Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, After i sneeze it smells like honey or sweet oatmeal. the smell is not always present. Im 34 male, the first time i ever smelled this was next to a co-worker who sneezed very strong oatmeal time smell. Note. at that time i never had this smelly sneeze if you will. i noticed it about six months later and now it comes and goes. thanks ### REPLY: When we sneeze, the secretions of our nasal mucosa are expelled out. So this smell comes from her nasal mucosal secretions our secretion smells largely depends upon two factors:-Our diet-Any underlying medical condition we are affected without need to be investigated. Are you taking anything sweet, smelly in diet on a regular basis? Maybe a certain wine etc. Just as an example, people who smoke expel a smoky smell when they sneezeTypically, diabetics have an ammonia like smell in their breath or sneeze. Patients with liver disorders or kidney problems may also smell similarSinus problem/ENT exam is suggested. This is so because, sinus problem is the most common cause of smelly sneezes meditation and regular exercise which will help in increasing the immunity and limit allergic episodsWish 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: hello sir, I m 25 years old i want to get pregnent so i try for1 year but i have no result then i cunsult to doctor she gave me ovacare tab,fertomid taband nacfil tab for4 month and a tab named endogest for keep in body using these tab can iget pregnent? i use these tab from4month but there is no response please sugest me ### REPLY: Hello Welcome to  forum There are various factors for infertility, so investigations are done to diagnose them such as husbands semen analysis, your HSG, Follicular studies, Blood tests like FSH, LH, Progesterone, estradiol, thyroid profile etc. Premenstrual Endometrial biopsy is done to see the secretory phase or any uterine tuberculosis USG for POD is done The treatment which you are taking is fine Consult your doctor for further management Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor i have allergic asthma  problem. Allergic object is Dust, cold, and outside smoke.i am serving from last 4 years. I took medicine,  cetzine tablets, asthalin 4. and when i was worst condition i took "mox 500 ". please help me and tell me, my treatment  is right or wrong..  please give me some advice.Thank you. ### REPLY: Hello dear, Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of:1. Stalin inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Antihistamines like Cetirizine can also be used to provide symptomatic relief.4. Need for anti bionics (like MOX 500) arise if there is a secondary infection. But this should be taken only under the guidance of your Physician.5. Also protect yourself from exposure to cold, dust or other allergens. Wish you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: After shocking our pool and a strong smell of bleach I ended up few hours later with a headache, very sick to my stomach with burning in chest and stomach. Now throats red with small what looks like brns in the back and also inside of nose is very raw. All I did was stand out by the pool as he was ading the shock. had no close contact ### REPLY: Hi, you have after shocking our pool, with strong smell of bleach two hours latter headache, sick stomach, burning chest, and stomach, throat and nose are raw.  It is the chemical erosion of the systems. I advise you to gargle with salt water, .  I advise to my patients in such condition omeprazole, and antacid gel for relief.  If you are still not comfortable consult a doctor for treatment.  Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been urinating extrenely frequently and urgently sometimes soiling my pants a bit. I also have been very tired, and unable to quench my thirst. i have looked up symptons and it seemed that it could be diabetes.  I havent seen a doctor but i bought a hone blood sugar kit and it reads 508 mg/dl ### REPLY: Thank you for your question. The symptoms you mentioned (increased frequency of urination, tiredness, this etc.) can be due to diabetes as you say and also may be due to some other causes. You checked your blood sugar and found out that it was 508 mg/DL, which is rather higher than normal. But to confirm Diabetes, you should have specific blood test, HbA1c check. Fasting blood sugar (after no calories for 8 hours) which should be 80 _ 108 mg/DL. You should have a good and balanced diet plan with low carboy .  Regular exercises such as walking, jogging is advisable. The further specific medications and treatment will be better consulted after your HbA1c level result has attained. Thank you. Best of luck and have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I ve got a common question. My beard has turned white since 2003 & am almost 39 years of age. Have been suffering from anxiety & stress during that time as well & the anxiety is still there. But the hair colour on top of my head is black. Also i tend to miss breakfast in the morning, go to bed really late at night & when I wake up in the I m dehydrated. Thank you ### REPLY: Degree understand your concerns went through your details. You must know the pattern of your hair graying. Normally that happens after the age of 45 and nowadays it is earlier because so many factors like stress, water pollution, dust, sedentary life habits, lack of nourishing to hair etc. In any case, the beard will be first area where hair grays in people who shave usually. Second is above ear area, third edges of back, fourth upper forehead etc. In your case your lifestyle and stress is the basic reason. You should not skip breakfast. Early to bed and early to rise makes a man healthy, wealthy and wise. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, today after my two year old daughter woke up i found her mouth covered in dried blood also there was a big spot of blood on the sheet. I did not see her coughing, vommitting or spitting blood during the day. She seems generally alright with a mild cough at times. A day ago she had temperature, and heavy breathing, probably due to the temperature. At first i thought it could have been an ulcer in the mouth, but then i got anxious as what else it could be. ### REPLY: Hi welcome to the  Don't be panic about this condition... Work up done as follows ..... -Auscultation -x-ray chest if needed -Physical examination including liver, Spleen palpation -CBC only if needed This blood in sputum in your two-year-old child could be from viral or bacterial bronchitis or bronchiolitis like infective condition.... After her examination further work up can be decided... And accordingly prescription can be given... If needed she might be kept under observation for few days in hospital Consult nearby pediatrician for examination with keeping all this in mind 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 sharp pain above left eyebrow  like a sharp ice pick like migraine with my left eye red and watery. When I open my eye especially in a bright room the pain intensifies to the point where it is unbearable to keep my eye open. My have been known to have seasonal allergies but only the occasion watery eyes and itchy nose. I also tend to get migraines as well. This feels nothing like a migraine Ive ever felt before. The eye redness began first. Then about 2 hours later the pain began suddenly out of nowhere and has completely made me unable to do anything or think of anything but the pain. ### REPLY: Hi Friend ... Welcome to  Your query is likely to be infectious origin leading to chronic sinusoidal headache appearing as migraine. I suggest you to get prescribed for Fluticazone nasal spray and Montelukast with Levocetrizine for 5 days.NSAIDs helps in relieving headache. Stay away from dust and cold for a month, and you will see improvement in your health condition. I advise you to have an ophthalmologist opinion for red painful eye for sclerites / Glaucoma or infectious condition by bacteria or virus. Hope I Provided useful information. Wishing you a speedy recovery. Take Care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...my.daugter has pyruvate kinas e deficiency, an inherited enzyme deficiency that causes hemolytic anemia.   She has had her spleen removed eliminating the need for blood transfusions (except for during her pregnancy.  Are hickiesd ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. Pyruvate kinase is enzyme. It is necessary for the integrity of the red blood cell wall. The person who is in the deficient state of enzyme will not sustain the integrity of the cell wall. It is inherited disease and there is no treatment for it. But transfusion can help replenish enzymes and help improve symptoms. Such types of patients should avoid factors which causes red cell lysis. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases 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: helo dr my wife last month pregnent she dated 20 jan but we  will apply the visa of canada thats my wife take medicine ST MOM then blood taking out 7 days but unfortunately today i check baby strip one line is dark and line is light then she is pregnent or not ### REPLY: Hi there, I will suggest you the best possible treatment options. If she has history of regular cycle, and now she happen to cross her dates, then please get mornings first sample of urine tested for pregnancy. As you are describing that there are 2 lines seen, it indicates positive pregnancy test. In case of any doubt, blood beta  test and USG will be of help. I hope this answer helps you. Thanks  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What techniques can one use to reduce paranoia in paranoid personality disorder? ### REPLY: People with PPD (paranoid personality disorder) usually do not seek treatment, as they do not see themselves as having a problem. The focus should be increase his general coping skills, improve social interaction, communication and self-esteem. Trust is an important factor in treatment because the patients have a tendency to distrust and refuse the treatment. Psychotherapy is the mainstay of treatment. Medication generally is not used to treat PPD. However, medications, such as antianxiety, antidepressant or anti-psychotic .  Consult the psychiatrist for these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I am facing hair loss problem since last 3 years...i have consulted 2-3 doctors but result is not picking up...one of the doctor diagonosed me with ferric deficiency for which i am constantly cosuming iron tablets(Conviron Forte) with vitamin supplement (Extra Glow) even i have also appplied Tugain-5 but it counter acted with allergy on my hair scalp and facial skin. Kindly suggest me something that really helps me out. ### REPLY: Hi, You seem to suffer from halogen effluvium. Consult the expert dermatologist for the perfect diagnosis and proper treatment. I would suggest.- blood tests to detect internal diseases .like serum vitamin B 12, folate, iron,vitamin D3, liver function tests, thyroid function tests - treatment of internal diseases- supplements of vitamins and minerals - biotin 10 mg tablet thrice daily-iron and vitamins in the form of injection or tablets if needed-vitamin E 400 mg once a day-apply steroid lotion on the scalp daily at night-anti Dan .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 25 weeks pregnant and everything was fine till i noticed slight orange color in urine. The only recent intake of fluid prior to this observation was that i took liquid iron with orange juice. I take this as i have iron defeciency. Is this color because of the syrup or is it some thing to worry about ### REPLY: Hi dear, I have gone through your question and understand your concerns. The changes in the color of the urine is most likely due to the intake of Orange syrup and juice. There is nothing to worry if you do not have any associated symptoms like burning micturition, or increased frequency of urination, in which case the possibility of urinary tract infection should be ruled out. Hope you found the answer helpful. 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: I have had bronchitis and have taken a Z-Pak and I am currently taking Amoxicillin. I awoke this morning with a sharp stabbing pain whicChatDoctores and goes on the left side of my waist in my back. Could this be a kidney? I have been drinking a large amount of organic lemon juice with honey while ill. Could it be too much acid in the kidney? Pain is not constant, but when it occurs, it is sharp and stabbing. ### REPLY: Hello and welcome thanks for posting your query instead of plain amoxicillin please ask your doctor for augmenting (among + clavilunate) and complete the course of antibiotics you can do steam inhalation and deep breathing exercises for bronchitis sharp stabbing pain at left. Waist might be related to kidney stone so get an ultrasound or an X-ray standing after adequate preparation and consult an urologist have plenty of fluids hope this answers your question 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: I feel mild thickness on my right cheek and sometimes radiate on my jaw,and same sensation on my right shoulder. I had bells palsy on my right cheek last January 2014.I m now ok,my face is symmetric,corners of my mouth are also symmetric but my right eye is still tearing.My question is,the thickness in my cheek is still sign of my bells palsy,but why I fell thickness(sometimes mild pain) in my shoulder? ### REPLY: Hello, I can understand your concern. The thickness in the cheek and jaw you are feeling is because of the residual effects of the Bells Palsy just like you have tearing right eye. It might go away eventually like other effects of Bells Palsy. In addition, the thickness you are feeling in the shoulder is not actually due to the shoulder problem, but it is referred pain. Referred pain is always felt in the area that is far from the area of disease or injury. As the feeling of thickness in jaw and cheek with tearing eye will resolve, the feelings of thickness in shoulder will also go away. I hope this information helps you. Thank you for choosing . I hope you have faster recovery from the Bells Palsy. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a cyst now for 6 months.6weeks ago it became bigger and I smashed it alittle and alot of thick clear stcky stuff came out of it.Now theres a huge hole...like a sack.it will not heal or fill in and really needs stitches but if you have it fixed...the cyst will come back.Its not painful in the least.(its in between my vag. and anus )Its just a hole.my dad told me when he was younger this same thing happen to him 4 times until he had the sack removed.What is this???I was very scared of cancer but my dad said it will go away when the sack is removed.Im 48 yrs old.Its on my scar where they cut me so I could have my children.thank you Tina Leatherwood ### REPLY: Welcome to  It needs to be examined to know whether it is just and abscess or a fistula.  In case of fistula it needs to be .  After that pain medication to reduce the pain and antibiotic to prevent and check the infection. In case assess if it is small there is no need of stitches, the pain is usually well managed by painkillers, you need not worry about the pain. In case of fistula surgery can be performed at the same time as abscess surgery. However, fistulas often develop four to six weeks after an abscess is  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Kidney stones , 4 years back.Recently I have started taking primosa and multi vitamin capsules for hormonal imbalance. But as soon as i have these capsules, i feel uneasy heaviness ,mouth dryness and slight stomach ache.Should i continue with these capsules. Please suggest ### REPLY: Hello, Cannot say in your particular case, but generally, it is hard to have a reaction to vitamins since they are always in the body.  However, vitamins are generally made from yeast and some people might have a reaction to that. On the other hand, primrose is a flower and lots of people have allergies to flowers. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello! My name is Maxine, I`m 26 and I have some questions concerning thyroid cancer and birth control. I was diagnosed with papillary thyroid cancer 10 months ago and had a full thyroidectomy . So far I have received 145 mci of RAI, 100 of which were given for treating lymph node metastasis . There are some undifferenciated areas on my CT scans (neck and mediastinum ) so I`m still in the status of a cancer patient. My therapy is 150 micrograms of Euthyrox. I`m considering starting another birth control measure in addition to using condoms. Is it problematic to use hormonal birth control while on Euthyrox, especially if the cancer is still present in the form of metastasis? I would appreciate your help, thank you. ### REPLY: Dear, you are being given Eutheria 150mcg daily so that you are not thyroid efficient and to great a feeling in the body as if thyroid was not removed. So you can use hormonal contraceptives like a normal person would have used it with no problems. Had you not been on replacement therapy, hypothyroidism itself acts as a birth control measure? Regarding your thyroid malignancy you may have to undergo RAI uptake study again as per the advice of your physician to rule out the complete ablation of your disease. Truly, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, aged 55 years old recently went through a surgical procedure as he was detected rectum cancer last year. He now carries a colostomy bag attached to the stoma and is still undergoing chemo therapy.Recently he has had massive blood clots oozing from the stoma.What could be the reason for it? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Internal bleeding is possibly leading to it.2. Clot formation due to bleeding could be the main cause. Immediate evaluation with endoscopy, hemoglobin estimation and if required angiography to identify the site is necessary.3. Cross-matching and keeping the blood ready for transfusion is necessary. Possibly whole blood as it is hemorrhagic bleeding. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have swelling in both my lower legs with a rash as well. i do have hyper tension, am currently taking other hypertension medication, but have been advised not to take the diuretic adco-retic for a while now. I am also feeling dizzy. is this because i am not taking the adco retic anymore? ### REPLY: Hi welcome to . I understand your query and concern. Swollen legs in your case can be directly related to elevated blood pressure and right sided heart failure. I advise you to have a 2 dimensional echocardiography, ECG and lipid profile to assess the functioning of your heart. Monitor your blood pressure and heart rate regularly. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days. . Reduce the intake of fatty and fried foods. Fruits like pomegranate, apple, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 workiing on my truck last week and i knealt down on the concrete. when i got up i heard /felt a loud crack and since then i have a bump on the inside of my knee and its extremely painful...when i bend it ,it hurts real bad when my leg is straight iit doesnt hurt hardly at all.... ### REPLY: Hello, Your symptoms seem to be related to bursitis. Bursitis is inflammation of the bursa. A bursa is a small sac of fluid that cushions a joint and helps it move easily. Bursitis usually gets better if you avoid the activity that caused it. Meanwhile, I suggest using anti-inflammatory medications such as Ibuprofen to relieve the pain.  I also suggest using cold compresses for local applications. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has been having some problems with pains recently in her chest and back, she s been bitten by something multiple times just to the side of the armpit. She describes the pain as a pin pricking pain, she says it s bad as well, about 7 out of 10. I was wondering if I should take her to the GP? This has been happening for 2 weeks now. ### REPLY: Hi, By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days.  If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 43 year old man , before 1 year my doctor had removed my right side last lower teeth which was under the gum after removing that teeth right side of my toung become test less and i lost sense also what should i to get my test and sense ### REPLY: Hi, Your history certainly points towards an injury to the Lingual nerve by a needle, which could have happened during the extraction procedure, which is not uncommon in extractions of teeth in the lower jaw. You see, for anesthetizing a localized area for Dental extractions, LA (local anesthetic) solution, is infiltrated around the nerve supplying that particular area. Now, the Inferior Alveolar Nerve, & the Lingual Nerve, which in fact both needed to be anesthetized in you case, lie to close together in the area where they can be accessed to be anesthetized by a syringes needle, and since the area is quite small, your Lingual Nerve might have been nicked by the needle... Usually, no treatment is required, as the body is normally able the repair such damages by itself, however, hot fomentation and a short course of vitamin B-complex (particularly it. B6) should help... If not then steroid therapy may be required, for which you should consult your Physician. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 root canal on tooth 30, 21 months ago. I have been told that I have Traumatic Nerve Injury to the v3 branch from the Local.  I have tried all the meds out there.  I have a RFL which a numbed what the neurosurgeon thought it would, but my major complain of fierce burning and throbbing in my gums on the the right side is still there.  I did feel a horrible sharp pain through my gums and tongue when the root canal was being done( enough to make me "Tap out"  and I cried the rest of the procedure.  I have been to 2 oral surgeons. Ant thoughts? ### REPLY: Hello there, Thanks for writing your query, Any injury to the nerve branches during dental procedure takes a little longer time to heal. The nerve fibers regenerate with a course of time and the symptoms will subside. Burning sensation and pain in the gums can be due to other gum problems, I would suggest you to get the examination done consulting a dentist. Exact diagnosis can be made only after clinical examination and evaluation by taking radiographs.  I would suggest you to get and OPG radiograph done which will help in diagnosis and accordingly treatment can be planned. Consult an oral surgeon and get the examination done.  I hope this helps, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is a parkinson patient for the last 9 years. She takes two syndopa plus tablets four times a day and Syndopa CR at bed time. In the recent months her parkinsons symptoms worsened and she freezes a lot and not able to walk. any suggestions pl ### REPLY: Hi There After going through your query I understand your concern. I would like to tell you that after many years of treatment many people develop peak dose dyskinetic and benefit of medicine lasts for only two hours. She will either require to add new medicine like methyltransferase and monoamine oxidase or dose adjustments from Syn dopa CR to Syn dopa IR. Kindly consult a Neurologist regarding this for a proper management. Hope this will help 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: I have stage 4 endometriosis, and a lot in my bowels and bladder. had surgery and it did not help. I also suffer from severe panic attacks and have been on diazepam 10mg 3 times a day for 5 years and have become tolerant of the medicine. My panic attacks last over 3 hours and it is torture on me mentally and physically. What would be the next step up from the diazepam 10mg ,3 times a day. I also have irritable bowel syndrome which has gotten worse.. I am a prisoner in my own body. I would like to be put on Xanax, since it is a muscle relaxer also. Since the mg of diazepam does not work anymore , what mg and dosage of Xanax would you suggest? ### REPLY: Diazepam for panic disorder is not a scientific choice. It is bound to result in loss of effect due to tolerance and dependence issues. Besides, it may cause memory loss on long term use. Xanax is again a wrong choice and highly habit formingPanic attacks can have many causes like cardiac arrhythmia, mitral valve prolapse or hyperthyroidism These should be checked by a competent doctor. SSRI like sertraline or paroxetine or fluoxetine is the .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 25 year old girl who just had a MRI scan done. In September and October I ve suffered from diarrea, vomiting, nausea, headache, heart racing, dizzyness. After taking metrogyl I felt better. Now, since a couple of weeks my throath is sore, ear pain, dizzyness and headaches. My MRI results are the following: Several hyperintense foci are present bilaterally, especially in right semiovale adjacent to body of right lateral ventricle and right ventricle atrium . The largest measures upto 3.8. mm. Some of the larger lesions the show early cyst formation. No acute haemorrhage, haemosiderin or restricted diffusion identified. Some prominence CSF signal along both optic nerves but no overt scleral flattening. Given the age of the patient, demyelination is not excluded. I have a history of of headaches due to infections in my sinuses. Right now, I am extremely worried I have MS. Are the results of my MRI typically MS related? The doctor was in a hurry and I didn t had the time to ask him these questions. Thank you very much! Kind regards, Melanie ### REPLY: Hi, Thank you for posting your query. MRI brain findings in your case are non-specific and not very typical of multiple sclerosis (MS).  The commonest reason for multiple hyperintense loci in brain (as in your case) is migraine. Since, you have a history of headaches, the MRI findings could be migraine-related. Other causes of similar MRI lesions could be ischemia (lack of blood flow to brain) and declination. Your neurologist would be able to discuss more with you. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been using tresiba 100 units/ml pens and reached the maximum dose. My Dr. Wrote my new script for the 200 units/ml pens. Will I reduce My dosage by half? My Dr prescribed me to inject the same units nightly but the pharmacist said that was double the amount! I m confused! ### REPLY: Hi sirTresiba is a long acting human insulin suggested with personal of highly diabetic conditions it controls your blood sugar better but taking it once a day with be advisable no need of taking up at nighttime Since it's a longstanding human insulin it may lead to low sugar levels also better to consult the planetologist about this and get an opinion. Make sure that your HE a1c is under control, and you have to take insulin according to that. 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: My tescticles seem to be reducing in size but no lump or pain whatsoever, i am 50 years of age. My sex drive has reduced considerably and i can hardly sustain normal erection enough for penetration. I exercise normaly and regularly and eat well. I also use viagra from time to time. ### REPLY: Degree understand your concerns went through your details. The size of the testicles do not reduce. But the surrounding sack shrinks. That is natural. That happens due to many reasons including stress and deny .  Erectile dysfunction is possibly physiological rather than psychological in your case. You are also having Viagra occasionally. Viagra is known addictive on erection matter. I request you to consult your urologist for further advise. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have asthma and have been using my inhaler frequently for two weeks.  While sitting at my desk at work, Ill feel dizzy as if about to faint and very weak - this has happened twice today and another time 10 days ago. Lately walking makes me feel a bit faint and out-of-breath. I have a feeling of fullness and when I take deep breaths, I feel very light-headed and Im exhausted most of the time. Thank you ### REPLY: Hi, I had gone through your query and understand your concern. Frequent need of using inhaler (? Salbutamol) indicates that your asthma is not under control. All these symptoms are producing most likely due to poor control. If I were the treating physician, I would perform objective test and advise step up management:>Albuterol inhaler as required to relieve symptoms>Steroid inhaler twice daily which you need most to prevent and control asthma>Other medication if requiredSince this is a prescription medicine, I would suggest you to consult with your local doctor or respiratory medicine specialist to confirm the steps of asthma control and get treated accordingly. Hope this helps you. If you have additional questions or follow-up queries feel easy to write us. 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: Hi, I am on Citalopram (altho slowly reducing the dose in view of weaning off them) and Lipitor 40mg for elevated cholesterol. I am experiencing frequent palpitations throughout the day,sometimes for a couple of hours at a time. Is this a serious side effect or should I try and put up with it ? Do all palpitations lead to a cardiac incident ? ### REPLY: Hi dear. Palpitations are a cardiac symptom. So I will advise you to kindly not ignore it. Visit your doctor and get an ECG done. It will help us to confirm if you require any more tests or not. Meanwhile reduce your salt intake . And eat a lot of fibers. Since you have experiencing palpitations more often I will advise you for a cardiac evaluation. Hope my answer helped you. Please do rate my answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor, i am a housewife (34) i can not cocentrate anything, i am always thinking of my past issues those hurt me. also i have a tendency to talk too much when ever i got listeners. especially in phone. during this time i forget everything and i am enjoying it. but after these long conversations i feel ashamed and pity and worrying about what they thinking about me. now i became too much lazy to do household works and taking long time to finish all these.  also i feel a tightening in my throat most time when i am alone and tensed. please help me. ### REPLY: Hi dear. I had gone through your query. I understand your concern and emotional problem. Depression can affect social/interpersonal/economic life. Low mood/loss of interest/loneliness etc. are the symptoms and should be persisted more than 2 weeks. It is treatable illness and early treatment will bring fast recovery. Consult psychiatrist for details evaluation. Psychological counselling with psychotherapy can help. It can be treated with medicine like SSRI. SSRI is antidepressant and regular treatment up to 3 to 6 months will help to come out from depression. Psychological and social support is must. Still if you have a query then feel free to ask. . Happy to help you further. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been experiencing pain in my upper back the last few days whenever i take a deep breath. I thought maybe i had injured my back, but have had no situations that would have caused an injury. I feels more internal than muscuar.Now it seems to be even in my lower back. I noticed that as the temperature is colder outside, it hurts more when i breath in the cold air. it this possibly something to do with my lungs and not my back?advice?thanks,Alex ### REPLY: Hi Alexios may consult a physician initially who can examine and determine which is implicated, back or lungs, pleura(covering) of lungs. Take Tylenol tabs, avoid bend sand try observing whether coughing, sneezing increase pain. Report to doctor. Also record any temperature or fever or any other symptom like acidity, burning in stomach, bloating,based or flatulence. Take precautionary pantoprazole 20 empty stomach in morning once daily ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 chest pain I believe is due to anxiety. I am on Sertraline 100 mg and I would have thought that the mood disorder was taken care of. However, the chest pain which was provoked by a known stressor has persisted for three days and prevents me from working or sleeping, it makes me want to sigh a lot. Rang my gp but cannot see me until one more week, should I take a valium? ### REPLY: Thanks for your question on . I advise you to consult psychiatrist first, rather than taking Valium. Better to first diagnose yourself. You need proper counseling sessions from psychiatrist. Try to discuss your problems, stressors and find out their solution. No need to take extra medicine (Valium). You will be benefitted more by counseling than the Valium. So consult psychiatrist and try to discuss your problems. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on 200 mg of Clomid. I got af on April 2nd so I ovulated on April 14th-17th. My cycle is usually 30 days. On May 1st I got some brownish discharge like I get before my period starts. So I put at tampon in since I figured this was the start of my period. When I checked about 6 hours later, there was only a few smudges of brown. By the second day it was gone. I never got my period just all brownish smudges on tampons. I did take a hpt on May 7th, which was neg. Could I really be pregnant and its too early to test? ### REPLY: Hello, Here, you need to undergo one blood test for beta  level & TVS scan to rule out product of conception. Brown discharge is mostly associated with implantation bleeding. Other reasons are vaginal infection, hormonal imbalance, stress, old blood or endometrial tissue, over wt/ loss etc. Following above test reports, you need to consult with gynecologist for other relevant investigation. Take suggestive measures accordingly. 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: hello doctor...my semen is often released during sleep... even sometimes it releases 3-4 times a week...and i feel weak physically..what i could do to stop this nocturnal ejections? is it something dangerous to my health..pls mail me to YYYY@YYYY ### REPLY: Thanks for asking in  forum In short: Nocturnal emission is not a disease itself. Explanation: If you do not masturbate/have sex/ejaculate now and then, your urge will increase and ejaculation can occur with slight excitement or during REM(A stage of sleep) sleep. So, do not worry about this as this is not a disease or illness or an abnormality.  You may consult your doctor regarding this. And weakness and masturbation/night fall is not at all related Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello i am a student of 21 years of age, i am doing gym and i get back pain when training with weights,my other friends can do it easily do i have any spine problem.i stopped gym a few months back then i had back pain now when i started again i am getting pain at the same place can i know my problem plzshould i stop gym ### REPLY: Thank you for sharing your complaint, dear friend your back pain is muscular pain. You should start heavy gym exercise which hurts your spine. When you lift heavy weight, all weight of your body will be balanced by spine and if muscles of your spine are weak then spine will feel much load and will cause pain. So first you should do such exercise which will make strong the muscle of spine, rather than heavy weight lifting exercise. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. 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: Unbearable lower back pain. I have compression fracture in L12. Was diagnosed on Monday with an x-ray. The pain is getting much worse. Lying on ice packs. Have meds for pain, are not working at all. Any suggestions appreciated. Thank You Barbara Horton YYYY ### REPLY: Dear patient treatment for l12 compression fracture is strict bed rest for one month. Rest should be on hard bed. Analgesics like tab diclofenac sodium 50 mg twice a day with tab attract twice a day should be taken.  In bed physiotherapy and log rolling 2 hourly is advised to prevent bed sore. If pain is still not relieved consultation with spine surgeon is recommended. Vertebroplasty is good option for immediate pain relief. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 seems to have hemorrhoids in his ears. We just returned from the beach, and his ears were swollen and itchy, and they hurt a lot. He has a history of hemorrhoids in his family, but he has been affected in his ear. He also has allergies in springtime, and the allergy itchiness makes his ears worse. He s on antibiotics these days, but they don t seem to me working. I m looking online but I can t seem to find relevant information about hemorrhoids in the ears. Please help, is there any remedy for that? Thank you. ### REPLY: These are allergies which have complicated to ear problems u have history of allergy you might have sinusitis related to it which causes recurrent ear problems and the skin is converted to sensitive and thin membrane which ca cause bleed looking like haemoroidsinitially these are seasonal allergies and as time goes the become frequent for the episode need to take light antibiotic doxycycline 100 mg BD for 5 days apply clindamycin gel mixed with mometasone BD in ear and put petameter one ear .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 63 years now. Underwent a angioplasty 5 years back and under medicines since then and undergo periodic check up with the cardiologists. It was going well after each check up.The medicines I take are clopivas Ap-75, Avas 30, natrilix 10, minipress 5, cilacar 10 for controlling BP, cholestrol etc. Since the last one month a muscle pain is developing in my left arm ( location changes from armpit to down elbow and further below. The pain is not there or rather disappear if I lie down for sometime. Hence during sleep there is no issue. The problem is seen in day time when I am active. The pain is irritating. Why this pain and let me know what I need to do. ### REPLY: Hello, You are already having blood pressure and other cardiac problems along with high cholesterol. Having pain in left arm is not a symptom that you should ignore. Pain in heart is sometimes referred to left arm and even on the left side of jaw. You should see a cardiologist and go for ECG as soon as possible. The disappearance of pain while you rest and increase when you are active are all typical symptoms of angina pain. The doctor might need to change the doses of some medicines or add/change some after ECG. I hope this information helps you. Thank you for choosing . Take care. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a baby child 12 months 14 days, baby have a problem while urine she is crying,and since to days going loose potty, and she is under weight, but we gave her goog diet, and consult the doctor, he told there no problem with baby. pls give solids food to baby. pls give a good advise ### REPLY: Hi, In my view, homemade solid food is the best choice to improve weight of the child. Try to give mashed potato, mashed sweet potato, soft cooked rice, oats, boiled and shred chicken, steamed carrots, butter sautéed green peas and fresh fruits. In addition, introduce her to various dairy products like cheese and yogurt. Some child .  Apart from the diet, make sure to give your child ORS fluid, when she is passing too many lose stools to prevent deny ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 always am shakey  and feel sick with no energy its making everyday a huge challenge just to go to work takes everything out of me ! I have anxiety but I know this is not part of that ! Like my doctor always says it is . I dont know what to do anymore I just sit around all the time cuz I always feel so sick and run down. ### REPLY: HelloThanks for asking from  Shakiness, feeling of sickness, lack of energy in work or tiredness etc. can occur due to mild depression. Underlying anxiety associated with mild depression can increase severity. Consult a Psychiatrist for proper treatment. As it is mild depression so changing lifestyle will improve the situation. Exercise daily, try yoga and meditation. Progressive Muscle Relaxation exercise, Breathing Exercises will help to keep anxiety symptoms away. Increase diet intake with fewer fats and more carbs and proteins. Supplements containing Omega-3 Fatty Acids, Vitamin B12 also prove useful. If no relief occur with these changes consult a Psychiatrist. Medicines like SSRI and Saris are very useful in such symptoms. Thanks, hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.. I m using Betnovate C from 2 to 3 years daily night feels good when i use this cream. If i stopped using for even 1 day my skin will become so dull & darkness. So many of my friends suggested that not to use this cream, i wanna stop this Please suggest me any cream or any prescription to get rid from that without any affection to my face.. PLease help ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint Renovate C and although it gives good results initially, but the results are not ever lasting, and you get darkening of skin once the use of the creams is stopped and along with it there are also severe side effects of this cream like inflammation and pigmentation of skin, skin thinning, rashes, photosensitivity, facial hair growth, dilatation of veins under skin. It is better to stop using this cream and just keep patience even if your face become dark and let the skin get healed gradually. You can apply creams containing Comic acid as it is safe for long term use as is mushroom extract. You can use face wash containing Salicylic and glycolic acid that helps in easy peeling away of dead cells, and it will help in formation of new cells . Creams containing Albumin and glycolic acid should be used. Apply vitamin E oil at night. Take vitamin C supplements. Wash your face multiple times a day with cool water. Limit sun exposure as it can cause more darkening due to Photosensitivity effect of the steroid. You can also go for photofacial, galvanic facial, chemical peeling or microdermabrasion. Hope this information helps. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here... Hello. My friend is 4 weeks pregnant. Her doctor wants her to terminate because she is hypertensive and because she has had numerous abortions. She really wants to have this child. What can she do to have a healthy baby? Thank you. ### REPLY: Hello dear, I understand your concern. In my opinion any pregnancy witChatDoctorplication is continued only if the complication doesn't hamper the health of the mother. Presence of hypertension at this early pregnancy might be very difficult to control and also to ensure the proper growth of the fetus. So maybe it was suggested for termination.Don't worry. The BP should be controlled before conception and then pregnancy should be planned for better results. Avoid stress.Also, as she had previous abortions the investigations like antiphospholipid Abs and anticardiolipin Abs might be helpful. 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: My brother cannot sit or bend due to pain. It s been 4 years and numerous doctors. He can stand for a little while - but not much more than an hour or so. gets back spasms, sciatica. Not being able to sit has destroyed his life - he can t go anywhere or do anything. ### REPLY: Hello, I have studied your case. First possibility could be lumbar canal stenosis leading to spasm down leg Another possibility of lumbar disc compressing nerve root. Due to compression of this nerve root there can be pins and needle sensation in leg and waist. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband dont love me again, but he still live with me I dont know why. But, I can feel theres a compulsion by doing living together. He is often doing sexual good with his wife. I know, I realized he has someone in his heart. Consequently I had crucifixion because I cant get a needs for sex that God given. In the final I get suffer, my body were sick, headache, and broke down feeling. But I try to survive facing my life. So, what should I do about this relationship? Let him choose woman that he want, or what? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I do not know for how many years, you are married and living together. Family life is purely mutual understanding and mutual trust. If you do not trust your husband, there is every possibility that your emotions will be hurt. It is also possible that your husband is purely innocent and all these are just your imaginations. Thus happens due to possessive attitude. In every case, talking to your husband should be of great help. You may also consult a psychologist for marital / family counseling if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6 year old is potty trained but for the last year he has been having poop stains left in his underwear.  He does go on the toilet daily but still stains in his underwear.  He also has a hard time wiping because it will get so dried on his bottom.  Any suggestions? ### REPLY: Dear, Welcome to ChatDoctorWe understand your concerns went through your details. Bowel movement and urge evacuating are the signals given to child by the body, and they pick the signals and act accordingly. This happens when the urge is specific. During play period, when they laugh, cry or when doing activities which pressures the colon area, a little loose stool escapes from the anus and that is natural. This mostly happen in the initial stages of hard play period. Soon your child will understand the signals and himself stop this. Don't worry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Happy New Year. 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 lump in my arm pit the size of a golf ball, maybe a lil smaller. also a lump the size of a grape on my lower inner bicep, both on my right arm. They both appeared 2 weeks ago and they are slightly painfull and have reduced in hardness and size since then. The day before I saw these, I did a lot of physical labor, with lots of heavy pulling and lifting. Is this a lymphnode case or muscular? I also take 1000 mgs. of L-Tyrosine a day with 2000 mgs. of Vitamin C and B 6. could is also be a reaction to amino acids? Please help. .... -Geoff ### REPLY: Welcome to  .1. The history of bilateral axillary lumps over two weeks - suggest me as lymph nodal enlargement.2. This type of lymph nodal enlargement is seen in case of localized and systemic infection / inflammation may cause the similar symptoms.3. Possbility of muscular pain is possible, lumpy less is not seen after labor work.4. In this case I would recommend you to at an ultrasound examination of bilateral axillary region - to find out the nature of the lesions / lumps, its source and extensions.5. After that first the underlying cause should be treated, if required an FNAC - fine needle aspiration cytology might be necessary to evaluate the types of cells. Hope it helps you. Wish you a good health. 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: hi doctor, i have a back pain. dont know how exactly the pain was.. i have it and consulted some doctor. they said as muscular pain.. i did physio therapy. now i again got this pain. its not horrible. but i dont feel comfort normal life. am a software engineer. can u suggest me ### REPLY: Welcome to  .1. The above symptoms with your occupation seems like, positional problem.2. Initially I would recommend basic back pain exercise, and correction of positional changes.3. If symptoms does not ease, I would ask for X-ray depending on changes an MRI ( the best investigation to find the disc and chord diseases)4. If money is not matter get MRI done. 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: Hi I ve got my Liver Functioning Test report. Below is my testing report. Bilirubin-Total, serum by Diazo method 0.48 0.10 - 1.20 mg/dL Bilirubin-Conjugated, serum by Diazo method 0.08 Upto 0.3 mg/dL Bilirubin-Unconjugated, serum by calculation 0.40 0.1 to 1.0 mg/dL SGOT (AST), serum by Enzymatic method 26 Upto 35 IU/Lt SGPT ( ALT ), serum by Enzymatic Method 57 30 - 65 U/Lt Alkaline Phosphatase ,serum by pNPP-kinetic 151 Adult Male : 20 - 130 IU/Lt Protein (total), serum by Biuret method 8.30 6.4 to 8.2 gm/dL Albumin , serum by Bromocresol purple method 4.71 3.2 to 4.5 gm/dL Globulin , serum by calculation 3.59 2.3 - 3.5 gm/dL After analyzing this report could you please let me know what is the issue and how it could get cured? ### REPLY: You seem to have hyper protein anemia. The globulin part is marginally on higher side. You have not mentioned your symptoms. It is worthwhile to do get serum and urine electrophoresis done. Please get your CBC with peripheral smear examination done. You may even need bone marrow examination to establish the cause. By doing all these investigations which I suggested we have to be sure that we are not dealing with plasma cell disorder. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been snorting and occasionally smoking meth for about a month or so and Ive noticed that I have sores and a coating of white on my tongue and my tongue is actually sore. Also I think Ive been biting my tongue maybe when I sleep cus I grind my teeth really bad.. Anyways I want to stop the sores and the biting are there any ways to make things better on my mouth? Oh and the fucking acne... Ive never had acne ever my body is smoother than a babies butt and Ive been breaking out on my back and arms and even on my legs a little. What does that mean and how do I stop that? ### REPLY: Hello:)Thank you for posting in . Quit smoking immediately. This burning can be due to smoking as well. You did not mention if the white coating on tongue is scrapable. I suggest you to consult your dentist for a clinical evaluation. If necessary, you must go for a biopsy, to check if it is a lesion or just bacterial growth. Maintain good oral care. Brush, floss and mouthwash. You did not mention if you are stressed. Stress and worm infestation most commonly leads to night grinding. You can use albendazole if you suspect worm infestation. Ask your dentist for a night guard. This will dissipate the grinding forces. Acne can be because of hormonal imbalance. See your physician reg. This. Apply qua . Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes. My younger sister is on the following drugs:  Zoloft, Lamictal, Klonipin, Seroquel, Remeron, and Lunesta.  She had a major depressive episode 7 years ago when her daughters boyfriend committed suicide and she was drinking after that and got in an accident and lost her drivers license. She is constantly sleepy and in a zombie like stupor. She has not touched alcohol since the accident. She wants to get her drivers license again, get a job and get her life back. She has had fainting spells, breathing difficulties, heart problems and a multitude of other things. She called me for help since I spoke to her psyc dr and got him to change her meds once before.  She asked him herself but he wouldnt consider it. I think she should change docs. What should we do? Thanks. ### REPLY: Hi, Thanks for writing to us, I have gone through the provided history. Whether the .  She is currently on two antidepressants (Zoloft and Cameron), two sleeping pills/sedatives (Klonopin and Lines), one mood stabilizer (Capital) and an antipsychotic (Seroquel). Firstly, get her evaluated for the physical problems she has by a general physician and if necessary, get the required treatment and rule out depressive illness to be a cause of these problems (yes depressive illness can present with sucChatDoctorplaints). Secondly, a second antidepressant is added only after the first antidepressant is optimally tried for sufficient duration. You have not mentioned those details hence I would not be able to comment on that. And in my opinion there is no need for two types of sedatives and taking it only at night would avoid the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter suddenly started vomiting at night 2 days back .after that she is having loose watery stool which is sooo watery that the diaper is leaking..we gave her ondem syrup twice till now.. could the syrup made her stool loose ??? Because her stool was fine until I gave her ondem syrup..now v hv been prescribed another medicine vomikind ### REPLY: Hi, Both Vomiting and ODEM are having the same composition. Apart from this - It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting, you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: about a week ago i had severe abdominal pain, i went to the doctors they werent sure if this was appendicitis or an infection. the doctor told me if these pills dont help you come back on monday, anyway the abdominal pain had stopped about three days ago and now im experincing nausea everyday what could this be? ### REPLY: HI. Even appendicitis is also an infection of intestine. Anyway the good part is your pain has subsided. The nausea may be due to medicines/ recovering from infection. If there is no fever, vomiting, loose motions or any other abdominal symptoms, this is a good sign, and you may please go for an ultrasonography or CT scan of abdomen to see any organic problem. In case of appendicitis you have an option to go for surgery after 6 weeks of treatment. Continue the treatment for a full course. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello ive been felling really tired and my skin smells like iron,crazy but true ,i have had a hard time just doing anything ,my mom is sick and needs me but see is trying to take care of me,i have no money to pay i do not work because i take care of mom and i allso have medical problems myself ### REPLY: Hello! Welcome on  ! Your symptoms could be related to a metabolic disorders (chronic anemia, thyroid dysfunction, electrolyte imbalance, deny . ). For this reason, I would recommend consulting with your GP and performing some tests (complete blood count, blood electrolytes, thyroid hormone levels, vitamin D levels). Meanwhile, I recommend taking plenty of water to increase HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ok so i got there red bumps on my penis head and some on shaft when when water hits it or soap and when i have sex i was a vergin but my girlfriend wasnt bit i ask her with her past boyfriend happen and she said no and she got tested a week ago she got blood tested or pee tested ### REPLY: Hello really appreciate your concernLooking at your description this could be suggestive of STI, other infection or an allergic reaction would like further information to help you Bettencourt age and relevant medical history you having any kind of dischargeSince how long you have this problem In my opinion you should keep it clean and apply antiseptic ointment If it gets worsen or doesn't improve than you should consult your doctor for physical check up and detailed evaluationMaintain good hygiene use condoms during sex until it heals completely Hope this answers your question if you have any more doubts please feel free to write back to me, I will be happy to help you 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: himy child is 3yrs old and gets cough & cold so often....our pediatrician prescribed glemont (white tablet chewable) i each night after food for 3 months.was it a right diagnose. cause i read that glemont got so many side effects and should not be prescribed to kids if they are accute allergic or has wheezing or asthma etc.kndly advice ### REPLY: Thanks for query on .Belmont contains montelukast .  Montelukast is used regularly to prevent the wheezing and shortness of breath caused by asthma and decrease the number of asthma attacks, allergic rhinitis. This medication does not work immediately and should not be used to treat sudden asthma attacks or other breathing problems, So it is used for long time to reduce allergic episodes. Keep in touch with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Doctor, I have broken front teeth which got rebalanced recently by a good dentist after they got maltreated by a bad dentist. Aside from that I also have inwards growing teeth, because I have been playing trumpet for a while. The crookedness is causing changes in the way I eat and I cannot put my teeth together anymore. The teeth do not touch correctly anymore and they are now also affecting the balance in my mouth; sometimes my mouth begins watering for no reason and I feel off balance on occasion and nauseous. I read about a solution called invisalign, but there was one dentist from Harvard who had a really big mouth towards me; he refused to treat me unless he got to pull three front teeth etc. He also claimed that I would never be able to handle corrections on my teeth because he had a client who could not adapt his embouchure to an overbite correction and he compared me to that client. He was a pathetic man, claiming invisalign was nothing but a piece of plastic. I simply wish to look- and feel better and am very well trained for resetted embouchures, because my teeth broke more than once, using the Berklee schillinger and zero pressure method. I have also had very good teachers and can adapt to many different situations. But I am looking for a biological solution and not enhancements because I know that the human being is already in balance with itsself, it is supposed to be like that. The human being is supposed to be at peace and balance with itsself and within the comfort zone; doctors can help bring the human being into the comfort zone. ### REPLY: Thanq for your query.I can understand that every human being wants to be at peace and balance. But in your case this may not be possible. Moreover you have not mentioned your age and gender. As your previous doctor suggested if you want treatment to be done, you have got your teeth removed because your teeth have grown inwards very much that mere uplifting them may not be sufficient to get the required space to move other teeth. The entire procedure will take at least 1.5-2 years if u keep your doctor's appointments and allow him to do his job. The beginning to the treatment may be painful and u will have to restrict your diet. The dentist from Harvard you were referring to must have explained you all these. So you better tune your mind to all these issues. 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: Doctor,My wifes last period dates are as follows.24-DEC-12  38 DAYS31-JAN-13  33 DAYS05-MAR-13  29 DAYS03-APR-13  33 DAYS06-MAY-13  38 DAYS13-JUN-13   IN PROGRESSIs it normal cycle?The last six months we are trying for pregnancy.But it was not successful.I here with attached my Semen Analysis Report for your reference..As per the Report it is normal.Can we consult with a gynachonolgist for futher check ups?What are the Fertility check ups for women? Does irregular periods may affect pregnanacy?Kindly explain.RegardsJustine George ### REPLY: Hi and thanks for the query, Infertility requires that you have unprotected sex 3 to 4 times a week in a steady sexual relationship for at least 1 year. This could be primary (if the lady has never conceived)or secondary if a past history of conception is known. These issues are key before moving on to any treatment options to be considered. These considerations coupled with infectious disease screen, hormonal analysis, ultrasound, hysterosalpingography for tube permeability, spermogramme are all very necessary. I strongly suggest he consults an infertility specialist, for there exist many effective novel methods to ad . Thanks and best regards, Bain LE, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pain in my hips and for some time I am taking medicine from Homeopathy they say it piles , its not a regular pain it comes twice in a year during season change is it any permanent solution for this also i got constipation after taking allopatChatDoctoredicines ### REPLY: Hello, Thank you for using  . I read your question and understand your concern. Based on your information I think you have got osteoarthritis. There are many things that you can do to help relieve the pain from this disease. First start to lose weight Second you can take glucosamine and Chen .  Physical therapy helps especially swimming pool and water aerobic exercises You may need to do pelvic x-ray evaluate the bone status and depending on that and depending on your clinical signs doctor may suggest surgery hip replacement when the time comes. There is no perfect cure for this disease and only the surgery of hip replacement with take out your pain. 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: Hi My daughter is 8 months old and had fever, cold, cough for 3-4 days. Urine test was done and found out in the result that pus cells count is 8-10 hpf. Please suggest remedies for this. We have given another sample for culture test and is due in a couple of days time. But in general, are there any natural remedies and is there anything to worry about? ### REPLY: Pus cells 10-12/HP in urine indicate urinary tract infection which is the possible source of the fever the child is suffering from. It might also be related to a viral infection which generally causes the cough and cold. You need to visit a doctor and get it treated with a full course of antibiotics. The doctor will be able to subsequently tally using the culture and sensitivity reports if the antibiotics are supposed to be effective in the particular case of your daughter. The main natural remedy to reduce such infection would be to .  It has to backed up with proper antibiotics, and you need not worry if the course is completed. Maintaining proper hygiene is essential. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sir,my son is 8yrs old.he is having asthma since last 6.5 yrs.as he is growing older his condition is getting worst.his wt is 24 kg.height is  132 cm .after d age 5 he was completely out of d condition for almost 2 yrs.suddely d condition relapsed.since then condition is gettig worsen.citrus food cadburies,oily food  and dust causes spasm, but still he never required steroids or spray. The trouble occurs during rainy and winter season only. ### REPLY: Hello, Welcome to , As you are known allergic to dust, you should be very careful otherwise it may be dangerous to the life. I would suggest you to undergo absolute eosinophil count (AEC) which will be raised in the allergic condition. For the present symptoms you can take Tab Monte LC which helps to control the symptoms, but it is temporary. You need to avoid these dust allergens to protect yourself from getting these allergy symptoms. I would suggest you to undergo skin prick test (SPT) to identify the type of dust causing these symptoms, and you can prevent yourself from exposing to this dust. Otherwise, you can prefer immunotherapy either with subcutaneous immunotherapy (SUIT) or sublingual immunotherapy (SLIT). 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: post knee surgery - fluid keeps building up in an area directly above my knee; the dr. says its due to bone rubbing on bone and therefore making its own fluid. I thought rubbing bone on bone is a negative in the aspect of bone spurs and decreasing ROM. Now they want to try lubricating injections? Opinions please ### REPLY: Hello This can be synovitis stage of arthritis. Yes you can take lubricant injection. Arthroscopy may also help you. In arthroscopic shaving damaged cartilage is smoothened, and loose friable cartilage is removed. After micro fracture you may need proper exercises protocol and weight-bearing as advised by surgeon need to be continued. Avoiding steps and using western style toilets etc. would be helpful. Loose body formation can be due to disease process Chen . Cartilage regeneration may take 3-4 months time. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I would like to know if there is a way to get fair skin back? When I was a baby a had a light complexion, but due to sickness at around 8 months to 1 year (not sure when exactly) my skin darkened immensely but as I grew my skin has lightend quite alot, but not to its original colour as yet,I am 19 now. I would like to know if there is any way I could get my original colouring. ### REPLY: Hello, Welcome to  Your complexion is usually decided at the time you are born. No treatments can make a person fairer than their original color.  In your case you had fairer skin when you were younger, so there is scope for improvement. Sun protection is the key to a lighter skin. As much as possible avoid direct sunlight, wear a sunscreen with a SPF of at least 15 every day in the morning half an hour before you go out a re apply it every 3-4 hours. You can use a face wash containing Glycolic acid twice a day. Lightening creams like comic acid and or vitamin C serums will help. You can go for a cosmetology consultation and cosmetic services like chemical peels can be tried. Even monotherapy with vitamin C and or glutathione will help. . Hope this helpedTake care ### END