Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,    Im a 22 year old male. I have alot of body hair and I recently buzzed all the hair off my chest. It has grown back over a cm in length and now I find that I am getting some sort of rash made up of red spots no more than a cm in diameter. I have no other symptoms that I can place. ### REPLY: Hello. Thanks for writing to us at  I will keep a possibility of seborrhea dermatitis. It usually presents as . If I was the treating doctor I would have asked you to apply a moderately potent topical steroid e.g. fluticasone propionate 0.05% cream, twice daily for the patches. An oral antihistamine e.g. cetirizine 10 mg once daily would provide you symptomatic relief from itching. Topical steroids are prescription medicines. I would suggest that you visit a dermatologist for a confirmatory diagnosis and appropriate treatmentRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fell on the ice and fell on my tailbone last Wednesday.. I don t think I broke it but I did bruise it.. My question is.. After this happened I feel tired, week , I had an anxiety attack two days after. I think Im also hypoglycemic.. I feel better after I eat. I feel bad worse in the mornings. What is going on? ### REPLY: Thank you for posting your query. I can understand your concern. Yes, you are very anxious about your health. Anxiety is like any other ailment, and it can be easily overcome. Let me help you.1. Practice consciously breathing in and out for 5-10 minutes a day.2. Say the word NEPENTHE which means no pain, no worry. Or any other word which will give you positive vibes.3. Every night before going to bed write 3 things that went well that day. These are just some techniques. With practice, you can easily overcome your anxiety. We usually do not prescribe medications unless the anxiety hampers the day-to-day activities of the person. I do not think you need any. For the hypoglycemia part, get a random blood glucose test done. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pcos and my gyno has asked me to take fertyl 50mg as i am trying to concieve. She has asked me to take the tablet for 5 days starting from the 2 nd day of the cycle but i have read that from the fifth day it needs to be taken. When exactly shall i take the tablet? ### REPLY: Hi, For best results fertyl-50 should be taken from day-2 of the menstrual cycle ((day 1 is the day you wake up bleeding) once a day for 5 days at around the same time every day. Ovulation (release of egg from the ovary) usually occurs 5-12 days after the last dose of fertyl-50. And the best time to have intercourse is from 5 days after the last dose of fertyl-50 (day 10 in the cycle) every other day for one week.  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: I am curious if there is any medical testing I should be looking into.  I recently took a trip to Florida in June and while I was down there had a tremor start in my right hand along with lightheadedness. I also had trouble focusing for about a week. I have seen my primary and also a MS neurologist. Yesterday, I started to have the lightheadedness and trouble trying to communicate. Like my brain is working fine, but my brain and mouth dont. When I go to talk its slurred and almost like Im stuttering.  My neurologist told me she had ran all the tests she could and recommended that I go back to my primary to see where to go from here. I would like to get back to my self. Any advice is greatly appreciated as I am at a loss and not sure what to do at this point. I did go to the ER yesterday with these symptoms and they tried Xanax however that is not working. ### REPLY: Hello. As you refer your doctors have requested the usual tests (CT-Scan. ...) to rule out neurological pathologies and the results were normal. They thought that their symptoms may be secondary to anxiety-stress and prescribed Alprazolam. I agree with them but I think it's necessary to add an antidepressant with sedative effects. I treat my patients with Paroxetine 20 mg per day + Alprazolam 0.5 mg per day when Anxiety is the diagnosis. Please consult your local doctor for a prescription. I wish you good health.(If the answer has helped you, please indicate this) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had knee surgery in August 2013. I have had pain in my calf and upper thigh since the surgery. A couple of months ago, I started struggling to breath and having chest pain, and panic attacks. My, question is it possible for a blot clot to have went to my lungs after such a long time after surgery? ### REPLY: Thanks for your question on . Possibility of Deep vein thrombosis (DVT) is high after major orthopedic surgery like knee surgery. But the risk is highest in first six months post operative. And after than risks are reduced gradually. So your calf and thigh pain can be due to DVT. And chest pain and breathlessness can be due to Pulmonary Embolism (PE) due to detachment of thrombus from leg veins. Though the possibility of both is very low, it is better to rule out both of these So get done lower limb venous Doppler, D dimer and CT pulmonary angiography to rule out DVT and PE. Better to consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 been having reocurring yeast infection for almost a year now. I ve been taking spironolactone for 2 years and for the past year I notice a change. Could spironolactone be the cause of it? I gone to my OBGYN and everything is fine she doesn t now why I keep getting YI ### REPLY: Hello, Welcome to , Some women may have frequent recurrences of yeast infections. This is defined as at least 4 infections a year. When this occurs there are medications that can be used to reduce the frequency of infection. Medicine should be taken for a period of minimum 6 months. Some medicines like fluconazole, clotrimazole pessary, itraconazole and ketoconazole can be used to treat and prevent frequent fungal infection. The dose and frequency of these .  I would suggest you to speak to your doctor about this option. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on the nuva ring for about three years off and on and ive never had any affects coming off of it...I put the ring in on the 4th and didnt notice that it was no longer there until the 11th and I had already been having unprotected sex with my husband and on top of that it was during my fertile week and on my ovulation day...I am suffering from constipation abdominal cramping headaches severely painful nipples and light headedness.....am I pregnant? ### REPLY: Hi, Brief.go for pregnancy test. Detail. Though it seems less likely that these symptoms are because of pregnancy.but to decrease the anxiety you may go for pregnancy test. Some time stress and anxiety can cause these symptoms not sex .and hormonal changes for example estrogen surge can cause soreness of nipples and premenstrual syn . Which will subside after menses. Hopefully my answer will be helpful.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ive had a heart murmur since i was born and its never really effeted me atall im not sure what type of murmur it is as ive never sked im due for a check up and  lately ive been feeling so tierd, dizzy, out of breath and am getting really bad chest pains, i often black out completly or cant see for a a few seconds, what does this mean? and you do you think its to do with my heart? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of heart related diseases is more. Childhood murmurs can worsen in adult life and cause symptoms like chest pain, black-outs, dizziness, shortness of breath etc. So better to consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. 4. Stress test (trade mill test). All these reports are needed to diagnose heart diseases if at all present. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello dont know if you can answer my quiry but im allways thinking that i have something seriously wrong with me this distrupts my everday lifestyle and my sleeping i have had a chesty cough for just over a month and and have been on antibiotics for three days now and its nt getting any better i think theat i have some sort of cancer or a lung problem i get a bit panicie when i start to think abt this but i cant seam to stop myself i keep thinking about this day and nighti have been on anxiety tablets in the past on and off since the age of 18 because of this ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly.* There are different possibilities for the same as - Allergic bronchitis - Pneumonia-Lower respiratory infection - Others * Should get evaluated with basic laboratory and x-ray reports for the diagnosis and further management rather than becoming panic for the condition. Hope this clears your query. Welcome for any further guidance. Regards dear take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an epidural spinal block injection in march 2012 and have had shaking turns all down the right side of my body, need for the toilet after these turns, loose the use of my right leg,also i am confused for a while, also get pins & needles in my right thumb YYYY@YYYY thanks ### REPLY: Hello, In rare cases, there may be a lowering of intracranial pressure after spinal injections mainly due to some cerebrospinal fluid loss. Also, subarachnoidal hemorrhage is a rare but yet possible adverse effect of such manipulations. These adverse effects may cause symptoms similar to yours. Generally, these possible adverse effects are self-limiting and improve with time. In the case of no improvement after a couple of weeks, testing is necessary (such as MRI of the brain and spinal cord for example). Discuss with your Doctor for these issues. 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: Hello,I fell off my horse for the first time around 5 hours ago and hit my back quite hard on the wooden fencing. I have a bad pain in my lower back and when I get up and walk around I feel dizzy even though Im sure I didnt hit my head. Do you think I should see a doctor or wait a few days? I might just be paranoid but I dont want to leave it if it is something serious. Thank you,Rachel ### REPLY: It looks like that you may have hurt your back very badly. Sometimes even muscular injury can cause pain up to 3 weeks. Are you feeling like worsening than I would recommend you to get an X-ray of your spine? Sometime even such trivial fall can cause vertebral fracture, so ho harm in getting an x-ray. I would also recommend you to take muscle relaxant such as moral, apply local diclofenac gel and take warm shower. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, have found a lump on one of my testicles and have Bren to two different docters. One said it needed to be looked at and due to changing area when my appointment came through I had to go to a 2nd docter who didnt seem bothered, but said as the other had referred me to urology then he would, My appointment is anouther 3 weeks away. ( having already waited 3 due to a high level of patients) the lump has grown and I am tired alot and now have a skin rash (scaly and red) on myupper body, Is this something to worry about, it doesnt itch. Thanks ### REPLY: Hi! Welcome and thanks for sharing your health concerns/queries with us. After going through your problem I must say that there are many possibilities in your case according to age, sign/symptoms and related medical/surgical history as follows:1. Hy .  Benign cysts like spermatocyte, epididymis cysts, parasitic cysts 30%3. Infections like tuberculosis or abscess 10%4. Tumor-like benign conditions 20%5. Cancer 10%Therefore, you need to confirm the cause without delay, and please see a general surgeon for a simple needle biopsy and ultrasound and I think only antibiotics with or without surgery would be the best possible or appropriate treatment!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 sir my self iam vinod from india. I am practicing hand job form  6 years and now i just want to stop it. what are the measures to do so and what are your sugessions to regain my sexsual power back which i have wested through hand job.plz guide me u can also send ur sugessions on my email ID that is  YYYY@YYYY  thank u sir ### REPLY: Hi dear.I understand your problem.my opinion is that,1.have mind control. You should do yoga and exercise to get the mind control.2.avoid watching porn.3.try to mingle more with family members and friends. Avoid being alone.4.take healthy foods. Add oats in your daily diet.5.avoid stress. Thank you. Hope my answer will help you. Feel free to ask your queries. With regards, . Much Krishnan. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, ive been having headaches recently which are much worse when i bend down, this is accompanied by nausea, general weakness in my body and a strange feeling in my limbs. my ears sound fuzzy most of the time. can u help...i previously suffered from depression and my gp is linking it with my depression ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Headache is a common symptom of depression, but such headaches will not increase on bending down. The fact that the bending is increasing the headache suggests that there could be a sinusitis which could be leading to a headache. You may take some cetirizine and steam inhalation to reduce your symptoms. If the symptoms persist then the . Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there. About 6-7 months ago, i went to the dentist and had one tooth extraction & one filling. Now, months later, the tooth i had filled has become very painful. I cant eat because it hurts to bite down, i cant sleep because of the level of pain im experiencing. I am absolutely terrified of dentists, so what should i do? ### REPLY: Thanks for your query, I have gone through your query. The pain in the tooth is because of the infection involving the pulp and the root tip of the tooth. Consult an oral physician and get a radiograph done to rule out the infection. If the tooth is infected then you can get the tooth restored with RCT. Meanwhile you can take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). I hope my answer will help you, 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: Will i be cured of my severe varicocele pain? I have been diagnosed by my urologist with varicoceles in both testicles. I have an appointment for embolization of the left in a few weeks. I m very concerned after much research that this problem will affect me my entire life (I am 18). It makes work and even everyday tasks hard to accomplish. I want to feel healthy again. What are my chances embolization will cure me? ### REPLY: His understand your concern. Analgesic medicines with scrotal elevation will help in pain. Elevate testis with braces will reduce pain. Embolization has very good results, but it varies in subject to subjects. Embolization will reduce pain but if you are concern regarding fertility then it may have mix results. Urologist will best give information about it. Wear tight undergarments can help. Still have query then feel free to ask. Thank you, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had all four of my wisdom teeth removed in late December of 2013. I have been sick for the majority of the time after the surgery, with a constant runny nose among the most annoying symptoms. I was wondering why this is, and if there is a corrective surgery to make it stop or if I will be like this forever. ### REPLY: Hello, Thank you for consulting with . As you are mentioning that after removal of your wisdom tooth you are experiencing this kind of symptoms, it looks that you are having some sinusitis problem. Actually this wisdom tooth are associated closely to the sinus, in case of surgery there can be accidental trauma to the sinus. Better once you should visit an ENT specialist to get complete examination of the sinus done with x-rays, as it will confirm the condition. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had all four wisdom teeth removed 5 days ago. I no longer have any pain from the surgery. All of the swelling has gone down except for a huge golf ball size lump that developed in my lower left cheek. The lump is "heavy", hard, and tender to the touch. Teeth and gums seemed to have healed up just fine. What is this huge lump? It is causing much discomfort. How do I get the swelling to go down and knot to dissolve?? ### REPLY: Dear friend. Thanks for sharing your concern. As you have mentioned that the swelling currently on your lower left cheek is heavy, hard and tender to touch. These symptoms suggest towards an infection present there. Please revisit your dentist once and get it thoroughly examined for the cause, might be a small root piece left or due to accumulation of food debris there. Warm saline rinses will help, and please see your dentist soon, so that upon evaluation if required antibiotics can be started. Hope it helps. Thanks. 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 m a healthy 21yo female. I just noticed a few days ago a painless, moveable, pea-sized lump right in front of my ear. The day I noticed it, my jaw was clicking while chewing on the same one side for a brief period in the morning. I have no other symptoms. When I open my jaw wide it retracts and I can t feel it anymore. How long should I wait before getting it checked out by my doctor if it doesn t go away? ### REPLY: Hi ! Good morning. I am  answering your query. Most common lumps on the head and neck region are lymph node swellings. Although it requires a physical examination of the swelling to opine on it, from the history I would consider it initially to be a lymph node swelling and examine all the related regions around it including the oral cavity and an ENT check up. The scalp and hair also could be the culprit due to Dan .  After ruling out all these aspects, if the lump persists or increases in size even after a course of anti-inflammatory and a broad spectrum antibiotic, definitely I would advise you for a routine blood check up like a CBC, ESR, and a FNAC (Fine needle aspiration cytology) to have a proper histological diagnosis and appropriate management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: prolonged coughIve had a cough for ten days now. it started as a mild cough so I thought it would go away. I even smoked the couple two days it started. then it got really bad. now its milder but still persisting after ten days. I dont have any history of illness and the cougChatDoctore on so suddenly. no other symptoms of any other disease. just coughing. I tried nyquil, dayquil and theraflu. nothing helped. please help. ### REPLY: Thanks for your question on . I can understand your concern. Since you have just started smoking, your cough is mostly related to bronchitis. It is inflammation of airways. Actually any smoke can cause irritation and inflammation of the airways. This is common during initial days of smoking. So better to quit smoking as soon as possible. This is not good habit. Consult pulmonologist and get done clinical examination of respiratory system. You will need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, with appropriate treatment, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 month old daughter had a fit last week relating to a high temp, when her bloods were taken her liver results were high and were repaeted the following day and we have to go back again this week as they are high. I was not told what this means can you help please ? ### REPLY: High temperature above 40 affects the brain function and lead to seizures . Once temperature cool down the fits will go away and are unlikely to return unless temperature goes shooting high again. As for high liver enzymes this indicates hepatitis which is inflammation of the liver. This is probably what caused fever in the first place.you need blood test to determine which type of hepatitis your child has. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: am planning for pregnancy and going under treatment i took fertyl tablets and Q GOLD - F from my second day of period tat is 23/07/12 till sixth day as doctor suggested and doctor asked me to consult again on 3/08/12 that is today and i consulted she took scanning to know wen will i ovulate and told egg is normal and everything is good. she gave dates 3,4,5,6th to be together with my husband she gave me an injection and QUALGEST 200 . sir now pls tell me whether tthese are really effective??? ### REPLY: Hi Welcome to  Pregnancy occurs when contact is made at the time of ovulation. Ferry is given to make you ovulate that is for good growth of egg and once follicle (egg) is matured as it is confirmed by ultrasound, an injection is given to make you ovulate. Make contact on dates given by your doctor. Largest is given to support pregnancy. Don't worry. Trust your doctor and go ahead with the treatment. It will be effective for sure. All the very best. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, i had jaundice (hepatites A) in 2004 and cured then. when i got my ultra sound scanning done in 2011 there is a mild hepetomegaly with fatty changes in the report, my liver function test is normal except the A:G ratio is more very very marginally. all other parameters are normal. is my hepatomegaly condition is nornal and is it due to my jaundice in 2004, any actions i need to take for that, and can i get it reversed with medications? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that if you have a history of hepatitis then increasing the volume of liver is likely and this is not said normal because this is happening due to the inflammatory process in the parenchymal cells after the cure this enlargement of liver comes to the normal size there is no special treatment available for this, hope this information 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: My 11-year old son tells me he has sharp pain in the center of his scrotum. It is intermittent and has had it for the past four days. The scrotum is normal color and he does not think it is swollen. Hurts more when sitting down. No pain during urination. Seems slightly more sore, but not significantly, after running around. Does not recall a recent injury to his scrotum. Has not been very physically active outside of PE. ### REPLY: Thanks for asking in  forum IN short: Intermittent torsion can cause this. Explanation: Usually torsion testis occurs in young individuals. Sometimes it may be for a short time called intermittent torsion. SO, only you may not have noticed swelling after that.  Please visit your doctor at the time of pain and ask for Doppler investigation to rule out this. If pain is present now, then visit your doctor now only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 asthma . Tuesday night I ate a a restaurant and became sick that night. For the next three days I experienced severe stomach pain near the belly button that would come and go. Friday night I developed sinus symptoms that I believe has lead to a sinus infection . Headache , fever, stuffy nose, sneezing , yellow snot, etc. I think it s starting to go to my chest. I have a dry cough but it s not constant. I do have to clear my throat. I m also experience an ache in my lower right rib when I touch it. Could these all be symptoms of pneumonia or something else? I m not sure if the vomiting was related to my sinus issue. ### REPLY: Hello Melissa, Your initial symptoms of a stomach bug and the ongoing symptoms of sinusitis, headache, sneezing, cough could all be connected with a viral gastroenteritis followed by a chest infection. The pain in the rib is usually an inflammation of the lining surrounding the lungs, called pleura, and hence referred as pleuritic. I hope the stomach or gastrointestinal symptoms have now cleared up and if not, you will need a stool c/s followed by a Chest X-Ray to ensure there is no pneumonia; and urine c/s (if there are urinary symptoms as well). Additional blood tests would be a complete blood count, liver function tests, CRP. The treatment will then depend on the results.  Typically, a viral gastroenteritis does not require any therapy, but you must ensure you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have found 3 moveable lumps by my right collar bone. My blood tests state that my platelet level is slightly over 400.I have been on antibiotics for 10 days 500mg 3x day. Did not lessen the size of lumps.I have not had toothache, earache or head traumas.Should I request a biopsy? Any suggestions would help greatly. Thankyou ### REPLY: Hi, Dear thanks for the query to  virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from -Could be-due- to NHL as these lymph nodes did not regress after antibiotics/Could be due to Lung Cancer / or Lung Could be due to Breast upper outer qua . For this you need to consult a Surgeon and get the Excision Biopsy/CT chest and abdomen to rule out the HL(Hodgkin Lymphoma) and NHL(Non-Hodgkin Lymphoma)For this treatment GP and Breast/Thoracic/Onco-Surgeon team would be needed to treat your case.Thus, you need to be concerned and need to ask for biopsy with your doctors. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 6 year old son has a sort of cloudy colour on his bottom lip when pulled down, he was complaining of it itching tonight and its a bit puffy. i noticed this discolouration a couple of weeks ago but did not seem as bad in the morning, but now it worries me. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your child have symptoms of cloudy discoloration on bottom lip occur due to post inflammatory hyperpigmentation, and it could be due to allergic reaction leading to puffiness. Do not panic as it is easily treatable. I would suggest you to :-- Wash your face with mild soap and cold water twice a day.- Exfoliate your face or lip once a week to remove dead skin.- Apply comic acid cream twice a day which is natural extract of mushroom and safe for use. It is very effective for hyperpigmentation.- Also apply vitamin C oil at night. I condition doesn't start getting better within a month then consult dermatologist. Doctor may prescribe steroid cream containing HY . Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have an acute pain in my lower left abdomen, i have had kidney stones before-the oxilate type 7 years back.I am having citralka and cystone from yesterday the same that was administered before .although my back pain has decreasede,the lower abdominal pain comes and goes as per my water intake and my movement. normally what is the time frame that these medications take for the safe passage of stones from the bladder. ### REPLY: Fellow, Kidney stones when gets impacted in ureter or pub causes colicky pain many a time with nausea and vomiting the pain classically radiated to back or groins. What you have mentioned is way back history of before seven years you need to get new ultrasound done for current position and size of stone. And usually a stone below 6-7 mm needs no surgical intervention. .  But actually it is hard to judge the time it will take to pass the stone. I recommend you to get your ultrasound of abdomen and pelvis done and get a urologist opinion ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: was golfing when i took a swing i felt a bad pull or pop, felt like a pulled muscle. i rested for about 3-4 weeks. then i tryed to play softball, but  took it really slow, until i had to run, when i ran full speed felt like some shot me in the side and now it feels worse. only huts me when i sneeze or cough, also when i am on my back and roll to my left it is really uncomfortable and sometimes hurts...??? muscle or worse? ### REPLY: Thanks for your question on . I can understand your concern. Possibility of musculoskeletal pain is more because you got this while playing golf shot. And your pain is also associated with specific movement (bending) and coughing and sneezing, so all these also favor musculoskeletal pain more. In my opinion, you should do following things for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Sit with proper back and chest support. 5. Apply warm water pad on affected areas. 6. Take combination of painkiller and muscle relaxant .  Don't worry, you will be alright with all these in 1-2 weeks. 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 currently been diagnosed with ITP. I started to have patiki show up on my skin and went to my blood doc to check my platelet level because i have had low platelet counts in the past as low as 3. My current platelet count is 180 which is great to me, but now I am having patiki again and not sure why considering my platelets are in a good range. Im also having hot flashes on my neck and cheeks and they get really hot and red. with palpations off and on. Do you have any advice and or answer to why this is happening? ### REPLY: Hello and welcome to , Appearance of detached indicates low platelet counts.ITP is one of the causes of low platelet count, however low counts can also occur in number of other conditions. Viral infections are one of them. Are the hot flushes associated with rash? Is there any history of fever? Fever is usually associated with palpitations. Presence of rash is indicative of viral infection. Get complete hologram done including platelet counts. There are certain clues on the peripheral blood examination which indicate various infections. Consult your hematologist. 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: Good morning.  My husband, a heavy drinker and quite obese (350 lbs and 6) has received GGT results of 350.  His renal and other levels for liver were also somewhat horrifying.He is, for reasons I do not understand, opposed to a gastric bypass which in my mind would solve many of his immediate problems.  He has tried unsuccessfully now for three years to lose the weight and to ciu the drinking, obviously without success.  I am fearing for his life.  What immediate changes can be made which will drastically lower these levels and worse, if he fails to alter his current lifestyle what does the future hold?  Meaning, what sort of life expectancy are we looking at? Thank you for your time. ### REPLY: Hello, Thanks for the query to . Forum. GGT is very high,350 lbs, Renal and liver functions are not normal, rather horrifying according to query. Patient is reluctant to gastric bypass.  Before commenting about prognosis (life expectancy), please attach few reports of your husband with next query. Condition of both kidney with its functions, Liver condition, Heart condition, Blood picture complete, Body mass index, Glomerular filtration rate is very, very important for kidneys condition. Hope I have answered your query. If further any query I will help. Wish you a good luck for your husband.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bad plaque on my bottom front tooth but i have little plaque on my upper front tooth. Still the gaps between my upper front tooth is widening day by day. Is there any home remedy by which i can stop it. Please also tell me foods for healthy gum & strong teeth. ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have mentioned that you have deposition of plaque in between upper and lower gums and widening of tooth is also there don't worry about this you should consult dentist and go for Scaling and root planning.  For widening of tooth you should go for orthodontic treatment go for braces.  For healthy gums take proper healthy diet, green leafy vegetables, fruit juice.  Avoid oily food, junk food.  Do proper brushing, use chlorhexidine mouthwash 2 times a day.  Do warm saline gargle two - three times a day. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. On April 3, I cut open my finger just slightly above my knuckle (left hand ring finger) with scissors. About a centimeter cut, maybe a 1/16 in or less deep. Bled a bit but was under control. Cleaned with water, wrapped with gauze and bacitracin, and a large bandaid to immobilize finger. Did that for about 3 days. Healed fairly quickly. However, the finger gets stiff and is painful. The knuckle is slightly swollen...sort of pillowy. Hurts when I press on it. A teeny bit reddish but not really. Poofy. Might it be infected? ### REPLY: Hi, Welcome To . I can understand your concern regarding your health. Though you are saying that healing is proper done, but features like swelling, puffiness, redness are present because of infection that is improper healing from inside. So, it will be better to consult a doctor for proper .  Till the time you will consult a doctor, you can take Tablet Very SP (if no allergy) 1 B.D. for 3-5 days and Tablet Peter (if no allergy) 1 B.D., 200 mg for 5 days. After doing all these things, I hope you will get well sooner, and please share your review about my answer on . Take Care, Thank You. From:-  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 I recently moved from one city to another I am 57 5ft 3 weight unknown my idea if my clothes fit all is good Have never been told i had high blood pressure but low My doctor for many years never told me that my pressure was a problem Always to doctor for yearly check ups and did acupuncture instead of pills i have a new doctor And a new problem my blood pressure is a concern for her she told me to take my blood pressure for a 2 week period now it ranges from 119 to 157 what is going on.Does the time of day i take it matter as i seem to take it a few hours after i get up and i seem to be doing alot of rushing around to get over and get it done . I was told i need to cut down on my portion sizes of food which i dont eat alot or go for seconds little to none food is fried dont drink or smoke or use extra salt was told to walk as gardening or housework is not excersise Im at loss as to how and why all of a sudden And does magnesium tablets help or hinder sleep having trouble sleeping too at night go to bed really tired and within mins i am tossing and turning forever Will that affect blood pressure thanks ### REPLY: Good evening. There are many aspects which can cause fluctuations in blood pressure values. The main causes of alterations in blood pressure that I see in patients are most often caused by caffeine, changes in activity, and or stress. If you are finding yourself living a lifestyle where there is less consistency, and or stability, it would also show itself in your blood pressure results, and any hormonal imbalances and or previous cardiac conditions and or medical regimens can alter this chemistry as well. I will be honest in saying that 157 is concerning, whereas 119 falls in the range of completely normal. My suggestions to stabilize your blood pressure are as follows... 1. HY .  2 Less Sodium (Salt) and or Caffeine. 3. Stress Relief 4. Maintain a steady medication schedule (if you take any medications - make sure to take them at the same time per day as instructed). I hope this advice helps! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My stomach contantly is in pain.i have acid so need to eat at regular times or food runs straight through.doctor says i don t have chrones or ibs. Bloats alot causing pressure pain too. Been going on for years. I take a PPI in the am. Some days worse than others. ### REPLY: HiT hanks for your query. Continuous pain in abdomen, acidity needing regular eating otherwise the food turns straight through, bloating causing pressure pains, going on for years need proper clinical evaluation, investigations and management. I would advise you the following:Investigations of blood, urine, stool, CT scan of the abdomen, Upper GI endoscopy and Colonoscopy. If all the investigations are normal, you should take treatment on the basis of having IBS, control stress and anxiety as these are the major contributing factors. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The tip of my penis is irritated and red from rubbing on my underwear at work all day as well as my urethra itching from the tip to about halfway down although there is no burning sensation when I urinate or anything of that nature.... I am extremely worried about it though. Could you please help? ### REPLY: His had gone through your query.it seems like urinary track infection or local infection around genitalia. Chances of fungal infections are more in area around penis. Bacterial infection cause burning sensation in urine. Urine examination will give more idea about infection. Local examination is necessary to diagnose fungal infection. Consult physician and dermatologist for better assistance. . Medicines like antifungal and antibiotic can help but require proper consultation before taking any medicines. Still if you have query then feel free to ask. Get well soon. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe sharp intense pain on the back left side of my head just above my ear that last for about 5 seconds that comes & goes every few minuetes. The pain is unbearable as to where I have to stio with what Im doing just to cringe & deal until it passes. ### REPLY: You may be suffering from a condition called TRIGEMINAL AUTONOMIC CEPHALIC (Tags) and more specifically, what we literally call JABS AND JOLTS types of headaches.  There is a specific treatment for this type of pain, but first it must be verified that this is indeed the case and that usually means filling in a HEADACHE DIARY or LOG for a period of time in order to find out more about these sudden fascinating pains and to also find out if you may be having any other types of headaches that go along with what you're already describing.  Please rate this a 5-STAR ENCOUNTER and write me at: www.bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MRI report says old infarcts noted in right lentiform nucleus and right corona radiata. Patient is partially paralized on the left side. Can talk eat and leg can be moved but hand is evry week. Can feel all overthe left side. Can you explain why and what is the best cure ### REPLY: Hi, Thank you for posting your query. I have noted the symptoms. These symptoms can be explained on the basis of brain stroke and infarcts)blood clots) on the right side of brain. The improvement would depend on regular exercises and physiotherapy. In addition, for prevention of stroke in the future, antiplatelet agent such aspirin and statin should be given. Risk factors such as high sugar, BP and cholesterol should also be controlled. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. my mother has been very ill. she has hep c and her liver enzymes are elevated and her calcium levels are high. she has been vomiting and feeling nauseous ALOT!! she is also extremely constipated. she sometimes becomes slightly disoriented, is excessively thirsty and very tired. do you think that all of these symptoms are being caused by the hep c, or could it possibly be another potentially serious issue? ### REPLY: Thanks for asking. HEPATITIS C should be treated as early as possible since once it gets chronic it becomes rather difficult to eradicate the virus...I advise your mother to get a blood tests done called QUANTITATIVE PCR FOR HCV and HCV GENOTYPIC.plus baselines FBC, Lots and ULTRASOUND ABDOMEN AND PELVIS....previously they are using interferon injections for treatment the duration for which varies : 6 months treatment for genotype 2 and 3 < INTERFERON + Riboviria > 12 months treatment for genotype 1 and 4< INTERFERON + Riboviria >Now new . .IT has got 95% cure rate for all genotypes. Plus point is that it is free of the side effects which pt experiences of INTERFERON.second it's a pill easy to take .it will replace interferon in the future... Coming towards the other symptoms like excessive thirst an  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi everyone.  i have always been a worrier my whole life mostly about sickness, diseases, and death. so over the last month i had been suffering intrusive thoughts about harming my girlfriend of 8 years who i love so so much which caused me to be depressed and having panic attacks. so i found out today i have ocd and my psyciatrist has perscribed me zoloft. but im scared they might make me wanna act on my intrusive thought or become suicidal...note: i have never been suicidal ever i am terrified of death. i am very unsure about medication please help! ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The basic symptom every OCD patient shows is that of a doubtful approach in anything and everything. You are also showing the same. You should never worry about sickness, disease and death because you have no control over them. Furthermore, you can hope for the best and do your duty like doing exercise, being fit, eat good and nutritious food etc. But still you cannot control these three and also your future. That is basic. In OCD, you are always obsessed to thoughts and activities. Minor OCD, everyone has. When it goes beyond control, it is bad. Medicine Zoloft is good for OCD, prevents intrusive thoughts. Therefore, you should obey your psychiatrist and starting the .  Your psychiatrist knows your condition well, and he is good judge. Trust him and you will be alright. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I thought I had a yeast infection for two weeks, only to later figure out I have pinworms. I took Reece medication a week ago, and although I have had some improvement- symptoms persist. I know it is recommended to take a second dose next week. I kept feeling something so I re-did a tape test to only to find an actual threadworm! Grossing myself out completely. How long does Reece take to eliminate this problem. Do I need to get a prescription strength medication? ### REPLY: Hi, Thanks for posting in . I understand your concern. Pin worm infection is common nowadays. Reece is the only remedies for the treatment of pin worm it should be taken for 2 weeks if you have mild symptoms.it can go up to 6 weeks if you have severe symptoms. Along with Reece strict hygiene measures should be taken till your treatment period to avoid re currency hygiene measures like.1.washing your bedsheets and pillows daily2.cleansing the restroom each time 3.cleaning your nails each day if you scratch your anal/vaginal area as eggs are laid typically i that region. Hope the information provided would be helpful. 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: The right side of my back hurts all the time but is more painful when I breath or move around when I cough it hurts more. When I put pressure on it to cough or move it doesnt hurt as much as it would if I didnt the pain never goes away but is bearable if I dont move. I can not lay on my left side because the pain in my right side is unbearable but I find some relief laying on my right side even though the pain is there am getting worried had it now for three days today. ### REPLY: A non articular pain in back increasing with straining is usually musculoskeletal in origin. Since it is for only three days now, take some analgesics and muscle relaxants round the clock for five days like combination of diclofenac and thiocholchiside twice daily along with hot water fermentation. If the pain is worsening after medications or not improving you will need through history and examination to see other possible causes. You should visit a pain physician or orthopedecian some the same. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I am 22. And I have been working for almost 15 months now. I have a sedentary lifestyle. My job makes me sit for 9-10 long hours every day. Is it possible that I have spondylitis? I have severe pain in the join of my neck and arm almost every day and sometimes in the back too. ### REPLY: Hi, Due to continuously maintaining the same position of neck and back you have a "repeated strain injury". You need to take a break after every 45 min can be a walk in office or stretching on your chair, neck movements, shoulder shrugs, arm movements. This will enhance blood flow in your joints and prevent early degradation of bone. There is low possibility of having spondylitis. Make sure you have ergonomically designed chair and desk. Hope this helps. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wisdom teeth on the left side are growing in, they are pretty far grown out. they werent bothering me till this weekend. im talking sharp pain almost pressing against my other teeth. causing a soar throat ear irratation and severe headaches. what can my dentist do if i cant afford to get the wisdom teeth removed for a little while. ### REPLY: Hi, Thanks for asking the query, Wisdom tooth is the last tooth to erupt in the oral cavity, often associated with pain and swelling during eruption. Sore throat, ear irritation, and severe headaches are due to dental reasons. I would suggest you to visit Dentist and get a checkup done, take an x-ray of the tooth, I would like to tell you that wisdom tooth does not have any significant role in mastication and occlusion so it's better to get it extracted if causing any problem. As you said you cannot visit the dentist right now, take tab amoxiclav 625 mg tab diclofenac twice for three days. Use lukewarm saline gargles, antiseptic mouthwash gargles twice daily & maintain a good oral hygiene. Hop this helps out. 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 trying to conceive and was prescribed Siphene 100 mg for Sep and Oct cycle.In Oct,additionally follicular study was done and egg ruptured on 17th day of the cycle .I have not conceived this month also.Now I am prescribed adova for 5 days.Please advise what is the usage of adova and does it have any side effects? ### REPLY: Hello, Anastrozole is used to treat breast cancer in women after menopause. Some breast cancers are made to grow faster by a natural hormone called estrogen.  Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. Hot flashes, headache, trouble sleeping, dizziness, stomach upset, nausea/vomiting, constipation, diarrhea, loss of appetite, weight gain, tiredness/weakness, increased coughing, or sore throat may occur.  If any of these effects last or get worse, tell your doctor promptly. 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: sir i am suffering from navel dislocation since last 7 years,for this i have acute gastritis ,reflux esophagatis,heart burn,nausea,gas filled loops bowel .please solve my problem .i know allophathy,homeaopathy did not believe in this .but if u have solution in ayurvadic or any yoga center in banglore.please tell me. ### REPLY: Hi. Thanks for your query. Before going to the natural therapies like yoga and Ayurveda, it is better to get a proper diagnosis that only Allopatry can provide. I would advise:Upper GI Endoscopy, Lower GI Endoscopy, ultrasonography of abdomen. Enterocolitis. Also get a course of an antibiotic properly for a few days-wait and watch.  If the reports are negative, you may be having an irritable bowel syn .  Then only turn to the alternative medicines. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A week ago I got hit with a softball in my calve, of course it got swollen & bruised. Now the bruised went away, but now instead of it being swollen. it s like a bump of where the softball hit me (right calve). getting concern if I should or should not go & see the doctors? ### REPLY: Hello. Thank you for writing us here. Well it could be minor swelling and only way you can treat it by immobilization. You can put a bandage on your leg so it doesn't move too much but don't tie it too tight.Also, you can use diclofenac sodium gel to get quicker results. It would be alright in a couple of weeks. Make sure please you don't injure yourself again. You should have proper rest and don't exert too much on your legs. 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 have affected Tuberculosis at me 17 th age, treatment taken for 6 months, Doctor told me you are ok. But when i try to going to Singapore got rejected in medical exam reason is TB scar on lungs.. Can u advice me is there any laser treatment to remove the scar...  Pls help... to go Singapore. ### REPLY: Thanks for your question on . I can understand your situation and problem. Sorry to say, but there is no treatment available for removal of lung scar because it is not active disease, it is just healed, inactive scar tissue. For your visa problem, I advise you to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis. If both are negative for active tuberculosis, you can argue with visa authority that your lung scars are not due to active tuberculosis and hence you are not infectious. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 done inguinal hernia , hydrocele treatment and removal of testes which was present in the stomach right from my birth surgery a year back. Am feeling excessive tired for the past two months. There is a pain in my abdomen as well. I am not able to work whole day, am getting tired at every evening. My diet is usually fruits and am having gastric problems also. could any one suggest me a solution????? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. It is possible that you could be having a depression which needs to be examined. Also blood loss during surgery can lead to anemia and the resulting symptoms. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to further details about your query, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking full courses of maleria since 4 years but in every 3 months p.vivex Is ditected in antibody and my platelates goes down v badly..I have taken QST 600, also injections now I am taking lumerax -80, nimsade-p, monticope, pantop-DSR, MACPOD 200..itz been 2 days but I am feeling v weak.please suggest me I wanna get rid of dis parasite. ### REPLY: Hello Due to prolong period and injudicious the malaria (plasmodium viva) has developed resistance. So numeral and QST will not work at all. Numeral is acting against only falciparum form. When such resistant case visit my clinic I prescribe as following treatment .1ST day Chloroquine 600 mg followed by 300 mg after 6 hour.300 mg on day 2 & 3. Prophylaxis 300 mg once weekly starting first week before exposure, continuing throughout on a weekly basis & for at least 4 weeks after exposure. Concomitantly TABLET "PRIMARYING 15 mg daily for 14 days. But in your case you can increase the dosage of primarying 30 mg daily for 14 days. This is a complicated treatment and should be taken under strict medical supervision, so consult a physician and get his opinion. As plenty of intravenous fluid required during this period. Hope this will help you. Also get in ultrasound of spleen for enlargement. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mother lives with my 2 brothers, one is married and has a daughter, the other is studying. She has this problem of over imagination. she thinks the way my elder brother behaves with her is because of his wife, she talks wrong about her.....etc..... She always feels insecure. This is been going on since 4 years, now she doesnt trust my brother as well, she feels that "he is a wife pupet, he does what she says.,...& he doesnt listen to her at all..." This has strained the relationship with my sister-in-law too. Please help. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The given description is not enough to get into a proper diagnosis. Though I assume that your mother is actually troubled with insecurity. This happens with every mother of male children. When child .  One sort of attention seeking disorder of old age. This couples with unsettling the new daughter-in-law. There is nothing to worry as such phenomena is normal. Your mother should feel secure, and you should make her feel secure and that is child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: they say I m crazy, I got another job, they say I have ADD, Bipolar and anxieity, and depression. I went back to work I needed insurance I try hard every day to keep it together but I cant keep my mind from going from one thing to another, I think i m not a good person if I don t do my job perfect I try to keep my attention on one thing then go to the other I cant do it. I blow up at work even thou I try not to I have evil thoughts about the people on my property I m a property manager. I have evil thoughts about the company I work for and the insurance I went to work to get and it still doesn t pay my medical bills because it s mental. I don t think anybody loves me anymore not my family, my husband does sometimes but I cant get my stuff together all I ever wanted in live is to pay my bills people to respect me to have a house of my own and to be somebody. I ve had good jobs and I ve always messed them up one way or the other. I feel like I wasted my entire life no matter how hard I try I never get anywhere in life I m a piece of crap. even when I didn t have a job I was a piece of crap and now I went back to work and im still a piece of crap. I see things I see dead people but they said I was really crazy then and thought I was trying to get my disability so I don t say anything about that anymore I try to ignore it . I see people that aren t here anymore I always have but kept it to myself I didn t want to be thought of as a nut case or different but I do see them they don t bother me but I do get scared at times. I had someone try to pull me out of my bed when I was little my parents told me it was a night mare I know somebody came through the screen door and had my legs pulling me through the bed. but once I said something I stopped talking about it because they said it didn t happen. just like when I worked on the pipeline and had to put up with the some of the men touching me because I wanted to quit but it was good money I never told anybody for seventeen years and when I did I lost my job. but I also was taking metamaphines to loose weight I always had a problem with my weight and was very self conscious of how I looked a friend introduced me to the drug I thought it was okay since a doctor would nt give me diet pills anymore they stopped given them to patients. I was put on them when I was ten years old but I couldn t sleep and they took me off of them until later in my teens my well I want say but she used to beg me to loose weight and I tried so hard to be good I just never was good enough. I did finally loose weight with the help of diet pills and if the doctors would have kept giving them to me then I wouldn t have had to goto the other drugs they said were illegally then I lost my job and I was really a nobody and a fatty. I was called big mama, laird, fatso, u name it when I was growing up all I ever wanted to do was get away and get a job and make a good living on my on and be somebody and I blew that. I ve had other jobs since the pipeline but I never felt it was good enough. Do you think im crazy or do I just feel sorry for myself. I was told once by my cousin when I was younger I never have been little that my parents only wanted one child they wanted to be like my other cousin and have one daughter and I came along and that s why my daddy drank and he and my mama fought and we had to leave home at times cause daddy hit mama or tore the house up cause he was drunk I always thought maybe if I hadn t been born my mama and daddy and sister would have been much happier. I do drink but I don t tell my doctors anymore cause the government said that was why I didn t get my disability but I never wanted a disability check cause I think I can hold a job even though I may have to change jobs more often than I used to cause I blow up, and I just walk out I don t ever want to get fired and be humiliated again I try to stay focus, calm, and do the best I can I don t know what s wrong with me and I don t think any one else does. I almost died a couple of years ago I had a blocked intenstine but I wasn t scared I felt I would go to Heaven even though I know I ve done wrong in my life I ve never hurt anyone in my life if anything I let them take advantage of me by loaning money, the rest was my fault nobody forced me to take the metaphanmien not sure how you spell it I just wanted to do a good job have energy and loose weight. i m problaly just a bad person and it would have been better if I had died when I got real sick I think my life would have been better and I could have helped the people I loved out better I had live insurance and they could have laid me to rest and paid the debits I owed off. Do you think i m crazy I don t know maybe I am but at least I try no matter what my friends have said about me in the past like I changed they didn t know who I was anymore. you see I used to listen to their problems but I never let or talked about mine and when I had no job, and no money than they said they didn t think I was ever he person they thought I was and I didn t understand why they would do that to me like I was a nobody cause I didn t ask them for anything and I tried to work on the side, and anything they ever did for me I paid them back I didn t go crying to them but yet they acted like I was trash and they were still crying and telling me their problems. I guess I am just a nobody and will always be a nobody. IF I HAD MONEY TO SPEND I WOULDNT BE HERE. FORGET ABOUT WHAT I SAID EARLIER AND ABOUT ME. IT S ALL ABOUT MONEY THATS WHAT EVERYBODY WANTS ISNT IT ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I can understand the stressful situation you are in. As you are aware that you have health related anxiety, I don't have to diagnose it. Once your doctors say that you do not have any physical problems, you should accept it. Because they are the authority in that front. You do not have any such medical qualification or knowledge. Secondly anxiety can produce many weird symptoms which may not have any physiological or pathological reasons. You need to overcome this health anxiety. Keeping yourself busy outside your home, exercising etc. can help.  Breathing is a good technique to overcome stress.  Researches have shown that medicines alone cannot cure mental disorders. Psychotherapy to have lifestyle changes, Yoga and meditation to streamline thought process and metabolism can be practiced for easy and permanent cure. Contact a psychologist for further information. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doc           Am Suman, i have problem where i get pain in the upper abdomen whenever i eat little spicy , and moreover i always feel that a gust of air is kicking out of my mouth from the stomach and thus results in dry cough . this symptoms occur once in  2 months or so on an avarage ....Please do suggest how do i control this problem ### REPLY: Hi. Thanks for your query and an elucidated history. You have a problem of pain in upper abdomen on having spicy food and also have eructations. Your query is related to : how to control:::I would suggest you the following:-First of all stop all the foods and beverages which cause such a problem. -Prevention is better than the cure... -Take a 6-week course of Sanitizing and / or PPI like omeprazole along with an antacid, probiotic and most important a pro-kinetic like Risperidone at 8 hourly duration. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffered from chronic TB. I completed nine months of ATT course.It was completed on 21.01.11My pleura is thickened and now iI am perhaps again reverting. Treatment started on 18th apr10. I was having the symptoms since 5yrs.but was not diagnosed. When it became acute, in last april it came positive in ADA test(150) , cough test negative.Can it revert? How can it be diagnosed further? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have relapse of tuberculosis. For confirmatory diagnosis you should go for tb PCR test.  If it is positive then you should go for culture and sensitivity test for tuberculosis, and then you should start anti tuberculosis treatment again. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi ,I am 30 yrs old.am try to getting conceive last 6month.my gyne advised to take duphaston 10 mg to regularise the period.i am pcos patient.i took duphaston 11 to 19 days.still no get period.in between time we had fun .nipple soreness last 2days.Am I got pregnant? ### REPLY: Hello, It is a little tricky because breast tenderness is seen in both situations of pregnancy and premenstrual period (normal cycles). As you have PCs (Polycystic ovary syn . Now that your Gone doctor started you on progesterone in the luteal phase, you might be experiencing this. Anyway, you can wait for one week after finishing the dose and test for pregnancy either by BChatDoctor in blood or urine pregnancy test. 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, Im a 29 year old man, married since last 2 years. We had lot of differences in the first year of marriage which got sorted out gradually. Since last six months Ive been staying alone and travel on weekends to home due to professional engagements.On 19th we were celebrating our second marriage anniversary, everything was going fin till the time I got drunk and blasted at her. I asked my wife to get down of my car and told her that everyone is my enemy and you are not greatful for anything.This genrally does not happen with me Im very calm and controlled person. But since last 6 months im not enjoying my life and not happy about anything, life... job.. weekend travel.... ### REPLY: Hello and thanks for your query. I understand that you are going through a difficult period. You have mentioned that of late you feel more angry and irritable and that you are not able to feel enjoyment or happiness. All these symptoms could be indicative of a depression. Since this seems to be affecting you as well as your marital relationship, it is necessary that you seek professional help. Help is available in the form of medication to relax your mind as well as counselling. So, I would suggest that you consult a psychiatrist in your place for a detailed evaluation and further treatment. 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: Hello, My husband,79years old.Ultrasound on abdomen. Report said somewhat coarse echotexture of liver,seen with chronic liver disease. Also, both right and left kidneys lobular. Spleen is 16cm. Several other items but mostly wondering about kidneys and liver. Thank you. ### REPLY: Hi there, Thanks for posting in . Coarse echo texture of liver may be due to cirrhosis. Cirrhosis is an irreversible condition.Some common causes are chronic alcohol intake, hepatitis B and C infection. The only definitive treatment is liver transplantation. Usually the treatment is aimed at preventing complications like upper Hi bleed and fluid accumulation in the abdomen and legs. Consult a gastroenterologist for further management. 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: DOES PRETERAX CAUSES FOR INFERTILITY FOR A WOMEN I AM A HYPERTENSIVE PATIENT AND BEFORE ECTOPIC PREGNANCY 2001 THEY REMOVE MY RT. OVARY AND THE REMAINING ONE IS BLOCKED I DONE 2TIMES IVF BUT SAD SAID NOT SUCCESSFUL ALL FAILED IS THERE ANYN CHANGE FOR ME TO BECOME PREGNANT 1AM NOW 52 YEARS AND NO BABY ### REPLY: Hello, thanks for your query. Preterax doesn't cause infertility. There are few reasons why you are not able to conceive.1. Age is the first and foremost. Unfortunately, the number of eggs in the ovaries are constant and keeps getting depleted from the time of monarch. At 52 years of age, the number of remaining eggs in the ovary is very, very less that even with IVF it is difficult to harvest a good number.  Age also compromises the quality of eggs which is very important for the success of IVF.2. Blocked fallopian tube makes it almost impossible for pregnancy to happen in natural way. Its unfortunate that one of your tube is blocked, and the other has been removed.3. In such a scenario, your doctor might have offered embryo donation as an option which you may like to consider if you wish.4. You must also be aware of the possible effects of pregnancy on your health and take caution if pregnancy happens. Hope this helps. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , i fall on my head Yestrerday and when i stard to stand my whole body start to fall and my eyes become as im getting blind and then my right side body became only the pain once that i couldnt bend my legs and move my hands , do you think what would happpened to me and what id have ? ### REPLY: Hi, thank you for providing the brief history of you. As you had a fall on head, you need a thorough clinical examination and an MRI of the brain since you are having certain neurological symptoms. Based on the clinical neurological examination and brain MRI, which needs to be correlated with clinical symptoms to conclude the diagnosis. As the symptoms include, getting blind, right side of body pain, couldn't bend legs and move even the hands. Understanding the other neurological clinical findings and post which the . Regards Jay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a year long plague of pneumonia with reason not found . An opacity in chest right upper lobe was found . Two bronchoscopies and one needle biopsy yielded no results .. although my symptoms were fever , weight loss , shortness of breath and cough that doesn t stop .. TB tests were negative ..No specific bacteria or fungi found during this time. They diagnosed this to be lung abcess and finally docs suggested me augmentin for several months which did kill all the symptoms but the mass in my chest would not go away completely .. surgery was advised and they were going to do a lobectomy but ended up doing a wedge resection .. now after a month of healing from this I m still having same symptoms and a CT still shows a mass or opacity in the upper lobe (right) . Doctors are suggesting a full lobe removal but my point is I have been through this once with no results .. what are the chances that this is a misdiagnosis and I have TB .. should I take a second opinion and treat for TB ? ### REPLY: Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Yes, you should definitely go for second opinion. Recurrent mass like lesion on upper lobe is mostly due to 1. Tuberculosis.2. Lung cancer. So empirical anti-tubercular .  No harm in taking TB treatment. If mass is improving then no need to worry about cancer. But if mass is persistent then possibility of cancer is more likely.  Hope I have answered your query. Let me know if I can assist you further. ### END