Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: a high eosinophil count......doesn t link with a chronic cough,according to all the cause and effect literature l ve read on a high count of these white blood cells.....my wife for a long time has a high count of Eosinophil and for many years has tried every process/procedure,medication to try and eradicate the debilitating cough she has been plagued with without success.......she had a stressed induced heart-attack after a severe bout of coughing .........there is little or no phlegm during these coughing spells.....anything spring to the fore ?......thanks for your time ### REPLY: I am sorry for the troubles that she is experiencing.  I don't want to just recommend an allergist, but a high eosinophil count is usually indicative of some uncontrolled allergy which can often be something in the home environment.  Fortunately today there are a number of treatments that can be directed towards the eosinophilic itself.  If you haven't done so already, I would also recommend getting anti-allergen pillow and mattress covers as well as a high efficiency air filter for to be .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve noticed that my blood sugar level drops after taking my daily medications. It doesn t happen everyday but, I ve felt like it has happened twice today. I had a coworker check my blood sugar level for me and it was at 72. This was after eating some potatoe wedges. I ve had blood test done, I am not diabetic. I am asthmatic and my asthma has been bothering me lately. Is there something that I may be able to do to level out my body so that this doesn t happen again. I did make sure that I had breakfast before taking my meds this morning. ### REPLY: Hi, Welcome to  forum.  The blood sugar level of your body may be around 72 only, it might happen to some people. The reason for such feeling may be the gastric irritation of the tablets you are using for asthma.  I advise you to consult a physician for diagnosis and treatment.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to prevent such feelings.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had a bone scan and x-ray with these findings:Solitary focus along the right seventh rib laterally. Although not entirely excluded, likelihood of bone metastasis is low in the absence of any other additional foci. X-ray resultsA single view of the chest and multiple views of the ribs were obtained. An area of sclerosis is identified in the right seventh rib. This may represent the area of abnormal uptake on bone scan. Should I be worried about bone cancer? ### REPLY: Hello, I have studied your report and nothing can be said only on the basis of report. You need to get proper clinical examination and detail investigation. It includes CT abdomen and chest. Also, you need to get blood investigations.  After that it can be said with confirmation. If there is cancer in other part of the body than it can migrate to lung, liver and bone.  I hope this answer will be helpful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter in law was planning on a tummy tuck in the next couple of months, but was just diagnosed with Lupus. Would it now be unwise to go ahead with the surgery? Shes scheduled for a consultation with the plastic surgeon in two weeks, but will cancel the appointment if this is something that she now needs to forget about. She hasnt had a chance to speak with her primary care doctor yet, because she was notified via email with the results of her blood work. Thank you very much ### REPLY: Hi ! Well, presently she needs to be evaluated for the disease activity by doing some routine tests like CRP, ESR, Urine R/M, for proteins, RFT etc.. If they are raised that means disease activity is going on. Plus there is a concern about the medications she will be on by your doctor. If she is on immunosuppressive therapy that needs consideration. So, in nutshell she needs detailed evaluation for lupus before undertaking any kind of procedure because that may lead to disease flare.  Than. 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: Last year around this time I took Champix for two weeks and then I started taking some herbal remedies for menopause for night sweats and some maca. When two months passed I realized I had a been manic so I stopped taking everything. Then I crashed really bad...mood depressed, couldnt sleep more then 3-4 hours and a hightened sensation in my head upon waking...lost my appetite and started throwing up. So I finally went to ER and they put me on Seroquel for 2 months, it was awful. Starting seeing phsychiatrist and was put on Remeron and some lorazapem for depression and sleep. But the sensation in my head has subsided somewhat but wont go away. Always there....feels like a cool numbness on the top left side of my head...what could this be? ### REPLY: Hi there, thanks for asking. The numbness in you head upon rising could be related to sleep inadequacy (insomnia). Insomnia happens when somebody's depression has been managed incompletely or if she has some degrees of anxiety left which has not been ad .  On the other hand if you are obese, and you are in menopause, you may have some degrees of sleep apnea. It is a common problem, especially in overweight people. I suggest you ask your doctor about these issues. 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: sir i am using foracort inhaler 200. can it cause hands shivering after taking it through mac spacer my heart beats (i think) increases & my hands starts shivering. i take twice at morning & in the night ### REPLY: Hello;welcome to  Yes you are right in saying that you have tremors or shivering of hands and increased heart beat. The reason is you are taking a combination of Foretell+Budesonide where foretell is a bronchodilator and budesonide is a steroid. The problem you have is due to Foretell and the common side effects are headache;tremors;FM like symptoms;dizziness;palpitations;increase in heart and pulse rate;nausea;muscle cramps etc. Please consult your doctor, and he may either reduce the dose or shift to some other medicine. 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 hAbe had a recemt cold followed by a stomach bug. I have bad back and chest pain as i lay still. Very deep breaths make it worse but overall it is just constant along my spine and sternum. The pain started in my back butgot worse and moved to my stomach and chest after i ate a regular sized meal after 3 days of toast only. It is hrp anx constant, not like a belly ach. ### REPLY: Dear friend,first thank you for your consultation.it seems that the back pain is really bothering you. You should start doing home regimen of physiotherapy like back muscle strengthening flexion exercise to decrease the pain. Whereas all that you have written about your pain behind sternum and stomach are seems to be because of hyperacidity.3 days of toast has caused some disbalance in your food intake profile causing increased acid secretion .so try to take food in regular interval in proper amount .if the stomach pain is too much you should take antacid tablet for quick relief.in this way you can get rid of your both back and stomach pain problem. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 28 year old female with 2 children. I went through post partum depression and tried numerous of medications that did not seem to help. The depression went on for about 2 years and just went away. That was about 8 years ago and it has been off and on since then and I have noticed some anxiety along with it. I have tried medications for each problem but is there anything I can ask a doctor for that will help both. This feeling is driving me crazy. ### REPLY: Degree understand your concerns went through your details. Post parted disorder is normally fully curable. Over and above, PPD normally may not convert itself into chronic depression. In your case, you could be worried that PPD is following you. That could be once reason you are feeling those depressive symptoms again and again. Anxiety could also be the result of such negative thinking. You are advised to consult a psychologist or psychiatrist who should chart the way of treatment for you. No self-medication please. The disorder could be very simple and do not make it complicated. In case if you require more of my help, please post a direct query to me in this website with all the details. I will be happy to help you. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i m a 40 year old male, about 7 years ago i was diagnosed with ulcerative colitis and about 5 years ago i was put on humira. in the mean time, I keep having weird symptoms that i associate with the ulcerative colitis flare ups but my doctor says he doesn t think so. what happens is i start having pain at the back of my neck where my head meets my neck, when i yawn my diaphragm spasms(twitches), and i feel a little lightheaded. I get hot flashes and what feels like an adrenalin rush. when i fall asleep my dreams are usually crazy weird and when i wake up my heart starts racing and feel like i might pass out. this last part usually last about 5 to 10 minutes then sort of subsides. these symptoms will get worse and worse then i will get my doctor to give me prednisone to get things under control. the reason why i try to link this with my flare ups is i usually have diarrhea and cramping at this point. my doctors can t seem to give me any answers as to what these symptoms are caused by. the only thing that makes these symptoms go away is taking prednisone. Please point me in the right direction or maybe what this could possibly be. ### REPLY: Hi. Thanks for your query. Prednisolone is a steroid and if it is helping you the diagnosis of ulcerative colitis is done, confirmed. You may please take Humor and other medicines as per the advice of your Gastroenterologist. Take the following care:Check your blood for Sugar and calcium, prednisone and other hormones particularly Thyroid. Test of the stool repeatedly to see that there is no secondary infection or so, which has to be treated in time to avoid complications. Avoid all the foods and beverages which are known to give or enhance the problems. As you know these problems can pop anytime, to have to be really careful. Control of the stress and anxiety help a lot to control these things. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, ive had to much amphetamine speed. my heart is really going and im gettin a tad scared. is there anything i can do to try slow the heart rate.?... i dont want to go into hospital or anything, i just want to enquire what advice you can give me... thanks, ashley pitts ### REPLY: Hello, I would explain that the rapid heart rate is related to amphetamine overdose. This could be really dangerous for your heart and as a cardiologist, I would recommend going to the nearest ER service in order to get professional help. Some natural maneuvers to slow your heart rate would be pressure on the eyes or on the carotid arteries, Valhalla maneuver, etc. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I did 6 echoes in 2009 they all have found a slight blood coming thought the mitral valve which all say is normal!!! And they said I am normal??? How do I really know if its not a rheumatic heart disease I never had one when I was a kid... But I had a fever last year when I was 21 where I had swollin feet and hands but I never saw a doctor,, what should I do?? How do I know that the little is blood is normal is it?. And how do I know its not of rheumatic fever? ### REPLY: Hi, You can get a repeat echo and if everything is fine, or even mild leak is there then there is no matter of worry. Because rheumatic fever is self limiting condition and usually occurs between 5 and 15 years of age. If it has not damaged your heart till now then its unlikely that it will cause any damage in the future. Even if you had in the past and no damage had been done then there is no treatment needed. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 21 weeks pregnant and have had a virus that ended in a nastey chest infection, i have had horrendous pain in my left rib and whilst coughing last week i felt a pop in my ribs, i now have a pop sensation when ever i breath and am in pain when i wake in the mornings if led on left hand side. lifting my left arm high causes discomfort what have i done ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Since you are pregnant, chest x-ray to confirm lung infection, is contraindicated in your case. Treatment of chest infection is based on isolation of causative organism. So get done sputum culture and sensitivity. Culture is needed to isolate the causative organism and sensitivity will be helpful in guiding appropriate antibiotic treatment. By this, we can avoid haphazard antibiotic use. Antibiotics in pregnancy should be used cautiously as they can damage fetus. So better to get done sputum culture and sensitivity to guide appropriate antibiotic treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father in law was diagnosed with small cell lung cancer September 2009, has had chemotherpay and radiotherapy, and was told he was in remission September 2010. However, he still has poor appetite, very tired, and his left arm is very swollen from the elbow down, no pain, and despite blood tests etc, has been told there is no identifiable cause for this swelling. Often in the morning his pallour is very grey, he is very fatigued. We are obviuosly very concerned. ### REPLY: Hi Welcome to  I have gone through your very. Your father in laws sufferings, inspire of being in remission is a matter of great concern. I as a Homeopath, Naturopath and Magneto Therapist would like to help you in this. These are no nonsense having no side effects and potent tools for recovery & prevention>You can administer him Homeopathic Carcinogen 200. One dose every fortnight, i Ar's NIC 30 Is wonderful remedy to relieve, tiredness, swelling.  Take 4 .  Make 3 doses , each dose half-hourly.administer him some supplements rich in antioxidants which add to enhance power of metabolism and strengthen immune system to help him early recovery and assure stopping endurance....1. Give high fiber diets including all essential nutrients, directly, as it reduce the risk of colon or any cancer, a fiber-rich diet can decrease and eliminate constipation and hemorrhoids, it helps the stool pass through easily and decreases the burden of toxins reabsorbed into the body. Avoid fried fast food, tea coffee, alcohol and smoking .2. Give Mixture of extract of lemon, garlic, ginger, mooring tree bark(Sean tree), vinegar of coconut water and honey. 25 -35 ml is the dose with equal water for 3 -4 days twice 1/2 hour before meals, and after that, pure mixture for 25 - 35 days as required, is great antioxidant and rejuvenating, preventive and curative  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wondering if fear of crowds such as shopping malls can be associated with aggressive behaviour in an adult male?Could panic caused by crowd of strangers spark aggression to the strangers? Is this a phobia. The person does not want to shop at weekend as there may be crowds. He sometimes is aggressive to strangers while out and I hear stories of his aggressive behaviour when young while out. ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Yes it could be a manifestation of phobia. Agoraphobia can cause such a presentation and the person can react violently as well. He needs proper treatment. Structured graded systematic desensitization can be helpful in this case. Also, the medicines such as paroxetine and Escitalopram can help you in such cases.  Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My girlfriend has been having horrible shooting pain in both of the arches and heals everyday for the past few months now, it brings her to tears. tonight I was rubbing her foot and noticed a hard bump between the heal and the joint of big toe on both feet, I do not have this on my foot, thought this could be the root of the problem, researched and saw about navicular syndrome, what do you think ### REPLY: Hello, There are several syn .  X-ray or ultrasound or even MRI can be the first step.  BUT frankly, cannot say in your particular case, but generally, irritated/scarred tendons form lumps in the bottom center of the foot. Local injection by a podiatrist mostly works.  Since the needle goes right to a spot you can feel and is about 1/2 inch under the surface, it is hard to miss and hard to have side effects. Basically, it's a pretty simple injection. 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: Had MRI which showed bulging disc at c3-c4, c-4-c5 and c5-c6.C4-C5 and C5-C6 showed mild bilateral facet arthropathy and ligamentum flavum thickening.C3-C4,C4-C5 and C5-C6 all show mild bilateral neural foraminal narrowing.Pain in right side of neck, shoulder, upper back and upper arm.Pain in collarbone area and deltoid when putting pressure on arm or sqeezing and picking object up.Pain in arm when extended straight out to the side. ### REPLY: I read your question and I understand your concern. That MRI shows degenerative changes of the spine with herniated discs at several levels which narrow the foramina, the passage for the nerve roots, causing compression of these nerve roots and accounting for your symptoms. Treatment consists in painkillers and physical therapy. If those don't work local injections with steroids and anesthetics are the next step. If still ineffective, surgery could be considered. For the last two alternatives though, since multiple levels are affected, it should be determined first which level is to be ad . I hope to have been of help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has been ill now for approx 2 1/2 wks with various symptoms. Aching legs, very runny nose, lack of appetite, high temp on & off, occasional vomit. Now she seemed to get better about 3 days ago then last night she woke up sweating with a very runny nose and this morning she had a another temp of 39.2! Do you think this is swine flu? She is 3 1/2 and has a brother who s 1 and has pretty much same symptons. Thanks ### REPLY: Hello, Aching legs and running nose may not be interlinked. Your history quit suggests me of the viral illness, swine flu chances are less.  Since your daughter is having a lack of appetite, it better to visit the hospital and get her clinically examined thoroughly so that you can prevent her from going into deny .  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, the right side of my chest has been hurting all day. Really sharp stabbing pains near my heart and lung. Followed by troubled breathing. I have asthma, and have been using my inhaler all day. The pain still persist. Not sure if I pulled a muscle or something minor. Just concerned. Any advice? ### REPLY: Thanks for your question on . I can understand your concern. Sharp stabbing chest pain is mostly seen with musculoskeletal cause like pulled muscle. So avoid movements causing pain. Apply warm water pad on affected part of chest. Take painkiller and muscle relaxant . You will mostly improve with all these in 2-3 days. Of chest pain still persist then consult doctor and get chest x-ray and ECG to rule out lung and 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 34 years old, today i went to my gynae and she said i have a fiberiod that is 29.45mm.she suggested a blood test as i am trying to start a family. Can you please asvise me as to the different ways I can get rid of this fiberiod, is ther a natural way that is can be decreased ### REPLY: Hi welcome to ChatDoctorI have gone through your query, and your anxiety about fibroid and pregnancy. I may tell you that Uterine fibroid are benign and do not usually hamper pregnancy. They are treatable by way of following regular, disciplined life style, Control on diet, and regular exercise Keep constipation at bay. They also tend to reduce in size after menopause when the levels of estrogen .  These herbs are available in the form of capsule also help to treat symptoms such as pelvic pain and heavy bleeding. Molasses also help melt fibroid, not to be continued while in pregnancy. Avoid foods that are rich in fats and sugar, consuming red meat, fried. Fast foods colas etc. Include foods, fruit and veges that are high in fiber in your diet.  Such foods include whole grain bread, brown rice, bran flakes and oats, Sprouted Soybeans and all legumes are foods to reduce estrogen levels.  Cold water Fish having anti-inflammatory properties also helps melt fibroidsmay also help in shrinking fibroid. Take a lot of water with lemon for cleansing and intoxicating the system. Regular Walk, Yoga, Panama, help in reducing all unnatural growths.  So dear, no need to worry. You will be well soon. Follow the above regimen sincerely and regularly. Occasional check up by your gone will give you proper guidance. Hope this helps you solve your query. Take care all the best.Don't hesitate to get back if you have any further query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been sick for only a couple of days now with what I believe is a cold. But, I have a pain in my right upper breast; I have pain on the right side of my throat when I swallow and ear pain is associated with it. I now have a puffy eyelid which happens to be on the right side as well. Is this all related or could there possibly be something going on? ### REPLY: HI, I understand your concern.  Your symptoms seem to be from involvement of ear- nose-throat due to their anatomical connection.  I feel as you have correctly thought, it was cold allergic in nature to start with.  With., extended to sinuses /got infected (puffiness of eyes). & infection spread to throat causing tonsiillar infection (pain while swallowing & pain in ear). Allergy effects in chest cause the pain in upper part of breast (eosinophilic) In such patient usually anti-cold .  If there is no relief, you should consult an ENT doctor for examination, blood work, X-ray chest(as per need) & start with specific  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I always have a hive(s) on my face, jawline, or scalp.  Ive had allergy stick tests and blood work for food allergies. The testing was ordered because I developed a polyp in my sinus cavity.  Everything came back just fine, except that my immunoglobulin (spelling??) was slightly elevated-120 units.  It was suggested that I see a specialist for further testing.  When I went off my zyrtec for the allergy testing, I noticed even more hives.  Any thoughts as to what else could be going on? ### REPLY: HI, thanks for using  It would be best to see an allergist for additional testing. You may also want to expand the profile to include other types of foods, environmental allergens and medications. It is possible that your symptoms may be related to chronic urticaria-the recurrence of hive/urticaria for 6 weeks or more. There are a number of different possible causes including(1) physical causes (pressure, cold, sun, water, heat, exercise, pressure to the skin, stress), (2)associated with other illnesses-lupus, thyroid disease, infectionWhen you are reviewed by your doctor and additional testing done then it is possible the cause may be found. 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 have dry scaly skin on the back of both legs (calf)..and on both ankle bones..it will almost go away then return. I had a cream from dermatologist..i would use a rasp to scrape skin then put it on..and each day it would dissapear little by little..but keeps eventually coming back..what is it do you think? ### REPLY: Hi, You seem to have necrosis on both lower legs. It is characterized by .  There may be uneasy sensation or itching. There may be genetic tendency. You consult dermatologist and have blood tests to rule out DM, thyroid dysfunction, anaemia, HIV and other internal diseases. After thorough examination and investigations, your doctor might advise application of moisturizer containing liq paraffin and algebra. Avoid soap bath. You may use detail liq for bath. During bathing, you may massage olive oil. After few months' treatment, you might improve. I hope you got my answer. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello! last month i took monthly pill, when i consumed the whole pack, i stopped. few days after i got my period. 1st day after my period gone, i had an unprotective sex, until the 5th day. on the 7th day i took nordette 4tab, and after 12 hours another 4tab. a week later i had a withdrawal bleeding, not extreme but it went on for 3days. a brownish discharge. Im 4days late with my monthly period now. Is there a possibility that im pregnant? ### REPLY: Hi, Your symptoms point to impact of irregular hormonal intake and the hormonal imbalance thus caused. You can expect a delayed period as you consumed excess hormone. Please see a specialist for further appraisal of the situation if you do not see a period in another week. In the future, please stick to a regular form of contraception and do not use emergency contraception frequently and restrict its use to once or twice a year. 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 taking eptoin 100mg for a long 35 years.from my child age I got injured in the back side of my head several times. 3-4 times convalsation took place at the age of 6- 14 years. Now for the last 6 years I am facing panic attack as told by a psychiatrist . MRI and EEG reports tell that there is no definite electrical signal in the brain.and as per the advice of a neurologist I stopped eptoin 100mg. one interesting thing that panic attack symptoms started since 2006, when I was using eptoin 100mg daily one tablet. But panic attack, fear, death tendency , insomnia , constipation are stil present. pl. give me advises. Yours truly Dr. H.K. sarma, Assam, India email: YYYY@YYYY ### REPLY: Hello. From your description it appears that convulsions that you had in childhood were totally different from the panic attacks that you are having now. And in that your neurologist is right in stopping medication. The normal MRI and EEG also is a good reassurance before stopping .  Very rarely convulsions may appear like panic attacks and in that case it is best to have a recording of the EEG during the attack preferably with a video (Video EEG). Once diagnosis is settled, psychiatrist will be able to guide you regarding further treatment. For such problems usually a combination of medications and behavioral therapy is needed. So speak to your neurophysician and decide further. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello  when i have blue testicles i have a slight problem i cant self masterbate and the pains get extremly bad sometimes last for a long time even days i ve been with one partner for a long time now and have no problem ejaculating with her but my sex drive seems to be higher then hers so it somtimes becomes an issue often here and there i was wondering if prolonged blue balls could cuse any problems i wonder about this alot and it worries me that it is gonna cuse some kind of damge ### REPLY: Hello, Blue balls is the slang term for epididymis hypertension. It refers to aching or painful testicles, which some people may experience after sexual arousal that does not result in orgasm.  This symptom occurs because blood builds up in the testicles during arousal, causing them to ache if the person remains aroused for too long.  Although blue balls may be uncomfortable, it does not usually last long. Blue balls is a temporary aching sensation in the testicles that will pass once the extra blood flows away from the testicles and the blood pressure returns to normal. It does not usually last for long.  People can treat blue balls by ejaculating through either masturbation or sex with a consenting partner. Hope I have answered your query. Let me know if I can assist you further. Take care .  V. Anand, Psychologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 yesterday her left eye was really red today it is fine. The right eye is kinda gunky and she said sometimes it a little blurry to see out of. Then she said her throat is a little sore. I got the light and looked inside and noticed three small flesh colored bumps on the very back of her throat. Is that normal? ### REPLY: Hi ! Good afternoon. I am  answering your query. Your daughter possibly has a throat infection, either viral or bacterial which caused both the problems. The eye problem could be due to the sympathetic congestion of the conjunctiva by the throat infection itself or could be due a coincidental conjunctivitis. If I were your doctor, I would have advised her for a throat swab culture and sensitivity test. When waiting for the report, I would have started some mild anti-inflammatory syrup for her and advise for steam inhalations apart from gargles with an antiseptic solution if she could. I might start some antibiotic as per the sensitivity report if positive. 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. I wish 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: ok I have a bump on My crotch and sometimes I get them On my leg on the inside my mom says its just a cyst and I think its a ingrown hair cause I shave down there but they hurt real bad and have a orange type liquid comming out can you plaese tell me wat it is?? ### REPLY: Hi, Dear,Welcome to . Based on the facts of your query, You seem to suffer from-Painful Furunculitis after shaving you did. Brown fluid is due to the burst out of the boil and could be due to -excessive friction with surrounding body parts or could be due to excess handling. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!!  . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey,Im having a cold feeling in my left chest area on and off for the last couple of days. Its as if an icy hand was wrapped around my heart. This is accompanied by a appr. 120bpm.In addition to that theres a weird crackling in my throat when i touch it and theres a lot of what i take to be air bubbles beneath my left ribcage (when i touch it it sounds as if someone were chewing cereal next to me). Im 22 years old. My blood turns out to be okay, electrocardiogramm, too. Im really afraid this might be something bad.Thanks in advance. ### REPLY: Thanks for your question on . I can understand your concern. Since your blood reports and electrocardiogram are normal, no need to worry about major heart related diseases. In my opinion, you're all symptoms are stress and anxiety related. But we should first rule out lung related pathology. So get done chest x-ray. If chest x-ray is normal then no need to worry about lung diseases and you symptoms are due to stress and anxiety only. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have shiitake mushroom rash. I recently ingested some of the mushrooms at a restaurant. I began itching the following day. Each day the rash gets angrier and more intense. I have a scratch like rash all over my body. Huge raised long scratch looking marks. I have had the symptoms for nearly two weeks. I take allergy medication which takes the edge off, but does seem to completely get rid of the symptoms. I have teribble outbreaks and i do not know what iginites them. Once they start, they are there for hours and I itch the whole day. Starts on back of hands, feet, then scalp, then neck, and then all over my back. Is there some sort of detox that I can do to get this out of my system? Anything make it go away? I have no other allergies. I am not on any medications ### REPLY: Hello, Thank you for posting on . The condition you have referred to is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other .  Hope this will help you in resolving your query. Thank you  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI I have a queryI have been suffering with a slight discomfort in my lower abdomen, and increased urination, at first I thought it was just a urine infection or cystitis, but I had no discomfort when passing urine, I have since developed slight nausea, and a bit of an upset stomach, I have recently come off the pill approx. 8 week ago, and my first period since stopping the pill finished 10 days ago, and was wondering if this could just be my body  getting used to not being on the pill anymore? or should I go see the doctor in regards to a water infection? ### REPLY: Hi welcome to  forum.  Thanks for choosing . Forum.  You had slight discomfort in lower abdomen, and increased urination, nausea, upset stomach, You have stopped the pills 8 weeks ago. And you had period 10 days back.  After stopping the pills some people will have such changes, but you should not neglect the pain, it could be urinary tract infection, or may be gastroenteritis.  I advise you to consult a doctor for diagnosis and treatment.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am taking the following tablets for the past one week. do I have to take it regualarly for long time or can i stop taking these medicaines. actually i am suffering from labile hypertension1.T. Nevy 2.5     2. T Depsonit 25     3.  T.Astor 10     4.  T. Clopilet A 75 ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I will try to explain you something. Arterial Hypertension in divided in two types. What we call essential hypertension and secondary hypertension. Secondary hypertension usually happens in young ages. It means that it is a secondary factor that cause hypertension, a renal disease, an endocrinological factor etc. Finding and treating this factor might resolve the hypertension. The essential hypertension has not an identifiable factor. It is a chronic disease. It has not a cure that ends, but it should be treated all live. In your case, i think we are dealing with essential hypertension. So, it is mandatory for you to take the tablets in regular way all time. If you stop the medications your blood pressure will be high again. The only thing you can do is to regularly monitor the blood pressure values and discus the doze and type of medication with your doctor, but not stop them. If you have controlled values with your actual treatment you should continue with them. Hope I was helpful. Wish you good health. Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a hard knot at the base of my skull. It s hard and won t move but it s cause headaches and light sensitivity, also the headaches start right off the bump it feels. What could that be? I m not sure if they are related but I ve also had nose bleeds since this. ### REPLY: Thank you for your query. The base of your skull houses some important structures namely the occipital lobe (responsible for vision), brain stem (responsible for regulating important body functions like breathing, blood,heart rate and also houses several workhouses of the cranial nerves including the oculomotor which supplies the muscles of the eye) and blood vessels, contained in a narrow space, that supply the posterior part of your brain. Any space occupying lesion (SOL), a general term used to describe knots, bumps, tumors, in this area needs to be examined promptly especially as any pressure to adjacent structures, mentioned above, can cause compromise of these functions and Increased intracranial pressure. Nose Bleeds may occur to help relieve these symptoms. All your symptoms fit in this scenario. The SOL needs to be checked out right away by CT or an MRI of the brain and surrounding structures. Based on the size, type and other characteristics, a treatment plan will be made and initiated. This may include surgery to relieve pressure symptoms and effects. I recommend a prompt visit to your doctor to get it checked out.in the meantime, worsening of your symptoms, occurrence of new ones like, tremors, breathing difficulty, severe headaches, vomiting warrants a trip to the ER right away. Hope this helps, and you get better soon. Wish you good health and feel free to get back to us if you need any clarification ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dr. Samuel. My mom is having some bumps on her tongue particularly on taste buds area and feeling burning but no pain. She can swallow food with no problem and she is so concerned about cancer. Since she is in third world country, the dermatologist did not give any comment about her symptoms beside giving her fish oil, vitamin c and antibiotic which is every 5 days! Please let me know what are possibilities. ### REPLY: THANKS FOR YOUR QUERY, I HAVE GONE THROUGH YOUR QUESTION, The bump or swelling over the tongue could be because of the enlarged circumvellate papillae, or it can be because of enlarged taste buds(capsulitis) or secondary to trauma.the burning could be because of the decapitated tongue or a traumatic ulcer or candida infection....consult an oral physician for complete examination and proper management...maintain good tongue brushing and maintain hygiene hope my answer 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: My brother-in-law had bladder cancer - stage 4.  He had surgery and had his bladder removed about a year ago.  He is now back in hospital with massive bleeding and suspected liver cancer.  They gave him 3 units of plasma but he is still bleeding a great deal.  What may be happening with him?  He is very jaundice and sick to his stomach...Thank you. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  He has bladder cancer in past and now cancer is spread in liver.  It is stage 4 cancer.  So prognosis is very poor.  Bleeding is common in liver cancer because it may lead to portal hypertension or may have associated cirrhosis.  Is platelet may be low which further aggravate bleeding.  He should take symptomatic treatment only. Chemotherapy can be taken as palliative treatment, but it will not cure the disease.  Despite treatment prognosis remains poor. Life expectancy is not good. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,my two hands thumb tregger,my mri shows mild cervical spine compression at level c5,6and 7 my lower back severe pain with mild spinal compression I have nechache and I took NSAI and rest then I started physiotherapy for neck and lower back do u thing I will improve or I will need surgery ### REPLY: Hi, I am .  I have read your question and understand your concerns. Let me try to help you Question : Does physiotherapy help cure cervical spine compression? Answer : No, Once there is compression of Nerves or Roots or Spinal Cord, Surgery is the Only way forward. Physiotherapy will be helpful as long there is no compression Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. 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 broke my tail bone about 10yrs ago and never had it treated. For the past 6 yrs i have had many GI problems. ive had all the test run and everything has come out fairly normal. Could my GI problems be caused by the untreated tail bone? btw i still have a LOT of lower back pain ### REPLY: Hello, I don't think so that the GI problems will be due to the tail bone fracture. In fact, I feel this could be related to reduced metabolism which happens off late to most individuals.  Why don't you get involved in physical exercise and change your diet? I think this should help you to a greater extent. In my clinical practice, we try to improve the metabolism with the inclusion of various physical exercise and change of diet plan. For low back pain, you need to work out for the weak muscle groups like the one which supports the spinal. This should help improve the stability of the spine and reduce back pain. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pain in my lower right side of my stomach I have had it a few weeks also I can feel a small lump but not all the time and it s tender to touch when I can feel it , it is a little pain full sometimes today more than any day and when I hold my pee in it hurts . Thank you for your help ### REPLY: Hello, Thanks for the consult... Brief Explanation, Ultrasound Examination is necessary In my opinion it is due to Lipoma. Detailed Answer,1. I read your query and I am happy to help you. You mentioned that you have a small lump on the lower right site of the abdomen which you feel but not all the time2. This swelling is nothing but Lipoma which is mostly painless except in the abdomen. 3. For confirmation of the swelling Ultrasound Examination is must 4. Be careful that lipoma at the site of abdomen is rare and the transformation into malignancy is quite common at that site. So treat early as possible5. After confirmation of the swelling by Ultrasound Examination the treatment of choice is Surgical removal Hope this information 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 having a lot of abdominal pain, pain and pressure when urinating. I am also experiencing a lot of gas. I am having problem standing straight up and abdominal area is painful to the touch. This has been going on for 4 days and my doctor can not see me for another two weeks. Should I be concerned? ### REPLY: Hi. You should be concerned. The single sign of pain on touch to the abdomen suggests there is a severe infection in the abdomen. The pain and pressure when urinating and gas and inability to stand straight indicate you may have peritonitis, appendicitis or such inflammatory process. Get the blood, urine and stool checked, culture and sensitivity of the urine. Ultrasonography of the abdomen. This will get a proper diagnosis to get you a proper treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have swelling and redness below the knee for more than 2 weeks. I have had an ultrasound to look for a blood clot but it came back negative. I am now on antibiotics, but 4 days in and no improvement. I am resting it and elevating it and icing it but i m wondering what it could be? ### REPLY: Your description about the symptoms is highly inappropriate to provide a proffer answer. Diagnosis highly depend on weather it is back of the knee or front of the knee. As well how below it from knee joint. If it is back of the knee [deep vein thrombosis. Bakers cyst] must be excluded. Cellulitis[infection of soft tissue] and bursitis can happen anywhere around knee joint. Treatments are highly depends on cause for swelling. Antibiotics will help if it is a cellulitis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear doctor i have an allergic rhinitis and 4 weeks ago i took a diprofos injection and the  symptoms completely disappeared but now its effect was gone is it safe to take another injection now or not ?my age is 21 year ,i am 155cm ,65 kg ,i have no disease ### REPLY: Hello. Thank you for asking at . I went through your history. I would like to inform you that Disproofs injection contains Dexamethasone, which actually a corticosteroid. Were I treating you, I would not suggest you injectable corticosteroid for allergic rhinitis because of long term side effects and complications, especially because many safe and alternative options are available for allergic rhinitis like antihistamines, montelukast, inhaled corticosteroids, etc. (inhaled corticosteroids are much, much safer than injectable corticosteroids because they act at local level in the nose)Personally, I would also suggest you allergy testing so that you can identify substances causing allergies to you as well as measures to avoid them. Hope above answer will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My son is 5 months old. He has a runny nose and productive cough. The other night, he woke up in his sleep coughing and also vomited. We went to see a family doctor today - his lungs are clear and ears are ok. She says that it may just be the common cold, and told us that a common cold & cough can last up to 6 weeks. Is that true?? I would think that if a cold last that long, that it most likely be bacterial at that point? And in that case, wouldn t my son need antibiotics? Would really appreciate a 2nd opinion on this. Thank you! ### REPLY: Hello, Thank you for asking at . I went through your sons history and would like to make suggestions for him as follows:1. As he has been examined by a doctor, that is very nice for him.2. Yes, most of the colds and cough at this age are due to viral infection, and they can last from 7 days to 8 weeks (2 months). So I would agree with your doctor.3. As I mentioned, most of the infections are viral, and they do not need antibiotics. Antibiotics are required only when bacterial infections are suspected. Bacterial infection is best suspected from type of symptoms and sometimes with help of investigations. It is not correct that a long infection is due to bacteria.4. As your son does not have significant fever, no pus from ears, lungs are clear, no effect on playfulness, I would not think of bacterial infection.5. For such simple cold, I usually suggest my such patients saline . 6. Antihistamines like 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: hello Dr. I am 23 year male suffering from low platlet count. My all test are normal like dengue,spleen,kidney. Sometime my blood pressure become high to 95 and 140. I am suffering this problem from last one month. My platlet are varying between 110000 to 60000 and not increasing please suggest me some medicine. I have already taken Papaya leaf,gaduchi and alovera juice. ### REPLY: Hello and welcome to , Low platelets are caused due to two causes:1. Increased destruction of platelets on peripheral blood or precursors of platelets in bone marrow.2. Decreased production of platelets in bone marrow. A complete hologram, peripheral blood smear and bone marrow examination are required to know the cause of low platelet counts. Treatment can be planned after investigations. 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: my father age 75 suffered from a stroke last year on left side,from then on he is getting proper medication and physiotherapy and was recovering well,but since last 2 weeks he could not stand or walk properly and fell  3 - 4 times in the bathroom,from last few days he is forgetting things and talks things which dont make sense and persists on it,sometimes he is absolutely ok.he is diabetic,hypertensive,renal failure with a creatinine at 2.9 stable.i had his mri on saturday and it reports that he has suffered lacunar infarcts in left corona radiata with mild brain trophy.pls advise.thanks ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Problem : He has suffered lacuna infarcts in left corona radiate with mild brain trophy. Solution : He needs to take the recommended treatment for Corona Radiate Lacuna Infarcts. This cannot be managed over net. You need to consult a Neurologist in person Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Morning Doctor, How are You, my question is that, my wife is 30 yrs old and she is suffering from fever from last one year, when the blood has been tested, the result will be shown typhoid or maleria every time and after taken the treat ment of fever, she gets ok only for some days, after some days the same problem is arises. Fever is always shown 99+, not over 100.Tell me sir, what i can do for full treatment of this fever. ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you that your diagnosis must be perfect to take radical treatment. If it is salmonella you should do blood for culture and sensitivity. Take complete treatment and then do duodenal aspirate culture for same if it shows up in aspirate you should go for removal of gall bladder for complete treatment. If it is malaria, you should have to diagnose it whether it is P. falciparum or it is P. viva you have to take treatment accordingly to eradicate the disease. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. 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 mother has Hgb 10.3....not sure of her labs, indicating kidney function, but primary has sent her to oncologist, who has scheduled her for iron transfusion.  He said he will repeat Hgb in four weeks, following transfusion, then will determine if bone marrow biopsy needed......is this to diagnose multiple myeloma? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has iron deficiency anemia.  She should take iron treatment as per doctors advice.  No need to worry about multiple myeloma. It has no relation with multiple myeloma.  Don't worry. Just be relaxed. 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: Sir I am very sad about my night fall problem science 5 year... I have take lots of medicine and doctors advice. But I think it can t be cure.. Sir I am very disturb and I do nothing in my life.. My mind has become very slow and memory has become to week... Sir please help me... ### REPLY: Dear, We understand your concerns went through your details. Please understand nocturnal emission is not the reason for your weakness and memory problem. Nocturnal ejaculation is a normal and natural body procedure, and you cannot control it. Excess semen is being removed through nocturnal emission. This happens because body cannot store the semen for long. Masturbation and engaging in sex often reduces the frequency of nocturnal emission. Please do not associate nocturnal emission with health, because it will lead to anxiety disorder. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my dr sead i had celluliteous  in my legs i took a lot of antibiotics but now i have hard bumps in my legs that hurt to the touch i lost my job and no longer have insurance can u help me and tell me how to get rid of this ..and one more thing my feet still swell and hold fluid on a regular basic... but they end up going down after i elevate them for a while ### REPLY: Hi. Thanks for your query. Read and understood your query and concerns. It says you had cellulitis means infection/inflammation of the legs. The resultant infection must have caused the lumps to appear and stay as there might not have has any proper treatment. It is good that the edema of the legs is going down on elevation of the legs in the lying down position. I would advise in such a situation the following:- Get clinical evaluation and examination done to know the cause of all such problems like varicose veins or so. - Color Doppler examination of the lower limbs - Routine tests of blood including that for sugar, kidney function. - Ultrasonography of the lower abdomen to find out any possible obstruction agent to the lymphatics or venous return. - Get started on proper treatment with appropriate medicines as per the findings of clinical evaluation and investigations. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 23 years old(F) house wife. Suffering from slight short of breathing last one month. My doctor suggested for test .i.e Pulmonary Function Test, ECG, Echo Cardio Screening. Every test result is normal. Doctor give me Deanxit 0.5mg perday one tablet. 10days gone I feel normal. but on 11th day I forgot to take the tablet. 12th day I feel again short of breathing problem. Then after discussion with doctor I took one Deanxit and one Rivotril 0.5 mg. My quastion- Is this kind of short of breathing problem is due to anxiety ? should I continue Deanxit long term ? Is taking longterm Deanxite may cause another problem in future? Note:- My TSH is around 7.54. I am taking Thyronorm 25mg per day ### REPLY: Hi welcome to the  First don't worry about dyspnea because all your reports are within limit esp echocardiography and PFT (as per history) So yes if you are having stress history then anxiety might lead dyspnea by panic attacks I advise you to consult psychiatrist for examination and detail history taking For anxiety disorder doctor will prescribe you fluoxetine like SSRI group . ... 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: For the past 3 weeks I have had excrutiating pain in the left hip/inner thigh. I am unable to walk without a cane & not very far with it without sharp unbearable pain. I went to ER, did X-rays & said Bursitis of the hip. Saw Ortho & scheduled for MRI. He saw no OA. What can I expect? ### REPLY: Hello, As due to bursitis there will be pain leading to weakness of the muscles of the hip. Taking anti-inflammatory medications prescribed under the orthopedist should be helpful to reduce the pain and inflammation. Doing hot water fermentation and simple hip range of motion exercises should help achieve the muscle property to be maintained and get maximum output. Post the pain comes down and after the low-intensity exercise for 2-3 weeks strengthening exercises will be advised to restore the hip joint complete motion. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good day, am so glad to be here, av got a problem with my system in the sense that whenever am reading or having serious and important studies i begin to feel very sleepy and that usually cause a lot because i end up not also remembering all what av been thought. Please i really need your help on this, thank you so much. ### REPLY: Hi there ~ You feel sleepy when you start reading because it is something that you are not interested in.  To get your interest levels up you might need to start doing other things to help with concentration.  Yoga, Panama, Dayana, and regular physical activity are known to boost concentration.  I would also recommend that you get evaluated by a psychiatrist to treat your condition if it needs medication.  I hope this helps. Take care and have a nice day ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I have just cut my leg shaving and it came from a  very small raised vein of  only about 1 to 2mm in size. It seemed like there had been a lot of blood as it spouted out I hadnt realised at first but noticed it around me on the floor and the towel I applied pressure and it stopped almost instantly . Please advise x ### REPLY: Hello dear patient! Welcome to , and thank you for sharing your concerns with us! I understand very well you concerns and I'm trying to calm you down a little. I want to ensure you that is not a problem if you have kept a good hygiene of the wound after you have cut the leg. If you have rinsed with water and after the pressure the bleeding has stopped you have just to disinfect the wound with alcohol or provide iodine to prevent wound infection. Disinfect the wound every day till it begins to heal. Keep it clean and .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 57 yrs old great health female, single, divorced. Very fit & health consciouse. Do not drink or smoke. Currently have no health insurance (working on it) as a consultant. Been experiencing bad thumping, heating beating every night from 7 pm until next morning. Sometimes it starts earlier and never stops. Gets worse around 11 pm so unable to sleep as so loud. When I do manage to get a little sleep, it wakes me up with same thing at 4 am and cannot get back to sleep. It also happens during the day. I have no anxiety, and min stress, and highly allergic to medications. Was taking 5mg claritin but too strong. I also have bad ear infections, but unalble to take steriods or antibodicts. This has been ongoing for a year and getting worse and happening every day now. I have gone thru menopause at 53, but possibly still part of it. The only thing I can take is Childrens Benedryl 1 tsp. Sometimes it is skips beats. I suspect food allergies; however, even if I eat nothing, still does it. Worse after eating within a 2 hr period. I have low blood pressure; however high cholestrol as very genic in family. The feeling of a lot of adrenaline pumping, even if not working out. A lot of pressure in the chest as well. I tried bioidential hormones but could not tell any difference. Not taking anything now except B-Complex Sublingual Liquid once a day and the Benedryl if having an allergic reaction. ### REPLY: Hello! Welcome to Ask a Doctor service! I passed carefully through your question and would explain that your symptoms could be related to gastroesophageal reflux or a metabolic disorder. A cardiac arrhythmia can not be excluded either. Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG and a cardiac ultrasound-complete blood count for anemia-blood electrolytes for possible imbalance-thyroid hormone levels for thyroid gland dysfunction. An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. In the meantime, I recommend avoiding caffeine intake and eat in small portions, frequently during the day, in order to avoid large meals. Hope to have been helpful! I remain at your disposal for any further questions whenever you need! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes. My 11 year old son has been ill since last Thursday. His symptoms have been high temperature up to 105.5, minor abdominal pain, and persistent cough. The doctors ruled out appendicitis with the ultra sound, and the quick test for strep came back negative. His throat has not been hurting until today. But I believe its because he has had a persistent, deep sounding cough, which ironically he has not exhibited the three times we have taken him to the hospital. The doctors did say that his throat looks fine and they didn t believe it was Strep. However we are waiting for the more conclusive Strep test results tomorrow. His temperature tends to come down during the day just under a 100 until the evening when it goes back up to about between 102 and 103. We are giving him ibuprofen and Tylenol. His nodes don t seem to be inflamed. He is not vomiting but has had a significant loss of appetite. Finally the doctors feel fairly confident to have ruled out Mononucleosis. His neck movement is also fine. One last thing I just thought of is that my wife and I sprayed a Flea & Tick Spray for Dogs on our living room sofa within the last two weeks. It s made by Hartz and contains Tetrachlorvinphos and (S)-Methoprene. Could this be causing some of his symptoms. Thank you for your time. James ### REPLY: Hi, By what you quote I feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done.  If it is positive then she will require antibiotics. If it is negative then it might be a viral illness and doesn't require antibiotics at all. Cough and cold are viral 95% of the time in child .  For cold, you can use anti-allergic like Levocetirizine (1.25 mg single daily dose) 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. 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 lump on my jaw bone on one side near where my jaw and neck meet and it is a little bit painful when i press my chin to my chest or when i put pressure on the area (the jaw strap of my helmet hurts to wear sometimes). What are some possible explanations? ### REPLY: Hi. Welcome to . I read your query. What is the duration of the existence of this lump? Has it happened before?  Check for any cavity in corresponding tooth in lower jaw. If there is, then you may have space infection due to tooth. If there is . Or it can be some swollen lymph nodes as well. Visit a dentist and get it checked for appearance, consistency, texture, etc. Proper oral check, history, radiographs are required to establish a diagnosis. In any case swelling below jaw should not be ignored as they tend to spread fast posing a threat to wind pipe. I suggest you see a dentist and get it treated. Hope the answer helps you. 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: Just recently had my annual blood tests done and everything is fine except my liver is off. Now been sent for a ultra sound on abdomen. Saw a specialist last January and he put it down to fatty liver. My doctor said they are worse than last year. Can you give me any ideas ### REPLY: HelloFatty liver is a reversible condition. It may be due to many causes like obesity, sedentary life, alcoholism,hepatitis etc. You may need clinical correlation and few more investigations like routine hologram, random blood sugar, liver function test, lipid profile. You may need to change diet and lifestyle. You should avoid fried and fatty food. Take a lot of fibers and go for brisk walk regularly. You may need to take few medicines after evaluation. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m 25 yr old male with a history of OCD& social anxiety since 10 yrs and i am taking tab.veniz XR 75 mg1-0-2,t.clofranil XR75 mg 0-0-0.5,t.sizodon 2 mg 0-0-1 since 2 yrs.Now i m studying speciality nursing.i faced lot of learing difficulties and i cannot maintain professional relationship with any one..my handwriting get detoriated from day by day.really i m very much frustrated ### REPLY: Hello OCD or obsessive compulsive disorder is an anxiety disorder. It is characterized by recurrent anxiety due to some intrusive dominant thought, idea. In order to get rid of anxiety individual is compelled to some ritualized behavior that is called as compulsion. You are on right medicines and in right doses. Like Clomipramine 37.5 mg per day, venlafaxine 225 mg per day and risperidone 2 mg per day. If you are not having proper relief then addiction of some SSRI .  But take opinion of your psychiatrist for that. Behavior therapy is the most important step in treatment of OCD. Exposure and response prevention is one of modality of Behavior Therapy. Thought stopping is also useful. Hope I cleared your doubt, if you have any more doubts you can ask me a question. 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: im 31 year old female im suffering from lower back pain past 2 months and now the pain from past 1 month is on my right side hip to my calf no stop pls help me.my weight is 75kgs and heightis 5foot and 7inchs and except acidity i have no other medical problem. ### REPLY: Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i sometimes feel i have to breathe deeply and i feel light headed and i have a feeling as if im fainting.. i sometimes feel heavy and weak on my shoulders and i kinda feel some tingling or slight piercing pain in my heart.. do i have a heart problem or something else coz i feel scared.. ### REPLY: Hello! Thank you for asking on ! I understand your concern, and could explain that all your clinical scenario seems compatible with an anxiety exacerbation (the way it starts, nonspecific and scattered symptoms, to end with totally non-specific piercing pain in your heart area). This doesn't seem to be heart related. So, do not panic! Just relax! I would recommend performing a routine medical check up by your doctor (internist or GP) for a careful physical exam, a resting ECG, chest X-ray study, and some additional lab tests (complete blood count, PCR, fasting glucose, liver and renal function tests, etc.), to ad .  You need to discuss with your attending physician about the above issues. Hope to have been helpful! Greetings!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 62 yr old female and have been in excellent. I eat very healthy and workout 5 days per week for 60-90 mins. Recently I have been getting sharp intermitten pain on right side (obliques)and back. Sometime lower abs. Severe pain occurs 3-5 times per day and also occuring in middle of night waking me up. Pain lasts about 30 mins. What could be causing this? ### REPLY: Hello, Thanks for your query. The pain on right side of the back could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done. If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely. The other causes that need to be ruled out include lung infections like pleuritic. Stopping smoking might help in reducing the symptoms do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had polymyositis during Jan 2010 which affected me the worst part of my life. Due to the efforts of my attending physicians, I am able to have a normal life now. I am put wiht defcort 6 alongwith ecosprin.osteofos 70 and folvite. I am a type 2 diabetic since 2002. How long should I continue this medicine? Ravichandran ### REPLY: Hi, Polymyositis is considered to be an autoimmune disease, treatment duration depends on the remission of disease though there are high chances of recurrences and relapse after stopping of treatment. Usually, it takes 2 months to a year treatment for the patient to start regaining his/her muscle strength back depending upon the severity of inflammation. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END