Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My right big toe is numb and has a swelling, soft bump just behind the mid joint. It is not a hard deposit and it seems to be filled with a fluid substance. It can produce discomfort when I wear shoes. I also have diabetes but I only take metformin. Thank young ### REPLY: Hi, thank-you for providing the brief history. As you have diabetes and this lump which appears to you like a fluid accumulation along with numbness in the big toe I will advise you to undergo a thorough clinical examination and the blood sugar test. Some other blood test might also need to check if any infection is there. This kind of lumps in the feet is supposed to be not ignored as it is may be due to some abnormality in the tissues leading to the same. Also checking the uric acid levels is Advised. Based on the clinical examination and diagnostic tests the medical management can be initiated. Also, since you are diabetic you should improve your physical activity to keep the blood sugar levels in controlRegards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my names steve miles im 30yrs old. Afew months ago i contracted osteomilitas( dont think iv spelt that right), i had to have the top rib on my left side taken out. Where the stitches were are ouzzing puss. The Dr who carried out the op said its fine and he was happy after doing a chest x ray, but my GP thinks i still have the infection. I dont no wot to do,my GP has taken a swab and im waiting for the results. Im scared cus on line it says the disease spreads fast ang can be fatal. I suffer badly from depprtion and anxity and im really worried. ### REPLY: Hello and thank you for your question. Osteomyelitis can only be treated with IV antibiotics. It sounds like your GP thought you had a skin infection around the site of the rib removal. Doing a culture is the right thing to do. Once the culture comes back he/she can put you on the correct antibiotics. A CXR would show if there was ongoing osteomyelitis (bone infection) so I is good that that was normal.  If you develop severe pain at the site or high fevers you should go to Emergency. Otherwise, I think it is okay to wait on the culture results. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: On my right index finger is a hard pea sized lump which I assumed was a cyst from the knitting needle pressing on that location often. It is painful to the touch and nonmovable.  Developed last fall and has not changed since appearing. About 4 wks ago, discovered a new hard lump, nonmoveable without pain on inner upper right thigh, also about size of pea, thought was cyst from dogs nail bruising leg but has not changed. Am a breast cancer survivor from stage 3 with lymphatic nodes involved.  Wait till annual or should I have checked? Female, 57, otherwise good health. ### REPLY: Hi, Dear,Thanks for the query to . I studied your query in depth. I feel concerned about it. In my opinion, the painless hard lump could be -an inguinal metastasis, as its painless. A dogs nail bruising leg, could also cause such lump on inner thigh, but would have been sore to touch. As its 4 wk old lump -FNAC-biopsy is advised to fix the cause of this lump from the various possibilities discussed above. Surgeon-in ER needs to be consulted and would resolve the worry you have. A course of antibiotic would reduce the dog nail induced lymph amenities, and the secondary Mets would not reduce with antibiotics and NSAIDs. Chances of Mets are less-looking to the cancer remission for long, but needs to be ruled out by FNAC biopsy, and abdominopelvic CAT scan study. Hope this would relieve your worry of the painless lump on inner thigh. Wellcome for more query soon if you need so. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two ectopic pregnancies during which both my fallopian tubes were removed. Subsequently I had two IVF failures too. My doctor concluded that the reason for this is having poor ova. Kindly advice me medication or diet to improve the health of my ova. I am 33 yrs old with no medical history. ### REPLY: Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) First do not panic. 2) please get blood levels of the following - FSH, LH, PROLACTIN, AMH on second day of the cycle. This will help to know about ovarian capacity to form eggs. 3) please get post menstrual hysteroscopy done to know about the uterine cavity and endometrium.- the lining of the womb. 4) Please seek prescription support from your treating doctor for getting Anti oxidants, Folic acid, vitamin B 12 and Omega-3 supplements and DHEA. These are found to improve the quality of the egg. I hope this answer helps you. May God bless you with a bundle of joy. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am nisha i am 33yr old i had pcod problem and now it is rectified  and my is having motility problem but counts are good and i did  my first  iui last week  and daily my body temperature is raising from 97f - 99f what is the reason any chances of conceiving or not kindly let me know the reason ### REPLY: Hi Nisha, i think I have understood your concern. As such 99 degree f is just above expected normal 98.4. Please get hologram and urine routine test done. Also, ESR, and Montauk test is recommended if you have evening rise of fever. This rise can not be directly the reason for not conceiving. Considering your PCs history, I will suggest indulging in a healthy diet and regular exercise regime. Start on B12, Folic acid when you are trying for pregnancy, as it will help prevent various risks. I hope this answer helps you. Thanks .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 10 yr old daughter has started experiencing light headedness, dizziness, and shaking when playing or practicing sports. While playing soccer she breaths very heavy then hits a wall about 15 min into the game. Recently she has taken up ppitching for softball and during her lessons she sees spots, bright lights, feels like she will pass out, and becomes nausious. Our Dr thought it might be exercise induced asthma but even with the inhaler she still has these issues. Could there be something else I should have her tested for? ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. Your doctor, before coming to his conclusion, that the problem could be exercise induced asthma, must have gone through ritualistic physical and pathological investigations. In that case, if the investigations are done, the problem could be anxiety and obsession. Anxiety could also cause such symptoms, but there will not be any organic reasons. Your 10-year young girl is learning life and at this age, they learn diseases too. At such an age, obsessing with health problems are also common. She could need health related psychological counseling. 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 detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. 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 daughter fell flat on her back and head, onto hardwood 2 days ago, off a counter top. She cried, seemed fine, i took her into the local health clinic and had the dr. Check her out and said she was completely fine, but to keep an eye on her. Since the incident she has develoved an extremely large soft bump on the top right corner or her head, the size of a small egg! It feels as though her brain is "seeping" through her skull.I am so worried, does anyone have an answer? ### REPLY: Hello, I can understand your concern. As the doctor has checked her, and she is not having any symptoms like vomiting, confusion, dizziness etc., what you are describing seems like a concussion wound on her head. There is no brain injury, otherwise the child will not be comfortable. Just apply ice over the bump, and it will reduce and disappear on its own in a few days. However, if she develops symptoms like nausea, vomiting, dizziness, confusion, balance problems etc., then a visit to a doctor is required. I hope this information helps you. Thank you for choosing . I wish your daughter feels better soon. 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: all of a sudden I am crying for no reason, cant sleep,so tied up with my nerves, so low feeling, hot most of the time, and I just dont want to get up out of bed, I feel like my world is crashing, but bad part is that my home life good, not worried about bills, but worried I am unable to function like me.. I do not feel like me right now and I am getting scared// ### REPLY: Hello You are having symptoms like crying spells, insomnia, feeling low, feeling lethargic, negative feeling like world will crash. All these symptoms are there even your home life is good. See most likely such symptoms are occurring due to depressive episode. Depressive episode present with sadness which is pervasive, lack of energy and lack of interest in day to day routine. I would advise you to visit a Psychiatrist for expert opinion. Medicines like SSRI and SARI are used in depression. Apart from medicines non-pharmacological management like Cognitive Therapy is very useful in depression. Hope it helps you, thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently went to my doctor due to some cramping in my lower abdomen, mostly on the left side & because I noticed I was passing large white chunks along with my stool (about grape-size). My doctor put me on 2 antibiotics to treat possible diverticulitis or colitis & set up a CT scan . The CT scan showed no Diverticulitis, but did show that my colon wall is thickened, so I m being sent for a colonoscopy next week. In the meantime I m trying to figure out what s going on with my body.....I don t know if it was the antibiotics, which did upset my stomach, but the past few days my belly is so bloated & distended I look as if I m 5 months pregnant, the lower left pain is constantly aching followed by short stabbing pains, my stomach always feels full so it s very hard to eat much. My doctor said I may have Crohns or UC, will either of these diseases show up on the colonoscopy? And is there anything I can do before then to reduce the bloating/fullness? ### REPLY: Hi welcome to  forum.  Thanks for calling . F.  As you describe you are going to have colonoscopy, and possible diagnosis could be Crohn's disease, or ulcerative colitis. You want some remission in the meantime.  I advise you to avoid spices, junk foods, and oily foods to prevent irritation of the gut, and hence motility.  Take bland foods as far as possible, in small amounts at a time and more times. Take more of water.  You can take antacid liquids for soothing the gut.  Wishing for a quick recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dr. Grief,How appropriate the name...How much of the following prescriptions (my dads) would be enough to kill me with no pain? I just got diagnosed with tongue cancer and really dont want to go through any of it. Divalporex,  Donepezil , olanzapine memantine.  He has an extra months supply of all of it so he will be fine. ### REPLY: Hi and welcome to . Thanks for the query. You don't need these medicines and you don't have to think about it. You need to find strength to fight against this serious disease and give your best. You should not give up no matter how hard it is since many people went through all it, and they survived. You need to follow your doctors advice and find professional psychological support. Wish you good health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is Raychalle. i had my 4 wisdom teeth extracted on April 24, 2014 and ever since a week and a half ago i started feel discomfort on the bottom left side where my wisdom tooth was extracted. I now have aches and pains on the lower left side of my mouth. Also it swelled back up and my glands are swollen as well. does this mean i have an infection ? what should i do ? ### REPLY: Thanks for your query, I have gone through your query. The pain and swelling could be because of tooth infection or gum infection. Consult an oral physician and get a radiograph done to rule out any remnants of roots of wisdom teeth or any infection in the adjacent or neighbor teeth. Take a course of antibiotic and analgesics and treat the teeth accordingly. The enlarged lymph nodes could be secondary to tooth infection. 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: I am 55 years old and been having pain under my armpit and above my left breast and in the shoulder blade area. I have had yearly mamo. and in may an ultrasounnd of the left breast Nothimg was found but the pain seems to be getting worse. Any suggestions. ### REPLY: Hello, Your symptoms could be related to a cervical or thoracic disc herniation, which is causing articular nerve pain in this region. Another possible cause to consider would be the heart. For this reason, I would recommend consulting with your attending physician and performing some tests:- A resting ECG- A chest X-Ray study- A cervical and thoracic spine X-ray study, followed by an MRI if necessary. An exercise cardiac stress test would help to definitely exclude any possible cardiac disorders. 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 my son is having allergy with dust every 15 to 20 days he get chest block and cough. some times he breath heavily. Dr. is saying he needs to take inhaler for 6 months then he might get rid of this allergy... is it safe to give inhaler to a 2 year old kid???thanks, ### REPLY: HI, thanks for using  Yes, inhalers can be used in this age group. There risks associated with untreated asthma attacks are far greater than any risks associated with the use of inhalers. Preventative inhalers would reduce the frequency of his asthmatic attacks. An asthmatic attack would present with some or all of the following: coughing, shortness of breath, wheezing, chest pain 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: hello doctor....i have black spots on my face ,doctors call it melasma which has covererd my cheeks and nose .some doctor advised me kojivit gel twice a day,flucort H once aday which i suppose is a steroid and melaglow once a day. i have been using the same for the last one year but there is no result. i m really upset coz usage of these creams has further deteorated my skin texture. please guide me how to go about it. ### REPLY: Hi...dear Rajah., Thanks for choosing ., Bladck spots on the both sides of the cheeks and., nose......PLASMA., It is commentary disorder.due to disturbances in the.,Hormones in the body and precipitated by exposure to SUN.,1) So first avoid Sun exposure by using SUNSCREEN LOTION on face.,2) If not respond to creams....go for CHEMICAL PEELING., it gives very good result.but Skilled dermatologist require doing this technique.,3) Finally the Best treatment is LASER., FRACTIONAL LASER is the best option., thanQ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband had to have one of his fingers amputated down to the middle joint, this was about a month ago, the wound opened up and now the joint is exposed, he is a diabetic, on dialysis and have a poor appetite, doctor told us today we could soak it in Epsom salt water everyday for about 15 min and we go back in about a week to see how things look, we are really trying to keep him from having to have any further amputations on this hand, although vascular disease is an issue. Any suggestions on any other soaks or what can help, I am familiar with the med honey and asked if I could use that as well on his wound, beside neoprene. ### REPLY: Dear Madam have gone thought your question can understand you concern Let me KNO please :How many years your husband have been diagnosed with diabetes? Where was his last visit at endocrinologist? His last check-up about blood test? Did he treatment with insulin therapy or oral medicine? He has amputation his singer, he is on dialysis too. Did he feel symptoms like Nausea, Heartburn,weight loss, abdominal bloating, Early feeling of fullness when eating? Spasm of the stomach wall? I thought that your husband have low appetite you to bed management of diabetes . In these case Gastroparesis. Gastroparesis is a disorder affecting people with thy pi 1 and 2 diabetes (in which the stomach takes too long to empty is contents)Also vagus nerve which controls the movement of food through the digestive tract, is dam ang or stop working, the muscles of the stomach, and the movement of the food is slowed Diabetes can damage the vagus nerve if blood glucose levels remain high over a long period of time. The diagnosis of Gastroparesis Is confirmed through tone or more of the following tests(you must consult with the Gastroenterology doctor)The most important treatment for diabetes-related Gastroparesis is to manage your blood glucose levels as well as possible. Insulin or oral medicine changes in what and when your husband eats. My advised is to contact your local Gastroenterology and your endocrinology too.Also, your husband must do Blood Glucose fasting -Basic Screening for Luminaria and proteinuria (he is on dialysis)Hope this information is helpful. If you have other questions, feel free and ask. Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , I have been having left arm pain and pain in the left chest...not like someone is sitting on me but like a tingling pain, my feet and ankels are swollen my right leg actually has a throbbing pain accompaning the swelling, I am very fatiged and am not sure if I need to make a big issue over this. I am 38 years old I am overweight and have not had much water intake lately. ### REPLY: Hello, As per your symptoms, there is possibility of pain due to bad posture as your whole body is involved, analgesic and muscle relaxant will reduce pain. If not relieved, then possibility of polyarthritis needs to be considered. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have sucChatDoctorplain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27. 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 woke up with brownish spots on the shaft of my penis there are multiple of them it looks sortof like a rash but there isnt a bump on any of them and they are not irritating, almost as if they arent there but when you look at them its scattered all over the shaft ### REPLY: HelloThanks for query. The brownish spots on penile shaft are Forces Spots. These spots develop due to accumulation of sebum secreted by exocrine sebaceous glands located in abnormal position in the skin of the shaft of the penis. Normally they fade away spontaneously and no treatment is required. They are neither harmful nor will increase in size and nothing to be worried about. Maintaining a proper personal hygiene will help to prevent recurrence. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, we have been touring Spain for 5 weeks, doing lots of walking and standing. 2 days ago we did a 6.5 hour bus trip and that night I noticed my husbands ankles were swollen. He is not a large man about 70kgs and about 6 feet in height. We still have 6 weeks of touring. What do you think the swelling be associated to? ### REPLY: Hello, I have read your query, Due to long term rheumatoid arthritis there can be cardiac involvement. Due to weak cardiac function there can be swelling over both ankles. Another possibility of ankle arthritis leading to swelling.X-ray will rule out arthritis. You can do cardiac function along with renal function test consulting your doctor. 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: I am 64 years old and in the last 7 months had gallbladder surgery the old fashoned way - not laproscopically.  I also had severe jaundice as there was a stone stuck in the bile duct.  I was released from the doctor in May.  Had a physical this month and my psa was elevate to 5.3 would the surgery have caused this to go up? ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. No, surgery should not be related to this, and you should evaluate your prostate and do ultrasound and check if there is hypertrophy or tumor signs in prostate. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor,have a nice after noon , thank u for your time .my mother is 56 year old she had blood pressure problem her blood pressure was 190 over 130,so doctors diagnosed that her problem are from the gall bladder stone she had multiple small stones  with enraged gallbladder but now after the surgery of the removal of gall stone now after 2 month she have the same problem of blood pressure but with little lower one such as 140 or 150 over 90. and during this condition her temper become so loss she just lose  her natural smooth characteristic and starts fighting or arguing on small small things which are not very important in common life. thank you ### REPLY: Hi.thank you for posting query at .I thoroughly read your query and understood your concerns. Gallstones are small stones that form inside the gallbladder. Gallstones pain (Biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides.1. Biliary colic -"The pain without cholecystitis- gallbladder infection/inflammation" - usually subsides within few hours to a day. Acute cholecystitis secondary to gallstones may be continuous and accompanied by fever.2. Medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. Medical therapy includes intake of ursodeoxyholic acid (UCA) for a period of 12 to 24 months. UCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy.3. Surgery lasts for less than one hour (usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. You maybe asked to cut fat completely from your diet (or keep to minimum) after gall bladder surgery. Hope to answer your concern. Wish you good and sound health. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 2 years and 9 months old her weight is 10 kilos, she s probably teething and has high fever from 2-3 days, for which I am giving her Crocin syrup 5 ml. Now she s not eating anything and she has fever of 101.2 can I give her Crocin syrup on empty stomach. ### REPLY: Hello, Short answer: Detailed answer:If the baby has high fever then you have to dominate it even though the baby is not eating for the time being. The loss of appetite is due to the disease, but the baby should be protected against high fever because if it is very high (104 or more) than there is high risk for convulsions. Therefore, give Cronin even with empty stomach and try to give your baby liquids in order to keep her HY .  Feeding the baby in these conditions will require lots of patience from your side. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is recovering from a abominable surgery which required a jp drain . The drain has been removed D however the insertion site , after forming some granulated tissue in the insertion point is leaking a profuse greenish fluid. There is no odour and no fever. Is this infection? ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that therein chance of biliary tract formation. This fluid is most probably a bile solution. Kindly check it with operating surgeon and if tract is there, it should be operated upon soon. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health 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: Hi, i keep getting a red lump on my skin that is itchy at first. It then grows in size under my skin and becomes very painful and irritating. After about 2-3 days it devlops a green top inside the skin that you can see and i then have to squeeze it and yellowy green puss comes out and it is extremely sore. The whole lump end up being 2inches and after being squeezed it leave a small hole where the puss came from after having to sqeeze them several times over a week, it also doesnt heal up properly afterwards and is still sore. I have had about 5 of these on different parts of my body and then leave scars. Please could you help me with this? Thanks Bella. ### REPLY: Hello! Thank you for the query.These lumps are most likely a sebaceous cyst. It's a kind of benign skin lesion filled with whitish masses. When it gets infected pus appears what causes swelling, pain and redness until the pus won't be evacuated. The best solution for such lump is to remove it with surrounding capsule, otherwise it will regrow. I suggest you to consult general surgeon with this issue. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My name is , I have a queston about the implanon . I have three kids and am thinking about having another one. How long would it take to fall pregnant after taking it out? And also i had a c-secton with my last because she was breached, she is two now, would i have to me monitored closely and have a c-section again? ### REPLY: Hi, You are implanted with Implant this is long term contraception, which is etonogestrel(Progestin), you have it for almost 2 years. If you plan to become pregnant after removal of device its level goes down rapidly may be with in week, and start ovulation in 4 to 6 weeks. Fertility returns to the level which was there before Implant, also depend on your age. You had C section in previous delivery, you will be required close ante natal monitoring and possibly C section again, but it is not absolute depends on various factors, your Gynecologist and Obstetrician, would be the best person to decide about that. If you decide to become mother again, wish you safe motherhood. Take care, 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: I am a 50 yr old male, good health , I recently have had tingling in my wrist, hand falling asleep, pain that goes with that. Im not a computer person i fix Air conditioners in homes.Also now my right side upper behind shoulder blade get pain when i lift arm if i keep pushing myself it hurts to about an eight. It doesnt always do this it goes away or lessens. Ive had pneumonia many years ago. Can you help. ### REPLY: Hello, I have studied your case. Yes due to compression of spinal nerve root there can be numbness sensation in your wrist and fingers. I will advise you to MRI whole spine for better diagnosis. This may take 2 to 3 weeks to reduce numbness. Till time, avoid lifting weights, Sit with support to neck and back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. 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: Hi I have a friend who is experiencing lacrimal gland swelling, general body aches, and yellowish vision from one eye. She has in the past had and-ray that revealed 3 dark spots. She also has all over body aches and was wondering if this could be Sarcoidosis? ### REPLY: Thanks for your question on . Sarcoidosis is multi system disorder. And affect all most all organs of the body. The most commonly involved organs are1. Lungs. Hilary and lower zone nodules.2. Skin. Sarcoma tubercle.3. Brain. Meningitis and sarcoma nodules in brain.4. Eyes. Conjunctivitis and British.5. Kidneys. Glomerulonephritis. Etc. So your friends symptoms may be due to acidosis. But he should first get done serum ACE level. If this is high then possibility of acidosis is there. So consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe pain in my hamstrings and I also feel like I am going to collapse while I am walking, and it hurts me to walk. I have just consulted with my doctor and she thinks it is strained muscles, but I know that I have not strained any muscles as I do not play sports. I am having a hard time believing this. ### REPLY: Hi, Thanks for your query. The symptoms you have described are more likely to be symptoms of muscles strain. To get relief from the pain and for quick healing:1. Do hot fomentation at the site.2. Apply local anti-inflammatory gel 2-3 times a day.3. Take anti-inflammatory . 4. Do not put weight or try to do exercise that involve painful muscles. Give proper time to heal. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have wrist drop, and can move last three fingers more, side to side if not up and down. My thumb and pointer have lost some of their nunbness, starting at their tips first. My fear is that I still cannot move my wrist at all..how long before I should get worried? ### REPLY: Hello, I would explain that your symptoms are caused by a pinched nerve (possible radial nerve). For this reason, I recommend consulting with a neurologist for a physical exam and performing nerve conduction studies. If you have slept in a wrong position, this situation may last up to some weeks, depending on the degree of nerve compression. Take care. 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: Hi, I m a 22 year old female. I m having some back pain that started a little over a week ago. At first I thought it was a knot in my muscle, then it didn t go away. I ve been taking 4 ibeproferin every six hours and still the pain wont go away. It was really bad when I woke up this morning and could barely get up. I woke up several times coughing and that caused and even more sharp pain. I looked up on Web MD and put my symptoms in and it pointed most likely to pulmonary embolism . I m scared. ### REPLY: Hello, in this question you have not mentioned which area of your back is hurting, is it upper or lower back. PE can mimic backache (in the upper part of spine), but the pain is more on the front than on the back, there is cough with sputum and often blood can also accompany. The embolus usually arises from the lower limb vessels and after a period of immobilization or major surgery. Also your age doesn't fit into the risk factors for PE. But other than that there are several other causes of backache with cough.  You should consult a doctor and get your tests done. It can be disc disease or acute spasm also. Do not worry. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my 15 year old daughter had toothache w/c 14/2/11, we went to the dentist 21/2/11 he could find no cause for toothache.  22/2/11 she had her bottom brace fitted, followed by a couple of days of dull ache as expected.  Pain free for a few days.  Back to school today and she comes home with a raging toothache.  Please can you help, could it be a stress thing? ### REPLY: Hello, There can be discomfort with tooth movement. Your daughter may bite differently and put temporary additional biting pressure on certain teeth. I suggest advising the orthodontist of her discomfort. Try some anti-inflammatory medication such as Tylenol or Advil. If she does not feel better, make sure to have an exam and X-ray if needed to rule out a tooth problem such as an abscess. Thank you for your inquiry. Stress can add to this as well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 16, she was laying in the grass with shorts on and about an hour later developed a rash on her thighs and arms (looks like an allergic reaction rash) that itches and burns. She washed her thighs with technu extreme medicated scrub and I gave her one tablet of Benadryl and the rash redness seemed to subside but she said she was feeling pain in her ankle and wrist joints.  I asked if she had been in the woods, and she was yesterday. She has no rash on her stomach, and the joint pain just started after this rash occurred from being in the grass. ### REPLY: Hi, your problem is the ankle and wrist pain is from allergic reaction ? No this one is not from allergic reaction, is may be due to any other reason, like any injury may be lite, muscular sprain by any reason like fast running etc., And the skin problem of allergic reaction it will subside within short time. By the medicine which you have been taken so don't worry.  And if the pain is more than taken painkiller O.T.C. product. Or consult the orthopedic doctor. Get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 44 year old male. In fair shape 6-2  220   I lately have had severe body aches. Something like flu. But Im not sick. All joints hurt,and at night time I feel like an empty tube of toothpaste,being squeesed from feet to my hips??????????????????? ### REPLY: Hi, Your symptoms indicate a viral infection. Joint pains, malaise is common in this condition. Since it is a viral infection antibiotics won't work. Hence, kindly consult a physician and take Ibuprofen(analgesic) and take a lot of rest and . If there is any associated secondary bacterial infection causing sore throat then kindly take antibiotics. You should recover in a weeks time as viral infections are self limiting. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had the copper coil fitted 5 months ago and everything was normal had heavy periods and cramping but were manageable, but the last 3 months I hav constantly bled sometime red sometimes brown heavy and light and also discharge and small clotting, I get constant back ache and just feel weak all the time and still getthe butterfly feeling in my tummy is this normal ### REPLY: Hi, Thanks for the query. I understand your issue. Bleeding after copper T is common and is usually in the form of heavy bleeding during periods. White discharge is also common. Continuous heavy discharge may occur in some women, but it needs to be investigated to rule out other causes. Also, backache and heavy discharge indicate an infection. I suggest that you get a gynecologic examination done and also check to see if the copper T is in place. If it is an infection, it will get treated by antibiotics. Hope this satisfies your query. Thanks for using . Feel free to ask any more questions that you may have.  BagdeConsultant Obstetrician and Gynecologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 44 yr old Male, has smoked in the past,has a 4cm x 3.5 cm lesion on one lung with excessive sweating, loss of weight, coughing up blood, stabbing pain in the chest and back on one side only with general weakness.blood work showed slightly elevated white blood cells ### REPLY: Thanks for your question on . I can understand your concern. You are having mass like lesion on lung, sweating, hemoptysis (blood in sputum), chest pain, and you are past smoker, so possibility of either lung infection (pneumonia) or lung cancer is more. Slightly elevated total white cell count is seen with both, pneumonia and lung cancer. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. CT thorax 3. Sputum examination for tuberculosis 4. Bronchoscopy and BAD analysis. All these reports are needed to confirm the diagnosis of pneumonia and lung cancer. Treatment of both This is different. So better to first diagnose yourself and then start appropriate treatment. 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: the soles of my feet and palms have burning sensation. My palms lately have been getting red. My skin has been sensitive for a long time. I have itches that are very uncomfortable. I use lots of cetaphil cream which helps but must be reapplied at least twice a day. Do you have a clue to what my problem might be? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have burning and itchy sensations in the feet and palm. Well there can be many reasons for symptoms you mention in query like radiculopathy, cervical spondylosis, herniated disk, mononeuropathy, peripheral neuropathy, central pain syn .  I would suggest you to consult neurologist for proper examination. Doctor may order certain test like block test, nerve conduction test and take history along with physical examination. Doctor may prescribe pain medications or steroid injections or with surgical procedures. For the nerve pain of neuralgia or neuropathy, treatment depends on the cause of the nerve damage, or irritation. Treatments may include painkillers, physical therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have knee pain in my left knee for the past month at night time and when resting my knee during the day. They also crack every time i bend down. Is there something I should be worried about? I m also and active 18 yr old who likes to play sports. ### REPLY: Hello, As you are 18 and facing pain in knee and cracking sounds most times, I think you should try strengthening the muscles of the knee to maintain the joint space.  As the joint space reduces there is friction of the bones leading to inflammation and the pain along with cracking sounds. Also, there might be some calcium and vitamin D deficiency, so having it checked and taking a medical prescription for the same will be of additional benefits. Research studies have shown in recent times most people in there 10-20 years of age are facing difficulty with low calcium and vitamin D levels. With an oral supplement and exercise of the same have some positive results. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i am 39 years old. i am getting treatment for myoclonic jerk for 5 months now. almost about year back my chest, jaw and shoulders used to shake occasionally, and that became a regular feature, but i got to see a neurologist only from march of this year at which point i was told i was suffering from myoclonic jerk. can you please tell me how long does a myoclonic jerk last? ### REPLY: Hi, I have gone through your question and understand your concerns. Myoclonic jerks duration depends on the underlying cause. If an underlying cause is diagnosed (toxic, any medication, metabolic disorder, autoimmune disease, kidney or liver disease) treating the cause should stop myoclonus. In some cases no underlying causes is found, and in such cases, myoclonus could lest indefinitely, or could stop at any time, we don't know for sure. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to ans ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 changed from Microgynon 30 to Loestrin 30, i was given my new pill during my 7day break and i was told that i could carry on taking my new pill after 7 days as normal ... Will I be protected against pregnancy straight away? On the leaflet it said I should have carried on taking my new pill without a break but doesnt say whether I need a second contraceptive if i did not do this ... any information would be great full ### REPLY: Hello, and I hope I can help you today. Microgynon 30 and Holstein 30 are two brands of the exact same kind of pill, meaning that the active ingredients are the same.  It is equivalent to changing from store-brand Ibuprofen tablets to Advil brand... which means that your body is getting the same dose of the hormones of the pill when you start your new pack regardless of which brand you use. Therefore, your new pill is effective immediately as birth control, and you do not need to use a backup method if you start the new brand after a 7-day placebo week. If more than a week has gone by since you finished your old pack, you should start the new pack immediately and use a backup method of birth control for the first 7-10 days if you accidentally ovulated. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 7 month old baby has developed a perfect circle red like bruse spot on her face by her check it looks smooth on the outside but when i touch it it feels hat to warm and like there is a lump under the skin not above. it just poped up befor me eyes. what could this be? ### REPLY: Hello, I can understand your concern. As the skin is red and hot, and you are feeling a lump underneath, it seems that your daughter is having some sort of bacterial infection in the area. There are various possibilities regarding the infection in the area such as tooth abscess in the upper jaw, parotid gland infection, skin infection etc. I would advise you to visit a pediatrician for the physical examination of the area regarding the size, color, texture and exact location. If it is infection, she might have to take a course of antibiotics to combat the infection. I hope this information helps you. Thank you for choosing . I wish your daughter feels better soon. 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: My daughter apparently bruised her backbone while doing summersaults on a hard floor in gym. What can I do to relieve the pain, she acts like she can barely move and says it feels like a "when you have a cavity in your tooth and eat something sweet" when she moves or touches that spot on her back. Could it be more? ### REPLY: Hi, thanks for posting your concern in the . Traumatic back pain may result from simple muscle injury to injury of the spine. As in this case the injury is so bad, I think clinical examination along with imaging are urgently needed. For symptomatic relief application of ice pack, rest and analgesic (paracetamol 10 mg/kg body weight SOS, min 6 hr interval) will be necessary.  Further management will be done after evaluation by your local doctor. My recommendation into visit your local orthopedic surgeon at the earliest. For any further questions please write back to us. Regards.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Iam Muthaiah.R Iam experiencing Mild chest pains and Discomfort,Sometimes pains on left arm and shoulder.I have undergone TMT,ECHO and ECG s(7 to 8 times),but every time it was normal.Doctor suggested me to walk and informed that it may be due to stress. Iam walking 1 hour daily for the last 1 month and still sometimes i feel uneasy and have chest pains which creates a sense of doom on my mind.I have checked with Gastro who took a stool test and confirmed that i dont have any gastric problems,However I still feel the pain and discomfort atleast a day or two in a week. Iam confused and unable to concentrate on my work. I have checked with all specalists like Gastro,General Medicine,Cardio and Nerves,but still couldnt identify the reason for the same. Is it advisable to have a second check with some other cardiologist,Awaiting for your reply. ### REPLY: Thanks for your question on . In my opinion you are having anxiety and apprehension. Since your extensive cardiac Ana Castro work up is normal, so need to worry much for cardiac and other cause. And no need for second opinion. I think you should consult psychiatrist and get done counselling sessions.  Try to find out stressor in your life and start working on its solution. You may need anxiolytic . So avoid stress and tension. Be relax and calm. Consult psychiatrist and discuss your problem. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: since ive been about 7 ive been biting my nails down to stubs and even though it hurts i keep dojng it because it almost feels good (you know?) ive been dojng the same thing with scrathing and poking at my gums until they bleed, or even scratching my skin until i have a rash. Ive told myself that its gross and i hate the fact that i do it but its like an addiction i guess, i do lots of little things like this and they are really unattractive and its unhealthy, why do i keep doing this? ### REPLY: Hello Biting nails, plucking skin and hair are part of impulsive control disorders. Odynophagia or nail-biting is commonly associated with hair pulling and picking skin. In most of the individuals the reason behind these impulses is severe anxiety. I would advise you to consult a Psychiatrist for expert management. Medicines like SSRIs as Fluoxetine, Fluoxetine etc. are very useful in controlling impulses. Behavior therapy by a trained psychologist help in decreasing abnormal behavior and to impart good desired behavior. Get your complete hologram done along with vitamin B12 levels. Low levels are associated with anxiety and consequent impulsive behavior. Hope this helps you, thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi DocA colleague of mine starts smiling all of a sudden while looking on the computer screen , she lose her concentration while doing some work and then start smiling all of a sudden within herself. This phenomenon happens all time when she is working alone and nobody attends her. can you tell me what is this? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Smiling to herself while working and while alone, talking to oneself while alone etc. are part of behavior while engrossed in something engrossing. There is nothing to be alarmed of. You should talk to her and appraise her of the situation and advise her to control such behavior. Awareness and some corrective measures can clear this behavior. But there is nothing wrong with such behavior. 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: Hi, I m a fourteen year old boy who is going through puberty and haven t has Any penis growth at all since birth, I m not fat and have Every sign of puberty as body hair, facial hair, acne and body oddurs, no muscle growth as I ve noticed myself aswell is my penis numb and the only sexual sensation I have is when i ejaculate. I m suspecting low testosterone levels to be the case bit I want to be sure. It might be because of genetics because my mother is asian although my father has a big penis, yes I ve seen it. when he gets out of showers. I don t Knowles how to confront him about that if low testosterone is why. Please answer /A confused teen ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Please understand these type of negative sexual thoughts can only ruin your mental health. Let me assure you, big penis has nothing to do with increased sexual pleasure or female satisfaction. Those can happen only in porn movies. Even a 2-inch-long erect penis can satisfy a woman. Larger penis cannot give more pleasure because, female vagina has pleasure nerve endings within the first two inches. Please don't over burden yourself with anxious thoughts about sexual maturity and concentrate on your education and career. 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: My daughter (8.5 years) is suffering from fever in USG and her liver and spleen is mild enlarged, but maleria parasite test and widal test are negative and in liver function SGPT are 65.  Kindly suggest why the liver and spleen is enlarge and medicines for remove fever. ### REPLY: Hi, There are many causes of liver enlargement and treatment depends on exact cause.  If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are the most common causes and in this case medical evaluation is required. Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly 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: Tony has TBI as of almost 23 years ago from a car accident. The only medication he s on is for grand mal seizures which is Keppra - it doesn t or hasn t stopped them altogether, however, it seems likes it s quite a while since he s had one since he s been drinking Kangen (ionized) water, about a gal or more a day. Also, he s taking a number of vitamins and wants to add a chelated copper supplement -2.5 mg. Is there a problem with this trace mineral and Keppra? Thanks, Roberta ### REPLY: I am glad Tony has done well enough to be on his own after TBI. His taking SEPRA is mandatory, and it seems he has finally found control on his seizures which is a huge battle won. The option of adding a cheated copper supplement is not a good idea as SEPRA is known to alter the metabolism of copper and this could cause issues in the body and lead to fresh onset of seizures. My recommendation would be to avoid changing any balances which has kept him seizure free for some time. Best wishes to him ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 numbness on my legs, fingers, toes. It first happened to my legs. I took vitamin B fusion since 2011 .the numbness increase with sitting down for a period of time. I did blood test. everything is almost fine except a little lower of Vitamin D. ### REPLY: Hi, as you mentioned your symptoms it appears to me as a pinched nerve. For which an MRI will help to see the extent of soft tissue Injury. Also, strengthening the core, pelvic floor and spine muscles will be helpful. Kindly see, if you can learn from a physical therapist how well to perform. Learning the proper way of performing will help.Also, 99% of cases recover with exercise. With the grace of God I Wish you a Speedy recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes please, I had 2 back surgerys within 10 months, I have 1 L vertabry left, last year he did the L 5 4 this time 3 2, Im in my 3rd week the pain is so bad never have been in pain like this, is there any pain med that do not have Tylenol in them I have been on Norco for 9 years 10/325 after all this suffering I will end up with liver failer , I take 2 every 4 hrs. 10 when pain starts 10 hour later of taking meds, no sleep at all laying down kills me, and you say? ### REPLY: Hello, I have studied your case. You may need to do MRI spine with contrast again to see for nerve compression. Due to compression of this nerve root there can be pain associated with it. Previous surgery may lead to early degeneration around operated vertebrae. Another possibility of spinal canal stenosis leading to pain on standing. If your MRI shows disc bulge with nerve compression then re surgery may help. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalamine medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will helpEpidural injection may help till time. 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: I have been extremely sick for 2 almost 3 months now. I had nausea for 3 weeks daily with minor pelvic pain . After 3 weeks I could not keep anything down and started having pelvic pain so I went to my pcp where she ordered blood work, urine tests, & an utrasound. All tests came back normal. When doing the ultrasound and checking my left ovary that felt like where all my pain was coming from it was bigger than my right but my doctor said that it was normal. I was told to wait and see. I went back into my pcp 7 days later my pain was beginning to be unbareable. I was told to wait and see. I went to the emergency room one night after spending 4 days in bed crying in pain and had a contrast ct that again was normal. The Vicodin prescribed did not even come close to helping with my pain. I then thought maybe my mirena iud was the cause (it had been in almost 5 years exactly) and so I went to planned parenthood and had it removed. I waited and 10 days later I felt much worse than before though my dizziness had stopped my pelvic area hurt all over and not just the left side and more areas around my lower stomach. My lower and middle back started hurting. I called my pcp and demanded a referral to an Obgyn . My Obgyn informed me that my insurance will not cover explorative surgery and prescribed me metronidazole and doxycycline hyclate. I am on day 5 and I have been vomiting constantly for months and I still feel worse each day. It s been 29 days since my mirena removal and I have not bled the tiniest bit. The er doctor said it could be endometriosis and after asking my mom I was informed that she and my grandmother both had hysterectomies for endometriosis. I am a divorced single mother with two young children that I am having difficulty taking care of at the moment and I have missed work for over a month now. I need to get better and I don t know what to do now. My Obgyn suggested I go back to my pcp. Is there a good chance that it is endometriosis, i will happily pay out of pocket and go into debt if this could make me okay again... If not what could it be or what should I do next? ### REPLY: Hi there, thanks for posing you quarry. There is the possibility the you are truly suffering from endometriosis owing to the pelvic pain and family history. Endometriosis is the proliferation and functioning of endometrial tissue outside the uterine cavity, the frequent sites being the ovary, broad ligament, Douglas etc. However, i thick you should still go for STI screening (chlamydia, cytoplasm, urea plasma etc.) and proper treatment if need be. Am always at your service... good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I went and seen a dr. today about lumps in my breast! I had a mammogram and ultrasound back in June of 2012 and it says multiple masses in the right and left breast with the largest one being 4 cm in size likely representing fibroadenosis plus bilateral masses seen largest is 3 cm...is this something to be concerned with as it could be cancerous??? ### REPLY: Hi and welcome to . Thank you for your quarry. No, there is a minor possibility that this is cancerous. This is typical finding of fibroadenomas. Such enlarged cancers would cause much more intensive symptoms. Usually ultrasound can evaluate with high sensitivity is this malignant. If you want to be sure, biopsy can be performed but i don't think this is necessary. Just do frequent follow-ups and everything will be fine.Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my friend was told that he has an irregular heart rate 39-40bpm.and that he is lucky that he wake up in the morning.and that he needs a pacemaker to be put in.and for him to go to emergency room.but my friend didnt.what is going to happen to this person if he doesnt soon get the pacemaker in? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of heart block is more in your friends case. It is conduction defect in heart when impulses are regularly conducted. So heart is not beating properly and hence blood circulation in the body is also not proper. pacemaker insertion is must for him. If he is not willing for pacemaker, he may develop brain damage (paralysis) due to decreased blood supply to brain. Sudden stoppage of heart is also seen due to heart block. So sudden cardiac arrest may occur, and it is life-threatening. So convince him for pacemaker insertion. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i got infected with fungal infection on my body big size rings shaped on my stomach, chest and back.and lot of marks if bacteria on my private parts also.presently i am using propizole nf and closip and candid . but it is not doing any great help . plz advice as this is troubling for last 6months ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely due to fungal infection Tina corporal. Clotrimazole won't be effective in all. So I usually advise fluconazole ointment for local application and fluconazole tablet for oral intake in my patients. I also advise ketoconazole soap in those who are having extensive lesions. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am suffering from joint pains and swelling at elbow and finger joints. I was prescribed to take wysolone, dolokindplus, hybocal cc, decdan, in rab. i just would like to know what disease i am suffering. and how does each tablet work? Please help me know. ### REPLY: Hi, What I sense with the history is there is something needs to be checked out with you. Why don't you try getting the blood and urine routine? I can straight say that this symptoms in small joints and elbow can be due to Rheumatoid arthritis but it won't be good until we have a base to make our comment go valid. Also, medicine will be given now by your physician for controlling the pain symptoms. I will still mention the RA is my perception which should not considered as a diagnosis with the brief history you mentioned but having a thorough blood and urine routine should definitely provide some insights to your case. Hope you will take the diagnosis to the next level and arrange a physical examination if needed by an orthopedist or hematologist. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir, My uncle, age 65, is diagnosised with lung cancer . The doctors are saying that now the third stage is over.There is nothing that they could do. Only the option is Chemo / Radiation treatment.He has got less than 1 year. MRI, CT report shows effected areas as lungs only. Not spread in to kidney, liver etc. Can you please help us on this.We want that he may have a less painful end. Awaiting for your valuable reply as soon as possible. ### REPLY: Hi thanks for your questioning the cancer is limited to lung only and has not spread beyond lung, If the cancer is limited to one lung only pneumonectomy(removal of whole lung) is a possibility, otherwise Chemo/Radiotherapy is treatment of choice depending upon the type of cancer he is having. He can live long with the appropriate treatment. There are powerful analgesic(painkiller) which can render his life pain free till he lives. Hope this answers 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: i am 33 yrs old, i had mild fever last week, i tool oflox 200 and sumo for 4 days. after that 2 days was ok. then again mild fever started. i checked cbc , maleria, typhoid etc, everything is negative? doctor has just prescribed an antibiotic for 5 days toxim-o, paracetamol and vitamin tablets for 5 days. if the symtoms do not go, he will investigate further. what may be the reason? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern.Sometimes unknown viral infection can cause low grade fever. In these cases all the tests for malaria, typhoid and others comes negative. In these cases the prevention of further bacterial infection is important tool. I advise you should continue the medication prescribed by the doctor. And leave the worry because such infections are cured with in a week period. In mean time please adopt healthy living habit which consist of eating healthy foods like fruits, green leafy vegetables. Please avoid more oily spicy foods. Start doing early morning exercise and yoga. This will help you this time and also in the future. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hemoglobin count has gradually decreased, it was @ 10 in 2013 and 7.7 recently. I feel fine though. The only symptom I have is my heart races more than expected after running up stairs, running, or similar. I m thinking it s more towards blood loss in stool versus menstruation. Is it possible this is due to stress? I do have a hectic schedule and much to deal with. ### REPLY: Hi I do care for your concern. The anemia level that you have mentioned is low and needs medical intervention. It's advisable to take iron and folic acid tablet regularly until HE level increases.  Have a balanced diet with more green leafy vegetables. Regarding increased heart rate The oxygen carrying capacity is low because of low hemoglobin count. When demand for oxygen increase i.e. during stress the heart pumps more blood to meet the demand. Hence increased heart rate. Regarding blood loss It is advisable to consult a surgeon to rule out cause of lower GIT bleeding as this is important part of management. Hope I have answered your question, if you have more feel free to ask. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got hit with a golf ball today on the 8th hole in the calf and it s pretty sore and swollen. The only discoloration is where the ball made impact. It s only sore on the inside part of the calf. No spreading of the bruise. I am able to walk pretty normal and finished the round of golf. I walked the course when I played. Should I be concerned with blood clots. ### REPLY: Hi.thank you for providing a brief history of you. I don't think it will be a serious matter. But getting self assessed by a physician and taking a US of calf or Doppler of lower limb veins will always help to come closer to a diagnosis. Also see that you don't walk more or compress the area as well. If you find that swelling and Redness is not coming down than taking advice from a physician is not a bad option. With Gods grace I wish you a speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my dad is suffering from a very bad throat he has been suffering from this for 6 weeks and has gotten worst. He smokes 40 cigs a day. He went for an apt with doc today they have sent him for xray will that show up cancer if he has it and I have read all the symptoms about throat cancer and he has 2 or 3 of them ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Cigarette smoking is a cause of upper respiratory tract cancer.  He may have cancer or some other pathology.  He should go for ct scan of thorax.  It will give you exact diagnosis about cause. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 40yrs old,i have been losing microscopic blood in my urine for 4yrs now,it is getting so bad i can see it now when i urinate, 2 years ago i had the scope ran thru my kidneys and bladder, he could see the blood but just told me to keep a eye on it ,i have constant lower abdominal pain, and sharp pain when i urniate,i am only 5ft1 and weigh 115 lbs, i can go all day without having to urinate, but then when i go i cant hardly make it, ### REPLY: Hi ! Good morning. I am  answering your query. In my opinion, you should consult a nephrologist in your area, who after examining you clinically, might advise you some investigations like a complete blood count, ESR, kidney function test, blood sugar, and a urine routine and microscopic examination with a culture sensitivity test. He might also suggest you for an ultrasound of the kidney/ureter/bladder/prostate, and a CT scan of abdomen if need be. All further management would depend on the results of the clinical examination and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in planning your treatment. Thanks for using the  forum for your query on health. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, My father is 72 years old.He has diabetes for last 12 years.For last 4 years he is taking medicine.Earlier he was on diet control.Blood sugar had remained normal.Also he has asthma for last 25 years.Earlier it was severe but from last 15 years or more he is taking bricanyl syrup.Also he was taking TR phyllin which he is not taking now.20 days ago he took the diabetes medicine(Diapride plus) but did not take any food upto 12 Noon and was on tour.He could not  talk for some time. Immediately some sugar syrup(Syrup of local made sweets,rossogolla)  was given to him.He had high fever and admitted to hospital & paracetamol injection was given.Also he had memory loss.We consulted doctor and due to high fever malaria course was given.But temperature was around 101  Fahrenheit.Dengue test was conducted and antigen positve & antibody positive (One of two) was found.He was treated.The platllete count was around 99 thousand.After treatment he was discharged from hospital having Plt count 198 thousand.He had given one fresh full blood. After getting dicharged from hospital on 3-09-11 he had memory loss continued.So a neurologist was consulted .He advised for CT scan.He report indicated he had mild diffuse cerebral atrophy.For last six months or so he was having some memory loss but not so high.What will be the treatment for my father and how to minimize the effect. ### REPLY: Cerebral atrophy is an imaging finding and not a diagnosis and doesn't correlate well with any specific problems such as memory dysfunction.  As people age certain types of memory dysfunction are considering normal and whether a specific person progresses to dysfunction depends on his other medical problems that affect the brain and what his/her natural predisposition to memory problems such as Alzheimer's disease.  The treatments as of today consist of controlling comorbidities and mental exercises ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had an EKG, blood test and an X-ray.  Everything was negative.  I am still having fullness in the chest that is not relieved by anything.  I take an aspirin when I feel it is not going away.  I would like to know what is wrong with me.  I recently went to the Dentist, before the tests I took.  I always take amoxicillin (4) before anything is done.  They also gave me medicine before they pulled my teeth because they said I had an infection.  What do you think is the problem I am having?  This fullness on my chest is bothering me. ### REPLY: Thanks for your question on . I can understand your concern.First, no need to worry about major diseases as your all reports are normal. Amoxicillin and aspirin can cause gastritis and this can cause Heaviness and fullness in chest. So take pantoprazole tablet on empty stomach twice daily. Stop amoxicillin and aspirin. Avoid hot and spicy food. Go for walking after meals.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END