctor told me that it is treatable but not curable..it feared me a lot...if it spread all over my body...can you please suggest me if that is not curable..how can I get rid of this??my email address is  YYYY@YYYY ... ### REPLY: Hi, I can understand your concern for psoriasis which is spreading to entire body. Psoriasis is a long-running disease and needs proper best treatment. It is due to fast renewal process of the skin. Methotrexate is the mainstay of the therapy but has its own blood and liver related side effects. Always take it under dermatological advise otherwise can cause serious side effects. You should start it after dermatological supervision and complete blood counts and liver function tests. Topical steroids such as clobetasol can be used in combination with moisturizing cream. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, I m 22 years old...have done my MRI ...results shown that...there is a bulging of bone in L4 and L5 section of spine..i have taken tablets by the doctors advice as soon as i stopped these tablets..again pain has been more...right now..I m on bed rest and doing my psychotherapy at home..I didn t get any relief as if now...I m suffering from this problem for nearly 3 months! Can u give nay suggestion so i can get relieved from this problem. ### REPLY: Hello, Disc bulging indicates disc prolapse. That is also the reason you are suffering from pain. Your doctor will advise analgesic which can be Non-steroidal anti-inflammatory . Other available options are1. Physiotherapy and exercises. Physiotherapy procedures like TENS, Ultrasound therapy, Muscle stimulation will provide pain relief2. Lumbar traction, lumbar support also help relive pain3. Surgical intervention may be necessary if pain does not subside with above-mentioned methods. You may need to undergo discectomy which will relieve you of pain Hope I have answered your query. If you have any further questions I will be happy to heptane 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 sirIs it possible to extend the life of the patient by Chemotherapy.The case is that the patient started off with throat cancer and has been treated with radiation therapy for about 2 months and now the doctors say she does not have much time.If we go by chemo then they say that then also you can have one year not more than that but i have seen cases who have lived long even having cancer i understand  that it cannot be cured completely butt can we extend a patients life.pls suggest ### REPLY: Hi, Thanks for writing in. Cancer is a challenging condition and difficult to treat in some patients. The treatment response depends on the stage of cancer and grade of cells in the cancer area. Throat cancer has slightly better prospects and extended survival in early stages. It is important to know what stage the patient is having. Radiation therapy is given to shrink the cancer tissue. After the cancer is reduced then chemotherapy is given. In stage 4 cancer the survival is up to 2 years in many patients but might be less if there is airway infiltration and spread to adjacent structures. The patient usually dies because they cannot eat, and the airway is also involved. With chemotherapy attempts can be made to reduce the cancer and this also require attention to the general health of the patient to avoid nutritional deficiencies. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently got a rash on my ears, cheeks and arms. I have tiny red bumps mainly prevalent on my cheeks and ears. My ears feel inflamed and are very itchy. My cheeks and arms were itchy but are no longer. Im wondering if I just recently developed some food allergy that caused this rash. ### REPLY: Hello, Thank you for posting on . The condition you have referred to is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other .  Hope this will help you in resolving your query. 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: hello, im jem. 21 yrs old. I have an unsafe sex with my boyfriend 4 days ago without ejaculation, then he had ejaculated last 3 & 2 days.Last night I took one pill (Lady oral  contraceptive pill manufactured by Ponds Chemical Thailand R.O.P.) and this morning another pill. Would this be effective to prevent pregnancy? Will I be harmed taking this pill im using? ### REPLY: Lady oral contraceptive pill are regular contraceptive pills. They have to be started ideally from second day of the menses and taken throughout the menses regularly. Random consumption of these pills does not give you protection against pregnancy. To use them as post-coital contraception pill, the dose would be much higher, which you have not taken. Now the best option for you is to wait for your menses. If you do not get them, then wait for further 8-10 days to get urine pregnancy test and/or ultrasonography to detect the pregnancy. These tests done earlier may not give reliable results. Beta-ChatDoctor tests are highly specific and sensitive. Their results are reliable even 2-3 days after missed period. If you are pregnant, and you do not want pregnancy, you may terminate your pregnancy by medicines also. They terminate pregnancy safely up to 9 weeks of gestation. Please remember these medicines have to be taken by Obstetricians advice and under his/her observation lest the risk of incomplete abortion and/or infection. Please do not take these medicines over the counter. I hope I have guided you fully. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Heaviness/ numbness in hands/lower arms(last 10 years)unexplained pain in upperright quadrant pod gu(last year), now getting pain/ tightness in ribs in that area also. .. night sweats , mental confusion ...trouble finding correct words when speaking. Dry mouth.. no diiagnosis..have been on gabepentin for hands for 10 years...negative mri ten years ago for any reason. In past year have had xrays, catscan, ultrasound, barium enema, colonoscopy, waiting to see gastrologist and neurologist but no appts after a year as of yet. Tired of pain meds, I am on synthroid (hypo), bentol, gabepentin, effexor, Elavil , pain meds we are using/ trying ... tramacet , ultram, dilaudid, buscapan...I am a 37 yr old female, had 2 uncomplicated births 12&17 yrs ago. Have had gallbladder and appendix removed...any suggestions ### REPLY: Hi, Thank you for posting your query. It is unfortunate that your problems have remained undiagnosed even after so many years and multiple investigations. If all investigations come as normal, then, the most likely possibility could be fibromyalgia. Concomitant anxiety should also be looked into. Treatment would be with medications, as well as physiotherapy. Please keep us informed about your progress. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am Partha from Guwahati. My father has been  suffering from Alzheimers Dementia for the last 5 years and hypertension for about two decades. Present medication- Admenta 10mg (memantine hydrochloride) twice daily, Stamlo beta (Amlodipine+atenolol) in the morning and stamlo 2.5 mg in d evening. His BP is under conrol but mental ability is deterirating day by day. What should be our next line of treatment? ### REPLY: Hello Alzheimer's dementia is the most common form of dementia in elderly. Hypertension is also very common in advancing age. You have mentioned that his BP is under control of medicines, but his mental abilities are deteriorating day by day. He is on Ad manta 10 mg twice a day. His progressive deterioration of mental abilities is due to psycho pathological changes of Alzheimer's disease. Other medicine like Donepezil can be added to his prescription. It helps in slowing the progression of dementia. If he is getting aggressive and violent any antipsychotic .  It will not only decrease abnormal behavior and aggression but will also decrease the progression of dementia. So I would advise you to please take him to a good Psychiatrist for proper evaluation. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband just had his catheter removed today.  Now, when he urinates, he has extreme, deep pain in his right kidney area (only while urinating).  Not sure if he is urinating enough.  He has a stent in his ureter and the doctor says that because the ureter is not able to close because of the stent, that the urine is pushed back up into the kidney creating the pain.  Wondering if he should have kept the catheter in while he has the stent? ### REPLY: HelloThanks for query. Your husband has undergone surgery (Probably for stone in his ureter) and a D. J Stent has been put in his ureter. It is common to get pain in kidney area as the urine flows backwards through stent in to kidney causing pain in kidney area while urinating. Since the stent has to be in the ureter for 2 weeks the patient can not be put on per urethral catheter to . The catheter in urethra is more cumbersome than pain due to having stent in ureter. Normally this gets resolved within a week till then take painkillers and antibiotics. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My blood pressure was 169/122, on Saturday evening (it is Thursday, now).  Ever since then, I have been short of breath and under my left pectoral has been sore, especially when I take a deep breath.  Do I need to be looking at a possible heart attack?  The ER dr did not seem concerned with any of that.  They gave me steroids and my blood pressure dropped to 145/92. ### REPLY: Hello, Regarding your concern, I would explain that chest pain which is modulated from deep breathing is typical of musculoskeletal pain, not related to the heart. For this reason, I recommend taking acetaminophen or ibuprofen for the pain.  If this situation persists, I recommend going to the ER for a physical exam and some tests: - A resting ECG and cardiac enzymes-Complete blood count, PCR, ESR- A chest X-ray study.  Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just bumped into this sight, My daughter was in a horrible motorcycle accident last March. She suffered a severe traumatic brain injury . She is living at home with her 8 yr old son, but has alot of trouble with depression ,anxiety, and just dealing with everyday issues. They have her on prozac & zyprexa , just switched the zyprexa to geodon . She also has asthma, was a smoker. has not had anything since the accident, but wants to smoke really bad, but her lungs are not good, takes inhalers. Is there somewhere on her for her to chat with others like her? ### REPLY: Hello and welcome to . Thanks for your query. It is not uncommon to have psychiatric disturbances following a traumatic brain injury. Often medication are required to treat such psychiatric disturbances. She is currently on a combination of an anti-depressant (Prozac) and an anti-psychotic (Geodon) medication. I'm not sure why there has been a change for Zyprexa (also an anti-psychotic) to Geodon. However, it is advisable to continue the medication as prescribed. Smoking can not only worsen her asthma, but it can also result in other lung and systemic diseases. If she has difficulty in staying quit, it would be worthwhile to consult a psychiatrist for professional help regarding the same. Motivational Enhancement Therapy and if necessary, certain medication can be helpful in preventing her from relapsing to smoking. Wish you all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am Rashmi, 36 yrs old.  I had 10yrs old son & I lost him recently.  Now we are planning for next baby.  I am taking Fertyl Super tab & Fol-5 & trying since 3 months naturally.  But I am not yet conceived. Can u advice me, should we go for Test tube baby now itself or any other treatment before that? ### REPLY: Hello Mrs rash mi, thnks for trusting  doctors for your health related queries.I guess your concern is whether u require test tube baby or not???right????well straight forward Arno, not required I guess.let discuss this .....1.your age is 36yrs....women from 18-40yrs are of reproductive age, where chances of pregnancy r very high,,,after 50yrs nil...42-45,transition zone where chances are not as high as reproductive GRP or as less than 50yrs.I hope u understood y am I stressing importance of being 36yrs old...2.previously u had a son...that means inside your reproductive system there are no anatomical problems so far...usually women don't get pregnant either BCZ of problem in wife or husband or both of them...URS is ruled out to some extent....so with this info I guess for u test tube is not necessary.but, u haven't shared info of your husband age?how old is?WTA his exact age??was it a late marriage for him??so I can't comment exactly....n I would like to focus u on term FERTILE PERIOD.it starts from 10th-16th day of menses cycle...during this time ovulation occurs, ovum meets sperm n women get pregnant...so I insist u couples to have more episodes of sex during this period.with ABV discussion u can try out my suggestions:-1.have patience...don't put ourself in unnecessary worries.2.try to do more episodes of sex in fertile period(scientific mean told ABV) for next 5-6 months.hopefully u get result by this.3.if you're in a very much hurry to get baby u can visit your nearby gynecologist or infertility specialist for assisted reproductive technology-test tube baby.I hope this WZ informative enough, helpful n useful for your query.regards: . .(I pray god u get blessed with cute baby as fast as possible, hopefully TWINS!!!!!) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 baby boy is 11 months old. For the last 3 weeks, he has been developing a rash (like mosquito bite as it starts with tiny dot and while going it leaves a black pigment mark, which usually feds away in one day). The rash occurs every 2 or 3 days. What can be the cause? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Possibly chemical induced rash from clothes. Look for any relation with specific food, environment or clothes.2. Location of rash is important to correlate. Food could be generalized, whereas others will be localized.3. Apply calamine lotion locally and if excessive redness then antihistamine syrup can be given. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with folliculitis a few days ago and have since been seen by 2 doctors. I have been put on antibiotics and have been given fusidic acid cream and canasten as I have thrush too apparently. Ive had to pee in the shower due to extremely painful urination. Now I have a throbbing clitoris to top it off. What could this be and what should I do. I know it takes a few days for antibiotics to kick in but its been 2 and a half days and its getting worse. Plus the lumps are now filled with pus which they werent before. Please help. ### REPLY: HI, I understand your concern.  Antibiotics disturb normal protective vaginal flora, which leads to prevalence of fungal vaginitis I think you need specific treatment for the condition along with antibiotic as per treating doctors advise.  - get your blood sugar tested to exclude diabetes, -Take a dose of flucanazolablet orally, - use clotrimazole- Imitable cream & vaginal pessary, - keep vaginal area clean/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 jaw pain on my left side and I cannot open my mouth fully or close my mouth fully. Im not sure what it could be I went to chiropractor yesterday n it seemed to help felt a lot better but this morning it was worse then before Im not sure what to do.. ### REPLY: Thanks for using . Read your query. The Pain and mouth opening difficulty could be because of your wisdom tooth erupting. Eruption of third molars can cause this issue. If the wisdom tooth is erupting, for the pain you can take a painkiller like ibuprofen(if you are not allergic to any medicine).and antibiotics like amoxicillin. Do warm saline gargling. Get it checked with oral surgeon and get an x-ray done to know the position of the tooth. It can also be a TMJ problem which should be checked up by an oral surgeon for the appropriate treatment. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hye doc. I am 27 year old. I have sweet and liight pain in left lowe abdomen . I feel light swelling of left lowe abdomen. I have this pain afet my menstrual period is compete.I went to gynacologist theythey do some check up and lell every thing is normalbut i still have pain in left abdomeb .i also suffer from acidity and constpation .pls suggest me what can i do ### REPLY: Hi welcome to  forum.  You had a sweet and light pain in the left lower abdomen. Gynecologist said that every thing is normal, but still pain is continuing.  Left lower abdominal pain usually due to urinary tract infection, stones in the urinary tract, Inflammation of the descending colon or rectum.  I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I. colonoscopy, besides other routine tests for confirmation.  Wishing for a quick and complete recovery, and thanks for calling . F.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I recently have been getting a lot of cold sores for no reason. One would show up and then it would heal and then another would show up. But these past couple of days I have found like a small round lump near my jaw. When I touch it, it would move around and it hurts. I can t see it but I can feel it. Is it something I should be concerned about? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  You may have some leukoplakia or some malignant lesion.  You should go for biopsy of that lump. Go for biopsy and histopathological examination. Then take treatment according to your diagnosis. 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 doctor!I have been prescribed by my doctor to take ova mit drugs because I have delayed to be pregnant for months now,but still,I did take them after my menstruation period and they didnt help me,on this month I did receive my periods,so doctor,will I have a problem,because  I take those drugs they did not help me to be pregnant..advice me doctor I real need a help. ### REPLY: Hallow Dear, Ova MIT contains Camphene citrate which is used for induction of ovulation. Have you been investigated appropriately for the underlying cause of your infertility? If you have any problem in releasing the eggs from your ovaries, these tablets might help. 4 days after taking these tablets for 5 days, it is advisable to submit yourself daily for ultrasonography for ovulation monitoring. When there are indications of egg release (size of the follicle 18 mm or more), you should utilize those days for your sexual relations. I would advise you to get following investigations done on both of you before you start taking any empirical treatment:1. Evidence of ovulation: Ultrasonography and hormonal assays : Estrogen, Progesterone, FSH, LH, Prolactin.2. Patency of the genital tract : Laparoscopy and Hysterosalpingography. 3. Husbands semen examination. After these preliminary investigations, further planning may be chalked out. I hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor! I m a mother of three month old baby. From the very beginning I lacked sufficient milk. As a result I had to give him Nan Pro and then switched to Enfamil A with spoon. Later I was forced by elders of the family to use feeding bottle.gradually he has stopped suckling completely. How bad is it for both of us and is there any remedy? ### REPLY: Thanks for asking I have gone through your question and understand your concern you are mother of month of baby. Baby stopped to take your feed,breastfeeding has benefit for both for mother and baby. For baby it prevents many infections like diarrhea, pneumonia asthma and many other diseases. It also improves IQ of baby. For mother, it prevents from obesity, breast cancer .it is very time-consuming process to shift for bottle feeding to breastfeeding. To increase your breast milk you should be good nutrition with good amount of fluids in your diet (about 3-4 liter per day), take proper rest (2 hours in day is also recommended), have confidence that all mother who give birth have sufficient milk. Not to have anxiety that you have less milk production. You can take tab metaclopramide 10 mg thrice a day for 7 days to increase milk production. If he stops taking your milk, try try try and try your milk. When he will hungry he takes.  If he not takes your milk initially you can give by spoon. Main thing breastfeeding is confidence ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY doctor percribed Sotalol 80 mg  at home with out being monitored for 3 days  in a facility with staff trained in advanced cardiac life support.. I had a defibrillator inplanted on 8-28-2013 and put on Carvedilol 12.5 mg, Lisinopril 2.5 mg and colpidgrel 75 mgThen on 12-8-2013 the defibrillator went off(shocked me 3 time in 10 minutes), went to emergency room and was totally checked out.Then on 12-12-2013 my doctor called and put me on the Sotalol with out being monitored.Is this practice ok ? ### REPLY: Hi thought it's started at indoor facility, because you had defibrillator already placed, it is safe to start you on stall at home, because in case of any rhythm disturbance, the defibrillator will help you out, at the same time the rhythm can be known through interrogation.  So don't worry about the same. However, I would like to point out carvedilol and stall are same group, though started for you for different indication, do discuss with your doctor on follow up, as I will suggest titration of carvedilol so you don't have .  Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,  how are you I am fine are you ok my name is David Lewis nice to meet you am having trouble with my back and as wasbI carried some heavy stuff up my stairs about weekends ago for my partner and everything was going ok after I did it for her and then couple of hours later I started to get really serious pain my back and still hurts me now when I sleep and sneeze and cough and when I walk sometimes I was wondering can you help me please Doctor.  Thank you David Lewis ### REPLY: Hello, You seem to be having back muscle spasm due to weight lifting. It usually happens as you may not be a regular weightlifter. Treatment is rest on the hard bed for 3 to 4 days. Avoid forward bending and weightlifting. Start muscle relaxant tablets twice a day with an anti-inflammatory like ibuprofen for five days. Hot water fomentation also helps. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there. I ve been having sudden adrenalin rushes, whereby my heart races, i feel sick and very light headed with the shakes. I ve been to see my gp but he wasn t very helpful. I m starting to get worried now as they re happening more often and for no reason. The other day i was out shopping, chatting to a friend when these symptoms came on suddenly, she took me to a cafe for something to eat and a sweet drink, within half an hour it began to subside. I am at the moment in another attack, again i was busy cleaning when it started. What do you think could be the cause? Thanks in advance ### REPLY: Hello, Your symptoms are typical of a panic attack. For some unknown reason your sympathetic nervous system goes into an over .  It can very frighten at times. The good thing is that it will pass sooner or later and you are back to your old self. Try to relax, take deep breaths and wait for it to pass. Some of my patients do well with a small dose of beta blocker like Federal. I am available to answer you if there are further queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 12. Last Wed she was diagnosed with pneumonia. Was given a shot of antiobiotic, a Z pack and another 10 day antibiotic. Her fever has been from 104.5 down to 99 throughout this week and now back up to 102 tonight. She has a dry cough, as well. Dr said chest sounded clear on Monday. Any suggestions, or keep doing what were doing? ### REPLY: Thanks for asking your question completely understand your concern actually you should continue with the treatment and the thing that needs to be done is send a sputum myogenic culture and sensitivity that can accurately define the causing organism and the perfect .  That is definitive therapy instead of empirical therapy thanks/regards feel free to ask more questions may god bless your family with 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 breathing isn t right I have to force out my breath and is kinda fast, I can feel my heart beating hard almost in my throat like I have run a mile or so every once in a while I have pain in the back of my left arm , my left thiegh has a spot the size of a baseball that is stinging.and the toes on my left foot is tingling like they are asleep ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out bronchitis in your case because you are having breathing difficulty. So get done PFT (Pulmonary Function Test). If this is normal then no need to worry about bronchitis. Get done ECG and 2d echo to rule out cardiac cause because of tachycardia (high pulse rate) and left arm pain. If all are normal then you are mostly having anxiety related symptoms. So consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic .  So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. 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: My wife just had a heart cauterization, and the Cardiologist discovered that her pulmonary Artery is ballooning. He chose not to call it an Arianism. He will be reviewing the situation with his colleagues to determine the seriousness of the defect. In 1964, she had open-heart surgery at Vanderbilt Hospital in Nashville, TN. One of the three defects corrected was removing growths from her pulmonary artery. How serious is the condition and should we seek another opinion? ### REPLY: HelloWelcome to Ask a Doctor service have reviewed your query, and here is my advice. If the diagnosis is not being cleared then you can go for second opinion, any symptom or condition if related with heart is said to be serious, and it has to be taken in that way only, moreover patient already has history of cardiac disease, so it is the serious condition and needs second opinion Hope I have answered your query, let me know for further assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 painful lump in my armpit area. It has been there since Christmas time. It is painful to stretch my arm as the area feels really constricted and tight. The lump is kind of hollow on the inside and the walls of it are firm..but as i I said it hurts to touch..any ideas on what it could be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. Or it can be some cyst or soft tissue tumor like lipoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just had a piece of tissue removed from upper gum due to bad fitting dentures a large mass of excess tissue has grown,  dentist wants to biopsy it before going ahead and removing it all. He put in some stiches and said they would dissolve. I am worried because of language barrier, I am in Taiwan. I am healthy 50yrs old woman. any help would be great.  Thanks ### REPLY: Thanks for using . Read your query. Excess tissue growth with ill-fitting denture as you have described is usually harmless referred as Ellis fissuratum. This is usually cause by chronic tissue irritation by an ill-fitting dentures and its response to the soft tissue. Biopsy is usually done to rule out any other lesions including neoplasm. I would suggest you to go ahead with surgical removal of the tissue. After the healing get a new denture done with proper fitting and proper maintenance of the denture. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an unexplained, sudden swelling on the sole of my foot. This happened once before and the swelling turned into vivid bruising the next day. There is no injury, no pain, just suddenly I stand up and it feels like I ve stepped on something that is stuck to the bottom of my foot - right next to my little toe - when I reach down to see what it is, I realize it s a swollen spot about the size of a large cotton ball. ### REPLY: Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern.IT MIGHT BE A SOFT TISSUE SWELLING OR A MUSCLE RELATED EDEMA.APPLY ICE PACKS, LEG ELEVATION, LOCAL RETAKE ANTI-INFLAMMATORY TABLETS. A COMPRESSION BANDAGE WILL HELP.GET AN X-ray DONE IF THE SYMPTOMS PERSIST Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind . .(MBBS, MS,MCH) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 marble like lump on the right side of my lower back that has been there for several months, it feels at times as if there are two of them. I went to the dr and he said that if they do not go away to seek another opinion. Could this be a muscle spasm or something more serious? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma on your back. Or you may have some other soft tissue tumor.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My nurse practicioner does  not agree with douching, however if the ph remains  at 4 or 5, what harm is a vinegar once in a while, whats the harm?  I have had bacterial and yeast infections off and on this past year..and was treated. I always think there is  a slight odor inside the vaginal area.  I have  very active sex life  with one man. Help!     Sorry I want to cancel this question, didnt know there was a fee. ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should not take the vinegar. Vinegar is not the treatment at any point in vaginal infection. I suggest you to do Grams staining, culture and sensitivity for the vaginal infection. Taking the treatment as per the report not only is cost-effective, but it is also less harmful and give you prompt relief from your problem. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I ve just had an MRI scan and it showed evidence of l4-l5 degenerative disc and possibly root canal stenosis . I am 58 years old . Does this mean it all goes down hill from now on ? Ha ha I do suffer with lower back pain my hips are very stiff and painful along with very painful knees and other things but the list is endless . I would be interested to hear your views. L. Evans ( mrs) ### REPLY: HiDe generative disc with canal stenosis occurs as a result of degenerative process of aging in the spine. In addition to back pain it causes numbness and heaviness in legs on walking. The treatment depends upon the amount of stenosis and your symptoms.  In some, symptoms improve with medication and activity modification. In others if it does not work, surgery can give relief.  But your spine doctor can tell you better after examining you and seeing your scans. 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: Chest x ray PA View: reticular densities are seen in the right upper lung. The heart is not enlarged. The Thoracic aorta is not remarkable. The trachea is at the midline. Both hemidiaphragms and costopheric sulci are intact. The bony thorax is unremarkable. Conclusion: consider an inflammatory process as in koch s infection in the right upper lung. please correlate with other parameters. ### REPLY: Thanks for your question on . Reticular densities in upper lobe suggest infective process mostly pneumonia. And upper lobe lesion is most commonly seen in tuberculosis. Tuberculosis is caused by mycobacterium tuberculosis bacteria. And it has great affinity for oxygen. Upper lobes being more oxygenated, favors more infection with TB bacilli. So upper lobe lesion should be rule out for tuberculosis first. So get done sputum examination for AFB to rule out tuberculosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 worried about behavior of my wife .She gets annoyed without any reason. She recalls past incidences and starts blaming every body/ anybody. Her behavior sees no reason. She also associates herself with any ailment she hears about. Her vocabulary is also limited. Often it happens that she cannot express herself well. Does this condition needs consultation with a psychiatrist? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The condition of your wife may not be requiring a consultation of a psychiatrist. Here you must act as a care taker and mentor. Open talk should be able to reduce the behavior. If there is no respite, she may be taken to a psychological counselor for behavioral counseling / psychotherapist for behavioral therapy. I do not see any sort of psychiatric illness in her. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with bronchitis. I have been coughing for 2 months. My doctor has given me different medicine to calm the cough. I just coughed up two blogs of mucus with blood in each. This is the first time I ve seen blood. Is this a concern. Oretha ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely consult doctor because hemoptysis (blood in sputum) is not a good sign. Hemoptysis in your case can be due to 1. Uncontrolled bronchitis 2. Pneumonia 3. Tuberculosis. So get done chest x-ray to rule out pneumonia and tuberculosis. Get done PFT (Pulmonary Function Test) to know the severity of bronchitis. You may require inhaled bronchodilators and inhaled corticosteroid (ICS) with antibiotics. So don't wait at home, consult doctor and find out cause for hemoptysis. 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 had psoriasis for 30 years..  i am large breasted and have worn underwire bras for 30 years.. i have had a red rash and cuts, slice like cuts under my breasts, when i lived near the ocean i could control the rash, but i have lived away from the ocean for 6 years and the rash is worse and just seems to be getting larger, it is bright red,  i have been told my doctors it is fungus, it is nickel allergy from the underwire, i have been given lotions and creams, nothing works, the rash is on the under side of my breast, in the crease of my breast and on my trunk, any ideas, is it nickel, or steel in the underwire, or fungus, im looking desperately for a company that makes strong support bras without wires. ### REPLY: Hello. Thank you for writing to USI suggest a likely possibility of fungal infection/ intertwine Or it could also be intertriginous psoriasis considering that you have a history of psoriasis. Body folds like sub-mammary area, groin etc. trap moisture and warmth and therefore provide an Ideal environment for the fungus to grow. Psoriasis too can affect body folds and presents as bright red patches with a lot of itching and burning sensation. If I was the treating doctor I would have started you empirically on a topical antifungal+steroid combination cream e.g. clotrimazole 1%+beclomethasone propionate 0.025% cream, twice daily. The steroid part would take care of the inflammation i.e. itching and redness whereas the fungal part would help control the fungus.Moreover, intertriginous psoriasis is a steroid responsive condition and topical steroids are . Since the affected area is quite large therefore I would also suggest an oral antifungal e.g. fluconazole. An OTC oral antihistamine e.g. cetirizine 10 mg once daily will provide you symptomatic relief from itching. Topical and oral antifungals need to be continued for 4-6 weeks. 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 four year old son has three lumps at tge base of his skull on the left side and two My four year old son has three lumps at tge base of his skull on the left side and two My four year old son has three lumps at tge base of his skull on the left side and two behind his ear and one in h ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He may have some enlarged lymph node. It may be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Okay, i had the Implanon implant, the date went out a month before i went to the doctor. They didnt give me a pregnancy test, but they did insert the Nexplanon. I ve been having pregnancy symthoms, Maybe it s just in my head, i do have a 3 year old, so i have been through it before. It does have me worried that im having all the symthoms. Is it likely that you can get pregnant while gettin off birth control, changing to a new one? ### REPLY: Hello, and I hope I can help you today. Implantable contraceptives like the Implant and Explain, even though they have expiration dates, are effective for even a few months beyond that date. This is because the manufacturer is required to post an expiration date that is actually earlier than when the device truly becomes ineffective. When switching birth control methods, hormonal symptoms are very common. Many of the symptoms that we commonly associate with pregnancy including bloating, breast tenderness, moodiness, weight gain, nausea, headaches and others are common side effects of progesterone based contraceptives (like the Explain) and cannot be distinguished from pregnancy. The only way to know absolutely for sure that you are not pregnant is by performing a urine pregnancy test. Modern pregnancy tests are extremely accurate, and will become positive within 10 days to two weeks after conception. However, the reason your healthcare provider did not require pregnancy test before giving you your new Explain is that, because of the reason I explained earlier, you really were not at risk for pregnancy. So the likelihood of your getting pregnant in between switching from Implant to Explain is close to zero.  The symptoms that you are experiencing are likely side effects of your bodies adjustment to the new medication, which will likely subside over time. I hope I was able to adequately answer your question today, and that this information was helpful. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 27 years old and has been told she has a lazy heart in one chamber. Last year she had a hole in her heart repaired with that mesh thing. Sorry I don t remember exact terms. She had a test done today to make sure the repair from last year was still good and it is. She has shortness of breath often. Any ideas? ### REPLY: Hi.... By what you quote I feel what your daughter is having is asthma. I have a few questions and suggestions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she exercises?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.? Suggestions:1. There are certainly effective management therapies in allopatry nowadays. Medicine has advanced a lot and not asthma is 100% controllable.2. Inhalers are the newest management strategies for this.4. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ uncleaned a / c vent/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - the best person is the parent. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI I AM A 32 YEAR OLD FEMALE WITH NO PRIOR HEALTH PROBLEMS. SO, I FELL AT WORK LAST TUESDAY AND I LANDED ON MY RIGHT ARM AND MY CHEST HIT MY FIST, RIGHT ABOVE THE MIDDLE OF MY STERNUM AND A LITTLE TO THE LEFT. I WENT TO THE DOCTOR THEY TOOK AN X RAY PHOTO AND TOLD ME ITS JUST BRUISED, HOWEVER, THE PAIN IS CONSTANT AND CAN BE UNBEARABLE, IF I COUGH OR HICCUP, AND IT DOESNT LOOK BRUISED BUT THERE IS A SMALL HARD LUMP THAT FOLLOWS ONE OF MY RIBS ON THE LEFT.  MY QUESTION IS THAT WOULD A BRUISE HURT CONSTANTLY, AND FOR THIS LONG OF A PERIOD OF TIME? I FEEL LIKE IT HURTS SO BAD THAT MAYBE THERE IS SOMETHING ELSE WRONG; IS IT POSSIBLE FOR THE DOCTOR AND THE XRAY TO BE WRONG? ### REPLY: Thanks for your question on . I can understand your concern. No need to worry much if your chest x-ray is normal. You are having blunt chest trauma and this can cause rib fractures, pneumothorax, lung confusions etc. Chest x-ray is needed to rule out all these. Since your chest x-ray normal, no need to worry about these complications. You are having simple musculoskeletal pain and swelling due to inflammation. This will resolve in 1 week with following measures. 1. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. 2. Avoid bad postures in sleep. Apply warm water pad on affected areas. 3. Take painkiller and anti-inflammatory .  Don't worry, you will be alright and swelling, pain will subside. 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: yes im 29 and i keep having chest pain that lasts about 1 min and goes away? could this be a heart attack? I run all the time and Im very active. My blood pressure is normal. However its like getting stuck with a needle and then it stops. It occurs every couple of days or so. Been happening for about a month ### REPLY: Thanks for your question on . I can understand your concern. Possibility of heart attack is very, very less. But better to get done ECG first. If ECG is normal then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a slight rash inside my pee hole. I am 33 years old. I went to doctor 2 months ago because of itching when I urinate. He tested me for stds and tested my urine. My std test was negative. he stated i had a mild bladder infection and gave me antibiotics. The itching stopped after completion of medicine, but I still noticed discomfort. I looked really close last night at my penis and I noticed it was kinda red on the inside at the tip of my penis ### REPLY: Hello, Clotrimazole (brand name Origin) is an antifungal medication commonly used in the treatment of fungal infections. In your case, it may be an STD (sexually transmitted disease).  Chlamydia is a sexually transmitted disease sometimes causing painful urination, penile discharge and more. Gonorrhea is a sexually transmitted disease and can cause painful urination and penile discharge. In cases of infection, a diagnosis can be made by taking a urine sample or urethral swab, and can usually be cleared by a course of antibiotics.  In the case of a sexually transmitted infection, it is recommended that sexual partners are also treated. Antibiotic treatment will be helpful for you. Continue applying antifungal ointment. The most secure way of prevention is definitely sustaining from sexual intercourse. Another option is to be in a long-term monogamous relationship with an uninfected partner. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 39 year old female, anxiety and depression history, hysterectomy leaving one ovary 2007, bug bit my ankle Sunday night in three places, did not look like a spider or mosquito but something in between.  I have been working very long, exhausting days all this month, not sleeping well.  Monday night started feeling achy all over as if the flu, no fever.  Nauseated at times but no vomiting.  Just feel flu-like aches and soreness.  Throat maybe feels a little swollen but not sore.  Very concerned about how run down and sick I feel.  Just want to get back to feeling myself.  Could it be the bug bites?  They are red and itchy still. ### REPLY: Thanks for your query at ! I am Infectious Disease Specialist! I went through your query! You must relax as there is nothing to worry. As for your insect bite area are itchy/red you can apply triple action cream and take an anti-histaminic as it would be beneficial. You must take rest and stop thinking about being sick every time. Take balance diet and adequate rest for few days. Are you on anti-depressants? You need some psychiatric counselling also. Feel positive. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. You can thank if information was found useful. 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: HiMy mum has just conducted an ESR test. Her results is 39.00.It is mentioned that normal range should be between 0.00 - 15.00.Please advise what could be the cause? And if there are any foods that she should stop eating? And what foods should be recommended for her to consume more so as to lower her ESR?Please advise.Many thanx. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I would like to say that ESR is just indication of some infection and shows that subject is ill this included in the routine test of blood and some time the ESR carried out alone to confirm the doubt of some infection, one can not go and get done this test without any suspected pathology, hope this helps you, have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: having problems for a while first they said it was a kidney infection backed up from bladder (I had fever and was peeing blood) Very painful too . ok to start peeing but at the end was real bad like something got stuck before done. Then blood! They gave me antibiotic. seemed to get better done with anti biotic about a week now back worse then ever Fever sweats and blood lots of blood and pain in kidneys and sudden urges to go. shooting pain ### REPLY: HelloThanks for query. You have not mentioned your age in your query. The cause of blood in urine(Hematuria) needs to be investigated thoroughly. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Blood coagulation profile 4) Endoscopic examination of bladder (Cystoscopy) 5) C. T Scan of abdomen and pelvis with contrast. Further treatment will depend upon result of these tests and final diagnosis. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, My sister was found to have extra cervical ribs in here nexk/spine recently and she has been suffering to use her righthand, Some of them suggect surgey and some suggest physio, Kindly let us know which is the best on this case, thanks and also pls tell if this is serious , thanks again doc ### REPLY: Hello, Being a Physiotherapist I should always recommend to anyone as an exercise only for the betterment. But in certain cases, I should admit that cervical rib needs to be surgically removed as this extra rib leads to compression on the underlying nerves and blood vessels leading to disturbance in the overall physical well-being and perform regular activities. If not removed at an early stage then in later stages things might not be the same as now and lead to unnecessary symptoms. Post-surgical removal of the cervical rib always a Physiotherapy will be helpful to achieve the maximum functions of the limb. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I developed sudden pain from under my arm down my arm and in my shoulder on the right side. I felt like I had been kicked an could not touch the areas concerned and had a burning sensation in those areas. I am concerned if it has anything to do with my heart. ### REPLY: Sir mostly, classically the, radiation of the pain, on left side arm is of cardiac origin.  However, I don't say right cannot be heart. Saying so based on your symptoms and particularly the soreness after the pain subsides looks more neurological, you must have slept on the same side and a small nerve twig must have been compressed which is may have caused the symptoms. If the symptoms persist just get a EKG done, but in your history I don't feel primarily its cardiac ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Kailas Shete am Age: 27 yrs, stationed at Burnpur WEST BENGAL.I was suffering with stomach ache, pain, feverish feeling, nausea etc. Radiography and Endoscopy has diagnosed me as having Gallstones and Antral Gastritis . Kindly advise the modality of the treatment duration required and please suggest me with the place where i can have affordable treatment and quick relief. Regards, Kailas Shete YYYY@YYYY ### REPLY: Dear baileys, Thanks for writing in . Antral gastritis requires a 3-week course comprising sucralfate suspension, omeprazole capsules and dietary modifications. After 3 weeks the symptoms need to be reassessed. If symptoms still persist then another 3-week course may be required. For the gall stones, if they are symptomatic then a cholecystectomy or removal of the gall bladder is indicated. I would suggest first to get the gastritis problem under control then deal with gall stone problem. With regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI.. I AM 28 YRS OLD.LAST TWO MONTH AGO MY i was fell down from stairs and i got severe pain..after X-rays report is that my pars interartularies fracture. . doctor suggested me bed rest 3days n take physiotherapy....but my pain increasing day by day.my pain is increasing and travel left leg. after 6 weeks i am going to neuron specialist.. he took my MRI report...in my report is that my bone are okay.. but indicate one another thing is loss of normal lumber lordosis due to muscle spam in secondary stage.dr. suggest me exercise forward bendin and backword bending.2 weeks i am doing this exercise..after 2 week my pain is still so i am confuse what can i do further please suggest me ### REPLY: If your pain is due to muscle spasm at your back and loss of lumbar curve. Then I suggest doing exercise like spinal twisting, knee to chest one -one leg at a time keeping another leg on ground without lifting upper limb and with the help of your hands., pelvic bridging, and spinal extension, Lowe limb stretching in lying position. But do not do forward bending exercise. You can also visit a good physio who can understand the biomechanic of your problem and suggest you some good exercises. Here another thing is you can also take physiotherapy treatment like ultrasound to relax your soft tissue. As well, I must suggest to use hot pack regularly and frequently to have more of healing soothing and relaxing effect on soft tissues. Just follow this, and I am sure you will feel much better and will recover fast if you take some rest for next few days along with this. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im worried about my friend... Shes always been bossy and had frequent mood swings but it seems to be getting worse.Minor things will happen that she doesnt like and she will refuse to talk to us (her friends) for days.For example, we were in the lunch room and our friend Libby threw a piece of orange peel at me, which missed and landed on Nicolas coat( Nicola being the person Im worried about)...Also, shes had a problem with self harm and attention seeks frequently. Her mood swings are becoming too frequent and servere and it is pushing her friends away- Can you help? ### REPLY: Hello and thanks for your query. I appreciate your concern for your friend. From the brief description of her problems, like mood swings, problems in sustaining relationships, self harming and attention seeking behavior, etc., it is likely that she is having a Borderline personality disorder. However, she needs to have a detailed psychological assessment to confirm the diagnosis. Personality disorders are generally difficult to treat and require long term psychotherapy and the cooperation of the patient. So, I would suggest that you gently explain to your friend and convince her to seek professional help from a psychiatrist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have a 2yr old baby girl.she has beta thalassemia trait . our doctor told to have blood test for me and may husband too. In that i was normal and my husband was als having beta thalassemia trait. we are planning for another child.Are there any precautions to be taken for the next child to not get beta thalassemia trait. ### REPLY: Hello and welcome to , Beta thalassemia is an inherited hemoglobinopathy. In the next pregnancy, you can get genetic testing for thalassemia and other blood disorders. In the early pregnancy, around 8-10 weeks chronic villus sampling can be done for genetic screening. If thalassemia or any other genetic disorder is detected, you can take most appropriate step. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having heavy period for 2 or 3 months and have fibroids have been advised to take novez ds for the past 2 months had excessive bleeding in this month so have been advised to take etosys is this ok and will i have a proper cycle and regular flow from my next cycle. for how long can novex ds and etosys be taken ### REPLY: Fibroid can cause excess bleeding. Medications for uterine fibroid target hormones that regulate your menstrual cycle, treating symptoms such as heavy menstrual bleeding and pelvic pressure. They do not eliminate, but may shrink the fibroid. Etosys is a nonhormonal medication taken to ease heavy menstrual periods. It can also reduce clots in the bleeding. This .  Novel DS can be taken for 2 to 3 cycles for regularization of blood flow. Hope I have answered your query. Let me know if I can assist you further. 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 have 4 bulging discs with nerve pain. I was in pain management until my doctor lost his license. I got my life back with opana 15mg 3 times a day with spinal injections. Now I cant get any pain management to see me when I tell them what doctor Im coming from why Is this Im in kent,ohio. Thank u ### REPLY: Hello there. Obviously you cannot continue on this pain medication for a long time. If you do have such a chronic pain then you need to go to a spinal surgeon and get your self evaluated. At this stage of the disease you might have to undergo spinal surgery in the form of disc removal. Chronic nerve root irritation as in your case might lead to irreversible nerve damage. Hence it is always better 2 remove the cause of nerve root irritation as soon as possible. Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor!I have being using famymor birth control pill for three month now. Im worried my periods has changed. Im bleeding very light and I go on my periods for three days now, before using famymor I used to be a heaving flow and go on my periods for five days. Im worried. What comes to my mind is what if Im pregnant? Im pregnant? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern for the pregnancy as I'm always saying that nothing is 100% safe as long as the contraception is concern if you have such a history and clinical sign and symptoms that could prove the pregnancy then in my opinion it is better to get done the test and the best test is ultrasonography test, hope this information helps you take care and have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having terrible nausea and pressure in upper middle abdomen after appendectomy 2 wks ago today. I did have truble having a bowel movement after surgery-almost 1 week after. It seems after that I could not eat regular meals and have only eaten very bland foods. I also have low bp and have had bouts of dizziness . I saw my GP on thursday and she sent me for a cxr and abd. xray which were ok...should I be concerned? ### REPLY: Hi, Welcome to  Sometimes your body system takes a longer time to recover. Since you have normal investigation reports you need not worry, do not take stress, try to relax and concentrate on recovery. To have normal bowel movement keep yourself properly HY .  Antacids will help the bloating feeling get better.  Take small quantities of food 3-4 times, take vitamin and mineral supplements. Avoid spicy oily food. Dizziness and low BP are due to weakness and low HBO, hemoglobin levels in your blood. You will recover soon, You need rest.  However, if you feel too low do contact your treating 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: My 85 year old grandfather recently went into hospital with stomach pains and was diagnosed with an appendix rupture. But prior to the diagnosis, a CT scan was done and a mass on his lung was visible. A biopsy was given, but they couldnt get to the spot, so now the doctors want to do another biopsy and go through his back. Should we get the biopsy given that my 85 year old grandfather probably wouldnt be able to handle any chemo or radiation if diagnosed? ### REPLY: Hello rearward welcome to .come have evaluated your query in depth.* The decision to perform some procedure or decide for treatment aspects in this regard depends upon many factors as - symptoms of the patient - associated co morbid conditions - concern of the patient to get willingness of the needed medications - reports indicating the severity, site, extent of the lesion - calculations or advantages and disadvantages of both treating and not treating the current condition.* Now you can understand with how many details one can comment precisely on such critical query.* But in a nutshell, if not much large, not giving many annoying symptoms ; can keep a watch on the progress of the size. Hope this clears your query. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have problem before 12 day ago with swelling left paratid gland  first 8 day pain full now no pain , swelling bit of but am have swelling wen am eating after 4 min   eathing  again swelling going of bit my blod test lok like viral infection paratoit am on antibiotik thanks and sorry for my pore english ### REPLY: Hi. Can understand your concern. As per your complaint Parotid gland is one of the major salivary gland and is present in front of the ear one on either side. Any infection in the gland or obstruction in the ducts of the glands can lead to swelling in the gland. As per your symptoms the swelling increases while eating clearly indicates that there is obstruction in the ducts of the salivary gland leading to swelling. The obstruction occurs due to formation of crystalline stones within the ducts of the gland from minerals present in saliva leading to blockage of ducts and the formation of stones known as SIALOLITHS can occur secondary to infection in the gland. When the duct is partially blocked and there is increased saliva flow during eating the saliva flows back to the gland and causes swelling. You should consult a dentist or an oral pathologist and get evaluated. In case of smallish you should take more of sour candies and lemon . . In case if the stones are large a dentist can palpate the superficial stones along the duct course and push them out of duct. In case of stones in deeper locations of duct and large stones surgical removal is done. A technique known as Microscopy which is an endoscopy technique can be done to locate the stones and subsequently removed. Hope this information helps. If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, Im 16 years old. For the past 2 and a half weeks ive had mild abdominal pains, ive been feeling light headed for the past 4 days. Im really worried, it is hard for me to concentrate on my gcses with this in my head and my parents say im just being a hypocondriac. Please help. Thank you. ### REPLY: Hello and Welcome appreciate your concern. I would empirically recommend a two-week course of PPI such as Pantoprazole and a pro kineticlike topside to see for improvement, If your symptoms persist please fix an appointment with your doctor so that a physical exam is performed after a complete history and the necessary investigations are done to look for any other cause. I would also recommend a psychiatric visit to rule out anxiety or depression wishing you best of healthThanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello dr my bypass sergeryhas done 3 months berore butwher being cut for opration iv vertical two projectionfrom insidefeeling hard and paining also chest sidefeeling num and pain what todo in this case. pain will be normal or after some monts it wiil be automatically normal pl give me suguest ### REPLY: Hi, the symptoms you describe is commonly seen post bypass surgery. It generally resolves near completely with time.  How much time would vary on each individual.  As the sternum is opened up for bypass surgery and during the surgery as many small twigs of nerves are cut while opening up the chest wall and harvesting grafts, you will have the chest pain till the sternal bone would heal, and the numbness should decrease over time.  Till than you may take symptomatic treatment as per your local doctor and continue with cardiac rehabilitation.  Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my girlfriend took the levonelle pill on the 30th of october and is currently experiencing lots of clots in her blood, and the blood is a brown colour, her period is around 2 weeks early, she sometimes feels sick, is she okay?, what does this mean?, thanks :) ### REPLY: NamastheWelcome to ChatDoctorGreetings of the kayaking hormonal pill especially emergency contraceptive pills may cause heavy with . There is no cause of concern, and it should resolve on its own. In unlikely event of the bleeding persisting beyond a week or large quantity of clots, would suggest you to consult Gynecologist. In case you need any further assistance, will be glad to assist you. Wishing you happy and healthy lifetime Care Best Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I stepped down from my steps outside about 6 weeks ago and rolled my ankle. The pain was severe when it happened, but I had no swelling. I just thought it was a sprain. It does not hurt to walk on now, but it is painful when I drive or bend my foot forward. Also, when my foot is resting my foot throbs and has a tingling sensation. ### REPLY: Hithere may be minimal sprain of ankle ligaments and initial immobilization for 10 days would have been beneficial, anyway, now, see an orthopedic surgeon for advise, I may suggest wearing anklet strapping for 10 days of ankle and Advil tabs for 5 days after meals thrice a day, hot fomentation and application of Voltaren gel. All this may be undertaken if your doctor agrees and prescribes peccary treatment. An x-ray also if you need bethinks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 external hemmoroids with mucus discharge and developed a full body rash similar to an allergy type rash. Would the rash be related to the hemmoroids and mucus discharge. Have been treated for hemmoroids by doctor for years. But mucus and rash are new. No other symptoms. ### REPLY: Thank you for your question. I understand your concern. Hemorrhoids are due to stasis of blood in the veins present around anus. They are called swollen or inflamed vessels, which cause severe pain in the anus. Body rash is no way related to external hemorrhoids. Rash all over the body may be due to allergy. There are many triggering causes for allergy like stress, specific foods, exposure to dust etc. Take Cetirizine tablets twice daily for 10 days. If symptoms persists, it is advisable to consult the physician. Blood reports and physical examination of rash may be required to know the cause. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 severe pain most of the time on my lower right hand side, it seems like my appendix, the pain can get so bad i feel it on the top of my leg and the inside of my leg also and i cant walk, this morning i got the same pain on my left lower abdomin, i knowits not a kidney infection as ive been tested, could you advise me please ### REPLY: Dear friend, greetings from .... I understand your problems .... You take an anti-spasmodic for two to three days... Tab. Tuscan after food two times . If the pain is non-specific it will be alright .... If the pain persist . You need to go for ultrasound abdomen and see. If you have fever you need a course of anti-biotic s too ... Thank you for. Contacting us and keep asking more questions . ### END