Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently I have been having severe headaches only when I m tense and particularly when masturbating, could this be caused by my recent poor sleeping habits, I do have one side of head bigger than other on the back and am worried of a tumour or something like that, I have no history of cancer in the family ### REPLY: Hello dear, Masturbation is a normal phenomenon, and does not have any side effect on body or mind, unless you get addicted to it. Since you are feeling that masturbation is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extracurricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts & honey.4. Avoid fast foods & lipid containing diet.5. Avoid smoking & alcohol.6. Keep away stress, think positive.7. Exercise regularly & practice meditation. These measures will be helpful in improving your health & build up the confidence level. 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, recently my 37day old puppy accidently scratched my wrist....there was no trace of blood but my skin did came out...releasing prothrombin layer to form eventually as i came in contact with acidic liquids ...i did cleaned up my wrist when it happened..should i be worried.plz help ### REPLY: Hello, Welcome to , Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. You should wash your wound thoroughly with soap and water for 15 mins. You require 5 doses of antirabies vaccine on days 0, 3, 7, 14 and 28. The vaccine should be taken on to the shoulder by intramuscular route. Inj TT should be taken. A course of antibiotic like Tab Augmenting, twice daily for 5 days. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had many tests in the last few years. Doctors cant figure out what I have if anything? Anyway I am anemic off and on. Im 41 and healthy as far as what I eat and exercise. Ive had bone marrow biopsy m(WBC) is low sometimes too. We dont know if the two are related. Ive had a uterine ablation so Im not losing blood. It seems to come in waves. One thing that we have not looked into is my micro valve prolapse. Could any of this be related? I have had GI tests to see if I have Celiac or colon cancer, many blood tests, not sure what else to tell you. ### REPLY: Hello and welcome to , Low hemoglobin and low white blood cell counts is seen in bone marrow depression. Blood work up along with peripheral blood smear examination is required to know the type of anemia. Further investigations are required to know the cause of anemia. In addition, bone marrow examination is also required to know the status of blood cells in the bone marrow. Thus, consult a hematologist for further work up. 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 wife had 4 embryos transplanted november 16. we are in ivf treatment. today she is 10 days post transplant, we took an hpt this morning and it showed a very faint positive but only after 20 mins. Could it be that she is positive and the ChatDoctor is at a level too low for quick detection in urine hpt? ### REPLY: Hallow Dear, Faint line on urine pregnancy test indicates that the levels of  are low. They happen in either ectopic pregnancy, non-viable baby or blighted ovum. Since you have 4 embryos implanted, the pregnancy test should be definitively positive after 10 days. Please report to your Gynecologist to assess the safety and viability of the implanted embryos. If they are all non-viable, pregnancy may have to be terminated. Wishing you best 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 had my last period on 18/11. I got a positive home pregnancy test on 27/12. Then on 30/12 i has brown discharge and again i did the test, its positive with two dark lines. Today again i have brown discharge with black thick discharge. What shall I do? I dont want to lose it. This is first time I  have conceived after my marriage. I have pain in vagina. And i am 32 and in 4th year of my marriage. ### REPLY: Hi there, I have understood your concern. I will suggest you the best possible treatment options. First do not panic. As you have missed your periods and your pregnancy test is positive, you can very well assume that you are pregnant, Secondly, your brown and blackish discharge cam be Due To Some Kind of old bleeding. Please seek help of Your treating doctor for getting micronized progesterone tablets, and please get USG done to know about the gestational age and viability of pregnancy. Take rest. Meditate regularly, keep cool. Think positive. All things will be fine in the due course of time. I hope this answer helps you. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im trying for a child and after the hysteroscopy and endometrial biopsy the result of TB PCR test was non Tb Micobactiria -detected and TB Micobactirial Infection as negative . Doctor adviced me to take medicine as if I have TB .Will there be a chance for me to concieve after treatment .Since Im 43 years .I have to try with donor EGG .Can I get a baby after treatment ### REPLY: Hello, I would like to know why your doctor prescribed ATT, the anti-tuberculosis treatment, when you were diagnosed with non-tuberculous infection. I presume it was done as a safety precaution. You have to wait until the treatment is complete before you plan conception. If the endometrial tissue repair is good, your chances of successful implantation are increased. Though your ovarian reserve could be low considering your age, with ART, the assisted reproductive techniques, your chances are good. 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: Sir,My name is Parul Arora and i am suffering from very bad and pricking lower right back pain since 4-5 years. Earlier the pain was there but it was not so disturbing that it has become now. I have been suffering from this increased pain since one year. The problem has so worsened since last one week that i cannot even sit for 10 minutes. I cannot sit at all. My studies and work are suffering due to this. I feel so crippled. Please help me sir. I am in so much pain help me. ### REPLY: Welcome to ChatDoctorAfter going through your query I concluded that you are having chronic backache. Most common cause of backache is weakness of muscles and bones. You need to do your vitamin D3 test as vitamin D3 deficiency is important cause of backache. Back exercises and vitamin and trace elements supplements are advised. If vitamin D3 level is low it can be supplemented. For details examination you may need MRI of the region. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask . Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir...my back neck is pained sometimes heavily...that time my head is also pained..i cant slepp at that time...this problem occur from my 9th standard..now my age is 21...thir problem based on nero or bone...what shal i do now?i l see neurologist or ortholigist..please reply me.. ### REPLY: Hi, Firstly, sorry to hear that this issue is lasting too long. Coming to the point. I think you need to get consulted with a neurologist for now as this is a long persisting issue.  As per me, either the pain is due to the headache or any muscle groups in the cervical region getting tightened due to any unknown factor leading to trouble. A neurologist will be of choice to get answered the complaints. 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: i have had toothache for the last month, its terrible in the morning, gets better during the day and returns in the evening.  I also have ear pain on the same side and a sore throat.  My doc has done bloods and all is good wih them.  I also have a bad taste off and on.  im having a bad wisdom tooth pulled soon, is this the cause?? ### REPLY: Hello and thanks for consulting . I have read your query and yes it can be due improperly erupted wisdom tooth. If the wisdom tooth is completely or partially impacted and causing pain and food lodgment then it's better to get it removed.Meanwhile, you can do certain things:~rinse mouth with lukewarm saline gargle~maintain good oral hygiene~apply denote over affected area~for pain a painkiller can be taken Hope this answers your queryRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 about half way up my spine and an inch to the right of it. It is slightly tender ti the touch, not soft but not rock hard, and seemed to almost somewhat disappear after prodding and poking it for a while, but it comes right back. I am very worried, any ideas? Skin on top. if it looks normal. 24 year old mother of 3, good health overall , but horrible skin problems... ### REPLY: Hi. Thanks for your query. The lump you described can be due to a lipoma or a sebaceous cyst as the most common cause. A clinical examination by a Surgeon would give an exact clinical diagnosis. Since the position is midway on the back, this being a pressure-bearing area in sleeping, I would advise all such patients to get such lumps removed. There are 2 advantages:1. The disease is removed.2. One gets the exact diagnosis. So please go for excision of this lump. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: recently my ULS report declared that i have fatty impression in my liver, my doctor has recommended me to take 2 tabs of URSODEOXY CHOLIC ACID TABS , ONE TAB OF RABEPRAZOL  & vit-E & C supplement one tab daily, i wanted to know that is this recommended medicine is good enough or i may require to something, it will be a great help if you also suggest me  my dietary routine for the day. ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. Fatty liver has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Medicines prescribed by your doctor is also Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you . I hope I have answered your query and this will help you. Wish you a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir,I am 41 years old lady staying in Jamshedpur having hair fall at an alarming rate that i feel in few months i will become bald.I have tried different forms of treatment from Homeopathy, Ayurveda and presently I am taking B complex with zinc after showing to a dermatologist in Chennai who said that i am having form of psorasis for which he has given HH salic lotion to apply and shampoo sebowash which has had no result...My father who is 73 years is bald in the centre. ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair loss which could be due to many reasons like improper hygiene, nutritional deficiencies, genetic factor, fungal infection, improper cleanliness and hormonal changes. Need not worry. I would suggest you to wash hairs after proper massage with olive oil. I would suggest you to consult dermatologist for proper examination. Doctor may order blood test, skin patch test and can do physical examination. Doctor may prescribe you .  You should maintain complete hygiene. You should use Finasteride preparations. Furthermore, you should take supplements like vitamin A, Omega-3 and vitamin E. Hope your concern has been resolved. 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: I am 29 years old, and overweight.  I had a baby 6 months ago and have found it hard to lose the weight. Over the last few weeks, Ive noticed a slight flutter in the center of my chest. At first it was quite pronounced, but now its barely noticeable although it still bothers me. I do not have any dizziness, shortness of breath, or chest pain.  Just the fluttering.  Can you please tell me what this might be? ### REPLY: Thanks for your question on . I can understand your concern. Fluttering sensations in chest in young patient should be evaluated for arrhythmia (rhythm disturbances in heart). So consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia and other cardiac diseases. Sometimes undiagnosed stress and anxiety can also cause fluttering sensations. 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 with all these. 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 been having chest pains and aching in my chest. It will shoot out of the left arm pit. And not I have some weird feeling like a thump that will happen sometime once a day to once or twice an hour. I had open heart surgery when I was ten due to heart murmer because I had a whole in my heart that all the dirty blood was going into the clean blood since I was ten never really had problems until I got pregnant in 2008 and now as time passes it is like they are gerttinf worse the chest pains. I always blow them off because I m still standing or sitting after one and o haven t feel out yet. What is going on and how can I get into a heart doctor asap with no insurance??? ### REPLY: Thanks for your question on . In my opinion you should consult cardiologist and get done few tests for evaluation. Since you had heart surgery and cardiac problems in pregnancy, I think we need to rule out valvular heart disease and endocarditis first. So get done 1. ECG2. 2D ECHO. If valvular heart disease or endocarditis is there than these tests can identify it. So consult cardiologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello! My Name is Alyniece. I am experiencing a lot of symptoms that seem to line up with early signs of cancer. I m only 19 years old, and so I know that cancer is probably not the issue, so I am emailing you to see if you think that my symptoms merit my going to the doctor. Here are my symptoms: Sweating heavily, especially at night, abdominal pain at least once a day, nausea every other day for extended periods of time, loss of appetite--I haven t been able to force myself to eat regularly for the past 3 or 4 weeks, fluid retention in the form of bloating(a few times a month) and swollen ankles for no reason(almost every day), I ve also been unusually pale, I ve experienced dizziness and vertigo 1-3 times a week for the past few months, I ve been getting really overheated randomly and for no reason, especially at night but also throughout the day, blood in my stool, which I attribute to rectal bleeding, for the past few months, extreme lack of energy and fatigue for the past several weeks, I am easily tired and find myself out of breath. I also have something that feels like a lump in the ball of my foot, which has been there for over 2 years. I assumed it was a Morton s neuroma, but that was never confirmed. Recently at night the ball of my foot has been throbbing and so has my ankle, and the pain sometimes shoots all the way up my leg. Do you think that this combination of symptoms is cause for concern? and if so what should I tell the doctor I see to ensure that he understands the entirety of the problem? Thank you so much for your help and advice, Alyniece S ### REPLY: Hello, There are some things of concern that require for closer assessment. You report rectal bleeding with lack of energy, unusual pallor and repeated dizziness. This may be due to anemia (reduced blood amounts) with multiple other symptoms being part of that (swollen ankles, breathlessness). I think you need to see a doctor to see why you are bleeding from your rectum. They may identify the problem just by a physical examination or may need a colonoscopy. As for the swelling on your foot, it could be a Morton's neuroma, but you would need either an ultrasound or foot MRI to confirm this. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. There is a pea sized pimple type thing on my scrotum, but when I try to pop it it does not pop and it is painful only when I touch it. I left it alone for 2 days thinking it would go away but it has stayed and now there is a little black spot inside of it. Im a bit worried. ### REPLY: HelloThanks for query. Based on your statement I would state that you have developed a Sebaceous Cyst over scrotum. The scrotal skin is rich in sebaceous glands and hence prone to get sebaceous cyst due to accumulation of sebum beneath the skin. Normally it fades away without treatment however needs to be treated if increase in size or get infected. Take broad spectrum antibiotic like Definite along with anti-inflammatory . If it does not subside consult qualified General Surgeon for evaluation. He may advise you to get it excised in Motto under local anesthesia. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with Ulcerative Colitis in 2007 by colonoscopy after a course of Doxycycline and suffering for about 3 years. I went into remission after this with a course of treatment with Lialda, Canasa and Hyosycamine, although I truly suspect the colonoscopy prep triggered the remission, as I was fine for a week before starting these meds. I have been suffering a flare since last June, and am not responding to the treatment this time. Any advice? I have also had tachycardia for years, managed with atenalol for the past two years. Even on meds, my resting heart rate this morning was 120. I m guessing this is dehydration from the UC flare, should I be worried? ### REPLY: Hi welcome to  forum.  Thanks for choosing . F.  You have got ulcerative colitis, got treated for that, and you are fine. Flare since June, and no response. You have got tachycardia and using atenolol.  Tachycardia might be due to Hypertension, that is got treated, and anxiety.  Flares also might be due to hyper acidity of the ulcerative colitis, or secondary to anxiety.  I advise you to consult a physician for treatment of anxiety and diagnosis of underlying causes of your problems, and treatment.  Besides I advise you some diet recommendations as avoid taking more of spices, junk foods, and oily foods. I also advise you to follow some nonmedical procedures for diversion as yoga, meditation, gardening if interested, reading books, and hearing music.  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: Hello, Im having itching sensations in my feet, inner thighs, my arms, and my wrist. Any clue what this might be? Im coming off of prescription pain medicine from years of being on it and my friend passed away recently. Im past the withdrawal phase from my medicine tho. ### REPLY: Hi, Welcome to , Itching from neck to ankle or both upper and lower limbs could be due to subcutaneous candidiasis, a topic dermatitis, allergic reactions, urticaria or hives, or some medical disorders like DM, jaundice, uremia etc. Which prescription medicine you were taking for which particular reason? You should provide this information which might help us to arrive at a particular diagnosis. You must try antifungal oral medications once with the help of dermatologist with other supportive treatment.Also, you should take immunoglobulins with consultation of dermatologist. If still no diagnosis or cure then it would be advisable to consult physician to rule out any medical disorders. You can go for allergic testing of food and other substances, but they are not such reliable. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my wife delivered a IUGR baby last month @33 weeks.  The baby was died after 24 hours.  The doctor had attended her informed IUGR due to severe oligohydromonious.   When can ourselves plan for next baby?.  Will IUGR repeat next pregnancy also?.  What are the preventive cares to be taken. Shiva ### REPLY: Hi, I think you can take some precautions in next pregnancy.  Go for frequent ANC checkups. Do a growth scan starting from 26 weeks. Take plenty of fluids. Get her blood pressure checked at regular intervals. Also do a thyroid profile.  IUGG is not a recurrent condition, but it can happen next time also if complications are there. Discuss in detail with your doctor regarding this.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I took a Dollar store pregnancy test and it came out negative, but Im not sure if its accurate. Ive looked up common early signs of pregnancy, and I seem to have most of them. Is it possible that the test is wrong? Or that Ive taken it too early? ### REPLY: Hallow Dear, The routine urine test for pregnancy detection gives reliable results 8-10 days after missed period. If this test is done earlier, the chances of false negative tests are high. Beta  test is very specific and sensitive test. It gives reliable results within 2-3 days, or even before the missed period. Another test is ultrasonography. It gives direct visual evidence of the pregnancy status. However, it also is reliable about a week to ten days after missed period. Hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had back surgery last December 18, 2012 and was diagnosed with a enlarged S1 root nerve the surgeon went in to remove what appeared on a Mylogram and MRI a cyst but found out when he got in there that it was an enlarged root nerve he did not remove it because of the fear of leaving me with no feeling in certain parts of my legs and feet. He said he just made space for the root nerve in hope that it was just inflamed and would help if not my next option would be Mayo Clinic... well here it is May and all my pain has returned, just looking for some additional options. Thank You. ### REPLY: Hi, Thank you for posting your query. Since six months have passed since the surgery, it would be preferable to repeat an MRI scan of the spine with contrast to evaluate the enlarged nerve root at this point of time. The treatment options would depend on the MRI findings. As of now, you could take pregabalin or gabapentin capsules for pain relief. Please get back if you require any additional information. Best wishes, . 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: the top of my left femur disappeared over a 3 mo. period and am told I have necrotizing faceitis...due to possibly a fracture that was found.recently a dr. told me it may have,and most likely was caused from a bed wound that exposed my spine....can someone tell me what really caused my bone to deteriorate that quickly?I also was ending chemo for ovarian cancer when all this began last year. ### REPLY: Welcome to  I have gone through your query and understand your concern. Hip bone is reabsorbed following fracture neck of femur. It may have possibility that that following fracture neck of femur many times head and neck get absorbed. So I see most likely cause of your bone disappeared following fracture neck of femur. Other less likely cause can radiation which you get following your cancer treatment. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend got stung on the foot approx. 3 days ago . It s been swollen ever since . It s to the point where she puts her foot on the floor & her toes dont touch. It s beginning to turn purple and red. I advised her to go to the do tor and she doesn t believe she needs to. Does she need to go to the doctor? ### REPLY: Hello, As seen in history, your friend has an ankle injury and I will straight away request for the x-ray and the orthopedist recommendation. As turning the color to purple or red indicates a pathology and needs to be examined. Most of the time, the injury is ignored, and it heals in an unnatural alignment and which may lead to abnormal changes in the biomechanics. As the foot is one of the important parts of the body since it has to bear the whole body weight I would not recommend taking this lightly. Any abnormal biomechanical changes will not be good and may lead to other abnormal biomechanical functions of the joints like - ankle, knee, hip and lumbar spine. To avoid such issues it is recommended to see an orthopedist without having a second thought. Usually, a team of orthopedists which includes even a physiotherapist will help to work behind the foot injury and give optimum results. 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: Hi, I have had asthma for quite a long time and treat it with salbutamol, salmeterol and beclomese something or other. I am male, 24 and a smoker. I also have rhinitis For the past week I have had all the symptoms of a cold; blocked nose, tight chest and headache. Today my symptoms changed a lot, my asthma was bad and have used my inhaler a lot. I feel very light headed. My hands feel numb, every now and the I get a sharp pain in my chest(several areas both left and right) I have a strong global wheeze and I occasionally get a weird feeling in my left collarbone, it feels like a heartbeat.What can I do? ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. I usually treat my such patients with regular montelukast+levocetirizine and regular inhaled corticosteroids for at least 6 weeks as your asthma is at present not well controlled.2. Furthermore, I would also suggest you allergy testing as it will help you identify the substances you may be allergic to and also to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually works on immune system to improve allergy symptoms over long time.4. Regular steam inhalation and adequate fluids, preferably warm, during day will also help early recovery.5. Feeling heartbeats, etc. could be due to side effects from albuterol as well as albuterol. Chest pain, etc. could be due to gastritis or some other cause. Please consult your doctor regarding these symptoms.6. I strongly recommend you to quit smoking as smoking has very bad effects on asthma & rhinitis. It can also reduce effectiveness of some .  From my side, it is the most important step towards long term improvement in asthma & rhinitis. I would highly suggest you to seek a professional help for the same.7. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.8. Regular breathing exercises and a healthy diet rich in vitamins & minerals will also help you in a long run by improving lung capacity and immunity. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. 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: I fell while on crutches - my fall was broken by my hand - specifically the thenar area of my hand. I can move my thumb, but it is extremely painfull. I just had bone fusion surgery on my foot and the pain wasn t as bad as this hand injury. If I can move all my fingers am I ok? ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a thumb sprain. I suggest to rest. Try not use your hand for at least 48 hours. Apply ice immediately after the injury to keep the swelling down. Wear an elastic compression bandage to reduce swelling. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have hematuria for over two years now, i remember taking thera flu while i was drinking alcohol, i just read the fine prints on the label and it said that drinking alcohol while taking thera flu can cause liver damage, the doctors cant tell me whats the problem, i have done numerous test and they cant seem to figure out what it is, do you think it could be the combination of the thera flu and the alcohol ### REPLY: Hi and welcome to . Thanks for the query. I don't think so. I think that liver damage is caused only by alcohol. This is the first reason to think of. Thera flu is not proved to be harmful for liver in recommended dosage. Hematuria is probably caused by something else. Most commonly kidney stone or reinfection. I suggest reducing alcohol intake and then check your liver enzymes to see is there improvement. Hematuria requires more detailed urologic work up. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,I have tiny bumps all over my side, top part of my left arm and lower jaw to my cheeks. I constantly get red blotches and i do get the rash on my chest a lot except ive never gotten it on my arms and face so i feel its getting worse. what is it? an allergic reaction? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint the symptoms of formation of recurring bumps and blotches over the body seems to be due to allergic reaction to any unknown allergen, and it needs to be thoroughly evaluated and investigations to rule out allergies like Last Test, Patch Test and Food challenge test etc. can be done to rule out the exact cause of allergic reaction as antibodies against the specific allergen is formed in the blood of the individual and preventing exposure to the allergen can help. An immunotherapy can also be instilled by an allergist to reduce the severity of allergic reaction. As of now you can take anti-allergics like Levocetrizine or Ben . . Limit sun exposure. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. my sister has been diagnosed with Lopus and her kidneys appear to malfunction. She only excretes liquids. The level of Creatinine and urea in her blood are high and she has been unconscious (her doctors say with a degree of unconsciousness of 4 or 5) for the past 24 hours. In the meantime she has also experienced a trauma. My question is what are the chances she will get conscious and can we tell whether the unconsciousness is due to the trauma or the kidney disorder. Thanks. My email address is YYYY@YYYY or YYYY@YYYY ### REPLY: Thanks for the query. Loss of consciousness can be because of kidney problem in lupus if it has reached last stage of end stage renal disease. This is called as uremic encephalopathy. Now, the other part of your question says she had trauma, in this regard we need to know the details of trauma. If its brain injury or injury with severe blood loss, it may cause unconsciousness. The recovery depends again on the extent of injury in trauma case and on dialysis in case of uremic encephalopathy. I hope I have made myself clear. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctor says I have a fatty liver.  She only told me to not drink alcohol, which I dont.  I have never been a big alcohol drinker.  It used to be occasional intervals, like weddings or parties.  But I havent had anything to drink in a long while.  I just dont enjoy it.  So, my question is what do I do about a fatty liver.  Is there something I should be taking? ### REPLY: Hello dear thanks for your query at ChatDoctorit might be hard for you quit alcohol, but what ever little amount your taking might damage liver that is already in course of shut down. The most important thing that you can do now is quit alcohol, attend alcohol with . 1 take plenty of water and 2 fresh fruit juices3 avoid junk foods4 avoid high protein diets. Wishing for early recovery 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. I recently, had a nuclear stress test done and the report noted, there is flat T-wavesdiffusely. I already have CAD and I am a diabetic also with other health problems. I have noticed on my past and present bloodwork, I have low potassium. No one, seems to be concerned. Should I? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have history of heart disease and diabetes.  Low potassium level can become dangerous.  It may lead to life-threatening arrhythmia.  You should consult your doctor and take treatment of that. 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...i want to rearrange my teeth as they are not in an orderly manner and i cant smile as others do...if i rearrange my teeth will there be any side affects like becoming so sensitive to chew hard food and what wil be the price of the total treatment??...kindly do the need ful...thanking you... ### REPLY: Helloorthodontic treatment of teeth do have short time side effects such as sensitivity, partial mobility, pocket formation etc but on a long term basis these effects subside with new bone formation hence to conclude no side effects after the treatment about the cost, it depends on your age and the degree of malalignmentif you are less than 14-15 yrs than you may go for removable appliances which may cost around 10000 INR but if you are more than 18 yrs than fixed or tho treatment is must, and it may cost around 40000-50000 INR hope that 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 had unprotected sex with an ex girlfriend from the past. We just recently reconnected again and she said she hasn t been with anyone in 2 years and also recently had a complete check up done with flying colours. We tried having sex multiple times unfortunately I kept having to stop due too discomfort. For seven days after we did nothing cause it felt like the head of my penis was being pinched constantly. We tried again and the same problem occurred. It s now 10 days later and I m still experiencing the same discomfort. What could cause this? I m 40 years old and never had anything like this happen before even when I had very rough long and regular sex. ### REPLY: HelloThanks for query. The pain in glans penis after sex is mostly due to allergic reaction to vaginal secretions of your female partner, and she needs to consult qualified Gynecologist for clinical examination and treatment. Take antibiotic like Doxycycline twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sex for couple of days till it gets cured completely. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently had a tooth infection and she infection and I was reading online how garlic is a miracle remedy so I got a garlic clove and he smashed and I put it between my god me too and with in like 15 minutes the pain was gone but I did feel a lot of burn from the garlic. I woke up the next day and my face was so swollen it looked like something had hit me in the face.  please tell me what I can do to help the swelling coming down. Please help me figure out what I can use to help heal this ASAP. ### REPLY: Thanks for your query, I have gone through your query. The swelling is because of the extension of the tooth infection to involve the tissue spaces. Do not apply garlic or some other things over the tooth or mucosa, it can cause irritation and aggravate the infection. Consult an oral physician and get a radiograph to rule out the infection. Meanwhile you can take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). Get the tooth treated with RCT or extraction. Do saline gargling. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello...2 years ago I had an accident...supraspinatus tendon-full thickness tear (4x8mm) and I did waht I know as massage, resting natural way to heal myself,homeopathic,ect. I am in very good health condition was fitness instructor, massage,nutrition...since many mts have have no more pain and can fully rotate my shoulder I even start working so I wonder if I still need the surgery or it is just gone stay as it is with is good Thank you Manon... ### REPLY: Hi Welcome to  I have gone through your query regarding treat supraspinatus tendon after accident? Many people have weak shoulder muscles, making them susceptible to rotator cuff injury. Shoulder exercise is both preventive measure and a natural cure for a minor or moderate rotator cuff injury. Of the four muscles that comprise the rotator cuff, the supraspinatus is the one most likely to sustain a tear. Often, rotator cuff injury can be treated without surgery. If the pain is not too severe, you should treat the pain with, heat and rest. Natural and herbal treatments for shoulder and rotator pain includes white willow, gelatin, ginger, wild yam, Shilajeet Turmeric powder in a cup of hot milk. Homeopathy can help in future also you feel pain and uneasiness. In general, a 30c potency is a good choice for most exercise-related complaints. If you continue to have problems after following these directions, consult your homeopath and/or physician. Dissolve one pellet in 4 ounces of water, and use this throughout the day; take one teaspoon every 15 to 30 minutes, decreasing the frequency as you start feeling better. Stop when you feel completely well.  You can get from Homeopathic remedies Of the four muscles that comprise the rotator cuff, the supraspinatus is the one most likely to sustain a tear. Often, rotator cuff injury can be treated WITHOUT surgery. Above all I congratulate you for your recovery from rotator cuff injury, successfully through massage, resting, Homeopathy - natural way to heal. 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: My son came to me and said a bee stung him but it s not a fresh sting from what I see so idk when he got stung. I thought it was a splinter so I tried to put it out tried and pus and blood came out and his heel to his foot is a little swollen, what should I do? Mary ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that if this is the bee sting then this need to be examined clinically and if the sting found there then this need to be removed this is the ideal way to handle the bee sting if the sting left there as it is then chances of infection is very likely, hope this information helps you, 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 am currently taking Microgynon 30, but it is making me feel sick and like I am on my period all time. I still have cilest tablets in my drawer (as I used to take it). If I have my 7 day break after finishing Microgynon and then take cilest, will I be protected immediately? ### REPLY: Hi, Yes, vilest may be taken in place of microgynon-30. Microgynon-30 and vilest are the commonly used combined pills, and contain the same hormones (estrogen and progestin) which means you can switch between them without any fuss. You will be protected immediately if you start taking the vilest pills after the 7-day break of finishing microgynon-30. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 18 year old boy n hav kidney stone. 2 to 3 days back I m hav burning sensation while urination and today even blood came out with the urine a little. I often have stomach parins due to the stones. what could be d problem ? ### REPLY: Hello, burning sensation usually refers to having an infection. However the passage of blood can be due to the passage of stone. Pain can be due to the movement of the stone in the ureters which will cause pain. Pain in the stomach can be due to the painkillers you might be taking for stones.I would advise you to get yourself a thorough medical examination including blood calcium levels, urine microscopy, culture and also a gastrostomy to rule out gastritis. If the symptoms worsen contact your emergency number.I hope I have answered your 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: my question 4 naila bangsh my name is sadia my age is 31 my hight is 5 /2 i am married ihave 3 kids my prolem is i feel suling in my boday .my peed is not bed ,it is on time .but 4 a short time perioeds .i am not taking any medican .every time i feel pain in my boday mostly in my foot .what can i do 4 this sitution please help me ### REPLY: Hi, The two most common causes of shoulder pain in a woman of your age without any associated causative factor are frozen shoulder and cervical radiculopathy. Both of them are diagnosed on the basis of clinical examination. MRI will help to confirm the diagnosis. Primary management of both of these conditions is conservative with physiotherapy and painkillers for short duration. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell and what happen I landed on my hand and fell forward putting all my weight on it and in the process all my weight landed from shoulder down. Currently I having a lot of pain in my shoulder down to the wrist. Mainly elbow down. My wrist and hand hurts but I can move it but a lot of pain. It was swollen but used ice and that helped. I cannot make a closed fist and it is stiff feeling also numbing, tingling feeling. My thumb hurts to move around. It got worse when I picked up my grandson and now I feel sick to my stomach since Saturdaky. Oh this happen Friday nite and I thought just a sprain. It has been keeping me up at nite and my stomach still feels quezzy. I hope I explained it as best as I can, ### REPLY: Hello, I have studied your case. Due to compression of nerve root there is pain in your arm and fingers pain associated with it. I will advise you to MRI cervical spine for better diagnosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been a heavy drug user since ago 16. I began using heroin and other drugs intravenously around age 20. At age 23, I learned that I had contracted Hepatitis C. I cleaned up for three years. During this time, I noticed a small lump at the bottom of my right rib cage that kind of could be pushed in with one s finger, and it would pop back into it s static position. I relapsed and stayed on maintenance opiates for another 2 years before getting totally strung out again at age 29. I had a horrible cold turkey withdrawal. I had an enlarged right abdomen, it was very sore, and I vomited and diarrhea d straight bile (a totally yellow liquid) for 3 days. It was hard on my body. After about 5 weeks of withdrawal, I was back to normal I had 10 months of sobriety and I relapsed again. I have now been using daily for 4 months. I intend on truly stopping for good this time but I am worried about my liver s status. I also want to know what that lump is thst I described. It has been hurting lately, especially when I drink or when I begin to withdrawal from lack of opiate use. What could be causing this abdominal discomfort and lump? Also, my urine is highly yellow. Not dark, just strongly colored. Thanks! ### REPLY: Hi! Good evening. I am  answering your query. If I were your doctor, I would advise you for some blood tests, like a CBC, an LFT, an ultrasound abdomen to rule out a liver enlargement, and an ECG to rule out any cardiac problem. 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: my daughter is having fits problem from nov,2008.she was given triaptol 1200 mg  till aug 2011.then as her body started reacting for the medicine she is now being given livipil 500 mg along with frisium 30 mg.of late she has become more disturbed and nowadays she is very hysterical and gets anger and furious and goes out of control most of the days.she is 19 years.why this is happening? ### REPLY: HiT hanks for using  I think, she has underline depression. Some time, due to chronic illness or prolong medication, patients get depressed and that could be the reason in your daughter case. She needs proper mental status evaluation by a psychiatrist and if she has depression, then she needs antidepressant. Better to consult a psychiatrist and in case, you need further help, you can ask. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?     Please type your query here..iam73yrs male myesr is 90 &creatnine is 20 my all oyher blood result is normal ihave no ther prblem but both legs soul is always burnining cannot walk on rough surface can esr is high due what reason pl help me. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Your ESR is very high.  There are many causes of high ESR.  Tuberculosis, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR.  You should go for investigation to search the cause.  You should go for x-ray chest, ultrasound abdomen, complete kidney function test, liver function test to search the cause.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. , ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 3 and half old daughter had high fever and cold also throat infection doctor prescribed depoclav, mephtal ,healcet and asthalin.....i gave it for 1 day and my baby started lose stools....now is it safe to give oflomac and is oflomac 0z is antibiotic ? ### REPLY: Hi don't change the antibiotic unnecessarily as loose stools may be due to the viral fever which she is having. Just wait for two days, give her probiotics like enterogermina, zinc syrup and plenty of fluids like ORS, and she will recover well. Only if her stools are green, associated with blood and mucus, or if she is dull and deny . Hope this is helpful to you, kindly rate it if so. 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: bp was 170/120 and was recommended amlovas at once in night. also had brochitis attack and was given deriphyllin reatrd 150, bicaryl, cefixime, panthor syrup. these medications for breathlessness that i encounter. can amlovas cause shortness in breath? ### REPLY: Thanks for your question on . I can understand your concern. No alohas can not cause shortness of breath. Alohas is having amlodipine. It is antihypertensive .  It will not cause shortness of breath. Your shortness of breath is mostly due to uncontrolled bronchitis. Best treatment for bronchitis is inhaled bronchodilators and inhaled corticosteroid (ICS). Since you are not taking these inhaled treatment, your bronchitis is not fully controlled and cause you shortness of breath. So better to consult pulmonologist and start inhaled treatment for bronchitis. 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 I saw the post about shoulder pain on right side and indigestion being a gallbladder issue. My gallbladder was removed in 98. This pain is anterior lateral to the clavicle. in 2003 I had a mysterious episode that landed me in the hospital for a week with the docs swearing it had to be my gallbladder -- the one I had removed in 98...later they said a liver virus must be the culprit. now Im having indigestion with this sudden (over last few days) shoulder pain. any ideas? ### REPLY: Hello, welcome to . The indigestion you are suffering from is usually reported after gall bladder removal in most of the patients. Especially after fatty food intake patient can develop severe pain similar to the pain before gal bladder removal. Constipation can be cured by having high fiber food items and more of the fluid foods. Gastric ulcer, back problems, pneumonia, heart pains and stones in the kidney also cause pain in the patients. Hence, pain should not be taken lightly. Contact a medical practitioner immediately. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an itchy on my scalp and on my private parts(anus,armpit) not only that it comes with a bad smell in my ear,belly and anus. On my groin areas,face are some redness that came from the forming of a dead skin cells. Please tell me what I should to overcome this problems and what are caused of this problems? ### REPLY: Hello, Since you haven't said about other symptoms I think your daughter is having prickly heat rash. Heat rash develop in hot or humid conditions where sweat glands produce excess sweat. Sweat glands produce elevated recolor popular rash with white heads. They are itchy.  As you have described they develop on heat or sun exposed areas. Upper trunk, face, legs and thighs.  You don't have to do anything for the rash it would go away on their own. Bathe daily. Be under a fan or A/c machine when there is excess sweat, keep the rash .  Don't use oily creams when excess heat is present. It would aggravate the rash.  You can use calamine lotion or HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband and I have a two and a half year old. We got pregnant the very first time we tried without me really tracking ovulation . I had just gotten off birth control after being on it for seven years. Now we have been trying and he has been diagnosed with varicocele . We have been trying for four months. Should we be concerned a out the diagnosis? He is turning 34 this weekend. ### REPLY: Hello, Thank you for posting your worries on this forum. I will try as much as possible to elaborate on this issue as it is very sensitive, and normally you need to discuss this with your doctor. They occur in 15-20% of all males. Usually diagnosed in males between 15-30 years and rarely above 40. Varicocele can be harmless, but in many cases it can cause infertility and pain. Although there are studies showing improvement in sperm quality in 57%, there are also studies showing that the regular surgery has no significant effect on infertility. Thus, the surgery may not improve fertility and the patient will need to undergo a non-invasive treatmentHowever researches show that if the treatment is performed adequately, both sides by interventional radiology procedure or by microsurgery, sperm production can be restored even in men without sperm cells at all (azospermia). Chances are, if your husband meets a specialist early enough either an interventional radiologist or a urologist he could get his condition corrected soon enough and fertility could be restored. 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: Double mastectomy followed by 20 weeks chemo and 5 weeks radiation. Did well no big problems. Six weeks after chemo before radiation I started with neuropathy in my feet and hands? Did not have neuropathy during chemo. Any reason I would have post neuropathy ? Put me on a low dose anti depressant and it has helped. Now 4 weeks out of radiation feeling dizzy and headaches daily. ### REPLY: Welcome to  I have gone through your query and understand your concern. You are likely to be having neuropathy due to chemotherapy. Your headache is related to vitamin and trace elements deficiency due to chemotherapy. You can take vitamin, calcium and trace elements. You are advised to take balanced diet. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 6 weeks and a day old son. His poop for the last couple of weeks has been a little on the watery side. He is not showing any discomfort and has no symptoms of any illness. But it has not stopped but has not gotten any worse. He is on formula. Drinking 3.5oz every 4hrs. Weight is about 8.12 to 9lbs ### REPLY: Passing stool once in 4 days or 7-8 times a day is normal in early infancy, if it is not associated with vomiting, abdominal distension or poor feeding. The weight of your baby is appropriate for this age and the amount of feed is also normal. I would like to know if there is any recent change in formula or is the dilution of formula milk is proper. Improper dilution or change in formula can cause some alteration in bowel motion. Giving probiotics(helps in maintaining the gut flora)helps in normalization of bowel motion. So observe the baby, watch for signs of deny . 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 hav been told my daughter has bpd but mental health doc says she is not go n to label her she is 19 and doesnt take care of herself or cant is ceoliac and doesnt follow diet has lost a lot of her 2nd teeth and for years we wer told mild learning disabilty now this was put on dbt course which has now been removed from because of her learing issues were do i stand also thers the voices som tell her not to talk to and others tell her to talk to them ### REPLY: Hello thanks for asking from ChatDoctorShe has been suspected to have bipolar disorder, but the diagnosis was not confirmed. She has celiac disease and is refusing to follow dietary regimen. Her complaints that she is hearing abnormal voices that are conversing to her. Such voices can occur due to some perceptual disturbances like Hallucination mainly auditory hallucinations. Such symptoms should not be ignored, and I would advise you to report to her doctor about such symptoms. These symptoms can occur due to some psychotic episode or may be schizophrenia. Medicines like antipsychotics as olanzapine, risperidone etc. are commonly used in such symptoms. Discuss with her psychiatrist for prescription of . Thanks, hope this helps you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good day,today I experienced a strange feeling ,my right arm became lame ! I was unable to open the car door with my right arm , I raised my arm to my mouth and it went to my left , after a while I got out of the vehicle , went into the hardware store , and difficulty speaking to the assistant ? Please assist ! ### REPLY: Hi, The symptoms you have described here are commonly those that occur during a transient ischemic attack, though you haven't mentioned how the symptoms proceeded further. Have you completely recovered from it or if there are residual symptoms still? However, I would urge you to fix an appointment with a neurologist and discuss starting antiplatelet medications. It is very important that you see him immediately as there are increased chances of stroke following a transient ischemic attack. You will also need thorough evaluation along with Doppler ultrasound of your neck vessels to assess their patency. A CT too may be required while you are at it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 severe pyorrhea.my age is 22 years.some of my teeth are shaking.bad smell also occure from  mouth.i have take many remedies but i do not get any relief.even i brush twice a day..all this make my life so imbalance i get so problem in comunicate people due to bad smell..pls help me to cure my teeth. ### REPLY: Thanks for your question.! Although it looks like you have consulted and tried many medicines so far, However this condition could be due to your general health, which requires thorough examination. Please note, Pyorrhea which is referred as Periodontitis is definitely curable. Please use Chlorhexidine 0.2% Mouth Wash and consult Dentist as soon as possible. As a preliminary examination, OPG (Or tho Tomograph) will be advised by your dentist to understand the cause and plan various treatments. Kind regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 45 years old woman with no health issues. I do my Gynecological test in every year. Just saw little changes in my Uterine wall thickness. Last year it was 10mm n this year it is 13mm on the 5 th day of my menstruation period. I had one fibroid of 2.8 mm of thickness. I have family history of endometrium cancer . Is this anything alarming? Do I need any further investigation for this? Thanks and regards. ### REPLY: Hi and welcome to , thank you for your query. This is still not alarming, but it requires frequent check-ups and if there is any doubt about malignancy, curettage and biopsy should be done. Such findings usually indicates just benign lesions or endometrial hyperplasia. If this persists you should consider hormonal therapy but I dot think that treatment is necessary at this point. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For years now I ve been experiencing sharp stabbing pains on lower and upper part of my lungs. On several occasions the pain was so immense it caused me to cringe and I experimced a light headed sensation that was quite scary. I know lungs don t have pain receptors but I feel it might be something quite serious. Please help ### REPLY: Thanks for asking your question completely understand your problem you need to consult a pulmonologist who can request a chest X-ray and rule out organic disease because this kind of pain can be in variety of disease like pleural effusions, lung mass, sarcoma, and it can be just neurogenic need to panic just get a chest X-ray done and consult a pulmonologist for the time being you can take some analgesics thanks/ regards feel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir i am a medical student going to complete my internship in another 1 month,,,, my mother is having bronchial asthma from an early age.. she uses seroflo inhaler for long action and levolin for immediate relief... for intermittent exacerbations i give her nebulisation..... she still has wheezing while wallkn and while climbing stairs ,,, kindly suggest your opinion ### REPLY: Hello. Thank you for asking at . I went through your mothers history and would like to make suggestions for her as follows:1. Were I treating her, I would prescribe her regular montelukast in addition to Aeroflot inhaler. It will help her exercise-induced symptoms as well as improve control of asthma.2. I would also make sure that her technique of using inhaler. This is the most important aspect as if it is not proper, adequate amounts of . 3. If she also has allergic rhinitis (nose symptoms), sinusitis or gastroesophageal reflux disease (heart burn, regurgitation especially after hot/spicy foods), I would also treat them simultaneously as each of them can aggravate asthma.4. If she needs to use leveling or nebulization more than twice a week, it means her asthma is not properly controlled and in that case I would increase her controller medications.5. Personally I would suggest her allergy testing which will help her to identify the substances causing allergies and also to know the measures to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe her allergen specific immunotherapy which works on her immune system to reduce allergy symptoms gradually.6. Regular breathing exercises (including Yoga & Panama) and a healthy diet rich in vitamins, minerals & antioxidants (i.e., adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also improve her lung capacity and immunity respectively and will help her in a long run.7. In general, I would suggest her to avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will helpful to her. Should you have any further query, please feel free to ask at . Wish your mother 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: When I take a deep breath, my who chest hurts. I would describe the pain like muscle soreness after working out. I also seem to have an achiness under right side of rib cage. Haven t done anything to cause any injury. I am 58 yrs. old and healthy. Could this be a problem to see a doctor for? ### REPLY: Thanks for asking your question completely understand your issue yes chest pain associated with inspiration or respiration can be due to lung or pleural pathology. You need to see a pulmonologist, he may request for a chest X-ray to rule out pleural effusion or any chest injury, if it is a simple muscular injury he may advise you for some analgesics like paracetamol for pain and other treatments necessary thanks / regards feel free to ask more questions may god bless you with 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: Hie have a feeling of off balancedness, chest and central upper back pain inside. tight chest. headache on right uppr side of head, very sharp pain followed by all round the head pain. weakness ocassioanlly but more just tired. insomnia for three days. Please help. Petra ### REPLY: Hi Petra unilateral headache (one side of the head) and a history of insomnia for 3 days , points toward a migraine migraines are usually unilateral can be associated with dizziness or vertigo, chest pain and heaviness can be because of acidity and gastritis due to insomnia you have not specified your age and smoking habits would suggest you to go for an ECG, if ECG is normal, most likely your problems are because of migraine associated with gastritis, and insomnia is the provocative factor if your ECG is normal you should consult a neurologist , and he may prescribe you with benzodiazepines class of medicines(used to treat headache, anxiety and insomnia) along with proton pump inhibitors (for gastritis) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Are there any long term solutions for bronchitis. I am an 18 year old female who gets at least 3 cases of bronchitis a year. I have a history of asthma but have been discharged from my pulmonologist for 3 years because at my success of managing it. I also have horrible allergies and am taking Allegra and Singulair daily. It seems that my bouts of bronchitis have gotten worse as Ive gotten older. Its getting pretty pathetic when I go to the doctor, but my mom insists I do because Ive gotten pneumonia a few times before when I was younger. Everytime I get a virus or am too stressed because of finals or something, itll always turn to bronchitis. Is there any solution for this or do I just need to suffer through them? ### REPLY: Hi, Dear,Thanks for your query to . Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Body stress with Seasonal Viral/Bacterial Infections. Remedy-Consult your Physician or GP doctor. Take enough food / fluids to improve your immune strength yardstick to 8 hrs sleep. Avoid irritants like smoking, and exposure to dusts. Treat seasonal flare-ups by antibiotics and Allegra and or montelucast-Singulair.Don't create dependence on these . Hence, a visit to a doctor in case of flare up is the need for your case. You will live well if you have corrected lifestyle. Good diet with regular respiratory exercises and walking exercise, would keep you away from such attacks Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: bad pain behind right shoulder blade, gas, bloating, lower right pain around pelvic bone...took 6 gasx, 10mg dicyclomine, 2 tylenol, 40 mg nexium all of which barely work to relieve symptoms...last gallbladder function and ultrasound gallbladder test normal six months ago...suffer from acid reflux.. all of this started within hours of eating some dried fruit ### REPLY: Thanks for contacting . You have problem of acid reflux, so it causes blowing and pain problems. For gastroesophageal reflux disease you have to modify your lifestyle like..... Avoid citrus and spicy foods. Take small amount of meal and chew properly. Avoid alcohol .  Elevate your head during sleeping time. Avoid Immediate sleeping after meal. Avoid stress. Endoscope is helpful for further diagnosis. Consent a physician for further treatment. I hope my guidance is helpful to you. Take care. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had a sudden outburst of anger at my brother in law in a restaurant. I have also been depressed lately for no reason. I have been on bystolic for 3 weeks and was drinking alcohol.  I feel awful about the outburst. Now my brother in law wont accept my apology. I dont normally act this way.  Was it the medication and the alcohol together ? ### REPLY: Hi there ~ I understand that you have been having some problems with your work and personal life, and it is affecting the way you are functioning.  I am sure you need help with your alcohol addiction since it can complicate the picture.  Once you are off of alcohol, you will need to be assessed if you really have anger management problems, bipolar disorder, depression or any other condition that needs to be looked into.  I feel like there is a scope to elaborate online, but you need to see a substance abuse counselor who will refer the patient to a psychiatrist if appropriate.  I am glad I could be of some help. Take care and have a lovely day ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 21 years old, male. i have had good skin for almost my whole life. however in the past year i been stressing alot. n sudenly i broke out. n i cant seem to get the thought of acnes out of my head. do u think if i stop thinking bout them and stop stessing about them they will go away? ### REPLY: His admire you for positive outlook. Psychological stress is due to physical problem can be treated with motivational counseling and support. Proper treatment t of acne can cause relief in stress. Without treatment, it won't go away. Just relax and do not think about that which can lead to mild relief in acne. Sometimes stress causes pimples and acne. So treatment from both the side is mandatory. Consult dermatologist for acne. For stress Do not think much. Divert your thought. Exercise, meditation, deep breathing and hyperventilation, Relaxation. Healthy diet and antioxidant, proper sleep stress free activity. Do pleasurable activity, music and hobbiesDiscuss with friends and take advise. See all thing with different anglePositive outlook and confidence All this will help you to counter daily stressStill have a query then feel free to ask. Thank you. Happy to 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: I suffer from severe neuralgia in my neck which refers down to my shoulder blade with sharp stabbing pains and in to my elbow with a constant ache. I have heard of cervical injections to reduce this pain. is this possible and would i then be able to stop taking the mix of Gabapentin and amatryptalene ### REPLY: Hello, Use the cervical soft collar. This will help stabilize the spine and reduce the inflammation on the spinal nerves. Do some static neck exercises and upper limb strengthening exercises.  A combination of medicine and exercise is beneficial in neuralgia. Correction of posture is of utmost importance. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My daughter is five years old and lately has been complaining about throwing up in her mouth. She does not complain about a stomach ache and there does not seem to be a common thing that she eats before the incident. However, I do think she has a drink almost every time before the throwing up . She is very active and keeps doing whatever it is she s doing when it happens. Should I be concerned? ### REPLY: Hi.... by what you quote I feel that your kid might be having a mild HERD or gastroesophageal Reflux disease. This happens when the stomach is full of a lot of liquid as you have observed. If the kid is active otherwise has appropriate weight gain and normal in development and other activities you need not worry about this occasional vomiting, as this is not disturbing her daily activities. But if there is any blood streak in the vomiting or if she develops recurrent diarrhea then this requires further evaluation. Regards -  ### END