Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 36 weeks into my pregnancy and have had all the symptoms of preeclampsia(swelling, sudden unexplained weight gain, vomiting,headaches,constant high blood pressure) with the exception of protien in my urine. My midwife says its gestational hypertension (after 3 hospital trips and several appointments with her)and sent me home to do my 3rd 24 hour urine collection test. I have been in extreme pain the last 2 weeks and it seems she is just blowing the way I feel off. I have been having mildly painful contractrions and have been extremely sick with flu-like symptoms (vomiting,headache,diarrhea) and all she says is drink water and bed rest. I have looked up the complications of gestational hypertension and mild preeclampsia and both say that if you have major syptoms like I do that your provider should have induced or delivered by c- section by now. Is my doctor taking the correct steps in managing my pregnancy or should I seek a different provider? ### REPLY: Hi, Gestational hypertension or pregnancy induced hypertension at 36 weeks with symptoms of vomiting and headache can be serious and needs to evaluated and admission in hospital is advisable. Your Blood pressure needs to be monitored every 6 hours and if more than 140/90 you need to be started on antihypertensives, also the well-being of the baby has to be assessed by ultrasound and fetal monitoring. Yes, if either your condition doesn't improve and the blood pressure is not in control and if the symptoms of headache and vomiting increase, delivery will have to be planned as, after 34 weeks fetus is relatively safe to be delivered, if required. Please go to a doctor for evaluation immediately. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi There I m 46 yrs. I ve have all muscle twitching all over my body been like this for 18 months now. I been to a neurologist about a year ago. No test were done, just a few physical test & some questions, was told there s nothing sinister going on. However, twitches are still here and more than a year ago. My right eye lid has been twitching now for 2 weeks, constantly. This whole muscle twitching thing is getting to me mentally ### REPLY: Hi, Thanks for your query.*** From the description provided it seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. Articulations have a variety of causes, the majority of which are benign. The most likely and common causes for these are1... High levels of stress, anxiety,nervousness or excitement or anger.2... Consumption of excess of alcohol or caffeine.3...low levels of calcium, potassium,magnesium etc4... Low levels of IT B125... Use of medicines like anti asthmatics, anti seizure, weight loss medicines etc6. Certain disorders like hyperthyroidism or hyperparathyroidism. I would advise you to get tested for above-mentioned causes, stop alcohol and caffeine, do regular stress buster exercises like breathing exercises and yoga and taking good nutritious diet. Taking methylcobalamin supplements and electrolyte fluids will be helpful. If some deficiency comes in your tests, then take those supplements. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is sal, for about 2 years now i have had swollen lymph nodes in my under arms, i have not went to the doctors to make sure they are acutal lymph node. Anyway i now have about 5 -7 nodes in both arms combined i dont feel any type of illness except for pain in my lower back. What can this be i cannot afford the doctors and I am extremly worried, ### REPLY: Hi, Dear,Thanks for your query to  virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the lumps in both of your underarms. In reference to accompanied lower back pain, these lumps could be either of -Lymphoma-(HL-Hodgkins and NHL -Non-Hodgkins type), TB lymphadenitis, Hi . Plan of Treatment-Consultation by physician to rule out the above and other causes of under arm lumps. Xray Chest, Routine Blood tests and IRA(interferon Gamma Release Assay test) Blood test for old and subclinical /hidden TB infection, FNAC Biopsy By ER Surgeon if need be. After confirmation of the diagnosis of the cause of these lumps rule out other causes, I would advise you to consult ER Physician and ER Surgeon, who would examine it and treat it accordingly. Treatment-In the meanwhile you are waiting for the doctors consultation and needle biopsy and other tests-Anti-biotics and anti-inflammatory -to rule out any infective causes in lymph nodes and tissues around, could be started if need be after ER Physicians ER Surgeons opinion. In the absence of more information, I would advise Second opinion in your case, who would examine it and investigate it to treat it as per the cause of the lump. Do take his Second Opinion, on the above suggestion, as he would advise you with fist hand clinical information. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at . Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to . Wishing you fast recovery. Have a good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to hospital 6 days ago for back tooth ache. Tooth had cap put on years ago and started to decay. I didn t know until the pain I felt sat. Penicillin doesn t seem to be working bc it s still throbbing in pain. Have an appt Monday. Dr closed today. Was going to ask for stronger antibiotic. Can I take Amox or methyl prednisone ### REPLY: Hi. Thanks for the query. Well it looks like there is a secondary decay due to poor fitting crown leading to Infection between the tooth and the crown. Antibiotics will reduce Infection bit is not helpful in immediate reduction of pain and for this you need to take painkillers. So better consult an Emergency room and get evaluated. They can surely give you higher antibiotics like Augmenting and along with it painkillers like Ibuprofen or Naproxen. If pain is severe Motorola or Tramadol can be advised. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my baby had a shadow on his lung around 6 weeks ago, and also he gets poorly every 3 weeks max, with wheezing, coughing and going of solids and just drinking 3 oz a day of milk which he usually he drinks 708 oz docs keep saying it a happy wheeze or chest infection, what can it be? ### REPLY: Hi babies with initial damage to lungs during neonatal period may have wheezing episode later like happy Wheeler. As the name suggests happy wheezes are happy. They grow normally, and they have normal activity and appetite. If your child has poor activity and poor feeding it is more likely an infection which causes spasm of airway leading to wheezing. Let him get treated for acute episodes. If these episodes are frequent he may require metered dose inhaler. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just wanted to know that i had i pill on 27th feb n after that little bleeding came n now m feeling that my periods are started so can i take meftal spas rt now? why this little bleeding came, does it relate anywhere to pregnancy? should i take meftal spas every month coz i cant bear it without that even my bp goes low n lower abdominal pain is untolerable? plz help me.... ### REPLY: Hi. Meftal spas is taken during menstrual pain and is one of the indications for it. Bleeding after the i-pill may be due to hormonal imbalance i-pill creates. You can take Metal spas for any pain in abdomen. But it is better that you take the medicines only if there is pain, otherwise there is no role. It is better to avoid i-pill as it looks that i-pill is not suitable to you and your hormonal balance. Better to take condom or use safe period for sexual intercourse. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 told that metoporal helps a person to not pass out due to low blood pressure. Is this true? I had passed out in 2010 and landed on my bottom and fractured my back. My history has included passing out once in a blue moon. It has been indicated that my blood pressure went up at that time, but since then, my blood pressure drops occasionally and I feel like I might pass out. I really would like to be taken off the metoporal medicine and put on BP meds. Would this not be a good idea? My doctor absolutely will not take me off this beta blocker. ### REPLY: Hi, After going through your case there is likely possibility of cardiac arrhythmia (abnormal electrical activity of heart) that may be responsible for your episodes of passing out. For controlling heart rhythm and preventing cardiac arrhythmia you might have been prescribed metoprolol and not for blood pressure.  For better advise I want to know-1) Your age.2) Presence of other comorbid conditions like diabetes.3) Any other medicines other than metoprolol going on. Following investigations may be helpful in decision making-1) ECG during period of passing out.2) Resting ECG.3) 2DEcho of heart.4) Holders monitoring and electrophysiologist study of heart.5) Complete blood count, Kidney & Liver function tests, serum electrolytes, calcium, magnesium, phosphorus.6) Thyroid function test.7) If nothing is significant in above-mentioned test then there may be need for MRI brain with angiogram. From above test we can come to know about cause for your symptoms and accordingly appropriate decision cane be taken. Hope this may be helpful to you. If so do vote. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 decayed teeth it pains and since a year in winters or in cold weather when i sleep in the morning with my spit blood comes...I have seen something like an insect as if a small crab like twice with my blood plz give me the remedy and do tell me from what I am suffering from. ### REPLY: Hello, Welcome to .  I have gone through your query, as you have decayed teeth see this decayed teeth can be due to caries due to not proper brushing and maintaining proper oral hygiene. As you have problem of bleeding also this come when there is pulp exposed of carious tooth or due to periodontal problem. Don't worry you can do Luke warm saline gargle two - three times a day Do chlorhexidine mouthwash twice daily Do proper brushing and maintain good hygiene. Consult dentist for treatment of decayed teeth if it can be restored go for restoration if not go for removal of tooth. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir...actually when i was at my 8 standard i started suffering from nightfall which i did not know about it.. But then i started masturbration due to bad friends.now i am 19 and have stopped masturbration but i still suffer from nightfall...plse help how i can prevent it... ### REPLY: Hi, Thanks for writing in. When a boy grows passes through puberty (about 12 or 13 years of age) the body changes start, and he transforms into an adult. At this time there is semen production in the testis, and it is ejected as nightfall. Due to social pressures and exploration of sexuality a boy learns masturbation and this causes the semen to be ejected regularly. Doing masturbation alone is not bad as long you do it 2 or 3 times in a week and not more than once a day. Since you have stopped masturbation therefore the semen is getting collected in the testis. This has to be ejected out of the body at regular intervals as new semen is generated regularly. This ejection occurs as night fall and is normal in those men or boys who do not do masturbation regularly. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have no room for my wisdom teeth so doctor suggested for the extraction of the wisdom teeth. Is extraction that necessary? Does it have any side effects like loss of sight etc.. ? Will I face any problems or pain infuture after extraction of teeth? ### REPLY: Hello and thank you for your questions. The risks of losing your sight from an extraction of third molars is close to impossible.  Most common side effects of third molar extractions are temporary:-Swelling-Bleeding-Pain-Bruising-Stiffness in Jaw Less likely side effects-breaking of parts of jaw requiring the bone to be smoothed with a file....pieces of bone this big: { }-numbness or loss of feeling in the lower lip (1% chance with 0.1% being permanent)-infection-alterations in the sense of smell or taste (highly unlikely)-breaking of the roots requiring more invasive surgery (if this occurs you wouldn't even know when they were doing it)-TMD-Death (most often associated with inhaling the extracted tooth into the lungs-we use precautions to prevent this) or allergic or physiological reactions to heavy sedatives used in sedation cases. I have extracted Hun .  I've had three infections, but that was due to patients poking at the extraction sites with dirty fingers.  The rest healed and recovered without incident. Best wishes and 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: Dear Doctor, I am suffering from spinal spondylolisthesis of lumbar L5 over S1 from last ten years but I was running fine. from 15days back I feel very painful and contact with doctors in our country Bangladesh. some of one said, it is going to static position, so you need not to go for surgery and other doctor said you go for surgery. It is so risky operation, may be successful otherwise your position will deteriorate. so,please give me suggestion what to do. Best regards. Monzur Elahi khan Dhaka Bangladesh ### REPLY: Dear Concur, If the pain is localized or with/without radiation to some extent then this can be managed conservatively with Physiotherapy including some electrotherapy modalities, pelvic traction, manual therapy, corrective exercises along with some nerve vitamin tablets..... One assistive devise such as "lumbosacral brace" will be for useful in this case.  Once pain is reduced you can join core strengthening classes only under a supervision of a certified physiotherapist who can design exercises specifically for you as per your condition..... If there is persisting weakness in your legs, increasing gradually and showing sluggish reflexes (Deep tendon reflexes) then this represents motor weakness, and you need to be ready for a surgical procedure.... Although this surgery is a risky and expensive one these days the latest technologies in an operation theater (OT) have already introduced to reduce the risk factors..... So wish you a good health 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: I was diagnosed with pneumonia March 4 and given treatment for it. A subsequent x-ray showed the pneumonia was still there and I was given another antibiotic and to have another x-ray in 4 weeks. That x-ray showed the pneumonia is better but still there. Also showed cardiac pericardiac sillouette at upper limits of normal now with low lung volumes. What should I do now? I still cough and feel tired. ### REPLY: Thanks for your question on . In my opinion you are having slow resolving pneumonia. I advise you to consult pulmonologist and get done 1. CT thorax2. Bronchoscopy and BAD (Bronchoalveolar Lavage) Analysis with culture and sensitivity report. We need to finding out the causative organism. And find out the antibiotics which are effective against the isolated organism. So that accurate treatment of pneumonia can be given. Better to consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I had what appeared to be stretch marks on the shaft of my penis. They appeared horizontally around the shaft looked a dark red/brown. Went to see a doctor and he diagnosed it as a fungal infection. Just curious how on earth I could have gotten in on my genitals? Could it be from swimming in cenotes in Mexico 3 weeks ago? ### REPLY: Hello, Welcome to , The history and symptoms suggests me that you are having a fungal infection, but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis. The fungus is the normal commensalism of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason this fungus will multiply and produces the symptoms. I would suggest you to follow1. Keep the area . 2. Topical antifungal cream should be applied.3. Tab Rifleman, 150 mg single dose will help to control the symptoms. 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 had a bad virus but are now suffering tiredness and sleeping for days and still feeling tired and weak and are always dry in the mouth and real thirsty if I do the smallest of tasks eg, stairs and even having a shower apatite is ok and eating well but are always sleeping and thirsty . ### REPLY: Thanks for your questions. Tiredness following a viral infection is very common and generally takes a few days to weeks to go away. However if that is much of problem as causing you to be sleepy, I would advise you to go in for anti-asthenics such as vitamin C formulations. Most of these are available over the counter in most pharmacies. Only do not take them in the evening or at night as you are going to have problems with sleep. Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just took a health inquiry. It came back IBS. What is IBS?  And can you get it by being hit with force in  the abdomen on the left side?  I have pain and strain while going to the bathroom even when my bowels are soft, for the last 3 years. What test that I can easily take to see inside? ### REPLY: Hi. As the name suggests - IBS is Irritable Bowel Syn . You have pain-this is the most important symptom. Hitting of abdomen can cause this if the hit has caused bowel wall edema and its complications. The best way is colonoscopy and is done to rule out other problems. As there is no specific reason the treatment will depend upon the factors which increase your problem. You may please consult the Gastroenterologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My question is I am doing sex self with help of my hand..... every day I am take a bath in bath time I am shake my naked with seop after all my creampie is come out.......this type of work I am start at my age 17year and now my age is 23..... my question is what the side effects? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. There is no side effect of masturbation. It also never affect the health of anybody.Instead, it has many advantages, you can satisfy you desire without any sexual activity so no chance of STDs, Once you masturbate your mind becomes clear, and you can later concentrate on your work. If you won't do masturbation than you may face sweet .  I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with clymidia 2 years ago, an the gyno toldme I probrobly had it for a while considering the severe cramps I was getting Me and my bf have been trying to conceive ever since I was treated, and I can`t get pregnant. Can I maybe have a surgery done to fix the damage to my tubes due to having clymidia. Please help ### REPLY: His had gone through your question and I understand your concern, See, Treating persons infected with Chlamydia prevents adverse reproductive healtChatDoctorplications and continued sexual transmission, and treating their sex partners can prevent reinfection and infection of other partners. The standard recommended regimen for treatment of Chlamydia is: Azithromycin 1 g orally in a single dose OR Doxycycline 100 mg orally twice a day for 7 days hope this information was useful. Wish you good health. Thankyou. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 HSV-2 genital herpes and am on a daily 500mg dose of valacyclovir. I ve been taking it for 2.5 months and it seems like my symptoms have not changed at all. I ve noticed what seem like semi-healed blisters (small bumps) and redness in exactly the same location for over 3 months. Everything I ve heard indicates that even without medicine, these symptoms should have at least gone away and then recurred later. How is it possible that the symptoms have just remained exactly the same the whole time? Backrgound: I d taken Valacyclovir in response to outbreaks before and it worked very well. It s only now that I m on daily suppressant therapy that the symptoms seem to be sticking around. Should I up my dose? Is my body not absorbing the medicine well? I have to get shots of B-12 because my body doesn t absorb it well from my food and I m wondering if that s happening here too. Or could it just be a BV or yeast infection? I used to have a lot of problems with those in the past. ### REPLY: Hello, welcome to , Genital herpes is caused by the herpes simplex virus. Most individuals carrying herpes are unaware they have been infected and many will never suffer an outbreak which involves blisters. As you are having genital herpes for the first time, you may have to consult your dermatologist. As you are not able to consult your doctor for another one week I would suggest you to follow1. Keep the affected area clean and . Apply an ice pack wrapped in a cloth.3. You can apply Vaseline over the lesion4. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lower back problem. It started one day at work. the pain was first in my knee, then it started to move into my buttocks and down my leg. is this unusual for a back injury. when i first got injured i reported the pain in my knee, because that is where i felt the pain. over time like i said the pain got much worse ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be sciatica due to nerve compression from lumbosacral spine. It arises due to injury of intervertebral disc. Other cases which the pain you described can occur is referred pain from knee or hip joint. A thorough orthopedic examination is necessary to rule out this. A X-ray followed by MRI might be required in case of any positive findings. For such cases I advise NSAIDs like diclofenac, muscle relaxants like cyclobenzaprine and neurotrophic . I also advise physiotherapy and muscle strengthening exercises along with this. Hope this may help you. Let me know if you have any further queries. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a lymph node removed (groin ) three panels of pathologist came back with three different answers hodgkins non hodgkins swollen cells I am set up to have radiation but the oncologist wants to do watchful waiting my father had hodgkins my mother had cancer of the bone marrow at this time the only symptom ihave is being tired all the time with the family history i am not comfortable doing nothing should i tell the doctor this and go forward with radiation ### REPLY: Hello and welcome to , It is evident from your history that you have enlarged lymph nodes in groin region. The biopsy report has revealed malignancy, but the character of the malignancy is not confirmed. Three different diagnosis is given by three pathologists. However, final and correct diagnosis is required as the treatment depends on the diagnosis. The treatment of Hodgkin's and Non- Hodgkin's lymphoma is completely different. Different chemotherapeutic agents are used for both the conditions. Get your slides reviewed by an experienced pathologist along with immune markers. Immune markers are very important for diagnosis of lymphomas. Requirement for radiation therapy depends on the stage of the lymphoma. So, consult an experienced pathologist (especially hemato-pathologist) for review of the sides and immune marker studies. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Our baby is 18 months old. He is suffering from cold regularly and his weight is now 9.5 kg.What should we do? Doctor has advised us to  give him Zerolac instead of cowmilk as he was suffering from diarrhea last march. What is the alternate option of Zerolac? How much we have to continue??? ### REPLY: Hi, I'm . 5 kg weight for 18 months child is slightly on lower side. Apart from weight growth and activities of child are also important. If baby is active and gaining weight regularly (although a bit on lower side), it is not much reason for concern. Try to give him frequent and energy dense foods to help gain weight. Zerolac was started in March. Is he still having diarrhea? Zero lac is used for lactose intolerance, most cases of which are transient in nature secondary to temporary lactase deficiency post prolonged diarrhea, I do not see any reason to continue it for such a long time unless there is permanent lactase deficiency. If we are considering cows milk allergy or intolerance than also 6 months have passed and a trial of normal milk diet can be given after discussing your doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Take care. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...My 14 month old has had a viral infection for 4 days and has now been given augmentin due to the change in colour of his nasal secretions. we also keep his temperature down. Is there anything I can give him with the augmentin as he already has diarrhea. He just wants to sleep all the time - he was using voltaren and panado suppositories - which I have now stopped and only using liquid ponstel ### REPLY: Hello, Cough and cold are viral 95% of the times in child .  So antibiotics are not required and if unnecessarily used may contribute to antibiotics resistance. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a ultrasound done of my liver, found a whitish area the size of 5.4 cm on my right lobe, I clearly saw it with my own eyes, now I had a MRI done and doctors say theres nothing on my liver when you can clearly see it on an ultrasound. Im 21 weeks pregnant. What can it be or why cant they see anything on the MRI? ### REPLY: Hi, thank you for posting. You don't have to worry... Ultrasound is a widespread method all over the world. It is cheap, fast and harmless method. But it is not an exact method. Ultrasound images sometimes are fallacy, like in your case. An ultrasound technician with work experience can easily find mistakes. MRI is a sophisticated and exact method. If MRI is negative, there is no reason to worry about. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I often fallen typhoid or malariya fever yearly once or twice and also ,Just 2 months back I suffered due to malayria fever and again from past 2 days I am suffering from Fever with shivering and body pains, could you plz let me know why it is happening and precautions to to be taken care ! ### REPLY: Hello, Welcome to , I have gone through your query in detail. Typhoid is a bacterial infection and stays in the body till treated completely in most individuals. It is important to know what antibiotics you are taking, its dosage and duration for which you have been prescribed. Most likely, you are getting cured and for complete cure you must take medications as suggested by your doctor. The main precaution you must take at present is eat healthy home cooked food with less oil and no spices. This diet may be continued for about a month to allow proper recovery. Medications also must be taken for complete course and in typhoid it is often given for 14 days. You may take adequate amounts of water and fresh fruit juices. As typhoid leaves you very weak, taking rest for a while is advised. Typhoid recovery is not the same in every person who gets it. 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 Doc, please help me. In early Feb I had a bowel movement that caused blood. Immediately after I felt pressure in my bladder for about a day. A week later I had blood in my semen. I am set up to have a colonoscpy at the endo of the month. In the past month I have had pain in my penis, my testicles and all of the surrounding area. My DR put me on Cipro, but I started having dizzy spells about 2 hrs after taking it about 4 days in. (I dont think I drank enough water with it). Then I was put on Mrytrebiq (spelling) for bladd control, but had REALLY bad dizzy spell due to that. Is it possible that this could be due to prostatisis, over active bladder or anxiety? ### REPLY: HelloThanks for query. Pain in testicle and perineum with blood in semen strongly suggests infection of the Prostate (Prostatitis). Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen examination and semen Culture.In the meanwhile start taking antibiotics like Doxycycline along with anti-inflammatory medication like Diclofenac twice daily/ Further treatment will depend upon result of these tests and final diagnosis. Please note that Prostatitis takes long time to get desired results hence you may need to take appropriate antibiotics as per culture report for a period of 4-6 weeks. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 46 type 2 diabetic with elevated levels of protein in my kidneys but which is coming down. creatinine level is normal. my last A1C is borderline and also coming down. i have a swollen left foot, excellent pulse, no pain at all and the swelling is mid foot to toes. also very dry on my toes. i have been to kidney specialist he gave me water pills those seem to have reduced swelling some he said all my blood work would not indicate there is a problem with kidneys or diabetes but has not given me a clue as to what the problem is and i cannot afford to keep going to doctors!! What should be my next move? ### REPLY: Hello, Since you have a history of swollen foot & elevated protein levels you are suggested to get clinically examined by a Nephrologist / Urologist. Get Imaging tests, Kidney function tests, Urinalysis, CBC, etc. done. Healthy kidneys do not allow more protein to pass through the filters. But when the kidneys are damaged, albumen leaks out from blood into urine.  Presently you should cut on salt & avoid taking dairy products, cheese, canned food, cut on noodles & bread. Fish, eggs & meat can be taken once in a day.  Get assessed & treated at the earliest. Nutrition & amount of protein to be taken will depend upon the stage of the kidney disease & body size(BMI). Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had a root canal 10 days ago, and only took a few of the antibiotics, then on monday i had a fever and a small amount of blood in my mucus, i started takeing the meds again and feel better but still have a trace of blood in the mucus. do i need to go to urgent care or should i finish the meds fisrt??? ### REPLY: HiT hanks for your query with , as you mentioned you have already taken antibiotics there is no need to take antibiotics again and again which is not god for general health where one can develop . Anyways coming to your problem I think you have an open canal where the food can lodge in canal leading to pain with secondary infection. I would suggest you to visit your dentist for further completion of the treatment under aseptic conditions. Fever is also because of secondary infection only. Blood in the saliva may be due to remnants of pulp nothing to worry but as mentioned complete the treatment if it is not done, 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 am getting extreme cramping/ charlie horse feeling in my right upper abdomen (feels like my liver contracting/ cramping) everytime I try and do sit-ups.  The pain is so bad that I have to stop working out and it feels as if an organ inside of me is tightening/ knotting up.  Its under my right rib cage area.  The pain only comes when I do sit-ups.  I am a 34 year old female.  Need to lose weight.  Enjoy a few glasses of wine 3-4 times throughout the week.  Worried that its my liver?? ### REPLY: Hello,1) if you experience this pain associated with exercise then probably it is muscular pain which you may sometimes feel due to vigorous exercise 2) if this pain occur spontaneously and associated with food intake then you might have stone in bile duct which block the bile duct and produce cramp like pain3) stone in bile ducts are mainly secondary to gall bladder stones of which small stone migrate into bile duct from gall bladder4) to rule out condition proceed evaluation with liver function test and USG abdomen. If size of bile duct is increased on USG abdomen (indirect indicator of bile duct obstruction) then you might require MRI with MRCP of abdomen.5) if USG abdomen couldn't find any abnormality the you should proceed with CT scan abdomen in case of persistent abdominal pain ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: for past few days i have been experiencing restlessness all day along with eye strain with continuos usage of pc nd i feel increased hert beat. i am 27 yrs old n work in it. i am supposed to wear glasses but i dont wear it as it seems to be a burden. ### REPLY: Hello! Thank you for asking on ! Your symptoms seem to be related to anxiety. It is normal to have a higher heart rate during anxiety or physical activity. There is nothing to worry about! Regarding the glasses, I recommend consulting with your ophthalmologist for a careful physical examination. An eye disorder, or the pressure in the eyes when forcefully concentrating on the pc, can lead to tension of the central nervous system, mimicking this clinical scenario. Hope to have been of help! 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: with a gap of a week or two in the morning when i wake up and spit blood cots with saliva comes out. even sometimes i feel blood taste  in mouth. today after i woke up and i felt like vomiting and when i spit light brown as if the blood got mixed with something and the color fades came out. feeling weak from inside ### REPLY: Thanks for your question on . I can understand your concern. Coughing up blood is seen commonly in bronchitis and lung infection in young. It would be advisable for you to get a chest x-ray done. So better to consult pulmonologist and get done clinical examination of respiratory system done in detail.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my brother is 55, has extensive small cell lung cancer with brain mets, his lung tumor was 8.6 cm about 2 months ago, last week he has 5 days of brain radiotherapy, he is on steroids which he is reducing gradually, but he has developed a rash all over & keeps getting shivery & sleeps most of the time, is this normal & how long is he going to live ### REPLY: Hi, Thanks for writing in. If your brother is having rashes all over the body with shivering and .  Please discuss this with his doctors and whether his radiation therapy must be stopped for some time. Cancer in lung that has spread to the brain can have a survival duration of 2 years with the best of treatment and supportive care. However, his general condition must be taken care of to tend his survival. It is possible that he might have some infection due to his low immune state and that is causing the rashes and shivering. This can be confirmed only after complete clinical examination. If an infection is confirmed then that requires to be treated. Please make attempts to provide him with adequate nutrition and fluids rich in proteins and vitamins. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi please help I was 6 days late for my period this time ive had stomach cramps for the past two weeks I have tiny little white lumps on my breasts im tired alot mood swings I have a belly that look like im 4-5 months pregnant...my previous pregnancy 3 years ago I had placenta previa and had to have a c section at 36 weeks. ..is it possible I am pregnant and still having my period I also have felt a couple of mild tingles in my belly ive had 2 negative home pregnancy results, should I go get a blood test and an ultrasound to make sure ? ### REPLY: Hi. Thanks for your query and an elucidated history. It is not possible that you are pregnant for 4 to 5 months and still having periods. All your symptoms looks to be associated with a condition called psuedocyesis. I would advise you to go for the following:Ultrasonography of the abdomenGynecologists opinion. Ultrasonography of the breasts. Once the diagnosis is clear, the treatment will be according to the cause. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can thrombocytosis result from an untreated sinus/respiratory infection? Patient is a 65 year old male with a severe sinus/respiratory infection. Starts experiencing numbers in bilateral arms and face and burning pain in bilateral feet. Has pain in his diaphragm region. Blood pressure is 200/100. Blood work results show high platelet count (double whats normal) and everything else is normal. EKG, stress test, carotid ultrasound are all normal ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have thrombocytes.  Any infection can lead to reactive thrombocytes.  You should take treatment of your infection first.  Your platelet count will down to normal automatically. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 1 year old granddaughter has red spots around her mouth and a few spots on her hands and feet. She is drooling profusely and won t drink very much. she also had a black bowel movement today. Have been alternating children s tylenol and children s motrin. she can t get comfortable and is crying a lot. Any suggestions? Think it is just a virus? Joanie ### REPLY: Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY .  This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been feeling Ill for a very long time now,severe stomach pain is the most serious ailment I have. I also have chronic diahrreah , constant headache , fatigue, dizziness and nausea. I have seen many doctors , GI specialists and gynocologists who keep telling me nothing seems remarkable, yet I know that  there is something wrong because I remember a time when I did feel well. I have stopped drinking alcohol because one doctor said that may have been the issue but still I have good and bad days . I have a hard lump in the front right side of my neck now for the past three days, and very bad lower abdominal pain as well. Last I went to the doctors, one of my liver enzymes was slightly elevated as was my white blood cell count. The doctor said it wasnt anything to really worry about though, but I have not gotten Bette ### REPLY: Hello, Thanks for writing to us, As per your history it looks that there is infection in your body. Another possibility of malignancy needs to be kept in mind. You may need complete check up like CBC LFT, URINE EXAMINATIONColitis may also give similar symptoms you need to manage your diet. Holistic treatment with yoga and meditation has helped many patients. I hope that I have answered your query. Let me know if I can help 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: sir,for last 10 days suferring from fever.First 3 days 104 F then after taking 3 injections of amikacin temp. goes 96, but again within a day it goes to 103 and still its there.Along with I have jaundice but not severe.My ELISA koch report is postive IgG +VE and IgM -ve.What I have to do do ? ### REPLY: Hi thanks for contacting . Noted you have IG G antibody-positive which is form in chronic infection. While in case of acute infection antibody is IG M. So here your Koch ELISA positive... Means you here having tuberculosis. Sputum examination and chest x-ray needed. Your treatment for tuberculosis started after consulting doc with AKT for 6 or 8 month duration under observation... Hope your concern solved. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter is feeling stomach pain (she says it feel like a punch - from the inside trying to get out) and shes thrown up about three times between yesterday and today. Shes hardly eaten because she cant keep it down and doesnt feel hungry.She doesnt have a fever. Ive given her oral electrolyte, but even that shes not liking or able to keep down. ### REPLY: Hello dear, The symptoms as mentioned in your post is attributed to either infection or inflammation in the Gastrointestinal tract. Presenting with such symptoms, I usually treat my patients with:1. Tablet Pantoprazole + Risperidone twice daily (to be taken half an hour before food)2. Anti spasmodic like Dicyclomine preparation twice daily (to be taken after food).3. Antibiotics like Ofloxacin+Ornidazole preparation twice daily (to be taken after food)4. Oral Rely .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is a productive cough with thick dark yellow or grey sputum in keeping w the flu? Or would it be a sign of bacterial infection. Other symptoms (headaches, body aches, fatigue, fever up to 38.7, chills but not rigors, sore throat, dry paroxysmal cough, sudden onset over hours, duration 3rd day now) sound like they could be the flu in which case i assume rest, supportive care and no antibiotics is appropriate for an otherwise healthy person with no chronic underlying problems. Kindly advise. My doctors office doesnt have w/e coverage. Thx ### REPLY: Hello ! Thick yellow sputum is suggestive more of bacterial infection for which you will need the right choice if antibiotic.  You can empirically take a course of Tab. Amoxyclav or Tab. Azithromycin along with tab. Pantoprazole.  One way to differentiate whether it is viral or bacterial is to go for a complete blood count with differential counts, and blood C- Reactive protein assay. However, in your case it is rather cost-effective to take a course of antibiotic and look for the improvement, rather than spend on these tests. You can get a sputum culture sensitivity done before starting antibiotic as this test tells which organism has caused your Infection and what antibiotic will act against.  This test is also not mandatory. Along with medications, do warm saline gargle and gargle with Betadine solution (after diluting few .  Consume only warm fluids. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 typhoid injection on Friday 21 January.  I had no reaction to the injection but when I awoke the next morning I noticed a large patch of clear fluid on the bed sheets and matress where I had been lying on my injected arm.   I am due to go to Thailand in two weeks and concerned I may not be immune to typhoid.  Should I return to my doctors please? ### REPLY: Hello. I would Ike to answer your quarry here. Please be assured that it's not a big issue, and you need not be worried.typhoid vaccine is given via intro muscular route. Although it needs some time to develop antibodies for protection, be assured that once injected properly, it is not just going to leak out of the in site. Reaction to vaccines is also very uncommon, and they usually do not present as the one you are describing.I think the cause is unrelated to vaccination and that you have attained immunity to the same. Hope this was helpful please do leave your reviews of the answer and your valuable feedback 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: Im 65yo female... I used to have asthma as a child (until about 11yo).  Lately, Ive been taking cruises (in my retirement) and when there is a Norovirus epidemic, the ship sprays all over with stuff that I immediately start to cough and asthma sometimes has progressed to not being able to breath. May 5th Im on my way to a one month long cruise, and Im terrified that this may happen again (the most that Ive been in a cruise ship has been half of that....14 days. ### REPLY: Hi, thanks for using  It is understandable to be afraid. You can reduce your chances of an asthmatic attack by carrying your preventer medication with you. You should consider starting it before you leave and continuing it during the course of your trip. The preventer, if used appropriately would reduce the chances of an acute attack. You should consider speaking to your doctor, he or she may suggest increasing the dose of the preventer while you are away.Additionally, you should always walk with your reliever inhaler, remember it is sometimes difficult in an acute event to take the reliever properly, so you may want to have an bedchamber with you so you do not have to do the special breathing that is required when using the inhaler on its own. Consider taking a course of prednisolone with you in case you need it. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i recently had a normal ekg, normal stress w thaillum and a ct angio to r/o aortic dissection, i am still having chest discomfort, the cardiologist told me that women with large breast can shadow the images and possible something can be missed, i would like to rest easy that i have no cardiac disease except for my high cholesteriol and high blood pressure that i am currently taking medication for. ### REPLY: Hellothanks for posting here. Since you have undergone a EKG, stress thallium, CT Anglo all of this collectively almost rule out a coronary heart disease. It's correct that breast may shadow CT images, but stress thallium is quite a sensitive test and that coupled with a normal ct Anglo increases the diagnosis rate. So as of now there is nothing to worry about from the heart side. Still if you are insecure you can undergo a catheter (conventional) angiogram, which is somewhat more invasive procedure. Alternatively try a short course of antacids for 14 days to rule out hyperacidity as a cause of your symptoms. 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 husband is 53 with non alcoholic cirrhosis due to chronic Hep B. He is taking multiple medications. 2 of which are spironolactone and nadolol. He takes 1 of these in the morning and 1 at night. He woke up in the middle of the night last night very dizzy and vomiting. I have checked his blood pressure multiple times thru out the day and it has come in, anywhere between 90/61 to 108/70. His last read was 104/62 with a 44 bpm. I spoke with his liver specialist today and he has told me to discontinue the use of the Nadolol although it is being used to try to slow the progression of his varices, and said that it may be taking his blood pressure too low. I can t get him to go to the hospital because every time he tries to move he gets very dizzy and sick. If there something else that I need to be worried about? ### REPLY: Hi dear thanks for contacting  ... Noted you have cirrhosis .... You might have portal hypertension also. So taking spironolactone and Adolf for it... Now you have controlled blood pressure so Nadella can be omitted gradually as per doctor advise... Take low salt diet.... Dizziness might be because of . Spironolactone will control your blood pressure as well as ascites. Hope your concern solved. Take care... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor..i haven t been sleeping well for the past 3 years, I don t fall asleep at night. and now I m experiencing shortage of breath especially after yawning. I have a coming and going pain between my breasts. please help I want to go back to my sleeping routines and what can I take for the pain and what could be the problem that causes the pain? and about breathing could that mean I m asthmatic..? ### REPLY: Hello, Welcome to , and thanks for your query. I understand your concern. Unfortunately to help you find a solution to your sleeping problem, I require more information like whether you are over weight or obese, snore at night etc. The pain between the breasts especially if it is burning and more at night, is suggestive of HERD a provoker for asthma. Sleep apnea is a common cause of improper sleep at night.  Nocturnal exacerbation of asthma also makes one sleepless. Take care, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having symptoms of loose stools, nausea especially in the night and morning, hungry but nothing sounds appealing, and extreme fatigue. I am not supposed to start my period for 8 days, but I still took a pregnancy test and it came back negative. Could I still be pregnant? ### REPLY: Hello, I have gone through your query and understood the concern. Home pregnancy tests read well 3-7 days after a missed period and when performed with a fresh early morning sample of urine. You have done the urine test way too early to know the proper result. At this stage, you can get an estimation of the serum beta-ChatDoctor tires for confirmation/exclusion of pregnancy. This is more sensitive and specific. Your symptoms are not specific for an early pregnancy alone. Please get a blood test and see a specialist if positive. If negative, you should suspect gastrointestinal causes and get treated accordingly. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: If I have been diagnosed with Adjustment disorder, and I know the stressor connected to the first occurance of anxiety and other symptoms, will or should removal of the stressor environment lead to a cure of the disorder? The symptoms have been present for over 6 months now, but removal of the stressor is complicated - it would involve leaving my spouse who recently decided she is gay and we have three young children. I need to know if leaving her will be the only way to step forward. ### REPLY: His had gone through your query. Adjustment disorder can be precipitated with stress, and it will resolve after removal of stressor. If it won't then it is not adjustment disorder. If anxiety and mood variation persist after stressor removal then it may be endogenous depression with anxiety. Endogenous depression has biological origin and can be precipitated by psychological stress or event. Neurotransmitters ;like serotonin and nor epinephrine play important role in this. Medicines that are acting on these neurotransmitters will be useful to treat it. SSRI like Escitalopram and sertraline can help. Need to do proper psychological evaluation and treatment before taking any personal decision. Psychotherapy and counseling play role in it. Psychological and social support is necessary. I hope I have answered your query. Still if you have query then feel free to ask. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I slipped on some ice an fell on some stairs hitting my hip & lower back area. Now I have numbness, pain,bruising & swelling in that area. It s a constant pain with sharp needle-like pains periodically. Should I be icing it or give it time to heal? ### REPLY: Hi thank you for trusting ChatDoctorI read your query and understand your concernFirst I am sorry for the symptoms you are suffering, but you have to be calm as your symptoms don't lead to any risky disease In my opinion it may be caused by soft issues damages and probably will go after some days major risk is that you have been caused a fracture during trauma which will be detectable by a physical exam or by scheduling a lumbar Ct canyon may try painkillers and relaxants to avoid illocal NSAID are very effective To Discuss with your doctor about my opinion Hope I have been of hellish you good health and fast recovery Feel free to ask for further questions or doubts Best regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi goodnight my name Allisha ,i am having some seriously problems with some of my teeth since a month now one of my teeth suddenly start breaking with out anything press on it and one has a big hole that gives me toothache alot and the others the gum is reducing slowly ,i never smoke before but i use to drink and i am stressing cause i take good care of them,so can you please help me out with what the problem might be?? ### REPLY: Dear friend. Thanks for sharing your concern. Your teeth appear to have got brittle. This could be due to underlying decay process going on. A few more replies are required from your side to make an exact diagnosis. How old are you?since when do have habits? Do you feel any associated tenderness or soreness in your teeth?does your gum bleed on and off? When did you visit your dentist last and for what? Please reply adequately before any diagnosis can be made. I would be glad to answer your further queries. Take care. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6 mo old daughter has a eyelid rash on her right eye mainly, even though both eyes have dark circles under them. We have tried perscribed topical creams and childrens allergy meds... So now we believed it maybe from soy formula use. She has been on soy for the past 4 months due to what seemed like cows milk sensivity, now we are back on regular formula for a week with our docs guidence. We are still not sure what is causing it and have considered everything from seasonal allergies to mold and mildew or cat allergy. Our current doc seems to think a dermatogist won t help a infant so feel stuck. Any other opions? ### REPLY: OTHER TAN MOTHER MILK SHOULD NOT BE ADDED BEFORE 2 YEARS GET BLOOD SERUM TESTED FOR SPECIFIC ANTIBODIES FOR SODA AND COW MILK AND THEN DECIDE ACCORDING TO REPORT IF YOU THINK OF OTHER ALLERGIES GET BLOOD SERUM TESTEDTHERE ARE ONLY ALLERGIES BUT TILL YOU GET REPORT CAN USE SVP PRISON 1/2 SF NIGHTLY NEWSPRINT H EYE OINTMENT ON THE EFFECTED AREA CAN ALSO ADD FEXOFENADINE SVP 30 MGM 1/2 SF ONCE OR TWICE WEEK CAN CONSULT AFTER REPORTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When I lay back on an exercise ball to do my ab crunches, I can feel a "ridge" like a mountain range going up and down the middle of my abdomen.  It seems to be growing and has started pushing out my belly button (which has always been an "innie").  I have been about 50 pounds overweight for years, but this is different...it looks and feels different.  Could it be some type of "fat tumor"...or is it just plain fat?  Should I be concerned? ### REPLY: Hi ! Good evening. I am  answering your query. If I were your doctor, I would not opine on your condition without getting you examined clinically specially your abdomen. What you have described could simply be a hernia, or any intro abdominal condition. To know the exact status of your condition, you need to be examined clinically preferably by a surgeon along with any special investigations like an ultrasound/CT scan as suggested by him to support his clinical findings. Therefore, I would at present suggest you to get your self assessed first by your family physician, and by a general surgeon if considered necessary by him. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my name is Hemant i am in Surat i am suffering from sever  allergic problems and that causes me itching all the time for this the allergy test is showing allergic of various food items, and medicines and dust and cosmetics ,,,, now even i am taking care of all these there is no result of cure or any sign of relief and for this i am required to take the further higher consultancy from any of senior experts or any thing pls advise urgently thanks ### REPLY: Hello Hem ant, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. I would like to know about you in great detail like your age, itching symptoms, which parts affected, whether any rash, day/night variation, seasonal variations, type of your skin (.  These details would help me to know about your problem better and hence to make suggestions for you more specifically.2. At present, from your provided history, I would suggest you to take an antihistamine like cetirizine or levocetirizine or 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: Hi, I am a 21 year old female, with no health issues ors problems. I woke up this morning at 6am to very sharp abdominal pain around the belly button area. It is starting to subside (7 hours later) and now I have a very strong metallic taste in my mouth. Any answers?h ### REPLY: Hi. This is most probably due to gastritis or gastroenteritis which might have given you HERD to cause metallic taste in the mouth. Do not worry, get an opinion of a Doctor, get a physical examination done, Take a PPI and risperidone and antibiotic with metronidazole if there are signs of gastroenteritis. If a course does not help completely, take an opinion of a Gastroenterologist and undergo upper GI and Lower GI endoscopy and ultrasonography. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, from out of the blue, my sinuses went from great, no problem at all, to the right nostril flowing like a faucet. A series of about six sneezes proceeded this. I have no allergies that I know of. The excessive flowing of the right side of my nose has persisted for six hours. What would be my best course of action to stave off a cold or sinus infection. Thanks, bnbm ### REPLY: HI, thanks for using  Sinus and nasal congestion can be related to different causes, but the most common are infection (usually viral or bacterial) or allergies. If you have no history of allergies, then your symptoms are likely due a viral infection. There are medications that may help you such as oral or topical decongestants. Examples of topical decongestants are striving and normal saline. The oral decongestants are usually sold in combination with anti histamines that are also useful. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 53 years old, and today had a glass of alcohol, rum and coke this was not a high content of alcohol I usually i ask for it to be filled more with coke, but occasionally over the past 5 or so years, when there have been celebrations - christmas, or have been out and had a drink (I am a low alcohol drinker - way lower than what is acceptable for women) I have got a tight feeling in the chest, and I have to relax for a few minutes or lay down for it to go.  My mother has had angina since her 40s, and is now 87.  Also I have recently ( a year ago ) been dignosed with clinical Hypothyroidism for which i am on 100 mg of Thyroxine, and feel much better for taking it.  I had put these tight feelings down to indigestion originally, but alarm bells are ringing, should i go see my dr. as even if i had a ecg unless it was happening at the time how would this be diagnosed? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely consult your doctor and get done ECG, 2d echo and stress test to rule out heart diseases. You are taking alcohol and have positive family history of heart disease, so we should first rule out heart diseases. If all these are normal then no need to worry about heart diseases. Possibility of HERD is also there. Alcohol ingestion can cause laxity in lower esophageal sphincter. And this causes reflux and Chest tightness. So better to quit alcohol and take proton pump inhibitors and prokinetic .  Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 21 and Ive never ever taken contreceptives before in my life and Id like to start with the Pill. I bought these contreceptives 4rm the local Doctor called trigestrel, but Im still a bit uncertain with when I can start taking them and which colours I should start with because I just got done with my period testerday. Please help ### REPLY: Hi. Thanks for asking in . Trigestrel is a traffic oral contraceptive pill with three different doses of estrogen and progesterone (brown, white and yellow pills) and non-hormonal red pills. Generally OCS are started on the first day of menstrual cycle with non-hormonal pills (red pills). But, since you have completed your periods, you should start with the brown pills (6 in number) and take it continuously, one on each day for 6 days, followed by 5 white tablets, then 10 yellow tablets and finally 7 red inactive tablets. You should take the tablets exactly on the same time every day. Never miss the tablet. If you happen to miss one tablet, take 2 on the next day at the usual time. If you miss more than 2 tablets, then you should discontinue the strip and use another contraceptive method till you get your period and restart with red inactive pills on the first day of period. You should not stop the pill if you get bleeding/ spotting while taking the pills. Some antibiotics and other .  So don't take any self-medication without consulting your treating  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir, I am pregnant (5 weeks) and having fever since last 2 days - which varies from 99 f -102 f along with mild to severe headache. I have 2 questions1. Shall I consult a Gynecologist or a GP?2. Is it safe to take Calpol at this stage of pregnancy? ### REPLY: Hallow Dear, Calpol is a paracetamol preparation which is safe during pregnancy. However, no medicine should be taken during pregnancy, particularly during first 3 months of pregnancy without an obstetrician advise. Self-medication should be avoided during pregnancy.  It will; help to bring down your fever. However, you have to find out the cause of the fever - whether it is viral infection or bacterial infection. Depending on it the decision for only paracetamol or additional antibiotics will have to be taken. Moreover, some viral infections during pregnancy are quite notorious for the baby. Hence, please report to your Obstetrician before you take any medicine. Do consult a doctor - Obstetrician and Gynecologist only before taking any medicine. I hope I have answered both your questions and have given you the required message. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter 5.8 yrs old had cold and cough two days before, yesterday after noon she had fever, when we consult our doctor he gave combliflame suspension, vozet , cefixime 100mg. two doses is over. she is having tonslitis too. does this medication works for her. ### REPLY: Hello, I can understand your concern. Based on the symptoms of your daughter, the prescription given by the treating doctor seems to be adequate to eliminate the infection and getting relief in symptoms of cold and cough. When antibiotics are prescribed, it takes 24-48 hours for the medicines to reach the desired blood levels and show desired effects in the body. As the antibiotics are started from yesterday only, I would advise you that you wait one more day for them to work in the body and help with the infection. Till then, Coquitlam suspension will relieve in fever and other symptoms. If your daughter does not feel better after tomorrow, I recommend that you should consult the treating doctor again. I hope this information helps you. Thank you for choosing . I wish your daughter feels better soon. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 57 year old male in relative good health. I weigh 170lbs. For about a month I ve been suffering with aches in my legs and lower back. Mostly noticeable when I get up to walk. I have scoliosis, so I don t know if this may be related to that. My deceased father also suffered terribly from Rhuematoid Arthritis. I have contacted my doctor s office to make an appointment. ### REPLY: Hi thank you for trusting ChatDoctorI read your query and understand your concerning my opinion I think your symptoms are developed as long time discography changesDont worry there is nothing to be worried too mochas you probably will hear from your doctor you will start some painkillers for days and schedule a spine (lumbar) CT or MR to see the discography If your were one of my patient I will recommend to wear a lumbar fortress Foch will protect your lumbar spine and maybe cure you Hope my answer will help outstay healthy 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 recently acquired a rash on my upper extremities and torso and went to the doctor and was given a week of prednisone.  The rash went away but after 3 days off the medication is now coming back.  It is very itchy and is spreading.  Will acupressure help me? ### REPLY: **1. Since rash is recurring, make sure to check with Dermatologist for further investigation and examination.2. Since persistent [chronic] urticaria tends to come and goes thus make sure that common stimuli like heat, cold, menstrual periods, stress, or emotion may make the rash flare up worse than usual.3. Steroids are not a usual treatment due to side effects related with them, thus anti histamine tablet orally and calamine lotion for local application is suitable 4. Since the site involved is locally thus contact allergic dermatitis and/or lichen simplex could be possibility.5. Acupuncture is based on belief that fluids flow through channels and inserting tiny needles open the channels, allowing fluids to flow better thereby might decrease pain and improve healing. Always see a caregiver for acupuncture. Do not try to give this treatment to yourself. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 16 and one side of my body seems to have grown faster than the other, my legs look different, torso and even my face seem slightly larger on one side. Even one of my testicles is noticeably smaller, and one half of my penis is shorter which has caused a curve. Will the smaller side catch up? ### REPLY: Degree understand your concerns went through your description. I suggest you are over doing the thinking part. I know, this thought came to you just because of the size difference of your testicles. Furthermore, I can assure you, every person living on this planet, has a notable difference between left right body parts. So that is not a cause of worry. Every person has a slightly curved penis. For a right-hander, the curve is towards left and for a left-hander curve is towards right. Again not a problem to worry. Don't over do thinking when you have lot to do to enhance your career and health. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. 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, My wife 60 year old complaining of head reeling sensation since last night. She does not have BP or diabetics. She has dust allergy and took Claritol 10 mg dose one per day last 2 days. The reeling sensation occurs when the head is turned sideways. Please advise. Thanks, Umamaheswara Rao ### REPLY: Hello, The description you present sounds somewhat similar to what someone might complain of who had BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPP).  This is when the movement of the HEAD whether by itself entirely or as it changes along with body posture from lying to standing or sitting.  This condition can be treated using BRANDT-DAROFF exercises which train the brain to not pay so much attention to these head movements that can make the person feel "dizzy" or as if they were in movement.  There are YouTube videos that give the STEP-BY-STEP instructions on how to produce this maneuver which will help immensely with your symptoms if in fact you can see a neurologist or ENT specialist who can test you for BPPV. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a scalp neuralgia that has come and gone over the years. These past few days it has been very painful. It s a rippling pain every few seconds. I ve taken extra strength acetaminophen which helps a bit. It typically lasts a few days with periods of relief with drugs but as soon as the meds wear off it s there. What could be the cause and what else can I do.? Can it be stress related? It seems to come out of the blue. ### REPLY: Hello! I read your question and understand your concern. I would like to know the location of the pain. If it is in the back of your head it may be an occipital neuralgia. It may be caused by degenerative changes of the cervical column or by lesions of the posterior part of the brain. The fact that it has been recurring for years is an argument in favor of benign causes like cervical column changes. A full blood work for inflammation and a cervical column X-ray would be necessary. I would recommend indomethacine twice daily for 2 weeks if you don't have any stomach problems. It is very good in occipital neuralgia. Another treatment would be carbamazepine which is helpful in trigeminal and occipital neuralgia. Hope to have been of help. Greetings! ### END