Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor,my 1 and half year old has been cough  consistently over the last i weektoday he has passed motion which is slightly bloody.he is 906 kilos in weight.he has been having an allergy to wheat which was discovered only two months ago.  could this be connected ? ### REPLY: Hello. Thank you for asking at . I went through your children history. Regarding your main query, my answer is - Yes, food allergy (in your sons case - wheat) can cause cough and bloody stools. However, I would like to know more details like - Is your son taking wheat at present? How his wheat allergy was confirmed? (diagnosis of allergy only on basis of blood reports is not reliable). Does he have fever, vomiting, or any other symptoms? Does he have any other allergies? I would like to know these answers only because - 1. If he has fever, vomiting, etc., I would think of dysentery and prescribe him antibiotics. 2. Wheat is very important food. His diagnosis of wheat allergy should be very sure to advise him wheat avoidance. Hope above answer will be helpful to you. Wish your son the best of the health. Should you have any further query, please feel free to ask at . 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 have extreme depression and meds and therapy did not work, neither did life style changes, exercise, compleat blood work up showed normal across the board including testerone. I feel theres no hope to ever feel happy just different degrees of despair. are there any radical experimental treatments i can sign up for like brain implants, or a dopamine pump or something? ### REPLY: Hello thanks for asking from ChatDoctorI can understand your problem. You have tried medicines, lifestyle changes and exercise still the symptoms are persisting, and you have symptoms like hopelessness, despair. Most of the people suffering from depression respond to medicines but if they fail to respond then in resistant depression augmentation of conventional anti-depressants with mood stabilizers like Lithium, Aborigine is done. In some cases addition of thyroid hormone results in improvement. If you have already undergone trials of resistant depression treatment then other methods like brain stimulation methods can help. ECT or electroconvulsive have great role in resistant depression. There are no implants but some methods of stimulation help to decrease depression. Deep brain stimulation or Vagus nerve stimulation methods also have good role in depression. RTMS or repetitive trans cranial magnetic stimulation is very effective non-invasive modality for recurrent depression. Consult a good psychiatrist for treatment and evaluation. 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 a lump on my lower back right above my butt crack, it dosent hurt when I bend or sit but it hurts when I lay on it but only on hard surfaces. No puss comes out of it and its not red, It has gotten bigger since I had kids and gained weight, it does hurt when I press on it. ### REPLY: Hi! Thanks for giving me another opportunity to discuss some early lumps in the posterior midline of our body; as this is common, generally in pediatric age group and do not disturb a persons' health! Anyways, what are these? Yes, these are benign; not infective, not cancer and not going to kill you but will cause cosmetic problems, physical inconvenience and fear of getting hurt/infected there... These could be some congenital cyst like Desmond/epidermal cyst, lipoma, neurofibroma or a skin fibro-epithelial polyp/skin tag...!Therefore, get to your surgeon for a direct examination, tests if necessary and to relieve your concerns!regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump of size of half a pea under my left armpit towards the lower side. Its been there for more than 6 months. I don t think it has increased but it hurts and the knot is inside the skin and not on it. Should I get it checked? No history of cancer in my family. ### REPLY: Hello and welcome to , Lump in the armpit is most commonly due to enlarged lymph nodes. Other lesions which can cause a lump are soft tissue swellings or accessory breasts. Cancer spread can lead to lymph node enlargement, however, infections are the common cause of lymph node enlargement. An aspiration cytology of the lesion is required to know the nature of the lesion. In this investigation, cells are aspirated from the swelling, stained and examined under the microscope. This investigation will help to make the diagnosis. 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: I AM 30 yr old male have a lump above my penis and below my hip bone its oval shape and soar to the touch its on my right side.  I have had shooting pains all through my lower section of my body.   Nothing severe just uncomfortable I know its not normal. ### REPLY: Welcome to . 1. The history and location suggests there possible causes - hair follicular infection with collection, inguinal hernia and finally lymph nodal enlargement.2. If you are my patient I would have examined the area and ask for an ultrasound scan which is investigation of choice in this case.3. The ultrasound will help to assess the nature of the lump its source and extensions. In case of mass lesion / lymph nodes - an FNAC - fine needle aspiration cytology to assess the cell type.4. In case of hernia the defect size, contents and vascularity will be given by ultrasound.5. So suggest you to see your GP and get examined, investigated and treated accordingly.6. In case of infective collection a course of antibiotics will be helpful. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: moderate to sharp pains in left mid torso and sometimes mid back in the same area. when I touch the area on my back, I can feel a stabbing feeling in my front abdomen. my urine is normal, but my stool has a slight burning feeling, normal colouring. Please tell me whats wrong. ### REPLY: Hi ! Good morning. I am  answering your query. If I were your doctor, after a clinical examination of your abdomen I would advise you for a stool test for ova and cyst, followed by a per rectal examination to rule out a fissure to be the cause of burning feeling on defecation. I would also advise you for a site bath (sitting on a tub containing warm water for five minutes) three times a day to give you symptomatic relief and help in the healing of the fissure if one is present. In case of a fissure in ANO, I would also advise you for an anti-inflammatory, an antibiotic, and a stool softener. In case of any positive finding in the stool test, this could be treated as well. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My hair is falling out. I am eating pretty healthy, exercising frequently and taking multi vitamin supplements. Recently after washing my hair I ve discovered that along with lots of hair on my hands I had a lot of white hair roots on my head. I m really concerned about it. Should I consult a doctor and take a blood test? ### REPLY: Hi there.1. Your concern is halogen effluvium along with premature cavities.2. it's a temporary hair loss.3. We can further prevent grain of hair and control the hair fall.4. You can try beloved forte, hair supplements daily one after breakfast for 4 weeks, along with coliseum serum, once daily bedtime. Gently massage the serum into the roots.5. Wash your scalp with soft water. This will help you, don't worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was hospitalized last week for irregular heartbeat. Tests show I am having pvcs.  Was put on beta blocker.  I am still having spells with pvcs bad, dizziness, cold sweat.  Have called dr and they think may be anxiety. I know I am having anxiety attacks also but have no idea how to control and could anxiety cause all these symptoms.  I am unable to work or care for my family. ### REPLY: Hello... You have given incomplete details regarding yourself. You did not mention your age, since how many days you have irregular heart beats and any significant past history you have or any heart disease you are suffering from. Still I want to tell regarding PVC. Occasional PVC in young patient is common and does not relate to any heart pathology. But if these PVC's are frequent and in elderly or having some heart disease then it could be a significant pathology and should treat it seriously. If you have a symptoms like anxiety, dizziness and cold sweat then it may be related to your PVC's, but it can be also occurred in Panic attack. So according to your details. My advice is Use selective B blocker like Metoprolol 25 sustained release along with some antianxiety . Thank You. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, My dad is suffering with Spine tuberculosis .... we just came to know a week ago . it initially started with low back pain . Now after all the tests are doen like MRI, bone scan, CT guided biopsy it was discovered that he is having spine TB.. Now he is suffering with pain which is un bearable. i Need to know is their a surgery needed. what medication needs to be taken. As of now he is taking AKT4 along with Benadon. please guide me. ### REPLY: Hi Anusha, Thank you for writing about your dads' problem. Generally, spine TB does not require surgery. Surgery is indicated if there is pressure over spinal cord (which can be seen on the MRI) with impending paralysis of hands and feet. Also, if there is an abscess (collection of pus), it needs to be .  However, in other cases of spine TB, 18 months of Anti-TB treatment will be enough. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, in September i originally had pain in my lower back and left testicle.  I chalked it up to doing alot for my wedding.   Now I still have those and groin and thigh pain and now my big toe is numb.   I just started a new job and wont have insurance until the new year.   Any idea whats going on and can I wait till I have insurance to see a doctor.   Thank you.   Bob. ### REPLY: HIT hank for asking to ChatDoctorLook this kind of pain is usually due to testicle inflammation called orchids simple NSAID gives good result right now I would advise you to take Diclofenac 100 mg just one tab in day in sustain release form, the numbness of toe is nothing to do with this could be something else for that clinical examination is must, I would advise you to first rid of your testicle problem meanwhile the numbness of toe may go away, have 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: Dear sir My brother haveing problem daily activity everything ok behaviour with people communiction with family people ok but is not interested to go job,if he join duty he will work six month after he blame others if some one says any thing with loudervoice he will don,t like immediately he stop going for job. ### REPLY: Hi dear, might be you brother is not adjusted at particular environment and due to that he feels irritation or depressive and anxiety feeling and after left job. So he might have adjustment disorder. For better work adjustment at your work site is important for that you must visit at psychiatrist and do counseling about your problem. Not to worry much. There are psychotherapy and medication by which all is good happen. 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: Hello I have bumps on the roof of my gum inside the mouth hurts really bad to eat I got the area swabed today at the obgyn I was wondering cud it be oral herpes tho I have not had oral sex I m affraid that sumone infeected with hiv cud have possibly did sum gross things mayb with my toothbrush cud that b a reason for the bumps? ### REPLY: HELLO, THANKS FOR WRITING IN. THE BUMPS ON ROOF OF GUMS arise from many reasons-dental caries progressed into periapical abscess gum infection progressed into periodontal abscess traumatic injury authors ulcers It is difficult to solve the problem without direct clinical examination. Meanwhile, I ADVICE YOU TO- Maintain good oral hygiene Get your teeth restored/root canal treated if any decay associated GET your teeth cleaned and curetted rinse your mouth after every meals' vitamin becomes can be administered. 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: Good afternoon,My wife is suffring from Gastric. She has given Mukta shakti vhasma, Kam dudha ras, giloy sat, mukta tishti, avipatikar churn, udaramrit vati. She has pregnent now. can we continue this medicine ? she has also suffring from worm now, can we give her medicine of worm ? ### REPLY: Your description is incomplete as word gastric is not indicating exact problem, whether there is indigestion or flatulence or hyperacidity or pain or gastritis is there or is there formation of any gastric ulcer etc. The medicines you are using are in majority are antacids and immune boosters. Worms are main reason for abdominal upset. Yes you must treat them, and can use medicines for worm eradication. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 year old daughter was just diagnosed with a nodule on her lung.  She also has a lump on her neck above her collar bone.  Doctor says it is a lymph node and the one on the other side is also enlarged but not to the degree that we can tell like her left one.  She is tired and lacks energy, has a cough and the real reason we went to the doctor was because her back was sore.  She plays LOTS of hockey at a very high level and we thought perhaps she just strained her back and that was why we went.  They have put her on Clarithoromycin and we are to go back in 2 weeks for another xray.  What is this? ### REPLY: HI, Welcome to  with your query. By the facts of your query, In my opinion, you seem to have a very perplexing issue. All started with sore back with cough/tiredness/and debility, with your doctor detecting a nodule on her lung, which could be lymph node. If azithromycin doesn't help her, possibility of Pulmonary TB needs to be ruled out from other causes of such lung conditions with nodule on the lung, and for which I would suggest you to consult a Thoracic Surgeon and Chest Specialist/Pulmonologist. Second opinions from above specialists would rule out other possibilities such as -Lymphoma/ and or/Acidosis with Lung nodule. Investigations suggested-CT Chest after RECHECK Chest X-ray after Azithromycin /Completer Blood Tests, EST,IRA blood test(interferon Gamma-Realease Assay blood test to confirm old TB infection in the body) are few important for your information. I would not burden and confuse this reply with many other technical details of such a case investigation, which your doctors would take care off. But don't worry and never lose your hope till all the angles for its treatment are worked out, as suggested above. Hope this would help you to plan treatment with your doctor. Will appreciate hitting thanks and writing review comments to benefit needy patient visitors at  like you. Good day. . N. Senior Surgical Specialist. M.S. Genl-CVTS. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having stomach pains for a while now sometimes they are there alot sometimes here and there and the last couple days my stool has been green. Today it looked like fuzzy moss like stuff all around my stool what does that mean. I dont take iron or meds that cause that and I dont eat green food and have not changed my diet ### REPLY: Hi welcome to  forum.  Thanks for calling , Forum.  You have stomach pain, here and there, and your stool became green and fuzzy, You didn't use iron containing medicines or foods, or changed the food.  You have described the disease very nice so that we can have a clear idea. Your problem appears to be the infection of colon, may be amoebas, irritable bowel syn .  I advise you to consult a doctor for diagnosis and treatment.  I advise you to have a soft food like food with curd, bland foods like bread, etc. Avoid taking spices, junk foods, oily foods, and non-vegetarian foods.  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: Sir my age is 25 year but i have very weak mind power please help me in increase the mind power by natural or herbal supplyment Give me suggestion about ginkgo biloba and ginseng is uesed for increase of brain power. tell me at imransindhuonline@gmail.com ### REPLY: Hi, welcome to  forum, Who said that you have weak mind power? You thought that you have weak mental power, and you confirmed it ! Do not feel inferiority complex, develop self-confidence. Mental power is relative term and so do not confuse. You cultivate your mind and give some mental exercise to brain. See TV channel give more information, question answers and debate. Read books of lives of big celebrities and know about ups and downs came in their lives. No medicines, Alopathy or herbal will you give high mental power. Do healthy exercises and Yoga's. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,I have got fatty. soft, palm size lump between my shoulders. It is just under the skin and moves easily.It is soft and painless and the only problem is that it is just on my spinal cord and is visible through the piece of garment I wear.Thanks for your help. ### REPLY: HI, Dear,Thanks for the query to .1-I have studied your query in depth.2-IN my opinion, this soft mobile palm sized lump on the spinal crest and between the shoulders, is -Sebaceous Cyst-if it not from the childhood or birth? Dermoid Cyst-if It's since childhood? Or may be Lipoma -as its painless and freely mobile.3-I would advise-to see you ER- surgeon-who would do X-ray Spine and would fix the medical cause for it amongst told above. And would treat by excision /biopsy ASAP, as it hurts you that its visible out of your garments.4-Hope this would solve you query to your satisfaction.5-Wellcome for more queries to me On .6-Thnks once again for your inquisitive query. Have a Good Day.!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi.. I hv an allergy tht gets on my whole body when there is a cool weather or when i m sitting in an AC room. when a mosquito bites, skin protrudes a little bit, like that only i hv allergy on my whole body. itching is also there. i m sufferng from this allergy from past 5 yrs. i also took the homopathic tratement bt its all in vain. i also take allegra tablet smetimes. plz help me. i m 20 yrs old n my height is 57. my weight is 54kg. ### REPLY: Hello. Thank you for asking at . I went through your history. From your history, I can think of 3 possibilities: 1. Cold temperature itself causes your symptoms.2. Sudden temperature change from warm to cold temperature causes your symptoms.3. You may have sweating, and when it gets exposed to cold temperature, it causes your symptoms. I would suggest you to think above possibilities and try to identify exactly what causes allergic reaction. All these may be part of physical urticaria syn . For treatment, I would make following suggestions:1. You can take antihistamines like Allegra (which you are already taking) when you are getting symptoms.2. Avoid activities which cause excessive sweating.3. Please avoid tight-fitting or woolen clothing. Loose fitting, cotton clothing is best.4. If you think you have  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from extreme fatigue for 5 weeks [ hot flushes at night ]. i feel like my brain is in a fog. had blood tests all tests showed nothing wrong physically. in fact i am in very good shape according to the doctor. he said my condition is stress related. how long will it take for this fatigue and fog to lift. i am concerned i am stuck with it. is there anything i can do to speed things up? ### REPLY: Degree understand your concerns went through your details. Yes. Your doctor is right. Most appropriately your condition is stress related and such symptoms are common. You need to take rest. Take a vacation trip to somewhere you love with family or friends you love. Enjoy a week or so at the holiday spot, and you shall see the difference immediately. Involving yourself in activities which interest you the most shall also help.  If you still want my services, please post a direct question to me here and I shall be happy to help you. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife is a long term prescription painkiller abuser. she is now dealing with a liver that is failing. She has been a user since she was 17 years old. Is now 36 years old. She has stopped all painkiller usuge about a year ago. She still has her regular prescriptions for depressive anxiety disorder which include paxil and valium . She does take b c powder regularly. She is self defeated mentally over her liver. What can she do to reverse or treat the effects of her liver? ### REPLY: Hi, Thanks for posting your query. I am . If the liver damage is due to intake of liver toxic medications, then stopping those medications would help in the reversal of the damage if it is early stage. If the damage has been severe, then reversal may not be possible and a liver transplant may have to be done. Liver function test and PT /INR test should be done. I hope that answers your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has a rash around her midsection.  It goes from her stomach around to her back all along her waist.  She is 77 and had shingles about 3 years ago.  It itches and is bumpy sort of like when she had hives before.  There are no blisters or liquid in them but they seem to have a definite bump in the middle of each one.  It started 4 days ago.  They range in size from a pencil eraser size to about an inch across.  She went to the doctor and he said he didnt know what it was and gave her a topical cream.  He said it didnt look like shingles.  It is just on her waist in about a 4 inch band from back to front going from the right side of her spine to the whole front across. ### REPLY: Hello. Thanks for writing to us at  Your description of the rash and its distribution does seem to suggest that it is Shingles; it is arranged in a stripe like pattern across one half of the body, with a sharp mid-line cut off. I would suggest that you visit a dermatologist for a confirmatory diagnosis. A dermatologist would be better able to confirm it or rule it out. Shingles may initially start either as red raised bumps or as raised patches and subsequently may develop fluid filled lesions. Therefore, absence of fluid filled lesions from the start doesn't rule out shingles. There is usually associated pain and burning sensation. If this is confirmed to be shingles on visual inspection, treatment would be with an oral antiviral e.g. acyclovir or val acyclovir. Associated pain also need to be managed appropriately because it is usually severe, specially in old age group. Treatment options for pain include Oral NSAIDs, Tricyclic antidepressants like amitriptyline, Antiepileptics like carbamzepine, gabapentin and pregabalin. First step would be to visit a dermatologist for a confirmatory diagnosisRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i feel the back of my head very warm it hurts to i feel very distracted i forget about things my lips are always dry my trought feels very dry to i get really sweaty sometimes on my arms and my neck aND SOMETIMES HAVE TROUBLE BREATHING WHAT SHOULD I DO? ### REPLY: Thanks for your question you need to consult a general physician if I would be your doctor I would rather examine you first and request for certain investigations like complete blood count chest X-ray blood sugar get your blood pressure checked this will probably lead to a diagnosis. I would rule out hypertension, diabetes, infection, anxiety. Consult a physician and dew discuss there points, so that he can guide you betterthanksfeel 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: i was eating sunflower seeds (not shelled) when i was putting them in my mouth, i felt as if i had inhaled one because i felt a light poped inside my wind pipe and i thought to myself oh no i inhaled one, will it harm me? i started coughing like crazy and ended up vomiting twice from the coughing but nothing had been coughed up, its been a little more then 10 minutes after i felt the pop and the coughing started, now the coughing has subsided to only a cough every now and then but they are pretty deep coughs still. If i got to a doctor what will they do? and will i be asleep when they do it? also will the seed cause any health issues if their is one in my air way? plus can it get in your lungs or does it get stopped before it can enter them? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of aspiration of foreign body in lungs is more. Sunflower seed in airways and lungs causes irritation and inflammation. So it can cause infection and granuloma formation. This can cause future complications also. So better to consult pulmonologist and get done bronchoscopy. It is endoscopic examination of airways and lungs. It is not only diagnostic but therapeutic also means if seed is their then we can remove it through bronchoscopy. Furthermore, it is done under local anesthesia with mild sedation (midazolam). Furthermore, it is not painful or cumbersome procedure. So repeat don't worry about it. It is necessary in your case so get it done. 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: Lately I have been expieriencing feelings of depression. They come when things in my life are going wrong, and they come randomly even when things in my life are going great. When I have this feeling I feel terrible. I m sad all the time. I don t pay attention in school as much, I tend to not sleep as much or too much, I cry all the time, everything that anyone does just seems to make me mad, and I don t have the energy to really want to do anything. The thing is, these feelings go away and then come back. They last from 2 days - 3 weeks and then they come back about 3 weeks - 1 month after the last time I felt like that. My question is, can depression come and go? Should I tell a doctor? Will I need medicine? I don t really know what to do, because I hate feeling like this. I never use to be like this and I hate myself when these feelings are here. ### REPLY: Hi, Thanks for writing to . Though you have not mentioned exact total duration of illness and time of onset of your symptoms, it seems that you are suffering from cyclothymic because there are hypomanic symptoms with numerous depressive episodes. These are mostly from more than a year from your description and there is no symptom free period for more than 2 months. These all symptoms are hampering your day-to-day living. It clearly shows that you need treatment. There are two-way of treatment for your illness:Pharmacotherapy and Psychotherapy. In pharmacotherapy, various mood stabilizers and anti-manic . In psychotherapy, you learn how to cope with day to day stressful situation and get insight about your illness. For all these you should consult a psychiatrist. Hope I have answered your query, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have mild pulmonary stenosis and I smoke. Sometimes I get a little light headed or tired after I smoke a cigarette. Does it have anything to so with my condition? Also if i smoke marijuana my heart beat speeds up and with smoking anything my hands get extremely cold, even in warm weather. Do these symptoms and my condition have anything to do with each other? ### REPLY: Thanks for your question on . I can understand your concern. Yes, pulmonary stenosis (PS) causes pulmonary hypertension (PH). Smoking also causes PH. So if you are smoking, PH can worsen. And this causes all the symptoms. So better to quit all forms of smoking. You can enroll in dead diction center for this. 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 have a severe sneezing problem in last 5 years. I checked with my family doctor.They referred Montek-LC Tablet. Whenever I got Sneezing I put one Montek-LC table.It will be cure for two to three days, Sometimes it will be cure for 7 days.But after 7 days or 3 days I am getting the same sneezing problem.Can you please advise me which table I need to take for this sneezing problem.. ### REPLY: Hello dear... The symptoms as mentioned in your post suggest that you might be having Allergic rhinitis. Montair is Montelukast, which is used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma. So.the medicine given by your Doctor is correct...please continue them as advised.Also, antihistamine preparations like Allegra can be taken for symptomatic relief. Other than that...maintain adequate HY . Also make sure that you are well protected from cold, dust & other allergens. Wishing you a good health. Thanks & 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 im arvee my x-ray clinical diagnosis findings say,apicolordotic view shows fibronodular densities in the right mid lung...ptb minimal..what those it mean?and what medicine will i take for this?because im working right now and did not get my medical card and mayors permit because my medical result says im not fit to work.. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Your x-ray is suggestive of Infection in right lung. On x-ray appearance, it seems more of tuberculosis. So I advise you to consult pulmonologist and get done1. Sputum examination for tuberculosis. 2. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis if sputum is not available. For tuberculosis, you need to take at least 6 months of treatment. You need to take isoniazid, Rifampicin, Pyrazinamide and Ethambutol for 2 months, followed by Rifampicin and isoniazid for 4-6 months. Since this is long course, better to consult pulmonologist and start appropriate treatment and do regular follow up. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: All this stuff is happening to me at one time I ve been really stressed and im not sure if my health is failing from it. I m nine days late for my period and I have taken 3 HPTs but they were all negative. I was also coughing up blood after crying and I have red spots in my eyes like my eyes are bleeding. Could this all be from stress? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely do not think that the symptoms are due to stress. Please consult a general medicine practitioner and proper diagnosis. Self diagnosis and self-medication can be dangerous. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir mi aunt is suffering with Parkinson disease since 6 years and now she is having D.B.S the main problem with her is highly edicted to medicines and she is consuming over dosage even though not required and always thinking about medicines and nothing else. now she is using syndopa plus 1/4th tablet for every 2 hrs in between 6.am-9.pm pramipex 0.5mg thrice a day,zolfresh 5mg at 9.am & 5mg at bed time,mitraz 15mg at bed time. i request you to suggest to control her over thinking about the medicines and ediction to medicines. thnak you.... ### REPLY: I don't think that she is overdosing/addicted, though that is a possibility. The chance are more that she forgets the medicine she has already taken.Therefore, as soon as she feels uncomfortable, she remembers again that she can take a pill and goes to take it. I think the best solution, and a little uncomfortable for you is to stop leaving her medication up to her. You can leave her medicines that she needs to take in a separate box. The morning and evening doses you can give to her yourself. In other words, you start medicating her. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 high anxiety level my blood pressure was high so i was put on aentol 25 mg ... now tht my anxity has lessessend my blood pressure seems to be low like 105/66 us tht 2 low .............. i kno wi worry alot about things .............. it used to run 130 /75 and so on ..couldit be tht my anxiety has lessenned and i dnt need to bloodpressure pills ..and does taking a hot bath reduce ur blood pressure ..bcs i hd a hot bath the other night took my blood pressure and it was 98 /58 this is scary .............. ### REPLY: Hello, I understand your concern and would explain that a hot bath can lead to skin vessel dilation and thus low blood pressure values. Another factor that is influencing in your low blood pressure is atenolol.  For this reason, as long as your blood pressure values are low, I would not recommend taking atenolol. I would recommend trying to reduce the dose gradually and see if your situation improves. It is not recommendable to stop atenolol cold turkey, because it can lead to rebound tachycardia.  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 i have specific points of pain in my abdominal area, by specific i mean very specific like area of a fingertip, no more than that, they disappear and occur anytime, pain is when i touch it otherwise i dont feel anything, in addition to that i also have abdominal discomfort like heavy ness and mild subdued pain on the right side of my abdominal area starting from my sternum till the kidneys but only on the right side, have done complete liver function test and kidney function test, abdominal ultrasound all are normal, i suffer from dark stools when im on antibiotics or take heavy protein diet, during those times stool test reveals occult blood but it stops after a few days then stool tests are normal, no other tests have been done, my weight is normal not loosing what to do sir, oh one last thing my last stool test revelaed 1-2 pus cells hpf veg cells and bacteria +, if that is of any importance ### REPLY: Hi welcome to  forum. Your abdomen is tender to touch, and sometimes pain full on rt side. So far it is O.K. Why you are repeating the stools test so frequently. Occult blood and occasional bacteria are not uncommon finding. You have got an epigastric discomfort due to hyper acidity. Causes being excess of usage of spices, chilies, etc. Besides I advise you to follow some diet recommendations as Avoid taking more of spices, chilies, junk foods, and oily foods. Avoid untimely food habits.  Take more of green leafy vegetables, pulses, sprouts, milk, egg, meat, chicken, fish, other seafoods, fruits, juices, and .  Which improve blood, general health, resistance, and stamina to withstand such situations.  Don't be so conscious about health, follow some diversion procedures as yoga, meditation, reading books, and hearing music. Wishing for a quick recovery, and thanks for calling. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 can t keep my balance when I close my eyes, and sometimes loud sours can cause my balance loss, and other times I feel movement in my brain. I had neurologist tell me there s nothing wrong in my brain. But I have a herniated disk that is pressing against a nerve in my spine. ENT doctors say I need a test of my inner ear. ### REPLY: Hi, Thanks for writing in. Balance mechanism of the body is maintained by the cerebellum in back of the brain and vestibular apparatus in the inner ears. Since you have consulted your neurologist and made it certain after clinical examination and CT scan or MRI scan therefore the cerebellum should be normal. I feel your vestibular apparatus in both inner ears require testing just as your ENT doctors have said. It might help if you get Electronystagmography (ENG) or videonystagmography (VNG) done to record abnormal eye movements while your head is placed in different positions or your balance organs are stimulated with water or air. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, After taking my flight from Bangkok to Hanoi I have developed symptoms similar to SARS I had high fever for one night Currently I still have diarrhea, sometime I vomit and I have a dry cough Also 3 of my friends with who I hang out the most often got the same sickness ### REPLY: Thanks for your question on . I can understand your situation and problem. Yes, your symptoms can be due to SARS infection. SARS (severe acute respiratory syn .  It is common in travelers who visit Bangkok. It is mainly affecting upper respiratory tract and hence common symptoms are cough, sore throat, running nose, fever etc. Sometimes diarrhea, abdominal pain, muscle weakness, joint pains etc. are also seen. So better to consult doctor and start treatment for suspected SARS infection. 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: My daughter came home from day care with what looked like a small bruise on her face. She is 18 months and it won t go away. It s not something n the surface like a scalp, but it looks like a dark spot. It s been three weeks and it s still not blending. Should I be concerned? ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid 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 have itchy red swollen bumps like hives that keep coming back.have been to the doctor numerous times,and just get told its an allergy and given a dose of anti histamines.bumps are not itchy while takin the meds but are back as bad as ever once I m finished them.had a blood transfusion two and a half years ago following a c section,just wondering would it be anything to do with this??this is an ongoing thing for a year or more now. ### REPLY: Hello, A reaction (infectious usually) following a blood transfusion taken 2.5 yrs ago is unlikely, and your urticaria will be controlled on long acting non-sedating antihistamines that need to be taken for 6 weeks at least. Blood tests such as CBC LFT TSH (thyroid profile) followed by Hepatitis infection screen (only if Lots altered or clinically jaundiced) is indicated. Allergy testing is unhelpful in 80% of patients with urticaria. 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: hii i m 25 years married and i m in my 5 month of pregnancy and till time we used to have sex but we avoid missionary posit.and we used to have anal sex so is it right enough to have sexual relationship during 5th month of pregnancy and is it right to have anal sex .and also please tell me till which we can have sex i order to avoid any discripancies.. ### REPLY: Hallow Dear, Let me congratulate you at the outset on your pregnancy. During pregnancy, sex is not forbidden. During first three months, since the pregnancy is at a precarious stage, we advise observing sexual abstinence. However, after completion of three months, you can have sex till you complete 7 months. During sexual intercourse, your pregnancy will be more safe if you practice sex with incomplete insertion of the penis in to the vagina. Intercourse in lateral (side) position will facilitate this type of intercourse. After 7 months, since the abdomen has started protruding substantially, man on woman or from the front of woman may be bothersome and causing pressure on the abdomen. There is a risk of complete penile insertion in the reverse position. Hence, vaginal sex with man behind the women will facilitate such sex. If you refer to Kama Sutra by Vatsyayan, there are some specific positions explained for sexual intercourse during pregnancy. So with such allowance for intercourse during pregnancy, I do not feel there is any necessity to have an alternative option of anal sex. However, if that is your choice, you have to take precautions mentioned for the vaginal sex. The choice is yours. I hope this helps you for a safe happy marital relations.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im female 22 yrs old, and I found a lump on my left calf, near where the fibula bone is. Im very active person, and having a routine activities for competition(Chinese martial arts). I wonder if the lump caused by those exercises?Its painless, but started from yesterday after I squeezed it, its getting painful(come and go), but its more like a pinched nerve from the lump area to my foot. Could you tell me if this case is a serious problem/not? Thank you ### REPLY: Hi.it is best if you consult with an orthopedic surgeon. That "lump" on your left calf might just be an inflammatory reaction secondary to your strenuous activities, but it could also be a lump with an underlying pathology. A complete physical examination by your physician would be of great help. Diagnostic evaluation such as an MRI might also be indicated. Hope this helps. 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: Hello, My friend has been diagnosed with multiple myeloma, she is 61 years old, currently trying to get insurance. She takes claritin and mucinex for allergy symptoms. Side effects are a constantly upset stomach and nausea. Can you suggest an alternative for allergy symptoms and / or anything that might give her some relief? ### REPLY: Hi, thank you for posting at . I read your question very carefully. You should take Virile instead of Clarity. In general, I recommend Cetirizine (Virile) 10 mg 1 pill a day. Side effects of this medicine are minimized. I can say that this medicine has a high anti-allergic effect. Time by time you should take Omeprazole 20 mg 1 pill a day(in the morning), 1 hour before you eat, to avoid stomachache. Consult your allergist. Take Care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is 92, has Type II Diabetes (managed with diet and a pill).  She has developed an odd assortment of symptoms in her right leg which may or may not be related.  For about a week or so she had what she described as a pain in the muscle of her right thigh.  We put heat on it and she massaged it herself.  That pain went away and then she woke up with a swollen right knee with what looked like blood blisters and heavy bruising under the skin.  We iced that for several days.  Now the knee is improving but the lower leg is swollen and the skin is very tight and shiny in appearance and dark brownish red in color.  From the first symptom to the current about 4 weeks have elapsed. Ideas? ### REPLY: Hi, After going through your mothers' case record there is a development of right Diabetic Foot. Her symptoms started with pain in right thigh after applying heat and massaging the symptoms aggravated. (Applications of heat and massaging should be avoided in Diabetes patients.) Subsequently, there is decreasing knee swelling but development of swollen leg with overlying tight, brown, shiny skin. Skin changes denote possibility of cellulitis (infection) witChatDoctorpartment syn . ) Diabetic patients are more prone to develop foot problems because - 1) loss of protective sensation of foot (diabetic neuropathy) which make patient more prone for injuries to feet. 2) Impaired blood supply due diabetic radiculopathy, which impaired nutrition of leg. 3)Diabetes patients are more prone for infections and poor, delayed wound healing. I will advise you to consult your doctor immediately. She requires detailed foot Examination. Blood investigation. Intravenous antibiotics. Strict blood sugar level monitoring and control. Arterial and venous Doppler of right leg to assess blood supply of leg. Depending upon her clinical condition and test results she may require surgical intervention. I think this much information is enough for you to make further decision. You are free to contact me for further queries.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thank you, i have back pain on the left side behind my ribs i tryed every pain killer but its not helping. I had simillar pain about 7years ago it wason the right side and after investigation the doctor found out i have fat in the liver and priscribed for me udivil 300 which is ursodeoxycholic Acid or ursodiol since then i hadno complain. Please advice what shall i do to get rid of this pain ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have back pain.  Chances of back pain due to fatty change in liver are rare.  Still you should go for ultrasound abdomen and complete liver function test.  These will help you find the exact 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: in march 2010 i had L4 L5 back surgery,the surgeon said he took out more of the disc than he originally thought he would have to, i was still getting back spasms in the general area of the L4 L5 and my legs hurting all day every day.February 2011, i had an epidural,this has not worked, i still get back spasms from 1 -20 times a day & they really hurt,my legs still hurt all day everyday.whats wrong with me? ### REPLY: Welcome to  After going through your query I concluded that suffering from chronic backache. You have been already operated for disc prolapse. Epidural also not worked. I think you should exclude vitamin and trace element deficiency as a cause of it. You can get vitamin D3 and vitamin B12 level to see for the cause. You can get fresh MRI to look for the cause. Till then, you can take Avionic, Mecobalamine and vitamin D3 (If it is low). Analgesic such as ibuprofen can be taken for pain. You can discuss with your treating 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: My left kidney was removed during an open, left nephrectomy 8 years ago. I am experiencing severe left flank pain which began roughly 5-6 days ago. I have been taking Lortab (I have a prescription for my spinal issues), but it is not helping the flank pain. I am confused/concerned as to why this area would begin to cause such discomfort after 8 years. Thank you ### REPLY: Hello and welcome to . As a Urologist, i can understand your anxiety. You should write your age, gender,and reason for left neurectomy.?cancer. If the neurectomy was done for cancer, a ACTIVE or MRU, must be done. Thatll give information regarding recurrence in the left kidney area. What is the spinal issues you mentioned.?disc problem. An MRI is needed. You can take safe sedatives with analgesics or painkillers. You need to check He, creatinine,LFT, RBS,and platelets. If you've any doubts, send the reports to me, as a direct question. . Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 question is that my baby is 11 mmonths now and is only eating cerelac rice nothing else and milk.. she hates solids i dont how to make her eat solis coz people tell me that cerelac will only increase weight nothin else its not good to feed her cerelac as i feed her twice a day (lunch and dinner ) .pleqse let me know if is this a problem or i should consult a doc for this ..? ### REPLY: Hi. Better start with a fruit like banana or apple. Gradually increase the quantity. e.g . Try to give one spoon of banana daily for 1 week. 2 weeks 2 spoon. By the end of month. You can give full banana. Same way add another fruit like apple, mango, spot etc. don't add two fruits at a time.start giving 6am . One egg with glass milk am. Smashed boiled potatoes or carrots10 am banana or apple12 pm. 1 cup rice with 1/2 cup DAL with ghee. Add curd. Try to add leafy vegetables daily pm. Glass of milk with biscuits pm. 1 cup rice with veg or non veg curry and curd10pm. Glass of milk. Follow this schedule. You will see better improvement in your kid.gradually decrease to Carla feeds ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Suddenly yesterday afternoon my lower back starting hurting and I couldnt sleep last night. I do stand and walk alot at my job and I am also riding on a school bus for about an hour bouncing around on the seat. I also have a small ranch and have chores to do where I have to bend down and over. I havent experienced this kind of pain before, what do you think could have caused this. I am 5 ft tall and about 110 lbs.Never mind, I didnt know I had to pay to ask a question, cannot afford this. Thank you anyway. ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely a strain of back muscles. It can happen while assuming into an award posture or lifting something or while climbing stairs. It is better to have an orthopedic examination to rule out other conditions effecting spine like disc herniation. For back strain I advise my patients with a short course of NSAIDs like Diclofenac and Muscle relaxant like thiocolchicoside. For some I give Gels with NSAIDs like diclofenac and capsaicin for local application. Hope this may help you. Let me know 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: Hello.. I am 25years old. I am suffering from vagina fungal infection since 4years.I showed a doctor many times who prescribed me medicines and some ointments. It works but only for some days then again I am facing the same problem. I am a vergin and i never had sex. So why i am facing this problem? Please help me how can i cure it? Or what to do? ### REPLY: Hi, Thanks for posting in . I understand your concern. Repeated yeast infection of vagina in a virgin could be due to poor genital hygiene. Kindly do the following to overcome the same.  1. Cleanse the area with mild antiseptic solution like Salon twice daily. 2. Apply antifungal vaginal pessary or cream containing medication like fluconazole or fluconazole. 3. Wear loose fitting undergarments preferably made of cotton. Maintain good personal hygiene. Gradually, you should be able to overcome the symptoms and be back to normal. Hope the information provided would be helpful. All the best.  . S., MBBS., MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Evening! My 11 month old just pulled a small desk over on him while I was throeing his diaper away. He has a huge bruise in the middle of his forhead (about golfball size) and a few scratches. He cried for about 5 minutes and is now a little irritable. Should I take him to the doctor? ### REPLY: Hi... Thank you for consulting in . I understand your concern. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15 mg/kg/dose(max ceiling dose 500 mg) every 4-6th hourly. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid 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: Hello, My dad recently dx with ESRD, started dialysis a week ago. He has comorbidties, CHF, DM, MI(3 weeks ago). Need angio, unable to have this done because he of fluid retention. He has had 18L of fluid pulled off over the past 2.5 weeks. He is having such extreme abdominal cramping x 5 days. Abd. Exray -, labs stable. He has had a productive cough x 1 week. No cx done. I m in Vegas, my parents are in MI. I just left 1.5 weeks ago. He s worsening, I m a nurse, I think he s dying am I over reacting? Do I need to go back? What are possible reason for abdominal spasm? I ve seen patients respond this way as the body adjust to major fluid shift. I m so uncertain. I just need a clue, please advise. Thanks ### REPLY: **1. People with ESD and having diabetes and undergone dialysis can have possible complication of hyperosmolar state and/or infection [peritonitis] which can be possible causes of abdominal spasm.2. Since MI [myocardial infarction] CHF [congestive heart failure] are example of hyper catabolic conditions thus could be associated factor for abdominal spasm3. Attending Doctor(s) are in better position to evaluate the cause and condition. [since ABD. X-ray and Lab investigations came normal] ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m an Irish dancer and whilst dancing I went into a movement and fell on my left foot and hesrd a crunching sound. I ve already fractured my right Ankle last year. The swelling and bruising happened automatically and I can t put any weight down on my foot it s badly bruised ### REPLY: Welcome to  I have gone through your query and understand your concern. It is likely that you got fracture of probably one of me tarsals most probably 5th metatarsal. It can be confirmed by x-ray of foot. You are likely to be benefitted by rest to foot and analgesic such as ibuprofen for pain relief. Vitamin B and C along with calcium is helpful in recovery. 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 am 27 weeks pregnant and have just finished a ten day course of Augmentin 375 mg three times daily for uti. There is still an off white bladder discharge with brown spots in it.? Do I need to change antibiotic? I have had a urine culture and sensitivity which showed that the bacteria was sensitive to Augmentin. ### REPLY: Hi, Thanks for writing in. Augmentin is a very strong antibiotic and if you have taken it for 10 days and find no relief then please get urine culture and sensitivity test done. After getting results of urine culture please discuss with your gynecologist if you need any change in antibiotics and as to what are the medications to be taken during pregnancy. I agree that in the earlier urine culture, bacteria were sensitive to augmenting, but you might have developed a mixed infection or infection with fungus which is causing the white discharge. Please .  Maintain genital hygiene and wear cotton inner clothes to prevent sweat formation which will give rise to infection. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a reaction to a bite (not sure what kind) that caused me to break out in a rash. One place blistered and looked burned. I went to the doctor and received a steroid shot, an antibiotic shot and a tetanus shot.I was prescribed a steroid pack and an anitbiotic. Today would have been my last day to take the antibiotic (10th day). A couple of days ago I started breaking out in a rash on my back, around my breast, my armpits, and around my stomach area. I am itching like crazy. Is this a reaction to the medicines or should I go back to the doctor to get this checked out? Thanks. ### REPLY: Hi there, thanks for writing in. I think that your reaction is most likely related to the medications (and very possibly either the antibiotic or the steroid), but it is difficult to tell without seeing it in person or knowing what the antibiotic was. Steroid induced rash is a common side effect, as is a delayed hypersensitivity after a course of antibiotics. I recommend that you do return to your doctor and have it looked at, so that you can hopefully identify what caused it, so you can avoid it in the future. I wish you the best and hope my answer was helpful to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 12 year old son had his gallbladder removed last March of 2010. His relief was temporary. In January of 2011 he started having recurrent chest pain and bilateral upper abd. pain .Upper Endoscopy showed eosinophilic esophagitis which a repeat was done in April after Prilosec and Previcid treatments to show eosinophils were elevated. He was then switche to Nexium and a Patch test is scheduled for this Friday at Danville Medical Center to see what he could be allergic to. The allergy tests done so far showed no food allergies. He continues to have chest discomfort and bilateral side pain in the upper abdomen.A calcium channel blocker called nifedipine 5 mg. po was started one capsule po 15 min before meals which helps with the chest pain but not with the bilaterl sides discomfort.  He is to have an esophageal manometer reading on June 24. His stool is brown, occas. constipated but when he has a bm it is flaky loose with occas thinner stool. What do you think this is??????????? ### REPLY: HI. Thanks for your query and an elucidated history. As pr your history your son who is just 12 years underwent cholecystectomy, and has chest pain and upper abdominal pains. History of medications and endoscopy, eosinophilic esophagitis noted. I would advise the following in such a case.:: Barium study of the esophagus under fluoroscopy control to see whether he has motility disorder. CT scan of the abdomen to see if there is associated pancreatitis, abdominal lymph nodes, any disease affecting the lower part of the lungs or pleura?. Consultation with a Child Psychiatrist should be done just to confirm that he is not suffering from mental ailments. Continue the medicines, Give him foods in multiple small quantities. Please keep me posted about the esophageal manometry reports and the effects of the Psychiatrist consultation, his medicines and all. A course of an antibiotic, metronidazole and antivenins will help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had stomach pain off and on for the past two weeks in my upper abdomen. More on than off in the last five days. The pain was centered dead center in my upper abdomen but has now moved a bit to the right side close to my rib cage. It is not a sharp pain but painful nonetheless. Should I get it checked? Or just get some Tums? ### REPLY: Hi ! Good afternoon. I am  answering your query. If I were your doctor, after a personal physical examination of your abdomen, I would advise you for a routine complete blood check, Blood sugar, liver function test, serum lipase and would also advise you for an ultrasound abdomen to rule out any intra-abdominal pathology, one of the common ones with your symptoms being a cholelithiasis (stones in the gall bladder). Till then, I would prescribe you with a proton pump inhibitor and an anti-spasmodic .  Further management would depend on the reports of investigations. 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: I went to bed last night feeling perfectly normal. I wake up and my whole mouth feels sore. That feeling goes away after a couple of minutes, however I notice my front tooth still has pain. It hurts when I apply pressure on the front of the tooth. Ive never had any problems with this tooth. What could it be ### REPLY: Hi! Welcome to . I read your query. Do you recall any trauma to your face or front teeth like accidentally batting on hard substance, some grain in food, or injury? Or do you clench or grind teeth in sleep? Is there any redness or swelling associated with the tooth with pain? If yes, then you may have infection of tooth and get an x-ray done. If no, wait and see if the pain subsides after few days. You make take Tylenol or Ibuprofen for pain. Maintain oral hygiene. Avoid batting from front teeth for few days. If required, take liquid diet. If the pain persists or worsen, visit a dentist for further check up and treatment. Hope the answer helps you. Thank you! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 47year old male, lump/mass of swelling from area near the belly button extending to the left. No pain, went to a walk in, said a hernia, I though those were painful. I grew from the size of a dime to a golf ball in a month. That doesn t sound like a hernia to me. ### REPLY: Hi, thank you for providing the brief history of you. As per the history you mentioned it appears more of a hernia but needs a thorough clinical examination as to find the proper location and also the ultrasonography of the abdomen to rule out any other possible factor. Since it is painless, hernia in the musical region can be painless as well. Need not a condition that a hernia should be painful. This lump/mass occurs due to muscle weakness which allows the abnormal tissue to grow in that space. Strengthening the muscles of the abdomen can reduce the mass and also your problem can be solved. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I missed my periods on the 22nd of oct 2010 and then went for an u/s on 14th nov. 2010.The results show that I have a single intrauterine gestational sac of about 7+weeks. The gestational age as per LMP is 5 weeks 5 days.But the reports show no obvious fetal pole and a follow up u/s is suggested.I am really worried.Is everything OK? ### REPLY: HI, I understand your concern.  Your US report suggests - - early conception, in your previous cycle with a blighted ovum.(a chemical pregnancy. Without formation of fetus so there is no fetal pole) Such pregnancies usually automatically terminate / need termination done.  OR - The reading of gestational sac size might be wrong, if you had conceived after 22nd of October, USG scan in just 3 weeks of pregnancy sac won't be visible. & you may have to wait for 2 more weeks for the fetal pole to appear.  * IN such condition, It's advised to take second opinion/ repeated the USG scan after 2 weeks to get confirmed diagnosis & line of treatment according to gynecologists advise.  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 just went to the dentist, I thought I had an abcessed tooth because of the throbbing pain and swelling. After xrays dentist states he thinks my upper wisdom teeth are causing the problem. Lower ones have been removed. he said he can tell they are biting on my lower jaw. he gave me prescription for pain meds and penicillin, Is their infection that is not abcess? He also scheduled me appointment with oral surgeon to get both wisdom teeth removed. 39 years old. ### REPLY: Thanks for your query, I have gone through your query. The pain could be because of the infection from the wisdom tooth or impingement on the cheek. Consult an oral surgeon and get it removed. Because there is no meaning in keeping the upper wisdom tooth when there is no opposing tooth. The wisdom tooth is non-functional so get it removed. The medicines will work but It's for short period of time. We have to remove the cause. 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. I fell two days a go off of a front porch and landed on my knee with my hand taking some of the blow. I now have a lump at the base of my kneecap. I can walk but can t extend my leg fully straight and when I go from a sitting to standing position the pain is pretty bad. Should i have this looked at? ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to an injury of the knee. I suggest doing an x-ray of the knee to exclude a fracture. Meanwhile, I suggest using anti-inflammatory medications to reduce the inflammation. I also suggest using cold compresses for local application. 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: My doctor told me that I have a haital hernia. Recently Ive been having more pain on my left side above my bellybutton  and  then pain towards my left side of my back....Should I just call my doctor?  I thought this would be a free site didnt know I would have to pay....I guess I will just call my doc. tomorrow....Have a good night. ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  Your doctor told that you have hiatal hernia. Recently you had more pain on the left side, above the bellybutton, and left side of your back. Could the pain be related to the hernia.  As you are thinking it could be due to effect of the hiatal hernia.  Other causes could be gastric irritation, due to ulcer, or diet habits menu. Or untimely diet habits.  When there is a possibility if hiatal hernia it is always better to consult a gastroenterologist for diagnosis and treatment, You may need to have M.R.I., gastrostomy, besides other routine tests for confirmation.  I also advise you to avoid spices, junk foods, and oily foods.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had lithotripsy a month ago and had a ureter stent placed on the left side. I have a lot of back pain, abdominal discomfort, and lower pelvic aches. I am passing very small stones, but not a significant amount. I have not felt well since it was placed. I am scheduled for another lithotripsy on my right kidney, but will have the stent removed and will not have another one for that side for which I am grateful. Can the stent cause all of these problems? ### REPLY: Hi, Thanks for writing. In most patients with kidney stones, a metallic stent is placed to give passage to the multiple small stone fragments to pass into the urinary bladder and then out of the urinary tract. Stents used generally are double J stent with hook like curves at both the ends. Sometimes, these ends of the stents slip downwards into the upper ureter to cause slight injury or the end in the bladder can cause bladder wall injury. Most injuries are slight but can cause severe pain to the patients.Also, the smaller stone fragments can cause pain as they pass through the ureter. So what you think is right, stents and smaller stone fragments, both can cause pain. Hoppe 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: OK, my 84 year old mom was hospitalized yesterday because she began acting not like herself. This occurred 2 days after having minor foot surgery . She began mumbling, then mimicking then speaking clearly but the words made no sense . She said she was watching TV & everything became jumbled, she thought she saw my niece and nephew on the TV then told my sister-in-law that things were coming in from both sides. Anyway, I spoke with her this morning by phone and she completely believes that my brother & family and the doctor s and nurses are in some kind of a conspiracy to put her into the hospital and to keep her there. What can this be? ### REPLY: Hi there. Thank you for posting your question with . I will do my best to help you.  As you describe it here, it sounds as though your mother is manifesting symptoms of dementia. If this is arising as a result of a small stroke or TIA then she may improve quite soon. She will probably need a CT scan to assess her situation better. This is one of those situations where you will just have to wait and see how things unfold over the next week or so. I hope it goes well for her.  I hope that I have answered your questions fully and been of some help.  If you have any more questions please contact me again anytime.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 this bulge behind my right knee, at first my doctor told me baker s cyst, but lately been have constant pain during the night, it hurts to bend, it is ok while I am walking at work, but once I get home and sit down, the pain comes. no numbness or tingling in my right leg, just pain radiating as far as my calf. ### REPLY: Bakers cyst are synovial cyst with joint fluid in it. It is formed due to a rent in joints capsule so that joint fluid can go in and out of this cyst. During standing due to compression over cyst by posterior knee muscles its fluid goes in to knee joint and cyst becomes empty. While seating or squatting due to coming out of knee joint fluid it is filled. That stretches its synovial lining and compresses surrounding muscles, which causes pain. Hamstring muscle stretching exercise may help you to decrease this phenomenon. If it does not work then ultrasonography guided fluid aspiration and instillation of sclerosis agent will benefit you. For this you will have to visit your Orthopedic surgeon.  Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health ### END