Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello,i had all four of my wisdom teeth taken out 6 days ago. I had normal swelling but there was a very hard knot on my lower left jaw. A few days passed and i finally went back to see if i was healing properly. They said everything was fine and my stitches on the right side were already out. My right side was healing fine. They said i had a hematoma on my left side (the hard knot i referred to earlier).  He put me on a stronger antibiotic (blue in color) and sent me on my way. Today i got a really nasty taste in my mouth. It was coming from my left side. When i went to the bathroom and spit there was brown, very foul smelling discharge. i rinsed with warm salt water and took a pain killer but i still taste it. what could this be? please help...thank you. ### REPLY: Hi there thanks for asking your queryextractin of wisdom tooth is followed by some complications like pain, swelling,discomfort and irritation these complications resides within 7-10days if post-operative instructions are followed carefully according o the history provided the hematoma formed at extraction site indicates the formation of abnormal blood clot which is infected and pus is discharging from it will suggest you to take augmenting 625 mg thrice a day plus metronidazole 400 mg for seven days along with maintain very good oral hygiene gargle with saline water thrice a day avoid hot food and beverages avoid smoking brush after every meal hope this will help 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: heloo sirare u therepresent month i am trying ti follicular test and i am alsi take a medicine B-Long- F, i am doing all steps as per suggest by my dr. but still i am not pregenent  why my all test positive also my husbend - simen test  plz suggest me help me Dr. plz my mail id - sharma.  YYYY@YYYY ### REPLY: Hi, only b long f tablet will not help. You have to take medicines for growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm , take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 cycles. Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What are the signs of mold positioning? I ve Bern cleaning the basement, it had Bern flooded many times, even though have not touched the installation that I d in the ceiling, I can see black mold on the paper covering,. I woke up today nauseated, dizzy and just font feel good. Breathing is no different, have issues normally. What can I take? Or will this pass? ### REPLY: Hello, Welcome to . Mold causes wheezing, irritation, cough, redness of eyes, sometimes asthma or fever and also pneumonia. Toxic molds cause bleeding, internal organs damage, mental impairment, cancer and even death in some instances. Skin and blood test are available for identify molds. Elisa test can be used. Avoid the mold by removal and cleaning. Take anti-allergic and antifungal . 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: Is a fever of 102 with the accompanying body aches and severe neck pain anything to worry about in a 20 year old girl? The fever and neck pain are in their second day. Symptoms started three days ago with sinus pain and headache, although I m not sure this is related. ### REPLY: HIT hanks for posting your query to .  There is nothing to be worried about, but you do need to consult a doctor.  Your symptoms indicate you are having an Infection. Infection could be due to Bacteria or virus. You require certain test to know what has caused infection in you.  I advise you to get the following test done and revert. Complete Hologram, IGM Ty phi Dot, Dengue Profile, GOT, SEPT, Urine Routine.  Till then, you can take Paracetamol tablets. Also, .  Hope this information was useful to you. Any clarifications feel free to ask. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I dont know what to do. Ive been in a funk lately. I started getting 4 to 5 hours of sleep a night because of school. Normally if I do that every few days, I can cope just fine, but lately it is taking a toll on me. Now when I actually have time to sleep, my body just wakes me up whenever it feels like it. I feel emptier than usual. Im normally always happy, always motivated, but I feel like something is missing. I want to get back to where I once was, but I dont know how. And I really want to stay away from sleep medication, for I fear it will only mess me up more. What do I do? ### REPLY: Hello and welcome to . Thanks for your query. I understand that you have been going through a difficult time due to your recent problems. The symptoms that you have described such as sleep disturbance, feeling empty, low motivation could be symptoms of stress or depression. Since you seem to be quite distressed by these problems, I would suggest that you seek professional help. I would advise you to see a psychiatrist for a detailed evaluation and psychological assessment. Effective help is available in the form of medication or counselling to help you overcome your problems. So, please don't hesitate to seek professional help. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: can a tremor be present with bfs? I have a tremor in my right calf and also many pin prick sensations,electrical sensations, have been tested for everything, even spinal tap, all negative. I am worried about Parkinsons, but this has been going on for 5 years with no progression. ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that Parkinson disease doesn't seem to be related to your symptoms. Parkinson disease usually starts with symptomatology in the upper limbs and in such a long time it would certainly have an obvious progression. Your symptoms seem to be related to a pinched nerve or a damaged nerve. I would like to know what kind of tests have you performed besides the spinal tap. I recommend performing a nerve conduction study and electromyography of the lower limbs. Further, blood lab tests may be needed, depending on the above test results. Hope to have been 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: Hi , This is Naga  age 29. I have cold for almost 15 days and my left nostril is continously blocked.  I cant breathe easily when i am in A/C. I have a sore throat  as well. From childhood , i am immune to cold.  I stay away from cool drinks, ice creams as i get effected with cold immediately. ### REPLY: Hello! You seem to have Allergic rhinitis with respiratory tract (throat) infection. I would suggest you take a short course of Tab. Monte LC, an antibiotic either Tab. Amoxyclav or Tab. Azithromycin, Tab. Pantoprazole.  Use Sudanese A nasal spray. Do gargle with Betadine gargle solution four times daily and do regular warm saline gargle.  .  Keep away from cold and dust. Hope this helps.  Do  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am a 37 year old female and i was diagnosed with fluid around the heart and at first i was told i also had an enlarged heart which i was last told i did not have but i do have fluid around the heart i am tired at all times i get breathless all the time. what i would like to know is what precautions to take and should there be a change in my diet what i should be doing and not doing. thank you ### REPLY: Hither are many reasons why fluid can build up around the heart, a condition that is medically known as pericardial effusion. It is often associated with pericarditis, which is an inflammation of the pericardium, a double-layered membrane sac that surrounds the heart and protects it. Breatlessness is because due to the fluid outside your heart is not filling properly causing regurgitation of blood back into the lung causing breathlessness. Most cases of pericarditis can be successfully treated with non-steroidal anti-inflammatory .  NSAIDs work by reducing the inflammation of the pericardium, and also relieve the chest pain. Ibuprofen is the preferred choice of NSAID., don't take too much water, try to rest , change in diet will not help advice get a 2d echo done ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there my 3 1/2 yr old son woke up with the horrible cough almost sound like a bark. He spit out some phlegm a couple of time all in the midst of cryin and shaking.. However once i calmed him down he began shivering like crazy. His hands,feet and body were ice cold.. But his forehead was norma. Right inbetween. I cant figure out if he has no fever why the intense shivering and what about the barking couch ### REPLY: The shivering and cold feet and hands are all indicates fever even if his forehead seems normal, try to take a rectal or ear temperature if possible, and it will be high.fever and barking cough are signs of upper respiratory tract infection, caused by viral infection, which is self limited disease and will ends by it own.control the fever, keep him HY . If you notice any strider: high-pitched sound when your son inspire, or you feel he is having difficulty breathing you need to take him to his doctor to assess him and measure his oxygen level, because some of these viruses can obstruct the airways and cause them to spasm. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: few years(2 years) ago i was suffered from ocd .i took few medicine which was prescribed by cyacratist.along with some counceeling by one pchohologist, after that i was cured but now i am in relation with my girl friend, with her my faith becoming gratually decreases, i can feel she is telling me truth but i cant make myself to beleive her. which is very paniking problem to me. i dont want to lose my love but with this kind of mind i cant make it.please help all bad thinking are coming in my mind which i dont want but it coming. few years(2 years) ago i was suffered from ocd.i took few medicine which was prescribed by cyacratist.along with some counceeling by one pchohologist, after that i was cured but now i am in relation with my girl friend, with her my faith becoming gratually decreases, i can feel she is telling me truth but i cant make myself to beleive her. which is very paniking problem to me. i dont want to lose my love but with this kind of mind i cant make it.please help all bad thinking are coming in my mind which i dont want but it coming. ### REPLY: Hi push, Welcome to  .com If it is true that u was suffering from OCD, then It's important to know that - "cured" was it declared by You’re doctor ? Is going on medicine was stopped by yourself or on advise of Your doctor OCD is long-standing illness and usually said that it is controllable but not curable. So having bad unwanted thoughts indicates that there could be chance that u again developing OCD symptoms But this can be controllable if u take help of Your Psychiatrist and Psychologist immediately doing so and also if possible taking Your girlfriend with u to psychiatrist and knowing what u doing is not intentional but possibly due to Your illness which can be controllable, will help u to increase her faith in u. So pls visit You’re psychiatrist immediately. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, my father had ultrasound last week. Here are the findings: cyst located superior pole right 7.5 x 6.1mm, other cortical cyst right located upper and middle third 9.8 x 6.9mm and 12 x 10 mm, septated cyst interpolar region left kidney 17 x 13.7mm. Right kidney 10.6 x 3.4 cm, left kidney 11.3 x 4.8 cm. Renal cortices normal in thickness. new cyst upper pole left 12 x 11mm is seen. IMPRESSION: Bilateral cortical cysts . Is this harmful? What is our intervention for this? ### REPLY: Hi, Your father could be having acquired cystic kidney disease which develops as one ages. Or they may be due to Familial cystic kidney disease (AD PKD) in case if there is history of cystic kidney disease in family. In either of the cases do some basic investigations like urine routine, serum creatinine. Just control of Hypertension, prevention of urinary stone formation and urinary infection by . Familial members need to be screened by sonography for kidney cysts. Anyway consult your Doctor for detailed evaluation and Treatment. Take Care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I had a ultrasound done and pending the results. The dr. seems to think it s gallbladder stones due to the pains and swollen abdomen. The person performing the ultrasound saw my liver fatty . What do you think this could be? I ve not been able to work for about 5 days... I am always VERY tired.. I sleep and sleep and wake up and want to sleep more. Thanks. ### REPLY: Hello, Welcome to . It is now very easy and will helpful in prevention and treatment of fatty liver. Do regular exercise and yoga with meditation. Make exercise schedule fix. Minimum 1 hour brisk walking is necessary. Take fresh fruits and green veg more. . Also take protein rich diet, beans etc. Strictly avoid spicy and oily diet. Avoid fast foods including bread, jam, pow etc. Also take help from nutritional specialist. Hope these all will be helpful to you. Thanks for contacting us. Take care... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can you have fever, aches, chills, extreme tiredness, sore throat and severe head ache after ripping a moldy and mouse infested floor out of a old house? I had this problem but either tamiflu or ampicillin knocked it out in 2 days. I had symptoms for 24 hours and one night. ### REPLY: It is possible there are three types of 1. Plague bubonic that is because of the bite of infected flea, there is a formation of bubo femoral, inguinal and axillary .2. Septicetion plague often present with GI symptoms, DIC, incubation period 2-7 3. Pneumonic plague : incubation period 1-3, primary pneumonia - cyanosis is very prominent, with bloody mucous sputum, secondary pneumonia : diffuse interstitial pneumonia, less infectious.  . I hope this helps. I also feel you should visit respiratory medicine specialist and start the treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 24 year old male and I feel many times really tired and have no energy and just want to lay down and I feel a heavy heartbeat and I just feel not myself and absolute no energy, I been feelin like this for 5 years on and off and I was 18 I got sick with mono and I feel like since then I havent been the same, I fear I have an illness because heart disease and cancer runs in my family, I also have a lot of anxiety. I also have a lump by my hip and a lump on my front left side of stomach and it hurts when I push the lump. I am really nervous I fear there is somthing really wrong with me because I get soo tired for no reason even with any amount of sleep. Can you please help meuery here... ### REPLY: Hi, based on your history, it seems most of your symptoms are due to anxiety. There are medications available to control anxiety and I usually prescribe beta blockers to young, anxious patients like you who visit my clinic. You should also visit your physician for a routine check up and get the investigations like CBC, ECG, and Echocardiography done. Now, coming on to the lump, you must visit a surgeon for further evaluation. You may be advised to get FNAC or biopsy done for the lump or as suggested by the surgeon. As far as fatigue is concerned, eat well and follow a good lifestyle. You can consult me after you get the test results or in case of any other 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 a severe pain in my left temple. It feels like a headache, but its the worst Ive ever felt. Its almost completely isolated to my left temple. I start to sweat when it hurts the worst. Its been happening for about 3 days now. What could this be? ### REPLY: His understand your concern. You need to investigate yourself for differential diagnosis. If it is associated with blurring of vision/difficulty in walking/giddiness/nausea and vomiting etc. then go for investigation.1st thing is required is funds examination. It will show any papilloma that suggest raise in interracial tension. MRI brain will helpful to rule out any pressure producing lesion or space occupying lesions. Analgesic like paracetamol help to reduce pain. If all report come normal then we have to think about migraine associated with tension type headache. But go for reports 1st then consult neurologist if you required. Still have query then feel free to ask. Thank you. 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 Mam, i had the problem of foul odor from my menstrual flow, lower abdominal pain , and also right iliac fossa pain i have been given cap doxy and flagyl and inj placentres for 10 days. my ulatra sound pelvis is normal execp for two 3mm calculi in both kidneys. does inj placentrex has any side effects? i have taken 2 doses of inj. placentrex. i am having slight swelling of face and legs. is it the side effect of any drug? i have also been prescribed syrup evecare of Himalaya. ### REPLY: HelloThanks for your query. Based on the facts that you have posted it appears that you have fall smelling discharge during your periods. The foul smelling discharge is most likely to be due to pelvic infection and inflammation. The pain in abdomen is likely to be due to urinary stones and not due to side effect of Placenta. The swelling of the face and legs indicates kidney problem. You need to consult qualified Nephrologist to assess kidney function and to rule out infection. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.In the meanwhile take broad spectrum antibiotics along with anti-inflammatory medication like Diclofenac twice daily. Ensure to . To keep your urine dilute  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir, I am Gopal, we are trying to have a child since 5 five years. My wife side everything looks normal(other than one cyst with size 2.6 X 2.6 in L.t overy. Last month we have done one cycle of IUI , but failed. Again this month RE asked us to come on 14th day of cycle. that day my wife had two eggs with (2.6X2.5 and 1.9X1.8) in Rt. overy and two eggs with (1.8 X 1.6 and 1.7 X 1.6) in Lt. overy. RE given injection for egg(s) rupture and asked us to have normal intercourse on next day(15th day) and come for IUI on 16th day. We had two times normail IC on 15th day. On 16th day scanning before IUI shows 2 eggs in Lt.overy and 1 egg in Rt overy already ruptured. They have done IUI. IUI seman sample was 20 millions, 50% SM, PC- Plenty. Since one more egg rupture was pending after IUI we had sex for two days and each day twice. Can you please clarify me how is my SA report looks, is motality & morphology ok? if not how to improve motality. Can we expect conceiving in this cycle. Also for some pooja(prayer), after IUI my wife had fasting for 1 day morning to evening. does it effect IUI. MY AGE: 32 Y MY WIFE AGE: 34 Y I had left vericocelctomy in 4 years back. My SA report ============ PHYSICAL CHARACTERISTICS 1. LIQUIFICATION TIME : 50 Minutes 2. COLOR : WHITISH GREY 3. VISCOSITY: NORMAL 4. VOLUME : 1.9 ML 5. REACTION: ALKALINE MICROSCOPIC CHARACTERISTICS 1. SPERM CONCENTRATION : 20 MILLINONS/ML 2.FAST FORWARD : - 3.MODERATE : 10% 4.SLUGGISH : 50% 5.NON-MOTILE : 40% MORPHOLOGY 1. NORMAL : 64% 2. AMORPHOUS HEAD : 04% 3. PIN HEAD : 04% 4. ROUND HEAD: -- 5. GIANT HEAD : 04% 6. DOUBLE HEAD: -- 7. NECK DEFECT : 08% 8. TAIL DEFECT : 12% 9. DOUBLE TAIL: 04% 10. NO OF PUS CELLS: 2-3 /HPF 11. NO. OF EPITHELIAL CELLS : 1-2 /HPF IMPRESSION: ASTHENOZOOSPERMIA ============ ### REPLY: Hi Goal, Chances of conception in one cycle of GUI with multimolecular ovulation after 5 years of infertility are around 20%. Your semen analysis appears fine. Fasting has no effect on success or failure of GUI. You can safely try around 4 cycles of super ovulation with GUI for maximizing chance of pregnancy. After 4 cycles, if you don't conceive, chance of success in GUI decreases & better to go for IVF. As there are good chances of conception in this cycle don't think of future & relax. That might help. 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 partner is 67 yrs old with old... he has had 2 stints in his heart with the last one being in March of 2016. 1st one 16 years earlier. Every since the stint was put in (the last one) he has not felt up to par at all. Multiple check ups & scans with all tests fine. He labors in his breathing & is on oxygen occasionally with the setting on 2/12-3 so he doesn t need it all the time. Just trying to give you some sort of picture but he s been experienceing irrattic heart beats. Pulse is every where from the 60 s to 110 in a minute.. taking his pulse is a slow normal beat then so fast you can t hardly keep track of the count then back to regular beats. He takes his meds... plavic, aspirin etc. I feel we need to go back to the heart hospital which we prob. Will but in the mean time don t know what to do for him ### REPLY: Hi Thereafter going through your query I understand your concern. I would like to tell you that according to your provided information your partner has developed on and off palpitations with breathlessness that can be due to heart arrhythmic disorder which needs to be evaluated to avoid life-threatening Arrhythmias and for proper management. Kindly get an ECG and Echocardiography done and consult with your Cardiologist for further management. Hope to have been helpful. Kind Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, all around my head i feel heavy, my neck, got pain in my wrigth hand and leg as well. most of the time got pain and sometime heavey top left side of my head and feel like i`m falling on one side. before one week i had very painfull in my head, i couldn`t go to my work. THANK YOU VERY MATCH, I DONT GOT CREDIT CARD ### REPLY: Hello, As you have symptoms of pain first thing to advice is to use the cervical soft collar then rest and hot water fermentation. Due to headaches there might be symptoms and needs a proper neurological assessment. An MRI brain and cervical spine are needed to comment more on the present symptoms. In most cases, there are no major pathologies but to rule out is always guided. Arrange a physical meet-up with a neurologist, so he can assess and guide you better. 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: my heart or chest starts to to palpatate and I get dizzy and light headed. This will happen during a normal conversation and sometimes I have to stop talking or I feel like I will pass out. This started about 2 months ago but went away for a while. Over the last week it has been happening again. Even when I am just sitting around it happens from time to time. I am 51 years old and although over weight I am pretty active. This is driving me nuts ### REPLY: HelloThanks for posting at . Your symptoms do need evaluation. Please do an ECG during the time of the palpitations. I would also recommend a 2 D echo to see the functioning a structure of the heart walls and valves and hence evaluate for a cardiac cause of your symptoms. Another cause of your symptoms can be thyroid abnormalities. Please get a thyroid function tests done. Please get It D and It B12 levels also checked with the above. Kindly revert with the above tests.  Wishing you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ache all over and have a weakness in my legs when I walk. It feels like they are going to buckle on me sometimes when I walk. This is a new condition over the last couple of weeks. Advil helps, but the conditions comes back when I don t take it. I am on no other medicine ### REPLY: Hi, thank you for providing the brief history of you. As you feel that there is no motor control that it could be a nerve trapping in its course. As the nerve has the dual functions of motor control and sensory. So any entrapment of the nerve will lead to such Buckling of the knee while gait cycle. Also, performing exercises under physical therapy should provide you better control of legs. Working out behind the core and the lower limbs should provide maximum control. Also, in my clinical practice such patients are common and with physical therapy they respond well. RegardsJay 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: It feels like I have an air pocket in my lung on the right side of my chest. When I swallow air to try and release it I feel it there but it will not release. This has been happening for a few years now and it seems to be getting worse. What could this be? ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you may have bull or bless in lung. They are air filled structures in lung parenchymal. So you should consult pulmonologist and get done1. CT thorax2. PUT (pulmonary function test)CT thorax will be needed to know whether bull or blew present or not.PFT will be needed to rule out bronchitis present or not due to bull and bless. So consult pulmonologist and discuss all these. If both are normal then no need to worry much. You may have anxiety only. So avoid stress and tension. Be relax and calm. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 to the er last night because I was feeling like I had a bad uti and had alot of blood in my urine, they did a cat scan, blood test, and urine test and said it all came back normal and the dr said he is not sure what is going on, he thinks maybe I passed some kidney stones but refered me to a urologist, today the bleeding is gone but I still have a mild burning feeling when I pee and also notice a slight throbbing twitching pain in the lower right side of my stomch (like ovary bladder area)?!? Just really worrying ### REPLY: Hello, thank you for asking this question, your problem seem to be related with a kidney infection. Kidney infection (pyelonephritis) is a specific type of urinary tract infection that generally begins in your urethra or bladder and travels up into your kidneys.  Signs and symptoms of a kidney infection may include: Fever Back, side (flank) or groin pain Abdominal pain Frequent urination Strong, persistent urge to urinate Burning sensation or pain when urinating Pus or blood in your urine (hematuria) Antibiotics will usually clear the infection. An antibiotic is usually prescribed straightaway if a kidney infection is suspected, even before the result of the urine test is known. Some germs (bacteria) are resistant to some antibiotics. Therefore, sometimes a change of antibiotic may be needed if the urine test shows a bacterium which is resistant to the initial antibiotic. The course of antibiotics is for 7-14 days, depending on which one is used.  Painkillers such as paracetamol can ease pain and reduce a high temperature (fever). Stronger painkillers may be needed if the pain is more severe. Non-steroidal anti-inflammatory painkillers such as ibuprofen are not usually recommended, as they may cause an increased risk of problems with the working of the kidney during a kidney infection.  Lots of fluid should be taken to prevent deny . I strongly suggest for a repeat to the urine test, and a culture of it. Kind regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi for a couple of weeks I feel that my gland on my right side is swallon and feels tight. Also inside my lower mouth on the right side i feel soreness but no pain. I have pressure on my right side of the head but no pain. No fever. I have not had a cold or sinus infections in months. I am a smoker and concerned. I m not sure if it could be. Should I wait it out with home remedies or see a family practicioner, or an ENT. Should I first be looked by a dentist to make sure it s not from any dental issues? Just not sure what step to follow and this is kinda scary since cancer is the new killing machine..thank you ### REPLY: HI DEAR gland on right side of your neck are swollen and tender, and you feel soreness inside your mouth, dear this can be an op thous ulcer inside your mouth which is infected and has resulted in enlargement of lymph node on right side of you neck, you can apply local analgesic and antiseptic agent to the ulcer and also take a course of antibiotic, you can consult an ENT surgeon or dentist, to decide whether this is a cancer or not, which can be decided by biopsy of the ulcer.however thee are less chance for it to be a cancer ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29 years old .in february i have missed abortion .now i was tring to get cocive but not succied .doctor suggest me tohsg test . in hsg test both fallopian tubes show irregular filling .nofree inttraoeritoneal spill .bilateral capillaey venous intravasation present. is there is any chance to get pregnent by natural way . ### REPLY: Hello am happy to answer your querying(Hysterosalpingogram) is usually done to check the patency of Fallopian tubes. If any problem in the tubes is noticed in HSG, the best practice will be to confirm the patency of tubes by doing a diagnostic Laparoscopy. In this procedure we can have a direct visualization of tubes and also try to unblock it if at all there is any problem. I hope I answered your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small bump on my top outer ear (helix?) where it connects to my head. Its hard like a cyst & theres a small pin prick hole on top of the bump. When I squeezed it, a white toothpaste-like substance came out of the hole (It almost looked like a worm, GROSS, until I touched it & it was more like paste). Is this a common ear pimple or is it some critters burrow? Thanks! ### REPLY: Welcome to . 1. It looks like a common ear pimple as you said, which h just needs monitoring.2. Do not disturb the lesson / lump as you will complicate in that way and delay in healing.3. The other possibility will be hair follicle infection which will be seen as similar way.4. At this point no medication or medical help is needed.5. Maintain local hygiene and clean the area with antiseptic liquid and do not disturb things will get better. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a pain in my chest area almost feels like a cracked rib. it hurts to sneeze or cough. i have dizzy spells and my anxiety is acting up more and recently i been getting a burning in my throat when i eat. what do you think about these symptoms, any idea what it could be? ### REPLY: Hello dear, The symptoms as mentioned by you suggest that you might be having Castro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Management consists of:1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.3. Medical management-Proton pump inhibitors like Omeprazole, Lansoprazole, etc. (which prevent acid formation in stomach)An endoscopy will be helpful to rule out any abnormality in the gastrointestinal tract. Based upon that, appropriate management steps could be taken. There is no need to worry, you will be fine. Wish you a good health & speedy recovery. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was was stretching my legs and suddenly my right calf was in a lot of pain and my foot would not move back to normal position, like i was stuck that way. I felt the back of my calf and there was a large lump. After about 5 minutes, I was able to return my foot to normal position and the lump went away. I am still experiencing pain and slight difficulty in walking. What happened? ### REPLY: Hello, You said you were stretching your legs, but why and when? I mean after doing exercise or before exercise? Or you had pain, that's why you were stretching your leg? During stretching if you had overstretched your muscles they get soreness and that causes pain. This pain will last up to maybe 3 to 5 days. And if you have severe pain you can do icing to that muscle for 10 minutes, which will help in reducing pain and early recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father had a stroke 3 weeks ago. The MRI showed the stroke as well as a neoplasm brain mass. We were told the only way to find out what type of tumor it is, is to have a brain tissue sample. We have also been told by other doctors that it is caner. If it requires a tissue sample, how can they say it s cancerous? Are neoplasms normally cancer? ### REPLY: HIA neoplasm is an abnormal new growth of cells. The cells in a neoplasm usually grow more rapidly than normal cells and will continue to grow if not treated. As they grow, neoplasms can impinge upon and damage adjacent structures. The term neoplasm can refer to benign usually curable or malignant (cancerous) growths. That is why a tissue sample is needed to see if it is cancerous or not. 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: Dear Dr. Prasad,I t is a privilege to be able to reach a Super Specialist like you and I thank ChatDoctor  for it.We have a 3 generation history of PSORISIS. My grandfather had it mildly all over, my father, very severe and in big patches on his lower legs, arms, trunk and face apart from the scalp. He used to scratch till blood oozed out.I had Psorises, all over me suddenly in span of a couple of months, starting from a small patch on the outside of the elbow. We used a emuslion made from COCONUT SHELLS, I dont remember about it. It used to flareup every 2 or 3 years an random season. Never took any medication, but applied plenty of White Grease, and a solution of Solid Tar (The ONE USED for making Roads in the seventies with BENZENE.My father prohibited me from touching any patch.I used to clench my fist so tight that my nails dug into the palms and only applied the above medications. I ensured that I never have upset stomach--loose motion or constipation, drink 2 or3 liters of water, plenty of liver in diet apart from fish and chicken, and curd. Consequently in time, the itchy sensation  subsided and I came at peace with myself.The flaring up of Psorises was random and not linked with any season, The quoting of grease made summers difficult as I had a field job travelling 20 days plus, in a month. Exposure to sun and dust worsened the situation.Then in earsy ninetees Psorises took pity on me, or let us say I learnt to live with it and round then I came in touch with a Homeopath. He gave me PSORANIUM 200 for six months 4 times a day, and NUX VOMICA30 for one month every night initially in tandom. Then came MEZROL in 100,000 Potency, 4 timesa day, for about 6 months and weekly since then,No trace of Psorises now,except on my hairline on theforehead and at the back of my ears at the back. But that goes when I put MALAI from milk. MY BP remails, with odd exceptions as 120/80, Fasting Glucose at about 80/90, Chlostrol at about 150, homoglobin at about 14/16, and pulse at about 70 normally except when it slows down to about 60 after 15 minutes of Meditation and remains so for ablut 3 or 4 hours after it. HOW, IF AT ALL CAN I GET A CLEAR FOREHEAD AND STOP HAIR LOSS. LOSING ABOUT 12/20 EVERYDAY.Would be most obliged if you suggest some treatment. I havenot taken any allopatChatDoctoredicine for about 30 or 35 years, and feel I am allergic to Anti boitics. I AM 70 YEARS, 70 INCHES, 70 KG AND CLIMB UP 80 STEPS ABOUT 3 OR 4 TIMES EVERY DAY, AVOIDING LIFT AND DETEST WALKING ALL MY LIFE. THE STEPS I HAVE STARTED CLIMBING ABOUT 10 YEARS AGO WHEN I SHIFTED TO THIS 4TH FLOOR FLAT.With this, I rest my case and await your judgement.Regards.AK. SHRIVASTAVA YYYY@YYYY ### REPLY: Hello. Thank you for writing to us at  Psoriasis has a chronic remitting and relapsing course. It may involve only isolated areas like scalp, palms, soles, elbow, knee etc. Or may spread to involve vast segments of the body. Psoriasis is a steroids responsive skin condition. Topical steroids are first line treatments in limited involvement with psoriasis. As your disease has largely remained localized to a limited area on your hairline at the forehead and behind the ear, therefore, I would suggest you to use a topical steroid lotion with or without salicylic acid, twice daily at the scalp skin. You may was the scalp with a coal tar and salicylic acid based shampoo, daily or every alternate days. These together would be good enough for your localized psoriasis. Topical steroid lotions and coal tar based shampoos are prescription products, therefore, I would suggest that you visit a dermatologist in your vicinity for a review of your skin condition and appropriate prescription. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having back pain and abdominal pain(just when pushed on). I went to the doctor he ordered a ct abd and pelvis? the results said "question mesenteric adenopathy. Renal protocal CT imatging with contrast might be useful for further evaluation of the urinary tract system. My doctors nurse said they scheduled me another CT. I guess I am just wondering why i would need to do another one/ should i just wait and see if the pain goes away. I had the same type of pain 3 months ago on the left side as well. What would be the best route to go? ### REPLY: Hi. Thanks for your query and an elucidated history. You had a pain in the back as well as abdominal. CT shows mesenteric lymph nodes, and they should be investigated as to why have they are enlarged, whether due to cancer or benign. When we say Renal Protocol means giving the contrast dye in sufficient quantity so that the kidneys, ureters and bladder be well studies. I think you should go for another scan and should not really wait. Go for another contrast enhanced CT, This will help to rule out cancer, as is suspected, it looks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a quadruple bypass four months ago and have no cardiac rehab program available to me in Santa Fe NM where I live. I need guides to how to exercise. I can go to a gym. I have an exercise bike and weights at home. I monitor my blood pressure and have, I think an ok diet. No stress. No emotional distress. Sleep over 10 hrs.I think that an intense workout(relatively) every other day is the way to go.With blood pressure monitoring. Your thoughts? I am under care of a GP and Cardiologist.Bernard Gross age 82 ### REPLY: Hello thanks for posting here. It is really a great determination from your side being 82, post heart surgery and willing to do intensive workout. But I didn't feel there is any need of intensive workout. Working out with weights will not give any significant benefits to you. Most important in a post surgery patient is cardio exercises. Since you have an exercise bike at home you can put it to good use. A daily cycling for about 45 mins will be ideal. If you cannot do for 45 mins at one go, you can do 20 mins in the morning and 20 in the evening. Gradually your stamina will rise, and you will be able to do 30 mins morning and 30 mins evening.  Regular workout on the exercise bike will increase your effort tolerance, burn out the extra calories and also help the body to utilize cholesterol, thereby decreasing the chances of reaccumulation of cholesterol on heart arteries. Regular cycling will also strengthen the leg muscles which will increase amount of blood coming back to the heart from the legs and will increase preload on the heart. This will help to increase the cardiac output also. It also helps to keep the heart rate under control. So in short cycling is an all-inclusive exercise which is of great benefit. Brisk walking or walking on a treadmill daily is also beneficial. Other exercises are breath holding, deep breathing and breathing exercises which will increase oxygen delivery to the lungs and hence reduce heart workload. If you do the above, you would not need any other exercises, and you will do very well and lead a symptom free life. Wishing 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: Hi, I have been married for 4 years now but we have been unable to consummate. I have visited several gynecologists as well as a psychiatrist ... They have said that anatomically things are okay but I have vaginismus . We have been following the psychiatrist s exercises for 3-4 months now but there has not been any improvement in terms of penetration. Please help. ### REPLY: Hi thanks for your question. Since you have already consulted gynecologist and psychiatrist, and they have ruled out any anatomical defect. There are some factors which are contributory to viscus, and you should take care of these factors for successful penetration. The first being how mucChatDoctorfortable you are with your partner, how much foreplay both of you are doing before actual penetration, how much knowledge of anatomy and physiology of sex organs you are having and finally one of most important factor how much afraid of, you are of sexual act. I think cause of your vaginismus lies with fear of having pain during sex. You should relax before and during the process of sexual act and take care of above-mentioned factors. To allay fear of pain during sex, you can use lubricants in the begging. The lubricants are freely available with the medical stores. This will help you in successful penetration. 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: Hello, Two days ago, I was at a rehab facility to be evaluated for a job. I was told to squat. I did with now problem. Then the md had me go down on one knee and get up and repeated with other side. I then had to squat down and pick up 50 lbs of wait and out on a shelf several time. The repeat with 20 lbs. I did more squats in other areas of testing. My thighs were shaking and she told me I had muscle fatique. Since then I have had severe thigh pain with standing from a sitting position and vice versa. I even have pain in my thighs when I just move them in general. I haven t taken anything for the pain as it is intermittent. But it wakes me up at night when I move. I am sure I have strained the muscles. What would you recommend and about how long will it take to where it does not hurt to stand up, sit down or just stretch my legs. I have tried a hot bath to relax the muscles. The pain is non radiating. There is no redness, swelling, and is located only in the front. ### REPLY: Hello, Welcome to the magical world of health care, I went through your query, and your pain is muscular in origin, and coming from the sprained muscles due to your activity. Now first thing first, REST. Analgesics. Time to heal for 3 weeks. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. 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 WAS DIAGNOSED WITH STAGE 4 CANCER. AFTER ORCHIECTOMY, i WAS ON CASODEX FOR 3 MONTHS. BEFORE THE OPERATION MY PSA LEVEL WAS 500 (WITH DUTAS-T MEDICATION ). AFTER THAT IT CAME DOWN TO 6. HOWEVER SUBSEQUENT TEST AFTER 4 MONTHS SHOW AN INCREASING TREND. iT WAS 33 ON 21ST OF SEPTEMBER , 2011 AND 48 ON 22ND OF OCTOBE, 2011. I AM ON CASODEX FOR THE PAST 2 MONTHS WITHOUT FINDING LOWERING OF PSA. I AM PHYSICALLY OK, EXCEPT FOR TIREDNESS. I AM 70 YEARS OF AGE. SHOULD i CHANGE OVER TO NEW DRUG? ### REPLY: HelloThanks for query. You have been diagnosed to have stage 4 cancer of the Prostate suggesting that the cancer has spread beyond capsule of the prostate to distant locations like bones or other organs . Cancer of the prostate is hormonal dependent cancer depending upon the Testosterone levels . Though Orchidectomy is done there is increase secretion of PSA from the cancer cells spread over to distant locations. Casodex is anti an .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 18 I have had my period about june 12 went off june 18 them came back on june 25 this period was very heavy and had blood clots.I went to emergency but they jus said it was an irregular period I now have took two pregnancy test since the beginning of this week an both were positive which period decides my conception date how many weeks am I??!!! ### REPLY: Hello dear, I understand your concern. In my opinion the conception date should be counted from June 12. For accurate estimation of gestational age the Ultrasound might be helpful. So I suggest you to consult doctor and get an ultrasound done. If the June 12th is used for estimation of gestational age the cause for bleeding should be evaluated. So nothing to worry. Relax. Ultrasound is confirmatory. Ultrasound helps in estimation of gestational age, the date of delivery and well-being of pregnancy. Avoid physical stress and intercourse. Take good rest. Take prenatal and healthy nutritional diet. Hope this helps. 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: for the pst  6 days  i have been haing  upper  abdome  distress ...  i have had gall bladder  surgery  2 yrs  ago ..in the past  2  yrs  when i get these bouts  .. i go to  emerg  they run cardiograms  xrays ,blood work ,all comes back normal  ...im stressing out  over this  as im  scared every time it happens  im having a heart  attack  wht is it  ? ### REPLY: Hi. Thanks for your query, read and understood your problems. You are getting bouts of pain in the upper abdomen within the last 2 years particularly after the gall bladder surgery. This is great news that cardiac problems are ruled out by the tests every time in the emergency Room. This means that we have to find a local cause in the abdomen itself. I would suggest the following:Get Ct scan and MRCP for the hepato-biliary- pancreatic system. Also go for upper GI Endoscopy to rule out Gastric ulcer. Cancer. Colonoscopy for the possible problem of the colon in this area. If required a diagnostic Laparoscopy may help to see or rule out the intestinal adhesion due to bands or kinking or so and can be tackled at the same time. This way a final diagnosis and treatment plan can be done to get you permanent 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: Hello,I have a fungal infection on my fingers + toes. I think I got it from going to the swimming pool. The doctor told me to take Daktarin which seems to work slowly on my toes but not on my fingers. Is there a natural remedy I could use to combat this fungus? I have used Daktarin for 2 weeks now. ### REPLY: Hello, Welcome to , As you are having fungal infection of toes and the fingers it is called as Tina fungus. These fungal infections will affect the nail and skin, and it will eat away the structure and giving wired appearance. The natural remedy is keeping this area .  Your symptoms require medications otherwise it may spread to other parts of the body too. I would suggest you to follow1. Maintain good hygiene2. Oral Fluconazole, once weekly for 6-8 weeks3. Topical antifungal cream. These remedies will help you to control the infection and makes you comfortable. 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: have tried physical therapy,and several cortisone shots for cervical pinched nerve.(also arthritis in neck) both provide short term relief, but when my nerve is pinched,it is excruciating. is this something that could treated by a pain management physician? ### REPLY: Hi, thank you for providing the brief history of you As you have tried physical therapy and cortisone I feel u should look ahead with muscle Strengthening of the neck region. Since the pinch of the nerve occurs due to the weakness of the muscles in the cervical spine and leading to compression of the nerve root. In my clinical practice we find that muscle Strengthening has been very helpful in many of the cases with cervical disc pathology.Also, as you said that both are temporary relief like physical therapy and cortisone I feel physical therapy should focus more on the Strengthening of the muscle and this should stay longer. Undergoing therapeutic ultrasound therapy and TENS therapy will be only a temporary relief, but the major role is played by the exercises. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 57 year old male with moderate to severe ED.  Due to my anxiety and depression disorders I am taking 150mg sertraline once daily and 5mg diazepam three times daily.  I am professionally treated by a psychiatrist and follow his advice without exception.  I am fully aware of the sexual side-effects of taking SSRIs.  Also, due to low testosterone levels (below 250) I was referred to a Urologist who is aware of my problem and balancing the dosages while checking PSA and blood chemicals.  However, no matter how hard I try I still cannot get any of my physicians to at least attempt to address my ED problem with a degree of interest that leaves me the confidence to believe things will get better.   My psychiatrist and I discussed a more aggressive herbal, natural regimen found in a supplement called PHGH.  He concurred that I should try it since Ive already tried vacuum pumps, trimix, viagra, etc. without any improvement.  If this works, then all is well.  If not, what physician in the Birmingham, Alabama area specializes in ED treatments? ### REPLY: Hello It is common to have sexual side effects with SSRI medicines. But erectile dysfunction is not seen commonly instead delayed ejaculation and orgasmic are commonly seen. You have low testosterone, so this may be a reason of poor erection. There are other anti-depressants that can be used in Erectile Dysfunction and help to improve condition like Mirtazapine, Trazodone. These are free of serious sexual side effects and even improve erection. Consult your psychiatrist for help. For low testosterone and for urological evaluation consult your urologist. 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: iam a heart patient having MI 2 years back. A few wweks ago i  ave undergone stress test and the doctor opeined that ihave still block and recomended to take angeogram. my stress test shows that i have excellent exercise tolerance. I used to walk briskly for about 45 minutes daily and have no problem. please have your valuable advice ### REPLY: Hi, Thanks for writing to , I am . A block in the arteries supplying blood to the heart muscle usually manifests as having chest pain or ECG changes on exertion and heart attack as an occasional grave consequence your treating doctor saws one hangs in your ECG upon exercise or if you developed any chest pain, it may predict up to 75-80% accuracy the existence of a blockage in those vessels. If you get it looked at, as your doctor advised, and get it managed by placement of stents, it may prevent the development of another heart attack. So yes, you should absolutely get it done hope this answered your question, if you have more feel free to ask. 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: Bloating lower left quandrant dull ache and feeling of fullness in that area...along with pain which radiates to lower back. I have diverticuli...but have never had a problem. I am 13 years post partial hysterectomy and lately have had periods of turmoil ....crying..etc..for no reason. I am a 51 year ld female. ### REPLY: HiT hanks for posting your query.  Your problem could be either due to constipation or problem is ovaries or infection in colon or in kidney.  First let me know whether you are having any constipation or not. If yes eat more of fruits and vegetables and .  If still it persists then you can use laxative like lactulose.  If there is no constipation then we need to do certain test to evaluate the cause of your problem. In that view I recommend the following tests. Urine routine, Ultrasound Abdomen pelvis, Hope this information was useful to you. Any clarification feel free to ask. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i gave oral and he ejaculated he did not go use the bathroom then a half hour later we had intercourse we used the pull out method and on top of that i was ovulating and the next day we had sex again and he used the pull out method again what are my chances? ### REPLY: Helllo mam, thnks for trusting  doctors for your health related queries.I guess your concern is-probability of u getting pregnant???well let's have short discussion about semen n sperm...semen is that white lotion thing what guys ejaculate.in this lotion small sperms will be there, which meet ovum n women beams pregnant....semen is sticky in nature...imagine u have had a very oily food,even if u wash with soap water still u can feel that sticky nature for sometime.same way semen is...it is sticky in nature...u said 1st oral was done,he ejaculated .then u guys had missionary,,,or vaginal sex...so though he might had ejaculated there are chances that some semen might be sticking here n there.....fewer chances.but chances r there...moreover u were ovulating...its this high time when chances of ovum meeting sperms AR high.....now, pull out method...this is also sort of good thing....but Jen a guy is doing either oral, vaginal sex.guys have a pre ejaculatory phase,were small secretions would b accumulating...they don't ejaculate of course,,,chances r there that this secretion sometimes cause pregnancy,,,,well with ABV discussion u can try out my suggestions:-1.have patience,wait for another 3-4days for menses to occur as per expected dates, if menses happen you are not pregnant,2.if menses doesn't happen after 3-4days/or you're in very much hurry to get rid of tensionfull mind-am i pregnant....u do urinary pregnancy test.this test kit is avail bl at affordable prices in your nearby medical stores...buy it, do it by ourself. If its negative you are not pregnant,,,if positive visit a nearby gynecologist for further help3.if still u in dilemma of pregnancy then a scan(ultrasound of abdomen n pelvis)can be done, in scan its possible to see an embryo/baby is there or not...but NOT NECESSARY DEAR...RELAX....4.use condoms...some husband/guys say we don't feel exact natural sensation, so we can't use it....n some say we used condom, but as we did zhabardhassttt sex condom ruptured!!!!!!!for this also solution is there, its i-pill.available at your medical stores at affordable prices...I hope this was informative enough, helpful,useful for your query.regards- . (having regular healthy sex lifestyle Bowen couples is very good and advisable too...but a small presence of mind, u can use condom n can make girl free of medicine side effect n boy from being in psychological tension whether his GF has become pregnant) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a weird pain on my right side of my head just above my ear I been nausea  and I kinda have blurred vision in my right eye  I looked up strokes but I have not lost motor skills before I got the lump I been under huge stress and sleeping way more the normal ### REPLY: I agree that your symptoms do not sound like a stroke at all.  Of course, many other possible reasons could explain your symptoms and without knowing more about you in general such as your age, your general medical status, medications you may be on, family history, I can't say for sure. But one possible explanation for your symptoms that comes to mind is migraine headache. If it happens again or has been happening then, you should see a headache specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc,Am 51 years old man, suffering from elipesy siezures since childhood. Doctor have recommended me a daily dose of Zeptol 200 mg with Zipclone 7.5. However the results have shown and i dont get any more attacks but the side effects of Zeptol has started showing. Im using zeptol, since 12 years now and have mouth ulcers since 1 year. Other side effects like, severe chest pain, prone to diseases have increase over the years which is affecting my health. I would like to know, is there any alternate of this medicine. Please suggest. ### REPLY: Since you have been using the above said medicines since a long period, I would not suggest a sudden change of medicines. Gradually its dosage can be tapered after consulting with the doctor who prescribed it. As for the ulcers and gastric complaints, you May use Ayurvedic medicines along with it. Also, daily gargling of mouth with till oil would be very useful. I would suggest you Leigh Footwear RAS tablet 2-2-2 AF and stomata capsules 1-1-1 for a period of 1 month. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: iam having a eyebrow swelling more often and now it goes up to my forehead.. tried visitin eents to check if it is some kind of sinusities but the doctor said that it is just some allergies or nasal allergy..the swell though cures when i take ceterizine..however i am really worried as i dont think this is an allergy..i have pets at home and been working daily homebased usin laptops..i just need ur opinion f this is related to some brain sickness :( ### REPLY: Hello, The swelling has responded to antihistamines. So clinically I can say this might be an allergic reaction. It is a hyper reaction of the skin to any allergen. The allergen may be anything under the sun. To pinpoint any particular allergen is difficult but can be done if you carefully follow the event before the allergy. Keep away from the causative allergen. It not still convinced then you can go for an MRI Brain and Paranasal sinuses to rule out any organic causes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 20 years old height 6.2 feet weight 70 kg I masturbate after every 5 days... n I hav just completd the steorid cycle n I hav not done pct so my question is dat in how many week my body will produce testerones Will my muscles grow naturally after cycle ?? I almost exercise daily on high weights . ### REPLY: Hi, I had gone through your question and understand your concerns. First, it is definitely not advisable to have steroids in such young age and for this purpose. Irt may have serious side effects and negative effects for your health.  Second, it may not be efficient for muscle grow at all and its levels may need several weeks to elevated. I suggest to use natural methods for muscle building and avoid such procedures and steroids since this is not necessary 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 answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When ever my husband is taking chicken from the next day he is having high BP for 2 days . This we have observed for more than 6 times. We usually get packed chicken and cook it home .Is there any relation with packed chicken and high BP ?  In my husbands family high BP patients are there. ### REPLY: Hello... The only association I can think of between the packed chicken and rising blood pressure is the salt content of the chickens packaged and ready to eat meals have a high degree of preservatives, salt being one of them. A high salt intake directly correlates with hypertension. Is your husbands blood pressure normal at other times and is he currently on any medications for the same? Because if it is always on the higher side then ideally he needs to be evaluated and may need a change in his medication for the same. Hope this helps. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had my wrist pierced over two months and it has been fine until this weekend. I think I bumped it and it has gone very red itchy and puss started to come out. I think i have got an infection and I have used epsom salts and have covered it so I don t scratch or bump it again. Will it heal? ### REPLY: HI, thanks for using  It is possible that bacteria was introduced into the skin in the past few since the infection is so recent and the procedure done over 2 months ago. You can clean the area with antiseptic solutions and apply topical antibiotics but if there is no improvement or worsening then you may need to consider visiting your doctor. Oral antibiotics may be needed. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor, i m palvinder kaur bakshi from new delhi. i operated in 2007 AV+MV replacement. i m now 7 week pregnent. it is my first baby. but unfortunately i was taking acitrom of 5mg till today. is it harmful for my baby? i m afraid. my USG today shows that my baby is normal and heart beat is normal. is everything ok withmy baby. thanx. palvinder YYYY@YYYY ### REPLY: Hello Harvinder, thanks for the query. While it is very important to be on citron for you to prevent thrombotic complications in pregnancy, it is equally important to prevent significant malformations in the baby due to citron. Please consider the following facts.1. The fact that you were on citron says you must have had mechanical prosthetic valve replacement rather bio prosthetic valve where anticoagulation may not be required at all.2. The use of any anticoagulants in pregnancy is a risk for bleeding at the placental site and subsequent miscarriage, preterm birth and low birth weight in the baby. In such a circumstance, using citron (warfarin) in the first trimester poses further risk of malformations in the baby. And hence once pregnancy is detected, citron is usually replaced with either low molecular weight heparin or fractionated heparin till 12 to 13 weeks to avoid teratogenicity. As citron is the best anticoagulant used to prevent thrombotic complications (the risk for blood clotting in pregnancy is magnified 6-fold), it can be restarted following 12 weeks or continued with heparin depending on physician judgement. However, one must know that the risk for valvular thrombosis increases about 7% if only heparin is used during this period.3. Although it is very hard to determine the effects of citron on baby so early, as you have discontinued it in the very early stage and the dose is less 5 mg) there may not be any harm on the baby. But I must warn you that you need to see your doctor for a detailed discussion and for anticoagulant replacement with heparin which is of utmost importance till 12 weeks following which you can be on warfarin again. Continued therapy during breastfeeding is safe and encouraged. Hope this helped. 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 m manisha here my age is 25, I have PCOD problem, from last 10 days i m having abnormal bleeding... where as my last priod was on 18th april.... i have done pregnency test also but it was negetive... but its almost 10+ days n i have havey flow...... ### REPLY: Hellos you mentioned in the query that you are having POD. Cysts are often caused by hormone changes.POD is recognized as an entity occurring in young females with chronic an ovulation with estrogen presence and having the following clinical and laboratory characteristics:1 An . 2 MENSTRUAL IRREGULARITIES, dysfunctional uterine bleeding or amenorrhea (as all these you are having).3 Obesity with glucose intolerance.4 Alteration in LH/FSH ratio.5 Elevated testosterone level.6 U/ S findings of athletic follicles with increased ovarian stoma. In my opinion consult your gone and take treatment for POD and you will be alright. Hope this will help you. But I prescribe oral pills and these pills help regulate hormone levels, so that cysts can be taken care of. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed having typhoid fever last month . I had it two years ago and was treated with antibiotics , but it came back I used antibiotics again , the no. declined from 300 to 80 but I still suffer from the symptoms and having pain in my kidney what should I do ? ### REPLY: Hi I can understand your concern... Noted you are having typhoid.... So because of that you are having muscular pain and so feeling it.... Just now consult doc and if needed hospitalization for 3 to 5 days needed. Take intravenous ceftriaxone for 3 days. Then after take oral definite for 10 days.Meanwhile, take small diet with frequent interval.... Avoid excess oily and fatty food. Fruit juice best one.... Soft and bland diet taken.... Non veg food avoided.... Egg and pulse like protein useful. Take care. Stool culture after treatment should come negative....USG done in your case. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: possible explanation for painful small, reddened lumps on lower legs, warm to hot to the touch, swelling of lower leg/ankle...ongoing for several months...dermatologist and primary doctor have no ideas...have tried topical ointment by dermatologist-no improvement...worsened when on my feet ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have varicose lumps with varicose eczema, which worsens when you go on your feet. Treatment -Rest /Elevation / Venous Stockings till the eczema or venous ulcers heal/Endorser gel and foam venous ablation treatment would resolve the issue permanently. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Or tho and Vascular Surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to  and be comfortable to resolve your health issues. Welcome for any more query in this regard to . Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sharp pain on the left side of my chest . hurts to breath, bend over, lie down, and when there is any kind of force big or small against it. Its been on and of for several months but lately for the past 3weeks its been constant non stop pain all day everyday. why is this happening? ### REPLY: Thanks for your question on . I can understand your concern. Left sided chest pain, breathing difficulty worsening over time are mostly seen with heart diseases. So better to consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). You may need antihypertensive, diuretics and other cardiac supportive .  Don't worry, you will be alright. First diagnose 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: hello, recently i have been getting lower abdominal pain bellow my belly button with nausea after i eat, it dosnt matter what i eat i seam to get the pain regardless, although i just had the worst one yet leading me to ask, by eating just a few m&m s. my bowl movements are normal. i do not eat as good as i should but i am fairly fit. the pain usually goes away after about 30 min, although this one is not. i am only 22 years old?? Cam ### REPLY: Hi, Thanks for posting your query. With the available described symptoms, there could be possibility of acute pancreatitis/ peptic ulcer disease/ cholecystitis. Aggravation of abdominal pain after eating suggests the diagnosis. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should go for complete blood count, serum amylase and lipase, ultrasound imaging studies of abdomen, and endoscopy. You should take proton pump inhibitors, antacids and tramadol for relief of your symptoms. You should take low fat soft diet. You should avoid tomatoes, citrus fruits and oily spicy food. 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: Hii m a boy 21yrs old from d mumbai experiencing hairfall since 3yrs after i shiftd from lucknowi tried many thnings including treatment from dr. Batrawhen i shave off my head my hairfall stops for about 6mnths and then again it starts and the problem is heriditary in my familycan anything be done ### REPLY: First thing to consider is if you have a family history of hair loss, if there is male baldness in the family. In this case you will be more prone to similar problems. It may not recover very well with medicines.Also, change or residence, environment, water, diet is common cause for hair fall and changes in growth cycle. Other causes to consider are hormonal(thyroid etc.), stress, any history of recent illness like typhoid, any chemical procedures, etc. These causes need to be considered and treated as they affect hair growth. If you are currently not an any treatment, you may apply Minoxidil solution to scalp with hair supplements daily like Seraglio Men. This needs to be continued at least for 2-3 months. Do consult a dermatologist as well, to assess your type of hair loss and to give you treatment based on the results. They may also suggest some routine blood tests if required. Since medical methods do not work well for you, certain new surgical procedures can be considered such as PRP, hair transplant or other procedures etc., as will be advised by your consulting doctor after observation. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has r lower lobe pneumonia and has been treated 10 days with zolsyn, now day 7 on fortaz wbc shot up to 18 rpt cxr tomorrow, no cough, vs normal, pacemaker x10yrs rbi block, they started rocephin today. in care home age 86 help YYYY@YYYY ### REPLY: Thanks for your question on . I can understand your situation and problem. Since, he is improving in symptoms (no fever, no cough) after treatment with antibiotics, mostly his chest x day will be improving also. So get done chest x-ray and if improving then he can be discharged and put on oral antibiotics. He needs to get done regular follow up every 7-10 days with pulmonologist as he is old aged (86 years). In pneumonia, in old age, at least 21 days of antibiotic treatment is needed. So just make sure that he completes entire duration of therapy, to prevent relapse.Don't worry, he will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor, iam a 42 year old lady with lower back pain on my spine area,iam also experiencing sweating but have no temp. and my tummy has continued to swell over the last 6 months.iam sure iam not pregnant last period 2days ago,heavy for first 2 days with clotting.thanks ### REPLY: Hello, I had gone through the case and found that there might be lumbar spondylitis normally occur in this age due to calcium deficiency or any uterine complaints or leuchorroea. So go for x-ray of lumbar spine, ultrasound of lower abdomen to rule out any problem in uterus and blood test of vitamin D3 and calcium.Meanwhile, take mild painkiller, Calcium. It will be effective for you. Hope my answer will be effective for you. Thanks ### END