Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello , I have type 2 diabeties and my legs are in a bad way due to cellulitis , my main concern is ive had a fall to my right knee and now its very bruised black/purple in colour and swollen , the pain is unreal ! I have hot to touch areas further up my leg and very very painful it hurts to get up and down sitting to standing im really in a lot of pain even after taking 8mg/500mg cocodamol is this normal ?? ### REPLY: Hi, Welcome to . Your symptoms are suggestive of cellulitis which might be going into gangrenous stage. Such infections are caused by anaerobic organisms like clostridia which needs to be treated immediately. I suggest you get in touch with a surgeon and get the foot examined and take immediate therapy. Sugar levels have to maintained normal and very strict diet control has to be followed. If foul smelling discharge and increasing pain are seen you need to see your doctor immediately. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am trying t conceive and was already given fertyl 50 and 100 mg for the last 2 months. I also got follicle scanning done and there was no prominent follicles. Now doctor has given me Fertly super 100mg followed by injection ovipwe... I am confused, since there are no eggs getting generated in me will this injection and fertly super help. ### REPLY: Hello In your case the main cause is that your body can not produce female seeds for fertility. And the medicines given by the doctors as ferry 50 or 100 mg or ferry super 100 mg for that. But after that you can not have any prominent result for the same. As per my concern of Ayurveda Consulting; I Like to share that there are good remedies in Ayurveda treatment which can regenerate female seeds (ovum) naturally and the treatment have not any side effects too.it is advisable that consult your nearby Ayurveda consultant who has a fain knowledge of infertility treatment in Ayurveda. You will surely get good results. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Doctor, i am Shihab Mahmud age 35 Bangladeshi. Last several years i am having Hypertension about 200/140. but i did engeogram in 2009 was normal condition of heart, kedney even my blood condion is better. can you advise me the cause of hypertension. my Doctors are informed as UNKNOWN. ### REPLY: Thanks for asking me this question. Actually most of the case high blood pressure cause unknown. You have to control your blood pressure. Because of your inactive lifestyle also affect you blood pressure. To control your blood pressure You have to do regular exercise least one hour. Take low salt diet. Avoid too much oily food. Use low fatty oil like sunflower oil etc. Take low fatty food.Don't take junk foods. Check your blood pressure regularly. I hope this advice helpful to you. 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 had vein closure last week. Then two days later my heart started to have palpitations. The bm was approximate 84-97. I could feel my pulse in my neck and chest. Then I had a burning sensation in my chest from the center to the rib cage and in my abdomen. I had a cpm and lipid panel and it came back normal. I had a ECG done and it was normal. My chest burning sensation feels to be getting worse. The doctor said vitals bp 120/70 were also normal. The burning sensation is causing me to get really anxious. I am also taking ibuprofen for the leg pain and the dr. Advised to take ibuprofen pm and nexus. Im getting really nervous. My dr. Ordered a CBC and it returned normal. What do you suggest? ### REPLY: Hello! Welcome and thank you for asking on ! I passed carefully through your question and would explain that your symptoms do not seem to be related to any cardiac disorders. Gastroesophageal reflux could be the cause of your complaints. A musculoskeletal pain can not be excluded too. Coming to this point, I agree with your doctor prescription on the painkiller (ibuprofen) and the PPI for reflux (medium). If your situation does not improve, I would recommend performing a fibrogastroscopy. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 year old daughter started having headaches 3 days ago. She started running fever around 103 that night. Within the last couple of nights her fever has gotten as high as 104. We have been treating her by rotating ibuprofen and tylenol. Tonight she had a bloody nose out of nowhere. She hasn t been eatingwell. What should we do? ### REPLY: Hi, As your child is having very high fever for last 3-4 days requires consulting doctor as early as possible. This can be viral fever or bacterial but having high fever some blood work is to be carries out. Go to ER and get examined.Meanwhile, continue giving ibuprofen or Tylenol as and when required. Give him plenty of water and liquids and keep her well HY . Give her light diet. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, My father in law has diabetes and he is suffering with typhoid fever and jaundice. Can you please suggest what food need to take care to cure those. And one more thing he is tooooo weak. Please suggest to increase his energy level which diet need to take. Thanks in advance ### REPLY: Hello. Welcome to . After typhoid disease and fever there is too much weakness due to low diet during that period with indigestion. There is more weight loss as on mainly liquid diets. So most important things in recovery phase is weight gain, maintain immunity and proper diet planning. Please avoid oily and spicy diet with fast foods. Avoid bread, jam, pow biscuits etc. Take green veg and fresh fruits more. Fresh fruits are superior to fruit juices. Also take lemon and orange more with honey which is anti-infective and give energy. Take protein rich diet like beans, peas, eggs etc., will help in increasing your immunity. Take rice, dhal, oatmeal, butter milk more in diet. Strictly follow this for 15-20 days. Do some exercise too. Hope these all will help you a lot. Thanks for contacting us. Take care... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband age 53 have been reported with lungs problem ;Defined as small homogenous opacity seen in left lower zone near base close to the left dome of diaphragm (arrows).The doctor suspect it Pneumonitis and prescribed Levodropropizine Rapitus Syrup.I want to ensure it is rightly diagnosed ### REPLY: Hi, Dear,Thanks for your query to . Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-? Pneumonitis, with ?infective cause or could be from ? Secondary to Lump in basal segments of the left lung. The Syrup would only control the irritation unproductive-? Or productive cough with this lesion. To ensure right diagnosis I would suggest following Dos for you case-Check Sputum for causal bacteria / AFB/Malignant or benign cells. Check X-ray Lung with PA and Oblique views to get assess the exact location of the opacity in the left lung. Response to Course of Antibiotics(Augmenting Cap 650 mg x 1 x 2 times per day x 10 days) would decide further investigation by Bronchoscopic studies. AS there is no history of infective complaints with your husband, I would suggest assessment by Fiberoptic-Brohchoscopy with study of lavage for AFB and Malignant and benign cells from the suspected lump in the basal bronchial lumen. My Impression-As the homogenous opacity with no infective complaints is there, (as asked from your doctors script of anti-cough and antihistamines), Adenoma of the Bronchus ? Malignant Lesion needs to be kept in mind and ruled out by the above investigations. It could also be due to atelectasis of the lung from blockage of the lower basal bronchial lumen or could be just a progressing and developing Pre-Pneumonia consolidation developing in to full-blown pneumonia in your case. All these possibilities need to be kept in mind while treating your husbands case.Hence, For the age of your Husband, This is a serious thing to be suspected and need to be investigated further. I would hence suggest you to Consult with Chest Physician or Chest Surgeon who would assess your husbands' case on above lines and would plan needful treatment accordingly. Hope this reply would enlighten you on If your case needs further diagnosis or not. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a male 21 years of age. Im 5 10, 245. I lift weigts 4 to 5 days a week. Recently i have been having alot of back pain, and i think its due to my oversize buttox. I am not fat, i have no problem running miles and i dont think its due to lifting. I do have a job where i sit in a chair all day, but i do get up and stretch. But i recently while im running my back has been hurting, or just little things have been causing pain. I have a 38 waist but around my butt is 44, so jean shopping is difficult. I just would like to know if a buttox reduction would help, and before i go to the doctor what are some question that i should ask while there. ### REPLY: You appear to be physically fit from weights and exercise, but your back issue could be due to lower spine problem. Prominence of the buttocks can be the result of a lordosis which causes the buttocks to protrude. Long hours of desk work and poor work posture contributes to this. Your doctor needs to X-ray the low back to look for spinal deformity and for muscle spasm and also see if reduction of buttock size can help resolve this. Buttock reduction is a plastic surgery procedure and needs evaluation by that specialty. So your questions will be:do I have spinal deformity or muscular spasm?do I have a lordosis, and how do I correct 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 am 25 years old and have been experiencing chest tightness every day for a few months. It s definitely not a pain and it s generalized over my breast area. I don t necessarily feel short of breath, but at times I feel that I need to focus on breathing (if that makes any sense ). I have been a smoker for 10 years but I am also currently enrolled in a rigorous academic program and am prone to stress . I have experienced a couple panic attacks since beginning the program and have also been experiencing heart palpitations every now and then. I exercise regularly and eat well. I am assuming this problem is probably anxiety-related but would like a second opinion. Thanks ### REPLY: Hello and welcome to . Thanks for your query. Your symptoms could be anxiety-related. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. If you are having recurrent such symptoms or having difficulty managing your stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey, this is really embarassing. This morning when I woke up I noticed I had a big bump on like the middle of my butt crack.... It s like dark red and its risen up on my skin. When i press on it, it kind of feels like a blister; like if you burn yourself and it bubbles up and you can kind of move it? If that makes sense. That s kind of what it feels like but its really big and is irritating me. It doesnt hurt to bad unless I put pressure on it. I havent tried popping it yet. Im just really concerned. Please message back and let me know what you think it might be. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  You may have some abscess or soft tissue mass. You should go for examination.  If its like abscess then you go for incision and .  If it is some other pathology then go for excision biopsy and histopathological examination. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 7 and very athletic.  Over the past week he has had a low temperature of anywhere from 97 to 97.5 degrees no matter when I take his temp.  He also has on and off stomache aches and frequent headaches.  However, in between these bouts he plays soccer, runs around and seems ok until he runs to me and says his stomache hurts or he has a bad headache.I also am concerned about why he would have a LOW temp.  What would that be from? ### REPLY: Thanks for consultation. Low temperature is not important. Regarding the headache and stomach pain needs further history.1. Is stomach pain on eating or without it?2. Is there any vomiting?3. Is headache constant and associated with vomiting?advice:please check your vision. Check your ENT systems. If all is normal then you child needs full investigation of Headache and stomach pain, please follow up with pediatric medical doctor for further assessment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having an aching pain in the front of my thigh for over a week. Now the pain is going down my shin and I have an ache in my buttock. Sometimes when I move my leg just right The pain in my thigh is so severe that I have to catch myself before I fall. Any ideas what could be causing this? ### REPLY: Hello, I have studied your case. Most probably this is nerve compression pain due to disc herniation in spine.  For this you need to get MRI to confirm the diagnosis. You need to start following treatment. 1. Tablet Pregabalin M one daily. 2. Tablet MySpace daily. 3. Hot water fomentation. 4. Avoid squatting and forward bending. I hope this answer will be useful for you. Let me know if there is any other followup questions. 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 right knee has a hard movable bump on the right side. I skateboard a lot and for sure its from falling on it multiple times. Ive had it for a long time and it doesnt hurt. Also it sometimes swells up and ice it and wear my knee brace. What my question is I guess, will the bump eventually disapate without surgery? ### REPLY: Hello and welcome to , The hard movable lump on the knee has to be investigated to know its site of origin. Repeated trauma can be the cause of the lump formation. The lump could be inflammatory due to repeated trauma to bone and soft tissue or could be neoplastic arising from soft tissue or bony tissue. I suggest you to consult an orthopedic for CT scan or MRI of the joint. Imaging will determine the site of origin extent of the lesion. Further aspiration cytology or biopsy may be required for exact characterization of the lesion. Management will be planned after the result of investigations is obtained. 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: Hi, my dad is a heavy smoker. He is 69 years old. When he has a coughing fit, he isnt able to take a breath in. So hell bang on his chest until he can. Yesterday, he had another coughing fit, only this time he started to shake, or little jerks. Mom said his name, but he didnt respond, so she yelled it, and then he responded. I should also tell you that he is obese as well. ### REPLY: Thanks for your question on . I can understand your concern. Chronic smokers are more prone for bronchitis (inflammation of airways). Bronchitis causes bronchospasm and this in turn causes cough, chest tightness breathlessness etc. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. He will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). He should quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a low grade fever 99.6-100.3 and generally feel fatigued all the time. I also have begun to suffer sever Night sweats. So bad my sheets are wet when I wake in the morning. Ive also lost about 10lbs in 2 weeks. No appetite. Ive had several CBCs as well as other test. My white count is up and down some times it will be normal and 3 days later it will be hi. Today my Dr ordered a peripheral blood smear. What should be my main concerns? I am a 36 year old white male 57 153# . Only medical history is hypertension and divertiqulosis, with a family history of bone cancer in my sister who was dead 5 weeks after diagnosis. ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. You seem to suffer from-?TB of the lungs/ or Lymph glandsSecond opinion from Chest Specialist and Surgeon, to fix the differential diagnosis by proper investigation. All symptom complex with weight loss is characteristic of-TB infection. Blood IRA with Chest -X-ray would clinch the diagnosis. Other causes-need to be ruled out-as NHL / Or HL with hidden masses which could also present as Night sweats and low grade fever. PBS advised would fix the type of tumour-Lymphoma cells and would fix the cause. History of bone cancer in sister, makes possibility of NHL/HL to be ruled out by CT neck and CT abdomen along with PET studies after the physical check-ups by Physician. Lymph node biopsy along with this study would confirm the cause of the night sweats with weight loss in your case. Pelvic bone marrow test smear study-to confirm type of leukemia is also suggested to rule out CLL(chronic lymphoid leukemia)Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following  link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m having severe pains for the last two days on the left side on my body just underneath my rib cage and there strong sharp pain. My left side feels more swollen than my right side of my body does. The pain is on my left side just above my pelvic bone ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have stabbing pain below the rib cage. Well there can be many reasons for symptoms you mention in query like indigestion, acid reflux, kidney stones, pancreatitis, spleen damage and angina sectors. I would suggest you to consult gastroenterologist for proper examination. Doctor may order ultrasound, endoscopy, stool test and physical examination. Doctor may prescribe laxative, omeprazole, ornidazole along with analgesic. Doctor may also refer you to nephrologist for kidney problem or cardiologist for heat problem. 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 a strange small bump that appeared literally out of no where and this time my bf was next to me to see it. its happened before twice. the first one happened in september and it was on my left ankle and it started out as stinging and itching/burning and turned into a welt that was about 1 inch long and then about 30 later it disappeared. the second one was on monday this week and it was in the same spot but smaller and actually broke the skin and i ended up with a scatch. still have a small scab line. and now tonight i have the same looking bump but smaller by my collar bone. i dont know how to expain it ### REPLY: HI! Good morning. I am  answering your query. If I were your doctor, I would inquire from your history if you are exposed to any new substance/diet which could be allergic to your skin causing this problem. I would also advise you for an anti histamine for any allergic reaction, and for some basic blood investigations like a CBC, ESR, and a blood sugar test. If you were not relieved by the above, I would not hesitate to refer you to a Dermatologist (skin specialist) for further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife if 50 years old she says she is having chest pains that feel like pluracy and for the last couple months has had pain in her left arm muscle related today she saw our doctor and was told to go home and take a nitro pill she is home alone and I am at work 20 miles away is this something she should do or not. ### REPLY: Thanks for your question on . I can understand your wives situation and problem. She has been prescribed nitro tablet. Nitroglycerin is given in angina pain (heart related). So her pain is mostly due to heart disease. So better to take .  Ask her to avoid heavyweight lifting and strenuous exercise. Ask her to avoid stress and tension if she had. Also get done regular follow up with cardiologist. Get done ECG and 2d echo at least once a year. With regular follow up and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ..I am Madhurima Sen stay at Berhampore dist- Msd. I am infertility patient . My both tubes & ovaries are elongated. This is convicutal problem. May i abale normal pregnency ? ### REPLY: Hi Manumit, What is your age, BMI, duration of marriage. What all infertility work up you have done so far? By what examination you came to know that tubes and ovaries are elongated. If you had given me this information I would be in a position to help you better. As long as you have regular cycles and your hormone tests are normal, shape of the ovaries should not be of concern. Don't worry. What is important about tubes is that to know whether they are working normally, i.e. whether they are patent. Is there any block? (You can find the fallopian tube patency by HSG or laparoscopy and dye test). Even if they are blocked you can try IVF. If you have not yet done the test for tube patency I would advise having laparoscopy and dye test. That will clarify everything. Has your husband done semen analysis. What was the result? To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. If you have any further concerns do contact me through . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have small lump in the middle of my leg between my kneecap and my shin right near the bone. Its the color of my skin, and is painless. Its only visable when I put pressure on that leg and its soft (visable due to a slight shift to a whiter hue). When I push it in, nothing happens and there isnt any pain. It seems to completely disappear as soon as pressure is taken off the leg - when I sit down for instance. What the heck is it? ### REPLY: Hi ! Good evening. I am  answering your query. From your history, it seems that you have got a bursa (fluid filled cyst) over the area which might occur especially those who put chronic pressure on their knees. For a diagnosis, if I were your doctor, I would advise you to get a FNAC (fine needle aspiration cytology) to have a cytological diagnosis and further management depending on the report. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 23, i am trying to concieve. ive undergone follicular study for 6 months. then for hormonal injection for 5days from my 6th day of periods. i got two eggs this month. my doctor said that the chance very high this time. my last month period date is 25th. now iam suffering from breast and nipple pain. pls tell me wtr i am pregnant r not ### REPLY: Hello. Thanks for writing to us. The mild pain that you are having may be related to the hormonal changes in the body associated with pregnancy. If your periods are overdue then you need to confirm the pregnancy by doing a urine test for pregnancy. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://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: My son - age 14 - with no other health problems - has suddenly (overnight) developed swelling between 3 of his lower front teeth and two painful marble-sized lumps on his neck.  One of the lumps is directly under his chin, in the middle, approximately beneath where the problem with his gums is.  The other lump is directly under the end (farthest back) part of his jaw.  I assume its the lymph node there.  He gets regular dental checkups and had dental xrays done only 2 or 3 months ago, with no cavities or other issues.  Does this sound like a tooth or gum infection and would it be better to see a dentist or a doctor?  Thanks. ### REPLY: Thanks for using . Read your query. The lumps can be due to abscess in relation to any of the three anterior lower teeth mentioned (periodontal abscess) thus triggering the enlargement of the lymph nodes in the sub mandibular region. I would advise you to visit your dentist and get it checked to rule out the abscess, thus getting the needful treatment done. For the pain, broken can be given, He may also require a dose of antibiotics. Do saline gargling. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: YES, I take arimidex, post breast cancer. I m having flushing and discomfort in my face and arms, could this be a side effect. I am post menapausal at 61 and these flushes started during chemo but they have not stopped and I finished chemo in January and finished radiation in March. ### REPLY: Hi, You seem to have developed some side effects of Armies. Its common side effects include nausea, vomiting, bone and joint pains, weakness, bone thinning and hot flashes. Other less commonly reported side effects include headache, loss of appetite, constipation, mood changes, weight gain, difficulty sleeping, and dizziness. I advise you to consult your treating doctor for dose adjustment or to prescribe an alternate effective but a safer medicine for you. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have about 6 red raised welt like itchy bumps on the back of my upper leg...they seem to go in a straight line email address is jaifinel@ WWW.WWWW.WW They appear to be bites from something and I don t have them anywhere else on my body. I wore tights a few days ago ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, in my opinion, your lesions are due to thrombophlebitis or venous blockage. I am suspecting this because 1. The lesions are on back on leg where great defines vein runs. 2. It is in straight line like that of vein course. So better to consult doctor and get done clinical examination of lesions and lower limb venous Doppler to rule out pathology related to veins. Hope I have solved your query. Wishing you, good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a high white blood cell count, 22,000. No fever. No chills. I ve been treated with Rocephin and Levaquin. I am responding favorably however they cannot locate the source of the infection. This is the second bout I ve had in 3 weeks. First time was way worse with difficulty breathing and 101 fever. I ve also had gallbladder removed in Sept along with an ERCP in Dec. Extensive diagnostic exams whicChatDoctore back normal. ### REPLY: Thanks for posting your query to . Off course raised WBC count is due to infection, but you should be concerned about this count if remain persistently high .thee may be possibility of some infection inside body. You should undergone 1. Blood culture to microbiology lab to find out if any bacterial pathogen is present in blood .2. Send me the report of your blood count to know which cells are increasing in your blood .as in different kind of infection different cells are increased .3. Peripheral blood film examination to know morphology of blood cell.review me after investigation report .take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My bf and I did stuff during my period on Wednesday but we just rubbed our genitals. He ejaculated somewhere else but he had pre-*** during the rubbing. What are the possibilities of getting pregnant this way? The last time he ejaculated was one day before we did (Monday). I took plan B approx 48 hours after the process just in case. ### REPLY: HelloThanks for the query you have had an episode of unprotected intercourse, even during your safe period, theoretically, there are always chances of pregnancy. Moreover, even the pre ejaculatory fluid sometimes contains active sperms, hence you should always use a permanent, reliable method of contraception in the future. As for now, taking the emergency contraceptive pill within 48 hours will protect against pregnancy, however, it is not 100 % effective, and it is more effective if taken within 24 hours. So, for the time being, use a contraceptive, and wait for your period. If delayed by a week, go for pregnancy testing and appropriate medical advice for terminationTake 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: Ive had a cough for over two weeks which is fairly productive.  I am tired and have an upper back pain that is not releived by any pain medication.  When I cough I am tasting iron.  I am 45, female, have a history of cancer and low immune system (never recovered fully after radiation).  Im hoping this is just a bad cold, but wonder if I should be seeking a professional opinion at this stage. ### REPLY: Thanks for your question on . I can understand your concern. Since you are cancer survivor, there are two possibilities in your case. 1. Lung infection (pneumonia). 2. Lung metastases. Cancer patients are immunocompromised. So they are prone to infection. And lung infection is common in them. Pneumonia can cause pleuritic pain and cough with expectoration. Spread of cancer to lungs can also cause similar symptoms. So better to get done chest x-ray and CT thorax (if required) to rule out these possibilities. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.. 2 years ago i had gallbladder surgery, and here lately i been havings that feel exactly like a gallbladder attack, except worse, i vomit and have diarreaha so bad that i just cant eat anything, my belly button leaks out green and brown discharge sometimes bleeds and its bright red on the inside of it. ### REPLY: As u have mentioned according to your history you're a case of patent vitally intestinal tract with on off discharge and infection and umbilical granuloma .this is congenital but if you're sure that it developed after surgery than this is a complication and its sinus tract with discharge from port site in laparoscopic surgery u need thorough investigation and examination but our operating surgeon and also have second opinion for same. Even residual stones in tract may cause this problem if contents of gallbladder are spilled during surgery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 child(2 1/2 years) having severe and continues cough(full day) and his mouth and tongue looking like pink color, fever also reached 101 & 102. He faced the problem since 10 days. He reduced almost 2.5 kgs in this illness. what is the symptoms is this, what is the permanent remedies for this. ### REPLY: With regard to your concern I would like to tell that the normal color of the human tongue is pink to red. In some people the tongue tends to be more red than in others, but this is not necessarily a discoloration of the tongue. Glossitis is inflammation of the tongue that may arise for any number of reasons. The process of inflammation increases blood flow to the tongue and leads to redness, pain and swelling. The more common causes of glossies are acute mechanical or chemical injury or infections. Vitamin deficiencies as is seen with vitamin B12, niacin or folic acid may cause a strawberry red tongue. Scarlet fever (scarlatina) is a condition that may sometimes develop in a person with streptococcal pharyngitis (strep throat). It presents with a red rash that covers most of the body along with a strawberry red tongue. Scarlet fever arises as a reaction to the toxin from the streptococci (bacteria) that causes the infection.  For these cough have you not given any medicine or showed any doctor ? If you are giving medicine the color may be due to that also. I would check his blood for CBC and related tests, if you have not done so far. I have outlined the diseases I would think of limited resources I have got. Please review with your doctor and get back . Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I passed out in June 4th 13, and.after mri ct, angiogram, all came back normal. Since the.episode Ive lost feeling and temperature sensation with weakness on left side. Right eyelid droops, right pupil is constricted. My GP states this will pass. I have frequent leg/muscle pain in left leg and spasms. Any thoughts? No diabetes. All blood tests were normal. I was in hospital 3 days.with saline drip. ### REPLY: Hi ! This could be a part of migraine attack in which there may not be any findings in your investigations. If migraine is confirmed, then the findings may get relieved gradually with time. However, if it stays, I would suggest you to have a review with your family physician/neurologist who may advise you for an X-ray of the cervical spine, and a plain X-ray of chest to exclude few other pathologies. One has also to exclude TIA(Transient Ischemic Attacks) for which they may advise you for a Doppler ultrasound of carotid artery and an echocardiogram. The management may vary with each situation. Wishing 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: my 5 months old daughter developed cold & cough ,i gave her syp cetrizine 1/4 tea spoon &three times steam she got relieved with cold & throughout night did not even cough but again in morning she started coughing not much but yes she was coughing what medicines or syp . is to be given to her ### REPLY: Hi... Thank you for consulting in . Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was admitted to hospital and I m taking ceftriaxone injection as advised by doctor. I have dilution of 1 : 320, I m getting unbearable Headache and I m suffering from Loose motions as well. My Fever is ranging from 100 - 104. Please suggest if it is normal for a Typhoid patient ### REPLY: Hi, Thanks for writing in. The antibiotic is not the ideal one for typhoid or for the symptoms you have described. The best combination for you would be a course of ciprofloxacin with metronidazole for a period of 10 days. You need monitoring of fever and preferably IV fluids as high fever can cause severe deny . It would be best to get admitted under the care of a GI specialist. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, My testicles are different in size since 5 years now. the left one is bigger and sometimes I feel some slight itch like feeling on it. I used to wear loose underpants since teenage time, but from last year I am wearing some skin tight underwears. I am unsure if the left testicle has some uneven upper portion which in my case is present, but I am worried that this is not a healthy sign. ### REPLY: HelloThanks for query. You have doubt about the size of your left is bigger than Rt testicle. I would like to state that the size of the both the testicles is never same in every individual. One is always bigger than its counterpart. More over it has no significance as far as function of the testicle is concerned unless there is vast difference in size of the testicles (One testicle is atrophied due to some pathology)/Consult qualified General Surgeon or Urologist for clinical examination and get Ultrasound Scanning of Scrotum. This will help to allay your anxiety. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I ve 2 problems 1 is I am very itchy down below and sore but my doctor said I had an infection but sent to lab and came back fine but i ve been sore now for like 8 months and I am pregnant plus lately my colour poop has been like clay colour why? Lol ### REPLY: Hi, I guess your concern is about causes of pale color stool during menses. Right, firstly I want to say that I want to congratulate you for your pregnancy. It's a very precious time for a woman life. I can understand your tense - full situation but DON'T WORRY, ITS HAPPEN DURING PREGNANCY, ITS NORMAL, NOTHING TO WORRY. As you told that you have pale color stool, and you are 8 months pregnant. This happens because of the .  So, RELAX. Secondly you told that you have itch and sore in down. And your reports is fine. So nothing is wrong. KEEP PATIENCE AND KICK OUT THE TENSION FROM YOUR MIND. With above discussion you can try out my suggestions:1. If you have also other problem like blood stained stool or loose motion etc. along with pale stool then visit your treating doctor. He/she can help you.2. You're still having itchy down then use vaginal wash cream or liquid. These are easily available in medical store. It relieves your itch down.3. For sore down you can consult nearby dermatologist. He/she will help you. I hope the above information is useful, informative and helpful for 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 ve been having this pain in my abdomen for three months now. I ve gone to the emergency room a number of times and they couldn t find anything wrong except my white cell count is really high. This past week I ve been having this pain through out my whole midsection that gets worse with each passing day and this morning I started having this white/yellow discharge with an order. What could it possibly be? ### REPLY: Hi. Thanks for your query. You have got pain in abdomen for the last 3 months and the Doctors in the ER could find only raised white cell counts. You have started white yellow discharge today only, hence may not be related directly to it. Since you have visited ER so many times, I would advise you the following:Get a reference for the Gastroenterologist. Get investigated:CT scan of the abdomen, Upper GI and colonoscopyThis will help you to get a probable diagnosis and a plan for treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: (1) Last week, i went for a health checkup as part of admission to university in August this year. When i took my blood pressure, it was recorded as 133/76. The nurse took a second reading and it was the same as well. When i saw the doctor, she told me that my blood pressure was slightly high, and she took a third time, but this time round, i wasn t told of my pressure. I was wondering if this blood pressure of 133/76 - isit considered as hypertension. My dad has history of hypertension and is currently under medication. And also, what are some things that I can do to keep my pressure normal if I do not want to see a doctor as of now, i.e. food to eat and abstain? ### REPLY: Hi, Your present blood pressure is at a pre-hypertension level. Although you are not yet hypertensive, that level, along with your family history of having hypertension, puts you at a higher risk of being an over hypertensive. If I may only know more details about you, I would be able to help you more. But on top of these, one important aspect in the prevention of hypertension is the avoidance of salty foods, weight loss to appropriate levels, as well as aerobic exercise, all of which maintains optimal blood pressure. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has warm lumps on the lower part of his legs that just popped up sometime today he just received his 4yr. shots two weeks ago and has been having reactions to them since should I go to the er now or wait and take him to the doctors in the morning? ### REPLY: Hi! Good evening. I am  answering your query. These lumps could also be due to allergic manifestations. However, if these lumps increase or become painful, you might have to take advice from the ER now, otherwise you could wait and watch for the present, and give him an anti-histaminic .  You could also apply lotion calamine on these lumps for a soothing effect. I hope this information would help you in discussing with your family physician/treating doctor in further management of your sons' 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 your son 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: When Im In School Or Around Other People I Get This Feeling In My trouth That Im Goin to Be Sick I No Im Not But I Start to Panic And Have to Leave Class Or Walk Away On My Own And Sometimes When I Eat The Food Comes Back Up But Im Not Properly Being Sick :( Its really Annoying Cause I Have Missed So Much School And Im Doin My Leaving Exams This Year I Also Have A Fear Of People Vomiting Can You Please Help :) ### REPLY: Hello, Thanks for using . You seem to be suffering form agoraphobia or Social anxiety disorder(Social phobia). These are common anxiety disorder. Almost 4-6 of people suffer from this in lifetime. When person is surrounded by many people or when person has automatic thoughts of being watched by people and fear of criticism, sympathetic centers in the brain got activated and features of anxiety occurs. This includes palpitation, tremors, nausea, vomiting, impending doom, sick feeling and avoidance of such situation. Avoidance of situation may affect work, study performance. This disorder is treated by medicines and/or psychotherapy. Medicines: SSRI group of medicines)Escitalopram, escitalopram, paroxetine,sertraline) can be used.Antianxiety medicines from benzodiazepines group can be used for short duration. Psychotherapy: Psychodynamic psychotherapy or specifically CBT(Cognitive behavior therapy) would be quite helpful. So consult a psychiatrist soon and get rid of your problem. Hope I have answered your query .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 1st Semen analysis show Volume 1, greyish white, ph alkaline 8, normal viscosity, count 26 200 million, liquifaction time 60, motility 35% progressive 20% & non progressive 15%, abnormal form 60%,spermatogenic cell 500 000/ml,pus cells 600 000/ml, RBCs 4-6/HPF After 85 days of treatment by 10 days vibramycin, flagyl & becofort then 1 month tamoxifen, trental & prugvit zinc then tell now on carnavita fort & thiotacid Semen analysis show Volume 1, greyish white, ph alkaline 8 , normal viscosity, count 24 million , liquifaction time 60 , motility 40% progressive motility 30 & non progressive 10% , abnormal form 60 % , spermatogenic cell 100 000/ml, pus cells 500 000/ml, RBCs 1-2 ### REPLY: Hi, Semen analysis report appears fine except for little high pus cells. Kindly get semen culture sensitivity done if not already done. Normally these pus cells are due to infection of accessory glands which require prolonged treatment with antibiotics (e.g. 6 weeks or so). If culture is sterile, you can go for culture of prostatic massage fluid. If that also is sterile, you need no antibiotics. Kindly continue antioxidant tablets (carnality fort) to counter the bad effects of pus cells. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had taken ipill on 11th day of my cycle as my husband ejaculated accidently just at outer part of vagina and i had immideately cleaned it up with tissue. but from last 4-5 days i have pain in lower abdomen,legs,but no bleeding and any kind of discharge. am i pregnant. my cycle date is on15 oct. ### REPLY: Hello dear, I understand your concern. In my opinion the chances of pregnancy are very rare in your case. Because the ejaculation did not occur inside the vagina and pill was also taken. Ipill is effective if taken within 72 hours of unprotected sex. The first sign of pregnancy is missed period. All other symptoms like nausea, vomiting,increased urination start 2 weeks after missed period. So it is too early to face any pregnancy symptoms. The pain abdomen and legs might be due to some other cause. So relax.Don't worry. The period might also get delayed due to pill. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am female, 30 yrs, 11 stone. I was carrying plants  by putting fingers in top of pots when felt pop in wrist, small very hard lump appeared on front of wrist below thumb, quite painful. Casualty doctor said it was a bony prominence which had come out of place but GP says its a cyst and changed all treatment. What do you think? ### REPLY: Hi, Dear thanks for the query to . Cause and treatment-for Your lump in the wrist-In my opinion -the lump on your neck-which appears to be old for quite some time-from your query facts. As you showed it to casualty doctoral send the report updates to me. From the facts in your query-Sudden post-trauma lump-can be of -due to Outdo place bony prominence-mostly due to the displaced bony set up in wrist or could be due to the unnoticed ganglion cyst ?  As thought by your attending 2 doctor. In this confusing situation I would advise you-to have X-ray wrist and take opinion from orthopedic surgeon. This would help you to plan a treatment for this query where due to lack of information I can't comment exactly. So I would suggest steps as above which would help you to plan your treatment. So don't worry and act fast ASAP. Hope this would help your worry to take proper steps for health. Wishing you fast recovery. Wellcome again if you have any more query in this regard. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had small streeks of blood in semen for three years. I am 61, Digital prostate exam was OK, PSA was 5.1. I learned to live with the little blood in semen hoping it will go away. However, about two weeks ago, I noticed almost suddenly an increase in the blood in semen. Yesterday it was like pure blood. I tried again today and it was still bloody but brownish more than red. What could be the problem?? By the way, I never had prostate biopsey. ### REPLY: Hi, These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy, and rarely it may be signed of STD infection.  You should avoid intercourse for till symptoms persist and .  If symptoms persist it would be good to do a prostate ultrasound and check your PSA levels to rule out a prostate tumor or hypertrophy and further treatment depends on these findings.  In most cases, it can be controlled with medications but sometimes, in case of a tumor, open surgery is required.  And severe benign hypertrophy may be managed endoscopically, so you should consult urologist about appropriate options. 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: Hi, my dad is not feeling good. He has chest pains  and the pain is coming from left side of his chest. He feels that his left hand is warming up alot and alot of pressure and even his left side of his chest he feels like it is swelling. What do you think he has? Does he need to go to the hospital? ### REPLY: Hello. Thank you for your question and welcome to . I understand your concern. I think that if this is a pain that started while resting, he should go to the hospital. There an EKG should be performed, and blood tests should be run, such as troponin and creatine phospholipase (CK) - MB fraction. If they result all normal, then a cardiac stress test, 48 hours after he has been without pain, should be performed, to check if there is an indication of a coronary artery narrowing or blockage. If there is a positive finding, then a coronary angiography would be the reasonable approach. I hope I was helpful with my answer. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, following is regarding my mother Patient History: Besides being diabetic, she was attacked with Breast Cancer in 2002. Mastectomy followed by chemo and radiation.Due to radiation effect, she developed respiratory problems and we were in consultation with Pulmonologist .While she had no cardiac problem, but we were consulting cardiologist from past 5 years and things that side are in order. Current Problem: As indicated above, she is suffering from respiratory problem due to radiation. This being winter, she is often having chest congestion and we are consulting pulmonologist. What we observed is that often she is having gastric problem which is causing an upward pressure on her lungs thereby making breathing difficult (pls excuse my layman understanding if wrong). She was taking Sompraz D 40 mg in the morning empty stomach as advised by Doctor earlier (now pulmonologist changed it to Ganaton Total-from past few days). But there is no much improvement. Please advise if she needs to take any other medicine in the evening as it is becoming very difficult during nights. Following is the list of medicines she is taking. May be her gastric problem is due to huge medicine intake. Pls advise Diabetes- InsulinGlytop SR 10 mg Heart RelatedDeplatt 75 mg (Clopidogrel)TG TOR (Atorvastatin)Nitrocontin (nitroglycerin) Calcium/Multi VitaminFoscal-ICobadex RespiratoryFexovis-M (Fexofenadine Montelukast)Lukotas-3D (Montelukast, Acebrophyline, Levocetrizine Hydrochloride)Omnacortil (this is a steroid and is given for a limited period of 3-5 days)Deryphillne OD ### REPLY: Hi, dairy have gone through your question. I can understand your concern. According to my opinion your respiratory problems may not be due to radiation treatment.  You should continue medication for your gastric problems.  Go for x-ray chest.  You may have some chronic respiratory disease.  Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi a friend of mine is having problems. She is 17 years old, she was a recent young smoker. But has stopped i think. She takes pills for heart burn and claims that the pills dont help her. She has symptoms of lung closure or collapsing making it hard for her to breathe, has the feeling of food stuck in her esophagus, has on an off panic attacks, and there is no sign of skin rashes or redness upon the neck or chest. what can it be? ### REPLY: Respected user, hi I evaluated your query thoroughly.*At first glance its anxiety related symptoms provided any underlying pathology is excluded by thorough clinical evaluation & necessary evaluation like X-ray Chest, Pulmonary function test etc.*Effects over lungs after with . *Your role as a true friend : - give her tremendous moral support to keep absolute abstinence from smoking & see that she doesn't divert herself to another abuse substance like LSD or marijuana etc. This is the corner stone of the therapy. - make her relax, calm by various means. - deep breathing exercises with YOGA must for 30 min. without failure. - regular walking of 30-40 min. in fresh air to rejuvenate lungs with fresh oxygen. - avoid all oily / spicy / nonveg stuffs / beverages / excess ghee / sugar - avoid exposure to congested areas, crowds, pollen containing atmosphere excess cold. - maintain her HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello! I have a concern on my right wrist. The vein swelled up extremely and hurt pretty bad. To the point where if I moved my fingers, it would ache. It had like a burning/tingling feeling as well. After an hour or so it went down and left a bad bruise. This has never happened before - I am a healthy 19 yr. old female, and haven t had any issues before. I m just curious as to if I should see a doctor or if there is something I can do about it. Thank you! *i did not injure my wrist in anyway, this just happened randomly.* ### REPLY: Hi hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of soft tissues that might have left a bruise. .other possibility is of inflammation of nerves causing tingling numbness. U need to give rest.ice pack.crêpe and anti-inflammatory tablets get a X-ray done. Nothing to worry about. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 58 year old female. My gallbladder was removed like 25 years ago. Now my liver hurts every time I eat, I belch after eating and it is very painful at times to even breathe. Hurts right under the right rib cage and to the back. In January 2010, on a CT of the chest it also revealed a 1.6 x 1.3 centimeter arterial blush in the dome of the right hepatic lobe. I was told to have a 3 phase CT of the liver or dedicated MRI of the liver and never did. The pain sometimes is almost unbearable. Should I be concerned? ### REPLY: Belching after eating and pain is due to acid peptic disease. Please take Omeprazole and risperidone capsule daily.1.6 x 1.3 cm lesion in the right lobe of the liver can be Haemangioma. It is the commonest benign tumor of the liver. Instead of CT or MRI, go for Ultrasound abdomen. If the lesion is suspicious go for CT/MRI. If there is unbearable pain, take anti-inflammatory . If you come back with Ultrasound abdomen report, i can clarify further. Wish you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Girl is 16 years old.15days back she suffered vomitings and loose motions for 2days.consulted doctor .on examination found stones in gall bladder measering 15 to 18 mm. Allopathy Doctor suggested surgery , no medicines prescribed. Consulted Homeo doctor.He promised cure but without any duration. To day again vomitings and loose motions started 4 times. what is solution to this problem? can it be cured with allopathy medicines, can surgery be avoided? is Homeo medicine useful and how long it might take? what are the diet restrictions? ### REPLY: Welcome to  For Gall stones of that size and also symptomatic causing you problems it can be managed by surgery only. Don't risk your health as many alternative practitioners will promise many things, but it is your final choice for your standard of healthcare. It is tried, tested and proved in studies that surgery will cure your stones this time. You also need to take precautions after Surgery to prevent stone formation. You can take anti-emetics like Risperidone to reduce vomiting, but I recommend you get admitted at the Hospital and receive fluids, antibiotics and surgery as well. After Surgery, you need to eat fat free food, and avoid contraceptive pills as well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hell Dr.My B.P. 150/100 i dint took any medicine ,Yesterday night I took 2 tab. of catopril 25mg with 5 hr interval, daily i m taking Razal-5 tab for high serum trigleseroid, so please tell me what should be the correct dose of captopril in the begining  for me as I am away from city.Thank you ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Recommended starting dose of captopril is 25 mg twice day to be taken one hour before meals. A few precautions have to be taken with this medication:1. Measure your BP at least twice a day. It may cause hypotension on beginning treatment.2. Watch out for . 3. Watch out for any swelling of lips, mouth or feet. If you have any of above problems stop medication immediately and rush to a doctor. Consult your doctor as soon as you get time and get your medication reviewed with him and also discuss alternative medications. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I have developed a small (pea sized) lump on the side of my left testicle. It is on the testicle on not epididymus. I am 65. I had a vasectomy 35 years ago. There is no family history of testicular cancer, or any cancer come to that. My Granma died in her 90s of colon cancer. That is all. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some cyst or testicular tumor. You should go for ultrasound study. Then you should take treatment according to diagnosis. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell in the surf yesterday and landed hard on my hip. Now the outside of my hip hurts even though there is no bruise. I sleep on that side and it is very painful. If I walk it out the pain goes away but when i am sitting still and the get up the soreness returns ### REPLY: Hey. In my opinion, first please get one X-RAY done, of the hips to rule out any fracture. To relieve pain, you can take a good analgesic containing Paracetamol and Diclofenac, twice daily after food, for 5 days, in case you have no known allergies. Apply hot compress over the affected (painful) area, it can give you some relief from pain. Try to sleep on your back, till your pain subsides. Do not do heavy work-outs or lift anything heavier. Hope I have answered your question. If you have any questions, then I will be happy to answer it. Take good care. Warm Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am taking four meds. for a positive blood test for H . pylori can i give to dogs or cats or my bird? how can i protect my husband and grand kids from me giving it to them? How do you spread it to other? Any good web sites I can help myself with? Thank you, R ### REPLY: Hello and thank you for your question. We do not really understand why some people get this infection and others do not. It is transmittable through saliva. I do not think your animals can get it, but you can protect your family by good handwashing, dish washing and not exposing them to saliva or other body fluids until you are treated. The Mayo Clinic has very good information about this infection. Here is a link:http://www.mayoclinic.org/diseases-conditions/h-pylori/basics/definition/con-20030903Good health to 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 I d like to know if I can heal a difficult day of my personality: obsessive compulsive personality OCPD it s too hard for me to others and I am not happy and single ### REPLY: Hello, From the limited information you have provided, I can surmise that you have Obsessive Compulsive Personality Disorder (CPD), and that the CPD is causing you unhappiness. To begin with, how do you know that you have CPD? Is it a self diagnosis or have you been diagnosed by a mental health professional? The rest of my answer is valid only if you have been diagnosed by a psychiatrist/psychologist. A personality disorder is, by definition, a very ingrained part of an individuals' personality. Except in some specific situations, medications are not of much help. However, psychotherapy such as Cognitive Behavior Therapy (CBT) can be very helpful. For psychotherapy to be successful, there are 2 minimum requirements - an acceptance of the problem, and a desire to do the hard work that is required in therapy.  In my opinion, you will benefit from psychotherapy. I recommend you consult a good psychologist or a psychiatrist who does therapy, and take it up from there. Take care. Saiph ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 26 years and my height is 5.3 and i am female and my weight is 78. i had ultrasound and it comes normal but with details as "small tiny follicle seen at the time of scan". i m having regular intercourse since last 5 months and still i m not able to concieve. i want to concieve positively. please answer. thank you. ### REPLY: Hi, I think you should get yourself evaluated.  Do a thyroid profile and prolactin levels. A semen analysis of your husband should be done.  As you told your ultrasound was normal, do a scan on day 2 of your periods.  If follicle count is more than 7, it is fine. If everything is fine, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question. 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: Good morning Dr. my name is Adri I was diagnosed with a putuitary microadenoma which appears uncomplicated at this stage according to the mri 8 x 8 mm diameter 9 x 9 mm in craniocaudal lenght. Blood test where taken on the 7/07/2014 prolactin level was 71.4 ng/ml three months later it is 110.7. What I like to know is this tumor growing more when the levels getting higher. ### REPLY: Hello. I have been through your question and understand your concern. Generally, fibroadenomas are monitored for their biological activity (hormone level) and dimensions. Basically, if your level of hormone is increasing it might understate that the dimensions are increased too. In your case I find it important to consider MRI every 6 months, because if it becomes >1 cm, then it will be considered a fibroadenoma and surgery can be helpful. Hope this helps. Please feel free using MHC again ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother is having this condition where in he talks about things that doesnt make sense to us. He says someone talks to him that we cant. At times, he behaves aggresively saying we too want to harm him. At times, he says he can save everyone from any kind of harm or can harm if he wishes. Sometimes he also believes that he has connection wtih god. ### REPLY: Hello! Welcome to  !  I have gone through your questions and understand your concerns. In my opinion, presently your brother is suffering from paranoid type of schizophrenia. The symptoms you gave in the history like hearing voices, suspension that someone going to harm him, aggressive and irritable behavior all coincide with the above diagnosis, I mentioned before. These symptoms are a part of the disease itself. If I were your treating psychiatrist, I would advise immediate pharmacological treatment with anti-psychotics like Olanzapine or Risperidone depending upon patients history and symptoms. Medication ought to be used continuously for 1-2 years, if its 1st episode. Schizophrenia, is a chronic disease where patients compliance is poor regarding continuous use of medications as they won't feel that they are suffering from a disease. Hope this clarifies your concerns. Thank you for the query. 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, my 4 year old daughter also developed a sudden rash all over her body on the eighth day of treatment with amoxicillin (for a throat infection). What are the pros and cons of treating her with antihistamines? She s ok for now, it doesn t itch terribly, just a bit. Thanks! ### REPLY: Hi Dear, Understanding your concern. As per your query your child have symptoms of itchy rashes which can occur due to our environment, heat, cold, pressure and sun exposure. It is the bodies' response to the trigger factor. The most important thing is to find the trigger factor. Need not worry. I would suggest you to give cold compresses to hives several times a day to prevent from swelling and itching and take over the counter antihistamine .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have a history of tachycardia and ectopic beats. I have had numerous episodes so have had my heart scanned which showed normal and all ecgs have shown fast but regular beat. The reason I write to you is I am very concerned after having dived into my pool and experienced a very sudden tachycardia which lasted for 5 minutes and stopped as instantly as it started. I was unable to stand and was very short of breath during the episode. This was obviously triggered by the cold water and now I am afraid of going into the pool and wondering if I should get this checked? ### REPLY: Chest pain and shortness of breath together with sweating very classical symptoms for abnormal heart conditions.  It sounds like when you jumped into the pool, your body went through a lot of stress due to the cold water. Therefore, it sounds like you might need a stress test in which they put your body through stress while monitoring your heart. This is one of the best tests for ischemic heart disease.  I would recommend seeing your cardiologist and letting him know about the episode in the pool. In the meantime, I would try to avoid stress. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I am 21 years old and i have large breast. I went to see a plastic surgeon who told me I was a perfect candidate for a breast reduction.  He took pics of my breast prepared a letter supporting my case which i also included a letter from my chiropractor and this package was sent out to my health insurance. I also made an appointment with an orthopedic surgeon and he just laughed in my face while I explained my situation.  The health insurance DENIED my claim... I cant take this back pain and my shoulders are indented from the weight of my breast. What can i do? Please help me... ### REPLY: Hi...thanks for sharing your problem here...as you told you have enlarged breast,,,this backache and shoulder pain you got is most probably because of these heavy breasts...as you already been to plastic surgeon, and he advised you breast reduction...so I will suggest that you should go for it,as for as your health insurance is concerned this is between you and your insurance company already in terms and condition agreed upon,,,I will suggest going for breast reduction...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: There seems to be swelling in my lower abdomen/ an area diagonal-right, above my penis. My stomach seems to be cramped/hurting as well. I ate an orange, a banana, an apple, a cup of oatmeal, two poptarts, a couple of carrots, and two leaves of lettuce all at once. Is this abnormal swelling somehow related to how much I ate? It s also strange because it s only swelling diagonal-right above my penis, not diagonal-left or above it in general. ### REPLY: Hi ! Good afternoon. I am  answering your query. From your history, the most likely diagnosis which could be thought of is an Inguinal hernia which causes such swelling. It might not be related to the food you ate. For a definitive diagnosis, you have to take an appointment with a general surgeon, and get your self examined for further management. Till that I would suggest you not to lift any heavy weight, or go for any heavy work which increases your intro abdominal pressure, and try to reduce your weight if overweight or obese. 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. Wishing 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: My question is to an oncologist. My mother was undergoing treatment for AML. She had a very high TLC 1,17500, she was given chemo with fludarabine alone for 5 days. Her count increased further and she died on the fifth day. Do u think the treatment was correct? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Treatment of acute myeloid leukemia depends on type and stage of disease as well as blast percentage. Chemotherapy is the initial treatment of choice. Fludarabine can be used. But prognosis of AML is poor with very high count. So it happens some time that patients can not be saved. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END