Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been having sharp electric shock like pain shoot down the left side of my chest. It s extremely unnerving and uncomfortable. I feel it slight down my back at the same time and it last for all of 2 seconds, when it stops I m left with a pins a needles sensation and i feel like in going to have an anxiety attack with the fright it gives me. I am a very stressed person I am 24 years old with a heart murmur I ve had an ECG and an ECCO of the heart test and all came back fine apart from an irregular heart beat but I was told not to worry that was normal with the heart murmur. I was reading up on it online and I think it could an inflamed nerve, do you think this is possible? Or what should I do? It s been going on for weeks now and I think all the worrying will cause a bigger issue for me if I don t get some reassurance. Thanks. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry about cardiac cause. The pain you are having is more suggestive of neuritic pain. So nerve inflammation or damage can be the cause. Get done vitamin b12 level. Because vitamin b12 deficiency can cause similar symptoms. If this is deficient then start supplement for b12. Also get done hemoglobin level and thyroid function test to rule out anemia and thyroid diseases, respectively. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi dr,my 3yr old kid got nail scratch by a dog.we gave rabivax for two days.we did not completed thecourse.but she got allergy due to insectbite which is lasting for Two months inspire of giving medicines.is this because not  completing the injection course? ### REPLY: Hello. Thank you for asking at . Insect bite allergy and incomplete course of arrival has no relation. Sometimes an insect bite causes a large reaction, which takes time to heal, in between it may be got infected, and repeated scratching it will not allow it to heal. So please do not correlate it with incomplete course of vaccination. Hope this will be helpful to you. Wish your daughter the best of the health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Pamela and I am writing about my son Darryl who is 16 years. In 7th grade he started sweating excessively. I have taken him to see a Dematologist. the have given him medicine to take, but he say it is not working. He is antisocial and havent been outside with his friends in a couple of years. I have tried everything that I could try to help him, but nothing is working. He has let this hyperhidrosis take over his life and he refuses to go outside. What can I do ### REPLY: Hello He has complaints of hyper .  Dermatologist medicines are not working. I would advise you to get his thyroid profile done. Hyperthyroid state is one of main reason for increased sweating. Hyperthyroidism also increases anxiety attacks and can cause severe anxiety. Severe anxiety might be the reason for his anti-social behavior. Try to talk to him and ascertain his concern. Take him to a psychiatrist for detailed evaluation and if thyroid levels come in higher range then also consult a physician for anti-thyroid medicines. Medicines like Propranolol, Nodal are very useful to control anxiety symptoms, hyper ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 keep getting this feeling like Im going to pass out, my body starts shaking, my hands trembleing, heart racing. I get palpitations nightly. But these panik like attacks just started a week ago and every evening they come on. Im currently being treated for posterior uveitis. ### REPLY: Hi, Probably you are having a panic attack. It is characterized recurrent and unexpected intense fear. To diagnose panic attack a patient should have 4 out of the following 10 symptoms:-Rapid breathing (tachypnea) -Heart racing (palpitations)-Trembling-Diaphoresis-Nausea-Fear of dying-Chest pain-Dizziness-Hot flashes-DepersonalizationThe symptoms will start abruptly and peak about 10 minutes and lasts less than 30 mins. Also, it is important to ensure that thyroid disease, hypoglycemia, and cardiac disease have been ruled out. You should visit your doctor for confirming the diagnosis and starting the treatment. For the immediate relief benzodiazepine such as clonazepam is prescribed. Benzodiazepine dose tapered after the long term treatment is initiated.  For the long term treatment selective serotonin re-uptake inhibitors (e.g., fluoxetine) or tricyclic antidepressants are prescribed. Behavioral therapy in conjunction with medications is also helpful. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a upper resp and sinus infection common cold ? i have to fly out of town Thursday morning and I have been running a temp around 100 antibiotics will not help this condition I have been taking Tylenol and alka seltzer cold plus still have a splitting sinus headache i worry about taking things as I have to take a drug test at every race as I am an official ### REPLY: For sinus infection and common cold you need not worry much. What you have to do is to take some antibiotic such as Cap Appoint 500 mg or Tab Augmenting 625 mg three times daily after meals with Some anti-cold remedies such as Tab Ivory or Tab Diominic-dca three times daily after meals for common cold with Tab Rant ac or Tab Carotid two times daily empty stomach. If running nose is very severer than you can use Origin or Nuclear nasal .  Another thing what you have to do is to take steam inhalation at least three to four times daily. It is very important in case of acute sinusitis. You have to be careful enough because if you are not following the instructions properly it will progress to chronic sinusitis which is somewhat more troublesome and irritation. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 for a mamogram and they found something in each breast. they siad they want to me to come back in 6 months. But when I went back in to see the OBGYN she was concerned that it is stage 4 she siad. I thought that stages were only for breast cancer and not for the look of the results of the mamogram. I am confused. I go back for the other mamogram in 11 weeks. should I be more concerned if my OBGYN is concerned. ### REPLY: Hello, welcome to . It appears that you don't have breast cancer because if your mammogram show some abnormality suggestive of cancer, you need to do biopsy and receive surgery/radiotherapy /chemotherapy not follow up. Most probably they were talking about BIRDS classification No 4. BIRDS is breast imaging reporting and data system, and was established by the American College of Radiology. BIRDS is used to classify mammogram finding into numerical category. The BI-RADS assessment categories are: 0- incomplete, 1- negative, 2-benign findings, 3-probably benign, 4-suspicious abnormality, 5-highly suspicious of malignancy, 6-known biopsy with proven malignancy. Since you had BIRDS 4 lesion, you are asked to follow up with mammogram again. Nothing to worry. 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 ve been really dizzy for two days now. My tongue feels weird and I have blurred vision. Other things that are going on is the Dr thinks I have a hernia in my upper abdomen area. I see a specialist and get ultrasound on thursday....I haven t had a bowel movement in about 4 days either... ### REPLY: Hi, I am .  I have read your question with care and understand your concerns. Let me try to help you History : dizzy for two days now. My tongue feels weird, and I have blurred visionImpression : These three point to a problem in posterior fossa of brain. I would request you to consult a neurologist immediately, even before you consult the Specialist for Hernia Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have severe problems related to Allergy and the symptoms are..nasal congestion,breathing problem,extreme fatigue,senseless like symptoms(black out) sometimes. I have consulted one doctor and he suggested RID AR tablet regularly and Fluticone FT nasal spray..The problems have been mitigated a little but the problems are still persisting. He also suggested to quit smoking and I have also tried but when ever I stop smoking for 2-3 days the problems suddenly becomes bigger and if I smoke it becomes less severe..Any suggestions will be of great help... ### REPLY: Thanks for your question on . I can understand your concern. Your nasal symptoms are more suggestive of allergic rhinitis. Your breathing difficulty is mostly due to smoking induced bronchitis. Sudden stoppage of smoking can cause with .  So you are take medical assistance forcing smoking cessation. Counseling, nicotine replacement therapy etc. will smoothen your smoking cessation process. Consult pulmonologist and get done PFT. PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Continue same treatment (RID AR and Flaticon FT nasal spray) for allergic rhinitis for 5-6 months. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,i wanted some help..my sgpt level is slightly high 48.6..im 23 and have hypertension due to being obese(92kg @ 5ft7).im taking prlomet xl 50 and olmark h for hypertension and novastat 5 mg..how do i reduce the sgpt level and what do i do to reduce my blood pressure? ### REPLY: Hi thanks for contacting . Noted you have hypertension plus obesity. Because of obesity you might have fatty liver and lead to elevated liver enzymes. You have not mentioned your blood pressure. If it is moderately high then . Take low salt diet. Avoid junk foods. Reduce your weight. For that regularly do 1 hour exercise like running, cycling etc... Cutt of oil in diet. If using oil use only good oil for cooking like sunflower oil or peanut oil. Fruits taken more. In your lunch include green leafy salad more. Trans fat taken less like cheese, butter, meat , pastry, chips etc... Avoid alcohol and smoking... If  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Abour a month ago, I had an onset of dry mouth, LOW blood preshe(102?60/100pulse. This has continued.  I have talked to my cardiologis in past 2 days.  He stopped my 3 heart medicatioms.  My blood pressure has slowly climbe to 138 or no heart medication.  Please advise. ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg. A person might have high or lower blood pressure values during physical and emotional stress, so it is mandatory to judge on mean values. If you previously have been diagnosed with hypertension, and you are experiencing lower values the best alternative is to reduce any dosage and not completely stop them. You don't mention the medication names, but in my opinion you should take an appointment with your cardiologist. The previous medication might be reduced in dosage or find the best one adapted for you. . If I was the treating doctor I will recommend a holder rhythm and pressure monitoring to evaluate your blood pressure values and frequency and then decide the best option for you. Hope I was helpful. Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was recently treated for a vaginal e-coli infection. I m assuming that I have had this for several months, as I ve had symptoms for a long time. I first thought it due to stress at the time, My question is, can you have an e-coli infection for several months? And also, how likely is it to come back now that I ve been treated for it? I m getting ready for gallbladder surgery soon and don t want to have to fight this infection while recovering ### REPLY: Brief answer course of antibiotics can cure Detailed answer have gone through your query I think I have a better answer to help you outing my opinion you can get E Cold from wearing tight underwear which rubs and transfers bacteria. Thongs should be loose fitting and should not indent your skin anywhere. You can also get it from having anal sex and then vaginal sex. If you have anal sex you should not allow the male to reenter the vagina at any time afterward. It is a bacterial infection, and can be cured with some antibiotics. Hope I have answered your question. If you have any further questions I will be happy to help wish you good health .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My name is Janet. I took a pregnancy test and It was positive but then I went to my DR. and he took a  blood test. Then he called me the next day and told me it was positive then he called me an hour later and told me it was negative so How do i know???? I have all the sighs of being pregnant. ### REPLY: Hello dear, I understand your concern. In my opinion the urine pregnancy test is usually positive a week after missed period or around 3 weeks after the intercourse. As the urine pregnancy test was positive the pregnancy is likely. But as there is conflicting report by blood test of  I suggest you to repeat the urine pregnancy test and ultrasound also helps in confirmation of diagnosis. Best regards.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a broken 12year molar, but my wisdom tooth behind it is trying to come in, its turned and impacted bc there is no room and its literally breaking out my molar.. I know its infected but I cant afford to see a dentist for at month, can rifampin be used for infection ### REPLY: Hello! Read your query. Take a full week course of antibiotics(metronidazole and amoxicillin) and analgesics. Do not chew anything hard on this side till you see your dentist(or you may break second molar further). Take an x-ray for the wisdom tooth, removal is absolutely necessary. Get the second molar restoration after the removal. Warm salt water gargle thrice daily will help subside infection. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am in year 8 now and i remember last year in my health class my teacher said something about washing your penis. i m not to sure how to, my teacher just said to pull back your foreskin and wash it. is it to late to start washing now? and if it s not how do i wash it? how far do i pull the skin back and what do i use to wash it? Please Help! ### REPLY: Good Day, and thank you for being with  ! You should be able to pull back the foreskin and expose the head of the penis completely without pain and difficulty. Then when fully exposed wash it with soap and water to remove all the debris and dead skin that accumulated through the years. If having pain or difficulty then you may have a condition called fibrosis and this needs proper treatment. Consult a urologist in your area if you're unable to retract your foreskin.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  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 my question is i have tb in uterus what are my chances of concieving in future my gynea has asked me to take akt4 i have started taking med from yesterday i had 2 abortions in past my age is 22 plzz tell me what are my chance of getting pregnent after the tb treatment Hi doctor , my question is this that i had 2 abortions in last 2 yrs before 3 months i wanted to concieve but was not able to my gynea did an endometrial biopsy to check the cause of infetility she found that i have tb in uterus she asked me to take AKT4 and said this treatment will continue for 9 moths plz tell me will i be able to get pregnent after the treatment should I take a second option or these medicines will effect my tubes ? ### REPLY: Hi, Welcome to  Forum. Endometrial TB causes Infertility. You will have to AKT 4 tabs as prescribed by your Doctor and go for regular follow up every 15 days, to see how you are responding to the treatment. Don't worry, once the Infection subsides, you will have good chances of conceiving. Eat healthy fiber rich fresh fruits and vegetables and exercise regularly, this will improve your immunity and overall general health. Good Luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI gud evening,actually I am in 27 weeks of pregnant..what s my problem is my mom is having congenital Retinitis and also my mom s own sister ia also hving the same by birth itself....my sister is having two kids but they are all normal..butmyself,my sister and brother wearing spectacles for short sight... My question Is my kid will get the chance of this kinda of genetic disorder? ### REPLY: HI, Thanks for asking. I understand your concern.  Refractory errors are genetic / environmental in origin. As you have family history of getting eyesight problem, but your husband does not have such problem. There are 50% chances that your baby will have the problem, Please don't be stressed. Correction of the defect is easily possible for the baby too. So hope for the best & be positive for present.  - You should take vitamin E supplements & also omega 3 fatty acid daily to facilitate healthy eye development of baby.  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 was attacked by a dog (pit bull) three weeks ago and have a number of bits on both forearms.  I got treatment at the emergency room and their initial evaluation was that I didnt have any structural damage.  My wounds are just about healed and Im not experiencing pain, but I have a patch of skin on my wrist that is completely numb to touch.  Its been like this for three straight weeks with no change.  Its located on my left wrist (on the thumb side of the palm) and starts at the base of the hand and continues down that side of my forearm about 5 inches and ends at one of the dog bites.  Im guessing I have an issue with the nerve, but since its not painful, and doesnt impact my mobility, what are the risks of not getting the nerve damage corrected? ### REPLY: Hello, Thanks for writing to us. According to your description of numbness, it seems that you have numbness only on some patch of your forearm. If a main nerve is damaged - it will create numbness till the end of the finger. So if your numbness is patchy - it means that only a very fine nerve branch may have been damaged, if any, which is not possible to repair. The good thing is that - nerve endings do grow back, but at slow pace, some few mm in a week. So my suggestion would be to wait, as time goes by - the nerve will regrow and your numbness will disappear. To accelerate the nerve growth and minimize the numbness - you could take vitamin B 12 supplements. They are essential in nerve repairs and may help you to recover a bit faster. 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 sir,iam razak from kerala,sir i need your openion , dear sir iam suffering headache and swelling on my left scapula and neck region and acute pain on these areas since last 3 years .some times bulging may occur in my occipital area.i visited so many consultent and following their treatment.recently i done my mri scan MRI -IMPRESSION *BENIGN TONSILAR ECTOPIA *NO OTHER EVIDENT OR SIGNIFICANT ABNORMALITY IN THE BRAIN PARENCHYMA OR OTHER OBSERVED STRUCTURES *LOSS OF CERVICAL LORDOSIS *MILD DIFFUSE POSTERIOR C6-7 DISC OSTEOPHYTIC BULDGE WITH BILATERAL FORAMINAL ENCROACHMENT *PARTIAL TRANSITIONAL LUMBO SACRAL VERTIBRAE IS LIKELY WITHMILDELY EXXAGREGATED LUMBAR LORDOSIS *MILD RELATIVE LUMBAR BONY CANAL STENOSIS . sir please messege me what is your openion thanking you sir ### REPLY: Hi Mr Rank, Thank you for posting your query. First, I would like to reassure you that your MRI findings do not suggest any serious neurological problem. It shows mild cervical spondylosis with bulging of discs (soft tissues located between the vertebral bones), which is pressing the nerves there. For this, you would need to do physiotherapy, including neck exercises. Regarding consular ectopic- a small part of brain at the back-cerebellum, is coming down behind the spinal cord. This finding is usually present from birth and does not cause any problems in most cases. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have left hip pain, It is painful to get up from a sitting position. I am also very tired. My heart rate is around a 100 per min. I have had an EKG and Echocardiogram done by a cardiologist, they found nothing. My hip pain causes me not to walk and I know not walking can cause tiredness. What to you think? My age is 70. Thanks Henda ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have left hip pain and tiredness. Well there can be many reasons for symptoms you mention in query like osteoarthritis, rheumatoid arthritis, bursitis, inguinal hernia, sprains and strains, tendinitis, herniated disk, sciatica, bone cancer or leukemia. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order blood test, CT scan, MRI or bone density checkup. Doctor may prescribe allopurinol, methotrexate, anti-inflammatory or radiation therapy. For now take proper rest, apply warm compresses and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. 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: My son is 6 months old. I checked his temperature rectally and it was 100.0 exactly... He has been fussy and eats fine. He drools alot and sleeps alot here lately. I feel a bump in his lower gums but I cant tell if its just part of his gums or if its a tooth... Could he be teething or is there something else wrong possibly? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns... As per your complaint mild fever can be seen in teething infants along with . . I would suggest you to consult a Periodontist and get her evaluated and a clinical examination has to be done. In case if it is due to teethe it will gradually improve when the eruption of teeth will complete. As of now doing cool compresses on gums, feeding with plenty of cool fluids and soft and bland diet will help. Give Acetaminophen to reduce fever. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, on Friday I started pain in my upper right back.At night I started having pain in middle of my chest. I woke up and had to drink water and was able to sleep. some time later I woke up again and couldn t sleep in any way without taking water.I still have both things going on.It still hurts in the back when I try to take deep breath.What am I having? ### REPLY: Hello dear, thanks for your question on . Since your back pain and chest pain is relieved by .  But better to rule out pneumonia first as chest pain deep breathing is seen in pneumonia. So get done chest x-ray. If chest x-ray is normal then no need to worry much for pneumonia. You are having acute gastritis. So avoid stress and anxiety. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start Proton pump inhibitors. Go for walk after meals. Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive just experienced sudden pain/pressure in my chest that lasted about 5 minutes.  It was located on the upper right side of my sternum and radiated some into my throat.  Standing seemed to help a little.  The sudden pain has subsided but I still feel a small amount of pressure. I am a 51 yr old female. ### REPLY: Hi thanks for asking question. Here are few possibilities.1. First you might have simple musculoskeletal pain that might be because of improper sleep posture or strain by heavy weight lifting or any unaccustomed situation. Simple analgesic taken for it.2. If you have fever, cough, headache in association then it could be because of bronchitis or pneumonitis like infection. Chest x-ray and complete blood examination useful for it.3. This pain be because of rib inflammation like Costco . Hot compress and analgesic helpful.4.Finally, although possibility less to rule out heart problems electrocardiogram done. I hope I have solved your query regarding chest pain. Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: in 1998 i was diagnosed TB of SI joint and I was put on ATT for 1.5 years, pain remains after that for 3-4 years but for last 5 years no pain is there. Last month pain erupted and when I visited my doctor he diagnosed it as Ankylosis spondalitis. Iam totaly confused ### REPLY: Hello, As due to TB there will be the least movement in the spine. Post-treatment there will be less pain, but the mobility of the spine may have reduced which may have led to the fusion of the spinal joints. So the doctor would have diagnosed it as ankylosing spondylitis. Need some blood test and MRI to rule out certain things. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Boyfriend, age 58...has minor prostate problems, little overweight , drinks daily, smoking with asthma . While in anxiety and fear, not having total control or the feeling he s in control and he constantly repeats himself ( started 2yrs ago ) and then when he s sleeping- he jerks, mumbles with angst and screams oh my god, sighs . It s unsettling and i worry about him. Oh and he s taken Dexometaphetamin (sp) speed for 8 yrs. 10 mg? Brown & white/clear capsules ( 2-5 daily). For ADHD . JG ### REPLY: Hi there ~ Thank you for bringing up the situation of your boyfriend within a forum like this.  I think your boyfriend needs expert help of a psychiatrist and a substance abuse counselor.  His prostate problems, being overweight and having asthma apart (which need to be seen by a family medicine doctor), he needs to see a psychiatrist for his sleep disorder which might be secondary to a substance abuse condition.  I also feel like he may have a primary mental health problem.  Please consult these specialists as soon as possible along with your boyfriend. I hope this helped.  Take care and have a nice day ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Female Age 27, 52, 155ibs. Hello, not very often (maybe once or twice a month over the last 6 months or so) I notice my heart fluttering very quickly, it feels quite strange, like it is rapped in a knot or something- but does not hurt. Should I be concerned? (also recently had an influx of weight gain and found out I was low in b12...around the same time this started) ### REPLY: How much is your he and were there any precipitating conditions for this. This is called as palpitations and most commonly caused due to anxiety stress, low hemoglobin and also exercise related. Try to check pulse rate during the episode. most of the time there no need to be worried about. In your case mostly look like benign. But if occurring too fast or associated with giddiness or other symptoms or too frequent then need to see cardiologist for some tests. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can mild, non-erosive gastropathy cause chest pain an pressure in the chest area?60-years old, have been having chest pain and pressure for 2 1/2 months and awoke one night with such pain thought I was having a heart attack.  Went to ER, Xray showed a mass, Cat scan showed a peracardial cyst on heart.  All other tests (Nuclear stress, blood, MIR, etc etc) negative except for for a mild, non-erosive gastropathy.Drs wont operate to remove cyst and want to wait to treat gastropathy but I am tired and want treatment.  How should I proceed? ### REPLY: Thanks for your question on . I can understand your situation and problem. Yes, non-erosive osteopathy can cause chest pain and pressure. It actually causes HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So better to follow these steps for symptomatic relief. 1.  Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals. 3. Start proton pump inhibitors and prokinetic .  Go for walk after meals. 4. Keep 2-3 pillows under head in bed to prevent reflux. 5. Lose weight if you are obese. Quit smoking and alcohol if you have these habits. Don't worry, you will improve by all these lifestyle modifications. Hope I have solved your query.  Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have atrial flutter today I started getting a low grade fever on and off today. The highest outs gotten is 100.2 Is this something I need to get checked out right away or don t worry about it until Monday or don t worry about it at all. It s not making me feel any worse than I do every day. ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Fever causes the body to produce a number of chemicals that could excite the heart which leads to atrial flutter. You should take care of your fever first as in most cases when fever is treated the flutter goes away. However, if it is still present then you may consult a doctor for an evaluation of the cause of flutter. Atrial flutters are in most cases benign and do not cause any significant hemodynamic problems and hence as such do not require any treatment. However, it is only true after you have undergone thorough evaluation and no cause of flutter could be found. So I suggest you consult a doctor if you are having persistent flutter even after fever resolution. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Could I be tested for ms if I asked my doctor ? Due to the pain I have suffered for almost 6 years . What test would they do?  I could cry every day with the pain to my legs feet , left side a quarter the way up my back, pain running across the way. My neck and across the left shoulder also aches. Iam not a person that complains very much and I have been to the doctor several times over the years. I dont sleep very well and the pain gets me up. Iam more restless lying down. I walk round the walls in the morning to get my legs moving then I just have to get on with it. Would you please help me ? I would be so grateful. Iam in a great deal of pain this morning and have had very little sleep and have been crying. ### REPLY: Hello and Welcome to , Thanks for writing to us. Your symptoms are likely to be due to nerve root compression due to disc protrusion. A follow-up MRI scan will help in confirming the findings. Such symptoms are usually taken care of by Methylcobalamin supplements which you can take after consulting your orthopedicianFor this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc.Meanwhile, for pain control take anti-inflammatory . Wishing you good health... Regards.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is 81 years old. Coming up on 4 weeks ago, she had was taken to the ER. She was in heart failure, having a heart attack and stroke. Her stroke presented with double vision. She was transferred to OSF Peoria. The next day they did a heart cath and she went into a major stroke with an 8mm blood clot in the right side of the main artery going to her brain. The Dr. had to stop the cath because of almost complete blockage of all main arteries, the aorta and cartoids. He said she also had calcification in her veins. She has 18% heart function. They were able to reverse the major stroke but she is suffering from the first one that she had prior to transfer. What is her prognosis? We aren t getting straight answers yet....thanks! ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Considering her advanced age and multiple co morbid conditions like heart attack, stroke, a heart functioning around 18% and multiple vessel atherosclerotic disease her prognosis is not very good. You have to understand that having multiple organ involvement is not a good thing and in her case as per the information her organs have been severely impaired. You may expect her to go into congestive heart failure considering her poor heart function and also sooner or later her kidneys may also be involved in the process. I suggest that you may consult a doctor and start palliative care for her so as do decrease the severity of the symptoms and provide temporary relief. Take a good care of her medications a would be on many, and she may even require help with her day-to-day activity. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 80 years old lady, taken homeopathy medicine for proper digestion. the doctor poured some liquid type medicine on her tongue. then immediately she felt that her tongue was burnt. It turned into white colour, sore tongue with some type of rashes like, with burning and tasteless tongue. Then the doctor gave some anti allergic medicine NUX Vomica, then colour of tongue became normal, but still she is suffering from tasteless and burning sensation.  please help us what should we do in these circumstances? Whom should we consult. Even though she is feeling hungry, she is not able to take food. my email address  YYYY@YYYY ### REPLY: Hello, Welcome to , No need to worry. Just like any individual can have an allergy to some foods or medicine, same could be the reason for your mother regarding the medicine or little aggravation of your mothers' complaint. I will advise you to wait for some time as told by the doctor and consult the same homeopathic doctor to whom your mother was consulting earlier. Please give the detailed history to the doctor with all the sensations, aggravating and ameliorating factors your mother is feeling. You can give her more liquid and semi-solid foods. Hope this will help. 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: andromatisis and overy cyst removed befor one year and 3 month zoladex 3.6mg given ,(in lapraspoy surgery huge utras and critical andromatisis seen), after this surgery fartility treatment started in jan2011 month first time both overy creat eggs but traped. after this some cyst seen than pills or other medician taken, in month of april2011 both overy creat 2 big eggs, but these not properly rptchered , than doctor refer this case for IVF. pls suggest for ivf of alternative treatment. thanks.chitra vyas w/o mahendra kumar vyas, bikaner(rajanthan) andromatisis and overy cyst removed befor one year and 3 month zoladex 3.6mg given ,(in lapraspoy surgery huge utras and critical andromatisis seen), after this surgery fartility treatment started in jan2011 month first time both overy creat eggs but traped. after this some cyst seen than pills or other medician taken, in month of april2011 both overy creat 2 big eggs, but these not properly rptchered , than doctor refer this case for IVF. pls suggest for ivf of alternative treatment. thanks.chitra vyas w/o mahendra kumar vyas, bikaner(rajanthan) ### REPLY: Welcome to  Your doctors have tried surgery (laparoscopy). Even after surgery ovulation is not occurring properly, so they have suggested IVF to bypass that event by doing ovum pickup. Actually at this stage when surgery fails IVF is the treatment preferred by infertility specialists. If you want to get a second or third opinion before proceeding for IVF to be sure that treatment you are undergoing is best for your situation. Age is important factor, so if you are <30 you have some time otherwise IVF success rate also decrease with increasing age. 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: iam confused what to choose whether minoxydyl or grocapix. 2 years bak, the derm i consulted prescribed mintop. but i cudn continue. was usin mintop on and off. now i decided to take proper treatment and consulted a derm who said grocapix is more advanced than mintop. but the feedback i read online are in favour of mintop. i am 27 years old male from Bangalore India. ### REPLY: Hello, Thank you for posting on . I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc. From your description, it seems you might be having An .  If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc., and recommend some basic investigations like CBC, blood sugar, Thyroid function test. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 5-10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Groupie). Since Minoxidil and Groupie both have different mechanism of action, I always insist on combining both and to get the best results out of combination treatment. I would advise you use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Avoid combing in wet hair and let them  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Vertigo & the drs.say it could have been caused by a virus.What I need to know is if I am contagious .I have no symtoms of any type of virus,no fever, neasua,throwing up .My grandson is coming home after 6 months post bone marrow transplant & I want to be sure I m no danger to him. ### REPLY: Hello dear, I understand your concern. Vertigo is contagious-if we go with the literary meaning of it, this statement is absolutely false. Possibly, you have not understood properly what your physician told you. Vertigo can be due to various causes like positional, menieres disease, sound trauma, toxins,brain stem stroke, vestibular nerve inflammation to name a few. Viral infections like herpes can cause vestibular inflammation and can be contagious sometimes. You need to discuss the causal relationship with your physician and plan accordingly as virus is just one cause of it and rest of things are non-infectious. I hope it helped. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 eposioides that involve screaming yelling and sometimes they can be violent towards myself or my boyfriend! Im 21 years old i have history of trauma physical and sexual abuse also emotional! It lasts a day or two and 2 -3 hours and sometimes more then once during the day! Im a dancer and im in an enviorment where men are touching me a lot and im struggling with it!! I took two months off just went back a week ago!! Ive had these epoisodes for like 6 months straight im very depressed ive cut myself already and i sleep a lot!! What is my best option thanks ### REPLY: Hi, Thanks for using . I have gone through your history. Your symptoms might be explained with depression with or without psychotic features, but other conditions like conversion disorder or complex partial seizure need to be ruled out. You should consult psychiatrist for detailed evaluation and management. Doctor may rule out physical causes like thyroid dysfunction or convulsion. Treatment would be directed as per cause. You may get benefit by .  You should do stress management and relaxation exercise or may take help of counselor for better control over stress. 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: Cat scan Finding: 1.1x.6cm hypo density in the left lobe of the liver along the falciform ligament Impression: Likely minimal fatty infiltration of the left hepatic lobe along the faliform ligament. History. Female, age 62 weight 112, height 5 2 Breast cancer in 1995 and 2012, recent abdominal pain could be from antibiotics, extreme fatigue and pain feels fainting with weight loss. ### REPLY: HelloYour findings suggests small focal fatty infiltration in left lobe of liver. Focal fatty infiltration of the liver is a common condition, and it may be seen in many conditions like obesity, diabetes mellitus, alcohol, . It may be due to obesity in your case. You may need few more investigations like routine hologram, random blood sugar, lipid profile. Underlying cause should be treated. It is a reversible condition. Get well soon. Take Care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, Since a week, I am having fast heart bit, left side pain from neck to let leg as if losing the side. using propalonol 10mg for 4 days but still the same in the morning when wake up. have been using B12 1000 mcg before and now continuing again since a week. pls advise if any neuro help and how many days have to continue b12 and propalonol. can I use some distress medicine also. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. But better to first rule out heart diseases for your palpitations and left sided discomfort. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. No need to consult neurologist. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You will definitely improve with anxiolytic (depressor) .  You can continue b 12 and propranolol till you consult psychiatrist. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have symptoms of abdominal pain gastic regurgitation nausea colic pain sleeping disoder for past 3 months for that i am instructed to take the following drugs1.t.tinitapride 1mg2.t.pChatDoctor3.syp.aciter4.t.rbp5.t.kinpride may i know the detail of disease and the treatment regime ### REPLY: Hi, Welcome to . I have read your query and understand your concern. You seem to be having HERD (Castro Esophageal Reflux Disease). It is due to lax lower esophageal sphincter, thus acid and food from your stomach regurgitates back into the esophagus, causing you these symptoms. Its management is two pronged. First is to reduce the gastric acid production. And for that PPI's are best . Rbp). Second is to increase the rate of gastric emptying. And for this gastroprokinetic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 type 2 diabetes and use insulin. Recently, I had an steroid injection for a torn meniscus and knee pain. My glucose levels went extremely high, 300+, for about 3 days. I also experienced frequent urination during this time. There was increased odor upon urination. What is the treatment for this condition? ### REPLY: Hi, Thank you for your question. It appears that your blood glucose levels shot up due to the glucocorticoid treatment. This is a common problem we see in Diabetic patients. Diabetes is also associated with increased urination and thirst. The most appropriate way to treat this condition is to reduce the blood glucose levels by taking prescription medications from your diabetes specialist/ physician. Kindly visit your physician and ask him to prescribe oral antidiabetic .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m having chest pain, and have for three days now. Sometimes it hurts more than other times, and sometimes it feels like it s in my lungs. I don t have any pain around my heart and I don t think I should be worried about a heart attack but I don t know. I need help, I m worried. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. But better to rule out heart diseases first because persistent chest pain is common symptom in heart diseases. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Musculoskeletal pain can cause similar symptom due to Intermittent muscle spasm. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Take painkiller and muscle relaxant .  Apply warm water pad on affected areas. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is 30 yrs old and is in good health but recently he was diagnosed with pericarditis and an inflamed liver.  Hes also having fatigue, weakness, slight loss of appetite, cough, fever, slight wt loss, and excessive sweating.  What immune disease would have these symptoms? ### REPLY: Hello and thanks you for your query. I am  and I will try to help you as much as I can with my answer. These are possible causes of such symptoms and extensive work up is required. There are many autoimmune diseases such as hepatitis, rheumatoid arthritis, sle, or hormonal disorders such as Hashimoto.  I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 9mths old and he is teething, and has been for months. but today he did hit his head, normal baby falls, he was trying to stand up, hrs later while eating his left side had invlountary spasms, but he hasnt done it in a few hrs, should i be worried ### REPLY: Hi, A toddler at nine months generally has a few falls as he supports himself to stand with support and gradually start to stand without support. A fall and hit to the head generally should not cause many problems. But if the child has loss of consciousness seizures it needs to be investigated for any brain damage by doing a few tests like ct scan head. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 35, 6 2 , 170 lbs, clean medical history, extremely healthy and fit. I tore part of my calf muscle and possible tendons playing softball. My question is about whether it is critical that I hurry up and get an MRI or can I wait 3 weeks until after the 1st of the year so I m not paying my deductible twice? I m able to hobble around, but am staying off that leg as much as possible. Does delaying treatment greatly reduce the effectiveness of surgery? ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem k be related to a turned calf muscle. I suggest using painkillers to treat the pain such as Acetaminophen. I also suggest cold compresses for local application. Furthermore, I rexhollari to maintain the area immobilized to prevent further damage. 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: Hi, may I answer your health queries right now ?  Please type your query here...Hi My father is struggling with severe low back pain that is at the end where spinal gets over for the above past 5 days and he had Taken the tablet of HIFENAC-MR but still no improvement , still same prob continues ### REPLY: HiI may suggest an x-ray of lower spine and consultation with orthopedic doctor He may take Tramadol or Vicodin tab for pain. Also make him sit in tub filed with hot water (site bath) for 10 minutes twice a day. Tail end of spine called coccyx may be inflamed called coccidynia-its a painful condition. Short course of prednisone will also help., otherwise local infiltration with injection depose . But for above, an examination by an orthopedic doctor for confirmation of diagnosis is a must. The above stated suggestions are only a guideline which may be kept in minds history for prostate, bowel habits, urinary functions have to be simultaneously assessed for ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im suffering really bad with psoriasis on the outside of my vagina going right round my backside aswell ive been given detnovate till i go back the specialist in october but it really uncomfortable the cream as also discoloured all my skin i was just wondering if theres anything i can wash in or use to ease it thank you ### REPLY: Hi, As you said, you suffer from psoriasis from long time. It is a chronic and relapsing skin disease. Psoriasis is an autoimmune skin disease. It is controllable disease. I can understand your anxiety for your disease. But, you have to keep patience. Stress might exacerbate the disease. You may get relief slowly. You consult eminent dermatologist for firm diagnosis and perfect treatment. I would like to suggest accretion 25 mg daily along with methotrexate 15 mg weekly in three decided doses of 5 mg 12 hourly. Blood tests may be done at regular intervals. Steroid with salicylic acid point may be applied twice a day on psoriasis lesions. After clearance of lesions, there may be hypopigmention. You may apply mild steroid cream like mometasone cream. Soap bath should be avoided. You may use detail liq for bath. Pour 5 . All precautions may be taken to avoid  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 86 year old father just got out of the hospital after being diagnosed with anemia . His hemoglobin was 7.6 hematocrit was 23. He had a small bleed , I think they called it an AVM. They cauterized it, gave him one unit of blood and also gave him I ve iron. On Wednesday his hemoglobin was 8.8 and his hematocrit was 28.8. He had another 2 units of blood. He has experienced some foot pain lately, but this morning he got up to go to the bathroom and almost fell. He said the pain in his right foot was bad. I was reading up on and came across information that it could be from a B 12 deficiency. If this is so, Would they have seen this B 12 deficiency on his latest CBC or BMP?. He has has B 12 shots in the past, though I couldn t say when the last one was ### REPLY: Thank you. There are many causes of anemia. Among them the most common are iron deficiency, chronic blood loss, vit b12 & folic acid deficiency etc.in case of vitb12 deficiency peripheral neuropathy may occur which may causes pain in the hand & feet & other features.it is easy to diagnose. Examination of peripheral blood film show megaloblastosis. As there is history of it b12 deficiency, so it is better to exclude megaloblastic anemia. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an ultrasound for a suspected ovarian cyst , but the test came back normal. Is it possible that the ultrasound could have missed a incisional hernia from a c-section , or would that have clearly shown up? I have been having localized pain in my lower left abdomen on and off for a year and it has recently gotten more uncomfortable. No other symptoms are present. ### REPLY: Hello. Thanks for using this forum. Well the diagnosis of incisional hernia on an ultrasound can be quite challenging and difficult one to make. It depends on various factors ranging from size of hernia to the experience of the ultrasonographic. You should look out for symptoms such as swelling in the line of incision while standing up, while coughing or while picking up any heavy items. If any swelling is seen, it's a sign for incisional hernia. Sometimes such hernias are also hidden which means they don't reveal to the naked eye. As for the pain in the lower left abdomen, this pain could also be related to the c-section operation specially the suture line due to the fibrosis. Also get a urine exam done to rule out any Urinary tract infection and a consultation with a gynecologist would certainly help. Kindly feel free to ask if you have any further queries. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: for the last two nights ive been having a high fever and mt throat aces really bad on the left side when i swallo any liquids, my saliva or food. today i woke up with a really bad headace, it happens when i get up or turn my head to the left. it starts pounding. what could this be ? and should i go to the doctors? ### REPLY: Hello and thank you for asking , it looks like you are having sore throat but you didn't mentioned if you have any other symptoms. These condition can be caused by a virus or bacteria. If it's a virus than you will have sore throat, mild fever, catarrh symptoms (runny nose, cough). In this case you don't need any special medication.  .  You can take analgesics for your headache. But if you have sore throat with high fever, no catarrh symptoms and if you see small purulent places on your tonsils than it is a bacterium, and you need antibiotics. I suggest you to go to your GP to get a prescription. You will probably get penicillin if you are not allergic to or azithromycin. I hope this 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: Hello my friend Angela is experiencing chest pains when she breathes.  She has felt this way for the past couple of days. She is 25 years old and does not smoke.  Moderate drink. Maybe a glass of win here and there. She says she can breathe but it is hard when her chest is hurting.  She has no fever. ### REPLY: Thanks for your question on . I can understand your concern. Chest pain with breathing difficulty in young individual (25 years old) is seen commonly with asthma. So get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry about asthma. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So tell her not to take stress and tension, be relaxed and calm. Avoid alcohol. Consult psychiatrist for anxiolytic . Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,my name is robert I have had a bad stomach for many years now I have had a number of hospital admissions they removed my gall bladder out about 2years ago because they said thats what it was now. They are saying it might be lbs  all I seem to do is go in and out of hospital now I am stuck at home crying with the pain I have lost my appetite.. And I dont have eny social life its that bad now I feel like giving up I mean I haveant even eny pain relife because the doctor says it might make the pain worse I am at my wits end now ### REPLY: Hi. The persistent pain in abdomen in spite of gall bladder removal may be due to following reasons:IBS as has already been suspected / Tuberculosis / diverticulitis / vascular problems of the intestines / intestinal obstruction and so on. I would advise you the following:I would have liked to see the medicines you have taken in past with dosage and investigations you have undergone. This is the most important. For us to say this as a IBS i.e. Irritable Bowel Syn . I would advise the following investigations and treatment in a such a case:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. If a specific cause is found out, it is easy to treat the problem. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 aunt went to the emergency room last night around 9, she was hot and freezing and her side was hurting her.    Her blood pressure was 202 on the top when we first got there and then if came down to 192 and a little bit later it was 185 and then back to 192 - too high. what may be causing it ### REPLY: DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERN. BUT PROBABLY YOUR AUNT IS AN HYPERTENSIVE AND SHE IS NOT TAKING ANY MEDICATION ON THE DAY SHE WENT TO THE EMERGENCY A PRECIPITATING STRESS FACTOR MUST HAVE CAUSED A SHOOT UP OF BP THAT GRADUALLY DECREASED BUT STILL REMAINED HIGH AS SHE IS HYPERTENSIVESLIGHT FLUCTUATION CAN BE DUE TO AUTOMATED MACHINES, INTEROBSERVER VARIABILITY ETC .  YOU NEED NOT WORRY ABOUT THE FLUCTUATION BUT YOU NEED TO START YOUR AUNT WITH A ANTIHYPERTENSIVE AFTER CONSULTING A CARDIOLOGIST... I ALSO ADVISE YOU TO GET A ECG AND CARDIO CHECK UP DONE . To RULE OUT ANY UNDERLYING PATHOLOGY.HOPE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 head that hurts i have been to the doctors and he said it was nothing but the lump has got bigger and more sore my mum died 2 years ago with some thing that happened in her head i dont no what to do as this scares me could it be the same thing ### REPLY: Hi! Good evening. I am  answering your query. The doctor who examined you might have commented so as it might have been a benign swelling. If I were your doctor and I found a swelling/lump in your head, I would advise you for a FNAC (fine needle aspiration cytology) to know the nearest diagnosis, and treat it accordingly. However, I would also advise you not to be scared of such benign lesions. Further management would depend on the physical examination and related investigation reports. Till then, you could go for an anti-inflammatory .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell down my stairs a week ago Sunday and have a very large contusion on my right forearm. As it is healing and the bruising is now fading i am noticing several hard lumps in the center of it and now my arm is starting to hurt more. what could be causing this? ### REPLY: Hello, As post fall there will be a direct hurt to the elbow leading to bony hurt. An x-ray will be good to look out for any signs of fracture. Immobilization of the elbow with elbow brace is advised. Hot water fermentation and range of motion exercises to maintain the range of the elbow joint. Simple static biceps, static triceps, forearm strengthening, shoulder stability exercises should help reduce the pain and symptoms.  Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had pain in my penis/tesicles for over a month now. I ve been tested for STDs and infections. The results were negative. I have no discharges or pain when urinating and also no blood in my urine from what my Dr told me. The pain won t go away. It is most severe when I m lying down. What else can I get done to figure this out? ### REPLY: Hello and. As a Urologist, I must advise you to undergo a scrotal ultrasound scan. That must be done to see, if there's a varicocele, which could be a cause for your pain. If a varicocele is the cause, it may need to be treated for relief of the pain. Till that report is available, you can take an analgesic, which your doctor may have prescribed. You can contact me with the reports, for an expert opinion. .  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, i need some advise please, my partner has been poorly since monday evening and wont let me take him to see a doctor.  his whole body is aching and keeps going hot and cold.  At night he sweats so much the covers are soaked, He is quite a large guy and normally loves his food and beer but has gone off both.  Please advise, many thanks. Wendy ### REPLY: Hello, He might be suffering from some infection due to which he is having a loss of appetite and body aches. Please advise him to do a mammogram blood test at least to rule out viral or bacterial infection. Then accordingly treatment can be given. Mammogram blood test is a minimal requirement. Then follow up with reports to a local doctor. He will advise as per reports. Also rule out whether he is having any stress or anxiety could lead to depression and night sweats and depression, but that after ruling out an infection. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a numb penis head and pain in the right buttock cheek. With constipation. A little tingling down the right leg. I am having trouble urinating. Last night the doctors gave me diloden and the urination issue went away. But now it is back. I have been in chemo for the last eight weeks. Revlimid and kyrlyso.??? Mixed with dexamethasone . Twice a week. Tingling and numbness are new feelings this week. ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. The symptoms that you are describing relate to the compression neuropathy caused by the compression of the nerves between the vertebra. This causes reduced sensation and numbness as well. You will need an MRI of the whole spine to identify the exact location which should be somewhere around thoracic vertebra. The illness may need physiotherapy, pregabalin or carbamazepine etc. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my hairline had receded. but that should not happen since am just 19 years old. i have been using hair 4u for approximately a month but have not witnessed any result. i have also been taking follihair tablets. both my mum and dad have crossed 50 but they have had no problems of bales so far for their age. please suggest a solution. ### REPLY: Hello, Thank you for posting on . I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc. From your description, it seems you might be having An .  If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc., and recommend some basic investigations like CBC, blood sugar, Thyroid function test. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise you use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Avoid combing in wet hair and let them  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 been taking ramipril for bp for 4+ years. for the past three weeks now i have been having dizzy spells and sharp pains in the left side of my neck. could this be related to the ramipril?some info;- 38 yrs old, anxiety sufferer, smoker, ### REPLY: Hi. I have read your question thoroughly. Regarding April, yes it can cause dizzy spells owing to its blood pressure lowering effect, but it does not cause sharp pain in the neck. As you have been an anxiety sufferer and a smoker as well, the sharp pain in the neck is probably, either a PSYCHOSOMATIC PAIN which means that patient feels pain in the absence of any medical explanation and in the absence of physical and biochemical evidence, or it is a MUSCULOSKELETAL PAIN which means either a faulty sleeping position or a wrong exercising technique is causing it. The best way to proceed is as;1: To have regular blood pressure check-ups to see if the the lower BP that is causing the dizzy spells. 2: To reduce smoking as much as possible which is helpful for the treatment of both Hypertension and anxiety disorder. 3: To have regular brisk walk and have healthy activities like exercising for half an hour a day that would help in reducing anxiety and ultimately will have pain alleviating effect. 4: To adopt a healthy diet, rich in vegetables, fruits, low fat content foods, fish and intermediate glycemic index foods that would speed up the treatment process alongside the other measures. I hope you find this helpful. 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 a cyst on top of my small toe that was aggravated by rubbing on my shoe. I had it opened up and the doctor could not remove the hard cyst. A week after the lancing, the cyst came to the top and I got it out. Now weeks later, I have a lump left that appears to be getting smaller but not going away and I wonder if it will go away on it s own. The actual cyst was about the size of a sesame seed, but the surrounding tissue is hard with no inflammation. What s going on? Bobby T ### REPLY: Hi, sorry to inform you that though you do not feel any pain or discharge but only hardness, still it is nothing but an inflammatory condition. Possibly there is reaction to the spilled out material from the cyst contents and due to the strong immunity of your body the inflammation is only limited to some localized hardness! It could be aggravated if your try to mobilize it yourself or poke it; avoid that and take some antibiotics and maintain local hygiene. For confirmation of the situation please go for an FNAC test with culture sensitivity and revert to us if necessary. Wish you good health! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have just picked up my ct scan of cervical spine & the conclusion reads...mild thecal sac stenosis is noted at c5/6 level due to left posterolateleft disc osteophyte complex. Mild narrowing of leftneural foramina is noted at c4/c5 & c5/c6 level.  Mild facet jouint arthropathy is noted at c7/t1 and c4/5 levels.   what does this mean?? ### REPLY: It simply means your cervical sac has narrowed canal causing compression on spinal cord, and secondary osteoarthritic (degenerative) changes have occurred with bone spike formation, the nerve roots are being compressed by bone spurs, narrowing of fora min and cervical joints are in varying degenerative changes causing pain, stiffness and nerve root compression symptoms. Disc is prolapsed in one place and further impinging on the thecal sac(covering on spinal cord) may be causing cord compression symptoms. You need spinal fusion, removal of prolapsed disc, and osteophytes etc ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 16 year old male. During the night, I will find blood in my pants and I dont feel any pain, and sometimes I dont even know it happened until late in the day. I have had tests done, such as an ultrasound on my kidneys and a urine test. They have all come back fine. What are some possible causes of this? ### REPLY: Degree understand your concerns went through your details. If ultrasound on kidneys and urine tests are done and doctors could not find anything which could cause blood leakage from penis, then you should not worry much.  Bleeding is also possible from a tear in one of the fragile veins within the prostate, the organ which produces most of the seminal fluid following sexual stimulation. Arousal without ejaculation, excessive intake of spicy foods or you will usually notice spots of blood on your clothing as well. Irritating the prostate gland may also cause inflammation that will increase your risk of bleeding. Infrequent alcohol, with .  The prostate may also become infected, causing bleeding. I suggest you to consult the doctor once again if the symptom persist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a wreck July 2013. I injured my right calf muscle. Instantly could not walk on it. Six months later I can still see bruising and have pain. I believe my leg was pinned between the dashboard and seat. Would a deep muscle tear be the most likely reason I am still not completely healed. ### REPLY: Hi, I have gone through your question and understand your concerns.It's likely that you had deep damage to muscles and may be of bone as well, I suggest you to visit orthopedic and have complete thorough workup including physical examination and lab tests like X-rays and MRI to rule out any deep injury that can cause problems in later periods of your life. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate to ask. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir/Mam, I am 22 and suffering from Erectile Dis-function and premature ejaculation.I don t know why but i have too much desire of sex. I have been masturbating since i was 14. But now i have stopped it. can You please tell me is it curable ? I am also suffering from hairfall since last 2 year.. and i have lost around 50% of my hair. should i use minidoxil 5% ? ### REPLY: Hello and welcome to . Masturbation is not a disease. It's a way of expression of sexual energy in the absence of a sexual partner. There are no long term health problems reported with it except for fatigue. If you want to control it, try yoga and meditation. Using .  About erectile dysfunction, it can be psychogenic or vascular problems or due to hormonal imbalances, diabetes etc. My advice is to visit an ### END