Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 18 years old. I weigh about 165lbs and 511. I am concerning about my loose tooth. Nearly two years ago, I had a root canal done on my upper tooth, that is like 4th to last. After I had the root canal done, the dentist filled it. A year later, the filling fell out. A few months later, a small piece of my tooth fell out. Then 3 days ago, I felt minor pain in the tooth area, and my tongue touched the tooth and my tooth moved. Now it is loose. Its like a flat piece thats conneced to the gum. Its kind of hard to eat. Ive been eating on one side, and I eat with mouth open because it feels more safer. I couldnt make it to a dentist because I have no Medi-Cal in CA or Medicaid, and I wont get it back soon because I have to apply for it and itll take some time. ### REPLY: Thanks for your query, I have gone through your query. The mobile tooth could be because of the fractured tooth piece or because of the bone loss around the root canal treated tooth. The pain could be because of the movement of the fractured fragment or tooth, that applies pressure over the nerve endings and results in pain. Consult an endodontist and get a radiograph done, if sufficient tooth structure and bone support is there, then it can be restored with crown. If sufficient tooth structure is not there then it has to be extracted. You can take a course of antibiotics and analgesics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Actually I m 33 working in a Insurance company with a job of very high responsibility and very high pressure.... since last month or 2 I m just not feeling mentally comfortable and was completely involved in my work, but after tht am just not able to have a sexual satisfaction, and I think am facing some problem of erectile dysfunction..... so can u just help me or guide me, tht does revital can help me to get a solution for my problem ???? ### REPLY: Hello dear, Regarding the problem of Erectile dysfunction, it is due to decreased blood supply to the penis. Though medications like Calls & Viagra increase blood flow to penis & maintains erection, it can be improved by having a diet rich in fruits, vegetables, fish, nuts & honey. Connections between erectile dysfunction & excess use of porn has been reported in many studies. For those affected, recovery takes place by 6-12 weeks & mainly involves avoiding the causative factor, that is watching porn. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. Despite these measures, if you experience difficulty, it will be better to rule out other causes like high blood pressure, blood sugar and other local causes that impair blood flow to the genital organ. One more thing...avoid consuming any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. Wishing you a Healthy Life. 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 son has suddenly started to have red dry patches which are round-in- shape on his chest and shoulders.There are only a few, however they are unusual to his normal body/skin area.  We swim, wear sun screen, etc... Can  anyone tell me if we should take him to a doctor for an evaluation? About 2 (again only about 4-5) are round in circular form and rashish; there is no puss or discharge. Could this be ring worm? ### REPLY: Hi, thanks for posting your query. Your son has developed round red .  This can be due to a number of conditions. You have not mentioned his age and whether it is associated with itching, which could have helped in narrowing down the possibilities. How every one the following conditions may be the present:Contact dermatitis, urticaria, psoriasis, acne, satyriasis rose, insect bite reaction, fungal infection(ring worm) etc. You should surely take him to doctor for evaluation and appropriate timely treatment. Hope this solves your query. Wish your son a speedy recovery. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 40 years old, Im 52 and I have a medical history of diabetes and high blood pressure. I have a question, I was just diagnosed with high blood pressure last year. Ive been taking my medicines just as the doctor instructed me to. But lately, I feel like Im eating to much salt. I get very intense headaches and my vision go blurry. Today I ate half of a small bag of cheese covered popcorn and a brownie. Now I feel awful! My head is spinning, my right side of my chest is hurting, and I feel like Im going to vomit! Was all of this caused from all the salt I ate? The headaches I always get but the blurried vision and chest pains are new. Could you assist me in what I should do?Truely,Trinya D. ### REPLY: Hi, This could very well be gastritis and reflux problem. You continue to monitor blood pressure reading and avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Eat lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,i want to know the procedure of taking akt4 and i have tb in uterus and is tv is a transferable disease should i stop having sex with my husband.is tb occurs because of abortion or what are the chances of getting pregnent after treatment of tb or after how many days i can try to concieve after tb treatment.my age is 22 yrs and height is 53 dosage of akt 4 ### REPLY: Take the red cap/tab empty stomach .rest post breakfast. TB doesn't spread through sexual contact.in fact genitourinary tb is a result of blood dissemination from usually lungs .so get your chest x-ray also done BCO this is the way u may infect your husband through breath.....if tb is not long enough to have caused irreversible damage u will certainly conceive.but do complete your minimum course of six months ...and a rich protein diet...and one egg if possible.....&...its better u go on a sex holiday for 4 weeks ...give rest .take good diet. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4.5mnth old baby has green watery loose motions about 5-6 times a day since the last 2 days. the frequency of stools is increasing and has foul smell. the baby is also suffering from cold and cough  and is being given regular puffs of salbutamol and diphenhydramine syrup, along with nasal drops. ### REPLY: Hi... Thank you for consulting in . What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hiya there i recently had an abortion well it will be 2 weeks ago on monday i had sex after 1 and a half weeks could i get pregnant as me n my partner was told we could not have kids as we both had fertilty promblems then i had a 1 night stand n fell pregnant was not sure who the was dad was that why i had a abortion, but i wnt a baby wit my husband ### REPLY: Thank you for posting on ChatDoctorI presume both of you have been thoroughly investigated to find out causes of infertility. In up to 20 % of cases - no cause is still found in either partner & pregnancy can still happen spontaneously. In your case I would recommend wait & see for next period to come (it will be difficult to predict when it will start as you had abortion). I recommend you take home urine pregnancy test 3 weeks after last time you had unprotected sex. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been sick for about 2 months. It started as a sore throat and my doctor wasn t really sure what is was since the strep test was negative so she put me on antibiotic for a week. I never went back but it didn t get better. Eventually my throat stopped hurting but I was still coughing and the coughing has gotten worse. It s not really painful it s just inconvenient. It feels like there s mucus in my lungs/airways. I have asthma and I ve had bronchitis a few times but I m not having any breathing related issues like a shortness of breath. It just feels like a lot of mucus clogging up my airways a bit. I m wondering if it could still be bronchitis even though I m not having any trouble breathing? ### REPLY: Respected user, thanks for using .come have evaluated your query thoroughly.* Condition is due to allergic bronchitis.* You are not supposed to have breathing problems all the times for presence of bronchitis.  It is the mucosal irritation and plugging mechanisms of bronchitis giving rise to cough and congestion.* You need definite management by expert physician with x-ray chest & complete course of antibiotics, bronchodilators, anti-inflammatory agents with decongestants, steroids in selective cases. Hope this clears your query. Welcome for further assistance. 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 surgery in my shoulder and they removed the bursa, took out scar tissue and repaired a tear. Now they think a pinched nerve in my neck. The pain has affected my whole arm. Now I have a rash on my hand for the last 2 months. It itches and pains. Then will peel. To start the cycle again. I use cortizone on it. It helps the pain and itching. What is the rash. It looks like a bad burn. ### REPLY: Hi, It may be contact allergic dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take a course of antibiotic in tapering dose. Take antihistamines like cetirizine 10 mg daily till itch is relieved. Apply steroid cream on the affected areas. Avoid contact with suspected allergens like soap, deodorant,woolen clothes.etc Hope this helps. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: is there any real meds that can really help to dry singles pain in the gums.yes,inside the mouth. I do have          a wonderful P.A. but theres got to be something for this horrible pain. Im taking hydrocodone7.5Ace325,morphineSR15mgTab,lidocaine viscous2%,pregabalin75 oral cap,acyclovir200mg cap.Its been 9wks suffering,I,m just now taking fluoxetine20mg.    Im 64 female suffering 17 years. I am a Christian. Married 46yrs. to a wonderful spouse. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint you are being given a combination of appropriate medications that includes antiviral medication, painkillers, numbing agents etc. Singles is caused by Herpes Zoster virus and at times it can invade the nerve and cause severe pain. But in case if the pain is still not relieved you should consult an Oral Surgeon and get evaluated, and he can do further investigations like blood tests, oral swab culture and also an MRI Scan to rule out the exact cause of the problem and will be treated accordingly. You can be advised other neurotic painkillers like Carbamazipine, Gabapentin and injectable painkillers to relieve pain. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with stage 111C primary peritoneal carcinoma. The Dr. was only able to remove 95. The remaining 5% is on the liver and intestines. I have done chemo for 10 months straight on a 3 week on 1 week off routine. Each scan shows no improvement. What is my life expectancy and what would be my next step? I am 35 yrs old. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have stage AIIC peritoneal carcinoma.  If complete surgical removal is not possible then it has poor prognosis.  Despite chemotherapy life expectancy is not good.  5 year survival rate is very low. 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 am 60 yrs. old man. I am taking the medicines for high BP  are sarteL h 80mg,Mepure 50 mg, Nicardi retd 20mg     now  days I feeling heavy acidity problem. Doctor prescribe me to take a pantocid L40 mg daily in the morning.Please tell weather  this right. ### REPLY: Hello, I have gone through your query. Thanks for using . Actually Antacid L is good medicine for Acidity and Reflux. You should take it for 2 to 4 weeks. If your symptoms are not relived then you should go for further evaluation like endoscopy. Your BP should remain below 140/90. Sometimes heart pain can mimic Acidity, so you should also check for ECG to rule out any heart disease. My 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: In my ultrasound portal doppler scan, it shows that i have fatty infilteration of liver, In my endoscopy it shows that i have first degree esophogaus varices , what is it. ### REPLY: Hi, Gannesan, Thanks for query, You have fatty liver, and you have to change your lifestyle for food habit etc. otherwise as a complication liver cirrhosis may have.at present you do not have liver cirrhosis. But second problem of having esophageal varies this is also to be taken into immediate consideration. Consult gastroenterologist and start treatment as soon as possible. Quit alcohol if you take. Ok and bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctors, I am asking this question for a friend, because he is not allowed to research medical conditions. He has been diagnosed with OCD, bipolar disorder and anxiety disorder (hence the ban from looking up medical conditions), and is taking Propranonol, Geodon (ziprasidone) and Lamicitil (lamotrigine) to deal with those. He is a Caucasian, nineteen year-old male. He is around six feet, three inches tall, two hundred and some pounds (although in the past five months he has lost twenty pounds through positive diet changes and exercise). Recently, he has been experiencing severe chest pains, numbness and cold feelings in the legs, phonophobic migranes, exhaustion, shortness of breath, clouded thoughts and general tiredness and lack of energy. He also has been having extremely loud stomach gurgles, accompanied by gastrointestinal pain. He feels that some of these symptoms may be side-effects of his medicines, particularly Lamictal. We (his friends) are also concerned that he might be on the verge of a breakdown. He hasn t had one for a couple years, but his behavior has been stranger than usual recently. He is more snappy, more perfectionistic (or OCD), and has more trouble focusing than normal, some of the signs that preceded his last breakdown. We feel that he should go to the doctor, but he is concerned about the cost, as his insurance is terrible. We were just wondering what these symptoms might indicate, and how urgent it is that he go to a doctor (it is a given that he should go). Thank you very much for your advice. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Start with these simple steps Step 1 - Practice Deep and full breathing whenever possibles 2 - .  Step 3 - A Tomato a day keeps anxiety at basted 4 - Exercise regularlyPsychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was stung by 2 yellow jackets one under my left arm pit and the other bite on my left calf. After being stung the second time the bottom of my feet and my hands became very itchy. I came in and took a generic Benedryl and a warm shower. The itch has gotten worse. Any suggestions? ### REPLY: Cellophane You for contacting . Itching is because of allergic response from the bite. I would suggest you to take levocetirizine one at night for 5 days. It will take 2-3 days to improve, but itching will become less after few hours of taking medicine. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc, I m a woman who was tested +ve br.carcinoma in 2009, I had 6 cycles of chemo. Now I am on harmonal therapy from last 2 yrs. from last 1yr n 8 months i was not having periods.. I had undergone D&C in March 2011 coz of endometrial thickness. Now again I am to be operated for removal of my uterus n ovaries coz of heavy bleeding. I have done  pre surgery tests  day before n the reports say m having GIANT PLATALETS. I m worried very much pl. help......Age: 37Yrswt: 62 kgsht: 5"4 ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have giant platelets.  Don't worry about that.  Giant platelets may be seen in many normal individuals.  If your other parameters are normal then you can go for surgery.  It has no significance with normal count. 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: Hello my name is Otis im a blk male age 49 6ft 1 inches weight 240 I have not had any problems passing stools in the past. Last year I had a herniated disc in my lower back L5-S1 that hit my nerve. I lost all bowl movement including being able to urinate. I had to have a caphiter put in for about a week or so then it was removed because I was able to urinate on my on. I had no bowl control ie.. could not stop bowl movement . I now have gained all control back but it is very hard for me to have a normal stool. I do have them but I have to push real hard to get it going. I have no pain while having a bowl movement but just a burning sensation in my legs. The Doc says the the pressure from my stool pressing on the nerve. Is this a serious problem or is it going to get better with time? ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms and MRI report findings. Constipation is not a serious issue, however, it should be well managed. You can use stool softeners to ease up the bowel movements. Sometimes, digital evacuation may be needed. Physiotherapy with back extension exercises would be helpful. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother s last 5 inches of his spine seem to be inflamed. He says fluid is seeping from that area and he doesn t know what could be causing it. He does have scoliosis and back problems. Could it be a fractured sacrum. He also had a hip replacement. Could they be related? Thank you. Linda Sadler ### REPLY: Hi Linda, thanks for asking from . I can understand your concern. The continuous fluid oozing from spine could be due to- Chronic osteomyelitis- Fungal or tubercular infection (chronic infection)The ideal way of approach is- CT of involved spine area with contrast image-Culture sensitivity of floodlit will help in confirming diagnosis. After confirming diagnosis, it can be treated by surgical exploration and antibiotics for prolonged duration. You should consult spine surgeon for the above. It is unlikely to be related to hip replacement if that area of spine is far from hip. Hope it will help. Thanks. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had a total thyroidectomy in 2012, with RAI and this past April had 40 lymph nodes removed, 7 of which were positive for papillary cancer recurrence. I just had my follow-up bloodwork and am on 125 Synthroid 8x/week. My Tg was 6.3, down from 23.7 and my TSH is 0.77. I was told that the Tg is still high, since it should be 0 and this means there still could be residual tumors although invisible on US. Why do I need to have lower than normal thyroid levels to suppress the tumor growth? ### REPLY: Hello, TG or thyreoglubuline is a glycoprotein, so a protein, produced in your thyroid gland. So when your thyroid gland is completely removed (total thyroidectomy) or destroyed by radioactive sodium, the TG level should in theory be zero as there is no thyroid tissue level left. In cases of some thyroid cancer like papillary cancer the TG level is a parameter to follow up the disease. So if the TG level is increasing, that might be a sign that the cancer has come back. So after removing the lymph nodes it's a good sign that the level of TG is going down, but I agree that the level is still too high. So it's not a question of suppressing, it's rather a question of follow up of your cancer. The difficult part is when levels are still high and there's nothing to see on the ultrasound, where are there still cancer cells? So a Ct scan of the neck and chest might give information as well as a nuclear scan. Hope this answered your question ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 woke up a few days ago after masturbating and woke up with a small lump on the bottom of the shaft of my penis ... it hurts a little like if i touch it . I havent been sexually active in quite some time therefore doubt its an std . i imagine it could be lymphocele but cant find any pictures to definitely say that that is what it looks like . what do you think ? ### REPLY: Hello, If you've never had sex, little white bumps on the shaft of the penis may be pimples, a skin cyst, or ingrown hairs. These are common and they're nothing to worry about.  Another condition that's normal and no cause for concern is pearly penile pa pules. Genital warts (HPV) also can show up as bumps on the penis. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had a cough for 5wks now at first i felt like i had cold in my chest but now its just a dry cough that want stop the doctor did have me on cough medicine but the cougChatDoctore back  i also have herpes is this normal to have these syptoms with herpes? ### REPLY: Hello dear user! I have gone through your query and understood your concerns! Thank you for sharing them on . Herpes (simplex), is a virus that generally "wakes up" when some other diseases are going through. So every time when people have a condition which decreases their immunity, herpes is possible. In your case, you have had for 5 weeks a cough (and possibly cold) that may be caused by any infection of your upper or lower respiratory tract. Such time is enough for the body to have a lower immunity and other opportunist infections. I would recommend you to see your doctor again after completing the cure he has prescribed you to see if the infection is cleared. Keep your body well HY . For localized herpes you can use topical creams of Acyclovir or tablets if the herpes is spread. I hope this answer was helpful to you! Please kindly rate it as helpful and write a short review about your experience with me! I would appreciate that a lot. Thank you and 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 ve been anemic all my life. I m 50 years old, still menstruating monthly but the the flow varies from heavy to clotting. Two months ago I collapsed/blacked-out. My family doctor ordered a blood count and my iron level was at 68, put me on ferrous sulfate 3x/day. He said it should be at at least 160. I had another blood work done last Saturday and now it has reached 90. What do these numbers mean? What s a good number to maintain? Is is the same level for all women across different age-group? My daughter is also showing signs of dizzy spells.. ### REPLY: Hello and welcome to , Anemia is common in menstruating females. Blood loss during menstruation causes loss of iron and thus anemia. Iron deficiency leads to low hemoglobin and low iron stores in body. Your test report has shown low iron level in body. Thus, your doctor has prescribed iron supplements (ferrous sulfate). The treatment should be followed for at least 3 months before improvement in iron levels can be expected. Get the iron test repeated after completion of iron replacement and consult your treating doctor with the results. If iron level has improved, the supplements can be stopped, however, if iron still remains low, iron treatment may have to be repeated. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having abdominal pains for almost 3 weeks. I have been  eating healthy my whole  life I am 43. I sometimes am constipated and somtimes not. When I am not I notice a lot of air and a solid stool. I wonder if this is due to not enough water. This is the first time I ever had this. ### REPLY: Hi. Thanks for your query.3 weeks is a long time to suffer without any proper examination by a General Surgeon or Surgical Gastroenterologist. Eating healthy or not may not have to do something if the internal organ goes into inflammation. This may not also relate to the water taking. I would advise you to consult the Surgical Specialist, get ultrasonography and other tests as may be advised by your Doctor and get treated accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father has gone under angioplasty three weeks back.it is detected that he is suffering from growth of prostate gland .1) can he go for surgery now after three weeks2) i have heard that prostate can be removed with the help of laser also.do u have this facility in your hospital.3)he was using cathetor which he has removed three days back and he is taking uromax tablet (1 daily) how long he can continue with this medicine. ### REPLY: Hi, If he is doing well in Roman (urinating well) then he can continue this medication for 6 months to one year or forever to stabilize the stents that was used for his heart. However, if he is still unable to urinate then he may need prostate surgery (laser, uplift etc.) but of course he has more risk of having heart problems as compared to the general population who did not undergo angioplasty. 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: Good to hear that i have got atleast some body to answer my query. my uncle has got HIV. W came to know only when he got the heart stroke and sent the sample for testing.he has left anterior fascicular block and also anterior injury. his HIV values didnt cross the normal limitis value. they r at the border line of normal limits. where can i get the treatment for his heart stroke. its been 10days he got the heart stroke. please reply me as soon as possible. ### REPLY: Hello, After going through your medical query I understand your concern and would like to tell that the best option for him will be thrombosis therapy in which he has the possibility to recover from that heart injury. Kindly consult with your treating Cardiologist for the safest and beneficial way out for his cardiac health. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I am a 43 year old female, mother of four. I have been to ENT three times in last two and a half years, and Oral Maxofacial Dr. two times as well. I have on and off right-sided throat pain, as well as pain under my chin (maybe a gland). The ENT did a scope test twice. He said it was Negative. Maxofacial Dr. did exam & x-rays & couldnt figure it out. It was quiet for a while. However, Pain started up again about a week and a half ago. Gums on bottom of mouth are all swollen in back right side; right sided throat pain; gland under chin on right side hurts to touch and sometimes aches out of nowhere; mouth gets very dry sometimes. Throat hurts to talk. Dr. also did blood work for Sjogrens as my daughter has marker for it & pos ANA & Raynauds. I was negative - only positive for Rheumatoid Factor. Please help! Do you think its cancer? ### REPLY: Hi, Your symptoms not sounds like cancer right now. As you have already examined by a group of doctors, so any malignancy has definitely been ruled out by them. Nothing to worry right now. As rheumatoid factor is positive you should better concentrate on this issue. There are many causes for this. Rheumatoid arthritis, Sjogren, dermatomyositis many other causes are there also. Consult an internal medicine specialist/ Rheumatologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 19 month old came home from daycare with a bad bruise slightly above his shoulder blades. it is not a typical bruise, it is red and did not change colour. There was horizontal scratches along it also! What sort of bruising is this in this odd place? Why is it different to the typical bruise that changes colour? This is his second bruise like this and they both happend in daycare ### REPLY: Hi, welcome to icliniq.com.- red bruise over shoulder with horizontal marks, indicates trauma at shoulder region. - if a bruise is large or on a part of body where skin is thin, it may remain red or change color after some time. - i advice you to go to day care center and talk to them about this, there is a possibility that someone is beating your child. I hope this has helped you. Wishing your child good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have knee pain and hip pain on my left side. I also have sciatica. Today my hip pain was severe, and still is, with shooting pain and spasms all day. I already take Relafen 2x/day and have taken Tylenol every 4 hours. I also iced every 4 hours. Nothing is helping. I had spine surgery a year ago, and my back has felt fine, but I don t know if that could be causing this. Thank you. ### REPLY: Hello, I have studied your case. As per your history there can be hip arthritis which can be degenerative or due to avascular necrosis of femoral head [AVN]. I will advise you do X-ray of hip, and you can consult me with reports or with your doctor. Till time take analgesic and cartilage protecting medication like glucosamine sulfate. For hip arthritis joint flexion, extension and rotation exercises will help. Physiotherapist will help you better to learn more exercises in proper protocol. If required intra-articular injection can be given. Diet rich in calcium and protein will help Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Female 70years 220 lbs 5th 6. Have reddened area under left breast that has a center lump that is very sore when touched. Seemed to appear overnight. Soreness increasing in degree. Seems to have very small whiteheads. Is this possibly a boil? How should it be treated?  Have been applying A&D ointment. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some cyst, abscess, fibrotic disease of breast or breast cancer. Chances of cancer are very less likely. But you should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Was working in the yard today when I came in I realized itchiness on the inside I bother my arms just above my wrists and a rash. But now 6 hrs later it s more of a burning pin needle feeling. Now the rash has moved to the front of my arms with the same feeling. Also I have the feeling on both sides of my shin and on top of my hand and fingers but not aware of a rash in those places ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of itchy rashes in arms and wrists which seems to be due to allergic reaction and could be due to venomous bite. Need not worry. I would suggest you to apply little pressure on that area with cotton dipped in warm water and try to ooze out the pus properly if any. Take antibiotics orally to prevent further infection. Use calamine lotion on that to resolve itchiness. Your symptoms will start resolving in 3-5 days. If it keeps on persisting visit dermatologist once to find out any hidden cause for your symptoms. Apply Betadine over area and clean that area properly with antimicrobial agent. Use of corticosteroid ointment is helpful. Hope your concern has been resolved. 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 had an almost cold for 10 days now. It started with my nose occasionally running from nothing though not being blocked and a pain below my eyes. Since then I cough up an occasional bit of phlegm but my neck is hot, my head is tired, I have a hot back, nexk and sometimes chest and a lightness or ache in my arms and legs. It feels like the start of a cold but never turns into one and I m being lethargic and tired all the time yet not being visibly ill to others ### REPLY: HI, thanks for using  The common cold can sometimes last up to 2 weeks. Symptoms of fatigue can persist even after the other cold symptoms have resolved. There are over the counter medications that would be able to help you with the pain, nasal congestion, coughing, fever. Paracetamol would help with pain and fever, ibuprofen can also be used instead or along with this if the paracetamol on its own is not effective. There are oral and topical decongestants (e.g. normal saline or striving). If the cough is wet then you need to consider the use of a bucolic to break up the mucus. Examples are Mucomyst, bipolar, guiafenesinRest and using enough fluids are also important. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m having a rapid heartbeat, but no chest pain or heartburn. I just feel very jittery. My breasts are sore. 45 yr old male with no history of heart problems. Had EKG 1 month ago=normal. Taking Restoril, Wellbitrin, Percocet, Saphris, and Fentenol patch ### REPLY: Thanks for your question on . I can understand your concern. Since your ECG is normal, no need to worry about heart related diseases for your chest pain. Sometimes stress and anxiety can cause palpitations, chest tenderness (soreness) etc. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At the age of 27, I am suffering from Hypertension. Whenever I am checking BP, its varying like 100/140, 100/150...some times 110/150 or 100/120. Doctor advised me to take medicine for 1 month (Xirtam 20mg). But I am very much confused, if I started medicine from 27th age, this will be a permanent dependency for me or only need to take for a short term? I have done all other testing; there is no specific reason for hypertension. My BMI is around 28, is this will be a reason? I am started with a good diet plan, in one week reduced 1.5 kg and my target to reduce at least 7 kg. Please let me know, can I go for medicine or continue with good exercise and diet? Is drinking green tea and having one spoon of olive oil with meals doing help to reduce BP? Please help with you valuable advise. ### REPLY: Hello, If you are recently diagnosed with hypertension then it is recommended for you to adopt lifestyle modifications if after that your blood pressure will be high then you might require antihypertensive .  Lifestyle modifications include:1. Low dietary salt2. DASH diet3. Good Physical Activity4. Avoid Fried. And Junk food Hopefully this information will answer 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: Hello... I am a 25 yr old guy... from past 1 month , I am feeling very weak after having sex. I feel very tired.... Earlier I used to be very excited , and was willing to have sex with my girl twice or thrice in a day... But now I actually don t feel to have sex much ! ### REPLY: Degree understand your concerns went through your details. I can understand your emotions. Sex is supposed to be performed with passion and affection. You cannot have pleasurable and satisfactory sex if you are tired, stressed or anxious and more over if you are not ready for it. You should introspect. Furthermore, you are just 25. When was the first time you felt tired? Definitely on that day you were tired, stressed. Naturally you were unable to perform sex properly and felt tired. Naturally you felt anxious about it and started worrying. That anxiety kept you haunting and you started worrying. Worrying became obsession and obsession made you to feel tired. Let me advise. Just keep away from sex for a week. Then find a day on which both of you are totally stress-free and perform sex. I am sure, you will not feel tiredness. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sometimes when I drink fruity sugary drinks (apple cider, or regular pop) or eat watermelon, I get a constricted almost painful feeling in my chest. It is directly connected to the sugar intake, and always passes after 15 to 20 minutes. Could it be related to a metabolic problem? ### REPLY: Thanks for your question on . I can understand your concern. Your chest pain is associated with intake of certain food. So possibility of HERD (gastroesophageal reflux disease) is more. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central chest pain, chest tightness, pressure etc. So better to start proton pump inhibitors. Avoid foods which cause you trouble.  .  Avoid stress and tension. Avoid alcohol and smoking if you have these habits. Don't worry, you will be alright with all these things. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hiya.. both me and my partner have been suffering with an aching tounge. its strange that we ve got it at same time. it really hurts at back of our tounge. under neither that stringy bit is very sore. to be honest i can remember how fat my tounge was before before hand but it seams huge like it dont fit in my mouth. we are also both doing the same habbit. without knowing it our tounge rests at top of our mouth behind our teeth. which is causesing the aching. we have both been very down since this and its not like us at all. losing concentration, forgetting what we was just saying and altoghter just not here. im going to be honest and say saturday we both took a legal high pill that kept us awake all night saturday, all day sunday and finally managed to get 3 hours sleep sunday night. last night we got about 4 hours sleep. (we only go out once a month so i was blameing no sleep on pills) could this pill be causesing the soreness and habbit? could it be lack of sleep? or also we have recently just found a huge patch of mold in our bedroom that was hiding behind our cabinets could it be anything to do with that? please help ### REPLY: Hello, Definitely rule out an allergic reaction. Soreness with swelling could be a sign of an allergic reaction. This can be from ingestion or respiratory. Habits with your tongue and breathing through your mouth causes stress and .  You may be prone to an oral yeast infection with an oral flora imbalance. Redness, increased sensitivity and a coated tongue can indicate a fungal infection that will require the prescription Statin. Make sure that you are well 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: I am taking antipsychotic(Solian 100 mg) for past 2 years. I dont know what my problem is. But I have become dependent on it. I cant leave the medicine for a single day. Please let me know some Ayurvedic medicine so that I can leave the antipsychotic. ### REPLY: HiT hanks for using  It is very difficult to control psychosis without antipsychotic or with ayurvedic medicine. Better to take antipsychotic regularly. If you try to stop antipsychotic, chances of getting relapse would increase. Being a psychiatrist, I would suggest you to take ayurvedic medicine instead of allopathic. Rest, your wish. In case, you need further help, you can ask. 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 daughter fell and bumped the back of her head.   She cried for abput 5minutes and then was fine.  She went to sleep 6 hours later and after 3 hours of sleeping woke up crying and said her head hurt.  Should she be seen by a doctor?  She keeps crying and waking up from discomfort. ### REPLY: If your daughter had no episodes of vomiting, unconsciousness, convulsions, sensory or motor problems, altered behavior etc. then you need not worry. After 4 to 6 hours of head injury absence of above-mentioned complaints usually rules out possibility of serious brain injury or brain bleed. For headache, you may give paracetamol or ibuprofen. If pain is not relieved after medications then you will have to consult doctor. For further queries regarding this disease or its medications you may take my appointment at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 think i might have some type of depression and i dont no  what to do. Im tired all the time, no energy, look at the bad side of everything, feel drained and sore, snap at little things, pick fights all the time. i never use to be like this and i dont no why im like this. ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are going through a difficult time due to your recent problems. From the description of your symptoms, it appears that you are suffering from a depression. However, you need a detailed evaluation to arrive at a definitive diagnosis and initiate appropriate treatment. So, I would advise you to consult a psychiatrist for a detailed evaluation and further treatment. Effective treatment is available in the form of medication or counselling. So, please don't hesitate to seek professional help. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took my kids to a public pool and my sons eyes are really puffy and blurry vision. His checks r even red and swollen. Is there anything I can do to help comfort him at home?  Its done it before and it went away the next day but all I did was put a cool towl on his eyes. ### REPLY: Cellophane you for contacting . Most probably your son is suffering from allergy due to some source in the pool. It could be an insect bite or anything else. I won't be able to recommend you medicine as you have not mentioned age of your son. One thing that you can do is that heat some cloth on flame so that it becomes slightly warm, then place it over the eye. It will give soothing effect. Repeat 3-4 times a day. Visit hospital if :> Is condition persists for more than 2 days.> If any other symptom appears.> If child becomes lethargic, . Thank You ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i have been feeling ill for the past 10 months, having had ct scans done on my heart also ecg & x-ray & nuclear scan plus stress test, they were all fine, ct on head, ct on abdomen, an endoscopy , all were fine. Still i suffer daily from attack feelings like, waking up feeling hung-over, Nausea, dizziness/ vertigo feeling, pressure in my head then that on-sets aniety feeling ### REPLY: Hello and welcome to . Thanks for your query. It is possible that the episodic symptoms which you are experiencing could be indicative of panic attacks. Panic attacks can manifest with a variety of physical symptoms like dizziness, vertigo, nausea, heaviness of the head, chest discomfort, etc. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. Since all medical tests have been negative and since these symptoms seem to be quite distressing to you, 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: Hiiiiiiimy age is 24 nd i m a male.my hairs are falling at a rapid rate.i had consulted 2 a dermatologist in CMC VELLORE.She asked me 2 use MINTOP FORTE 5%.i had used it 4r more dn 2 yrs bt i didnt got any result instead i had lost more hairs.i m vry sad, can anybody help me or giv me suggestions which r really helpfull.wt abt HAIR TRANSPLANTATION. ### REPLY: Hi, As per your query you have symptoms of hair fall which can occur due to stress, improper hygiene, fungal infection and could be due to hormonal changes.  Need not worry, I would suggest you start with the application of Indian gooseberries. Avoid excessive use of shampoos rich in chemicals. Take finasteride preparations as well. You should consult dermatologist once for proper examination. The doctor may order skin patch test, blood test, allergic test and physical examination and may prescribe supplements like Omega-3 minoxidil spray, and vitamin E. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing hair loss, pain in my lower back, swelling in my lower legs and a 15 pound weight gain. Just recently started feeling tightness in my throat. I m 45, female. Could this be a thyroid issue? I ve always been very healthy and no family history of thyroid problems. Thank you ### REPLY: Hello, Leg swelling and weight gain! Yes, these symptoms suggest towards hypothyroidism. So investigate the following:- Serum TSH- T4 Estimation- USG scan can be doneInvestigate with above thyroid profile and provide reports for giving more comment. If calf swelling with tenderness occurs, then USG scan needed and further work up will be done accordingly. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had a mri done and I suffer with a lot of lower back pain. My legs go out from under me its just that bad. My report said "there is a nonspecific region of adnormal marrow signal seen anteriorly within the upper sacum demonstrating homogeneous low signal on T1-weighted images and homogeneous high signal on T2- weighted images measuring 3.6cm transverse x 1.6cm craniocaudad x 2.3cm AP dimension. What does this mean? ### REPLY: Hi, welcome to .  Such abnormal marrow signal in sacrum needs further evaluation. There must be something detail in report. It could be just an age related marrow conversion or any bony pathology. We need images to comment exactly.  You need to visit your orthopaedician and radiologist again for examination of this. Dedicated scan for sacrum may be needed again. Hope I have answered your query. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last week Saturday I was diagnosed to have typhoid fever. Given cipro which I should finish tomorrow. I have been feeling great but yesternight I could not sleep due to a nausea feeling. Should I still be feeling this way when am almost through with drugs. ### REPLY: Dear Friend. Welcome to . I am .  I have read your query in detail. Furthermore, I understand your concern. Nausea can occur on taking antibiotics like Ciprofloxacin due to Gastric upset. So, I would advise you to follow:11. To take . 2. To take soft bland diet.3. Don't smoke or consume alcohol in case you do. This is my best advice for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, Im having a hard time right now.  I have soft tissue uterine cancer and had to have my uterus removed.  Then, in January i had to have a 2 surgeries because of infections after starting chemo and they ended up removing one of the ovaries.  i had hot flashes then but they went away eventually.  i then started chemo again and stopped in may.  i now still have hot flashes and they will not go away.  i consulted the doctor today and she said it looked like my last ovary was dying.  is this true?  is it possible it might perk back up or is the end of it?  Thanks ### REPLY: Hi, Thanks for writing in. Since you had soft tissue cancer of uterus therefore removal was required as a life-saving measure. If the uterus was not removed then the cancer would have infiltrated and survival would have been a problem even with treatment. It was unfortunate that you had two infections which required surgery and then your ovaries are also affected due to the treatment. Since the other ovary is also almost non-functional therefore you can opt for hormone replacement treatment to help treat the hot flashes and other symptoms due to the hysterectomy and non-functional ovaries. As your age and treatment details are not mentioned therefore it will be difficult to provide the exact answer regarding the possibility of the remaining ovary to be normalized. However, present day hormone replacement treatments can help you perk back your hormones to normal state as before when your ovaries were functioning. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MRI of cervical spine shows C5-6 and C6-7 levels Disk space maintained with partial dehydration of the disk. Posterior herniation of the disk. Encroachment of both anterior subarachnoid space and both neuroformina to the left. Not getting better with PT. Also reduced lordotic curve. What does it mean? ### REPLY: Hi, I am . I have read your message. I think I can help you. However, you have not told me the clinical details/symptoms. And any report has to be judged as per the symptoms. The report suggests that you have a disc problem that is compressing the nerves that comes out of your spine and supplies the nerve signals to your arm, and a bit of your forearm. The brain sends signals to the body e.g. arm to do some work. This is carried by spinal cord to the area, from where nerves come out and go to the specific area. Mother Nature has provided bones like skull and vertebral column to protect the brain and spinal cord (respectively). To allow our backs to bend, soft bags called discs are present between bones. Sometimes these discs come out of their allotted space and compress the nerves that come out of the spinal cord and cause the symptoms. The symptoms that you should be having include-neck pain, arm pain more on left side, sensory symptoms like tingling and numbness on the left arm, wasting/thinning of the muscles on one side compared to the other side, reduced reflexes in arm- a doctor will need to test these for you. These symptoms may be present in any combination, and all the symptoms need not be present. However, sometimes, people do have atypical symptoms that I cannot predict. So if you do not have the above symptoms, you need to tell me exactly what your symptoms are and I may be able to tell you if the report is significant in your case. If however the symptoms are present, the report is very relevant, and I have already told you what it means. So you need to meet a spine surgeon (if you have the symptom combinations) and plan further medication (and/or surgery at a later date-if needed). I have tried to make it as simple as possible. I hope that the information helps you find the best solution for your problem. Feel free to contact me further for a related issue. Best of luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a kidney stone and currently under hospital for it however they are just advising me to drink fluids.. I have increased my water intake to 4litres a day and as a result I am visiting the toilet more.  In addition I have noticed that the tip of my penis is getting red blotches on it.  On the days I dont drink as much water I dont seem to get these but when I ensure I drink regularly I get the blotches back.  I am not sexually active at present.  I am 36yo male, 5ft 11 and 207lbs ### REPLY: Red blotches may be due to inflammation which is called balanoposthitis, and it is painful and occurs in diabetics and is like bell sound of elephant(diabetes) coming after. So check your fasting blood glucose if you are obese, and you said increased urination which is occurs in night is also a symptom of diabetes. If your blood sugar is normal consult a physician for local examination of penis to rule out other pathology. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i had braces at my age of 25 for 8 months and retainer for next 8 months. Before wearing braces my face shape was square but now it has become oval. I had braces for correctingthe upper jaw side wise teeth extended ( upper bite problem).can i correct this using braces or cheek implantation ? ### REPLY: Thanks for your query, I have gone through your query. The altered facial profile can be corrected by the orthodontic treatment. Consult a good orthodontist and get it corrected. No need to go for cheek implants. Before going for any treatment get a radiograph done to rule out any defect in the jaw bone. Later we can decide whether only orthodontic treatment is enough or it needs surgery along with braces. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 10 year old son suddenly in the past two weeks has started throwing his head back in what looks like a twitch , stating he is uncomfortable but without a great description. He is also complaining of twitching in his arms and to a lesser degree his legs and recently if you hold his arms in the biceps area you can feel both arms twitching involuntarily. He had a blow to the back of his head a couple of weeks ago which his pediatrician dxd as a probable mild concussion . He has no psychiatric history but is probably a bit on the anxious side, but my gut tells me this is not a psychosomatic symptom. The question is whether to take him to a pediatric neurologist and whether we have anything to worry about. He is basically a healthy kid. ### REPLY: Hello, Thanks for choosing  for posting your query. From the description that you have given it appears that he is having some kind of neurological movement disorder. There are various movement disorders that are possible for his age. You need to show it to a pediatric neurologist. He will need an EEG and an MRI brain. If everything comes out normal, then there is a possibility that the psychological causes may cause these twitches. Then in that case a psychiatric consultation will be useful. A child with psychiatric illness can look as a very healthy child.  Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link: bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father was detected Sigmod Colon Cancer and metasisis in Liver and Lungs in Oct11. He took 6 cycles of FOLFIRI , now he is very weak and BIlirubin level is 5.9, Docor advised, he cant take Chemotherapy . He feels heaviness in left of stomach and feels pressure for motion every 1 hr , but not much of stool passed, as he hardly takes !1 juice, 2-3 spoon rice and some vegetablee in a day. He has swelling on Feet, which reduced after giving 20% Albumin for 7 days. What treatment is possible. ### REPLY: Hi, Thanks for your query. As you know, cancers mostly are detected during the late stages as in your fathers case.  The swelling in the feet and bilirubin levels are due to the liver damage.  According to what you said, he is very weak due to the toxicities of chemotherapy and moreover due to the disease process itself. Varying treatment modalities are advised by various doctors as there is no treatment which can offer a very high success rate. I would suggest giving him more nutritious food which contain high vitamins and minerals, more fruit juice and nutritional supplementation. This would improve his general health and immunity to a better state than now. The aim of treatment for now should be more on improvement of quality of life rather than the quantity of life. There are also new modalities of complementary therapies like Den .  Hope I have answered your question. If you require any further assistance please let me know. Thank you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, Doc. Me and my husband wants to have a baby already, im only 19y/o and his 21. But we want to have a baby, weve been trying to have one the last 11months ago I think, until now, we are still trying. My question is, is there a posibility that a 19y/o woman and a 21y/o be sterile? Why and how? ### REPLY: Hi, Thanks for writing to . Females once they start having menstrual cycle they become fertile and capable of becoming pregnant. Same with males. Around age of 14 to 16 they achieve puberty and sperms are produced. Before that age they will be fertile. For you, I suggest getting your follicular study which tell, you are producing eggs or not and timing. Also get your husband semen analysis done. If both are normal you can try normally to conceive for 3 to 4 yrs. If any abnormality detected it can be treated. Important is you need to have intercourse during fertile period. It will be 12th to 16th day for 30 days cycle. Hope I have been helpful. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am rajkumar  and i am 39. i am suffering from chest pain for the last one month. whenever i have to climb the stairs or lift some heavy weight i feel pain in chest (left side) . one month ago i felt  severe pain in my chest doctor checked my bp that was 200 (ecg report was normal). whenever i feel pain i have to take some rest than pain gone . i am suffering from acidity for the last six month also.  please guide me ### REPLY: Cellophane you for asking in .First it is very important for you to do a full cardiac check up. I mean a cardiac ultrasound, a stress test and a blood test Troponin CK-MB to rule out cardiac diseases. If these are negative you should control your lungs by doing a chest HRCT and a Spirometry for lung diseases. If these are negative to consult a astrologist for your stomach problems. Thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have piles problem from last 10 years. Now i am facing lots of problem from this. unbearable pain and blood losses. I want its treatment ASAP. I just want to know whether it can be cured with medicine or operation is the only option. also I want to know the process of operation. how many days of rest require after operation and how cost effective it is. I have a mediclaim facility of Max Bupa up to 5 lak. can it be cover under this facility. ### REPLY: Hello, Welcome to , Proper treatment of piles requires thorough assessment by Surgeon. It's unusual to have pain in case of piles be it external or internal. Presence of pain indicates thrombosed pile (Piles are dilated blood vessel, clotting of blood is thrombosed pile) or also possibility of fissure in anus is to be considered. Proper management will therefore require thorough clinical examination to know the character of pile and other associated complication. I would suggest you the following which will definitely help 1. Increase water consumption-Consume at least 2 to 3 liters of water per day. 2. High fiber diet-Two serving of vegetable salad every day 3. Hot Sat bath-Add a handful of common table salt to a tub of lukewarm water. Immerse your bottom by sitting in it for 15 to 20 minutes each session twice a day. It will decrease pain and inflammatory edema. 4. Stool softener-Syrup Lactulose 10 ml twice a day will keep the stools soft preventing constipation and decreases bleeding and pain. Further management will depend on clinical assessment by your SurgeonThank 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 Doctors I am Tigist from Ethiopia. I am 24 yrs old and 54 kg and 1:70 meters.i was diagnosed to have a kidney stone on z right kidney 1yr ago which is 0.8 cms after having flank pain and nausea when ever i feel pain. i was on conservative tx for z past 1yr.but the pain is on and off type.n I decided to have a check up again and have an u/s this time I was told that I don t have kidney stone n better to have an IVP.n I did have an IVP n was told that my right kidney is rotated to z lateral and mild hydronephrosis.i wanted to know what will be the treatment for this diagnosis.i am a medical student n I will be happy if you answer in detail. Thank you!!! ### REPLY: Hi, Thanks for writing in. Treatment of kidney stones is by medications and surgery. In medical management following are used.(i) . (ii) Pain relievers to relieve mild pain, your doctor may recommend pain relievers such as ibuprofen.(iii) Medical therapy with an alpha blocker, relaxes the muscles in your ureter, helping you pass the kidney stone more quickly and with less pain. In surgical treatment using sound waves to break up stones called lithography is the commonest method. This is out patient procedure. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 R.S.Rathin  aged 5 is suffering from asthma related problem. We giving the following medicine1. Seroflo 125 micro gram morning and night2 Montek LC kid night3.Asthalin when severeHe is suffering like anything while his bedtime kindly advise please ### REPLY: Hi, Thank you for asking question on . Continue the medicines you are using as usual. Add decor inhaler in addition to Aeroflot 2-3 times daily specially before going to bed. If possible find out the triggers and avoid them. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just got a surprise reading of a blood sugar of 441,  I am a diabetic, and I have ran out of my Januvia meds, which I have not taken in several days, because I get that medicine from CVS mail order. Is this cause for alarm ,  and how can I lower it fast? ### REPLY: Dear Sir, greeting s from . I understand your concern. NEVER STOP MEDICATIONS FOR BP AND DIABETES ... it could lead to lots of complications in the future ... Try to get the medications from some were and start taking soon ... In time . Please check your lipid profile, microalbuminuria, HbA1c levels and do contact plus with the reports .... Anything else please feel free to contact us ... THANK YOU ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, am having mild chest discomfort while biking. New to exercise after long long layoff. Very anxious and scared. Cardiologist wants me to lay off caffeine and alcohol for a month and prescribed 25 mg of Toprol twice a day for one month. He also told me to exercise for 30 minutes/day everyday. Stress test in a month. I ve been so worried that I m wondering if I m bringing this on mentally. ### REPLY: Hellowelcome to ChatDoctoryou have not mentioned your age and much information about your symptoms....well chest discomfort can be due to various underlying conditions such as(1) angina due to underlying heart pathology(2) lung disorders(3) pleurisy(4) Costco . E gastroesophageal reflux disease(7) acid peptic disorder(8) arthritis of shoulder blades/ribs you need to get 2 very simple investigations to make a conclusive diagnosis(1) ECG(2) X-ray of chest once you get these tests either send me a scanned copy of your reports or consult your treating doctor take careChatDoctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hi my 10  yr old daughter has a constant bloated stomach. Gets worse as day goes on. She is on movicol as she suffers with constipation. I am wondering if she has a wheat tolerance? ### REPLY: Hi... Thank you for consulting in . I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link -www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my lower right wisdom tooth taken out 4 weeks ago. I am still experiencing numness on my front 4 lower right front teeth. The dentist told me to take Nervmax and massage the gums. Can anyone tell me if this is normal or should i get another expert dentist look at it? Many thanks in advance. ### REPLY: Thanks for using . Read your query. The numbness is due to prolonged anesthesia which usually happens due to any injury to the nerve during injection or due to trauma to nerve during the extraction. This numbness usually gets better with time, and you just have to relax. Usually the time cannot be predicted for this as it takes its own course. Just relax, take a healthy diet, and you can consult your local doctor and take vitamin B and C supplement, or Erosion tablet. Massage the gums and use warm saline gargling. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: After a night of drinking on an empty stomach, my boyfriend and I fought. In a fit of rage I grabbed a bottle of buspar (I was perscribed after a severe car accident for anxiety and my flashbacks) they were 15 mg bars i must of ate 16 or 17. my boyfriend panicked and stuck his fingers in my throat to male me vomit which was hard to do bc my stomach was empty except for the alcohol. i woke up this morning with my eyes puffy and red and some red blotches on my face. my right ear is sore. Could it be an allergic reaction? I never had that problem with this Med before. I have in the past had a similar reaction to effexor minus the ear pain and puffy eyes they gave me a steroid and atarax. Would it hurt to take the atarax to see if it takes the redness away? Its starting to itch. ### REPLY: Hello, It could be an allergic reaction to the Bu spar, but I wonder with everything that happened if it could be mild trauma to the face as well.  If you are having itching, taking Atari would be reasonable, or Ben .  If you are having more swelling, or any difficulty breathing, you should go to the ER, but otherwise, if it is an allergic reaction, it should resolve in a few days. 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: Age- 64, Ht- 5ft 7in I have slight burning sensation and feeling of fullness in my upper abdomen. This has resulted in loss of appetite. Will taking OCID D capsule help? Should it be taken before meals? How long can it be safely taken? I also have IBS. ### REPLY: HelloOcid-D i.e. omeprazole-domeperidone is very much effective in gastritis or hyperacidity. As you mentioned that you are having burning sensation, feeling of fullness in upper abdominal area (epigastric) and loss of appetite. Naturally hyper acidity or fullness in abdomen causes loss of appetite. Do following measures, you will get some relief. Try raising the head of your bed about 4 inches with blocks. It also might help to avoid eating or .  To help control stomach acid one should not  ### END