Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i recently went to the er with shortness of breath and a fever of at least 103 for over a week. The er doctor ordered a blood test to check for a blood clot, then a ct scan with the dye or whatever it is that you get through an i.v. The doctor let me know that I have empysema, swollen lymphnodes in my chest, pneumonia (at the time), and that the scan showed two spots on my lungs that he said could be some form of malignous cancer, I probably did not say that exactly correct, but those words was included. I did a follow up with a family doctor. He took a chest x-ray and did a breathing test on me. My percentage was 61 before a breathing treatment, and 81 after a treatment. He said he did not really see nothing to indicate cancer from the x-ray but I did have the swollen lymphnodes and he wanted to examine the ct scan a little more and have another one done in 3 months. Two radiologists, that looked at my scan results from the er, told me I needed to get to a doctor as quickly as possible, and I did, Im kinda concerned that he did not seem to take much interest in the possible spots and am very concerned and would like to know what I am dealing with. The COPD is bad enough and I have alot of trouble with shortness of breath just walking a very short distance and my back has began to hurt alot just under my shoulder blades. Any advice??? ### REPLY: Hello, I can imagine that these spots in the lungs are distressing, and I hope I can shed some light here. Pulmonary nodules (spots in the lungs) are fairly common, and as you know they can be caused by very minor/benign issues like an infection/pneumonia, or they can be serious and represent a growing cancer. In most cases there is no way to tell right away which one it is. With your COPD, and assuming that you have smoked during your lifetime, you are at a higher risk for lung cancer. The main factor that determines the next step is the size of the nodules. Bigger nodules warrant closer follow up. Smaller nodules can be followed at a wider time interval (for example 12 months instead of 3 months). Three months is a reasonable interval to repeat the CT to assess if there is any growth in the nodules and this is most likely what I would order for you as well if I was seeing you in my clinic (of course this depends on the actual size of and other characteristics of the nodules). If there is growth, you most likely will need surgical resection of the nodules depending on where they are located and the function of your lungs. I hope this answers your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my brother has suffered from psychological vomiting due to which he has lost 20 kg weight we have already done the various tests such as ecdoscopy, city scan, gasteric report , brain scan all reports are normal but he is continously vomiting witjout any illness kindly giv us advise for proper treatment ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Sometimes the cause of nausea and vomiting is psychological. This doesn't mean the symptoms aren't real. A qualified clinical psychologist or psychiatrist can help. People who often make themselves vomit may have an eating disorder. This can be a life-threatening condition. If your brother eat a lot and then make himself vomit, he needs professional help. Other possibility is obsessive behavior. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has a 2cm blood filled lump on the posterior aspect of her ear. I cleansed the area with alcohol and then poked it with a needle. Lg amounts of blood returned, no puss, no odor, not painful but as soon as she stood up, the sac filled again. What may this be? What should we do with it? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She may have some vascular tumor like hematoma or myogenic granuloma.  She should go for complete excision of lump.  Then go for histopathological examination. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i am 43 years old..im having this pantal since oct 7, 2011 after eating chicken..but we have a history of allergy coz my daddy also have that..it only occured at night most, at daytime not so..imy height is 5;2", weight 125lba, im only taking benadryl 25mg at night only..my legs, tummy, arms are the favorite parts where pantal appeared..what will i do? ### REPLY: Cellophane you for posting on . From your description its looks like you are having episodes of urticaria or hives, a kind of allergic skin eruption. I would advise you to consult a dermatologist for proper management. Usually I advise a long term course of various antihistamines with or without corticosteroids. Also, in certain non-responding cases various other medications like Dawson, montelukast, cyclosporine, omalizumab can be tried. Thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,i had my teeth pulled ( next to the wisdom teeth)  6 days ago. and i am still feeling the pain, she gave me 2 shots to make it numb, before pulling my teeth and half of my face was numb and i think it last for  7 hours. then she gave me paracetamel only after she pulled my teeth. and i doubt that the tablets arent enough to ease the pain and heal. i dont want to come back to her, i doubt if she knows what is she doing. please advice, i think i had an infection. ### REPLY: Thanks for your query, I have gone through your query. The persistence of pain in the extracted site is because of the infection. You have to take a course of antibiotics after extracting the tooth, but you have taken only paracetamol. Consult your oral physician and get it evaluated. Get the extraction socket irrigated with saline. If I am your treating doctor, I would have advised you to take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a root canal done twice  on the same tooth.  I had to see a specialist the second time.  Need less to say Ispent a lot of money on this one tooth.  Im still having tooth aches. And I am now having headaches everyday.  I believe they did the root canal on the wrong tooth. ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have pain even after root canal treatment then it can be due to Periapical pathology or due to you have periodontal pocket in Fixed prosthesis (Capping) . For this you should consult dentist and go for investigations IOWA x-ray if won't get relief then go for Extraction and then fix prosthesis. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having back ache for a long time. I did MRI..and it shows acute Sacroillitis. And i have a positive HLAB27. The pain is strong generally at the night. I also suffer from tight hamstring. The doc has said to do some physiotherapy. What is the complete cure for it? Am i suffering from AS? Can i play and enjoy my sports? ### REPLY: Thanks for the question. As per your physical examination, doctor may have prescribed physiotherapy as a mainstay of treatment, however, if pain severe at night, you may be advised anti-inflammatory medicine and /or cortisone orally or local infiltration into joint depending on severity-its your doctors decision with and after complete evaluation. HLAB27 may indicate ankylosing spondylitis for which cortisone and anti-inflammatory medicines are given on acute exacerbations of pain 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 body is hurting in all my muscles. My skin wont stop goose bumps on back and arms. my face is burning my hands are blue but not cold. when i move my eyes too far left or right i feel a jolt in my head.  is this something to do with pinched nerves? i also get pain when i touch the muscle right below the right jaw ### REPLY: Hello! Welcome on  ! Your symptoms could be related to different possible causes: - a connective tissue disorder- an inflammatory disorder-vitamin D deficiency- an electrolyte imbalance, etc. Anxiety can mimic this clinical situation too. Coming to this point, I would recommend consulting with your physician for a careful physical check up and some blood lab tests (complete blood count, PCR, Sedimentation rate, blood electrolytes, vitamin D levels, Rheumatoid factor levels, etc.). You should discuss with your doctor on the above tests. Hope you will find this answer helpful! 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, my 6 years old daughter just recovered from a fever, flu. She was alright in the morning and having her porridge as per normal. But after a milk feed in the night, she suddenly vomit 7-8 times until yellowish liquid is vomited out. Recently, she has been complaining of tummyache and soon after it will be followed by a fever. I am worried what can be the cause of these. ### REPLY: The symptoms you had mentioned are mostly due to some sort of viral infection. For treatment, you can give your daughter some antibiotic like syrup IFIC or syrup oflox-oz after expert advice along with syrup Cyclops or nimol-plus for fever, lethargy and stomach ache. You can give her syrup vomiting or syrup onset for nausea and vomiting with zirconia syrup or .  Do cold sponging to reduce the temperature of her body. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, For the past year I have noticed my skin colour is changing on my back and on my stomach. it does not each neither is it swolen or looks reddish.i have a dark skin but the discoloration is tanner. what cream will be appropriate for me. Thank you. ### REPLY: Hello, I can understand your concern for skin discoloration on back and stomach. You have not told us your age and sex along with related medical history so that I could have helped you better. There can be multiple causes of color changes including simple physiological reasons of age changes or tanning or due to genetic causes. Other than normal causes it can be also due to certain disease states such as Lichen amyloidosis or lichen plans pigments and related skin issues. I suggest you to meet a dermatologist and get a complete physical examination so that the most probable cause can be sorted out. Till that time please avoid direct sunlight so that more aggravation can be prevented. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am facing acute problem when season changed,Dr Suggested me to take 3 months regular intake MONTEC LC.I did the same for said period but the problem is i fell that breathin persist i take then i releief.Shall I take regularly?mail is   YYYY@YYYY ### REPLY: Hi, I am .  Best and safest is regular use of inhalation steroids with reliever medicine like albuterol inhalation as and when required. Inhalation therapy is relatively safe on long term use. You also need annual influenza shots. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questionsTake care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband is bipolar and has been seeing a counselor for awhile and she talks to his doctor about meds but its like pulling teethe getting them to realize he isnt getting any better on these meds and they havent changed them. His dr I think is scared to for some reason he has bcbs and it would be much easier to get a shrink who can prescribe the meds themselves but we are having a hard time finding one ### REPLY: Hello! Welcome and thank you for asking on ! I would like to have more information on his actual therapy. What about his symptoms? How does he behave? I would recommend consulting with another psychiatrist for another professional opinion. Consulting with the patient is very important to determine the real clinical situation.  .  Hope you will find this answer helpful! 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 Dr. I have been married for nearing to 3 year now, however i have irregular periods from the day i got my first periods, now i have consulted Dr, Padma, she has suggested me Krimson 35 as i have PCOD problem. but we are planning to have a baby, not delay anymore, is it possible to get pregnent when consuming Krimson 35. Please suggest, ### REPLY: Hi, it is not possible to conceive on crimson 35, as it is also a contraceptive pill. So, you need to take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks after the injection.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Also, do a thyroid profile and prolactin levels for yourself. A semen analysis of your husband also needs to be done. Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has an 2nd heart blockage. Lately her body gets hot and she starts vomiting. She also has been breaking out in rashes on one side of her body with swelling. The doctors do not know what to make of it, can you help me figure this out please ### REPLY: Hello, I would explain that her symptoms could be related to a chronic infection, possible tick bite or Ricketts infections.  For this reason, I would recommend performing some tests to investigate the possible causes: - complete blood count, PCR, ESR for inflammation- Lyme antibodies- Was Felix test- a blood bacterial culture-blood tests for different virus infections.  A cardiac MRI would help examine heart function and structure.  You should discuss with her doctor on the above tests.  I remain at your disposal for any further questions whenever you need!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there.  I had an incident while cleaning my toilet 15 months ago where I unknowingly put bleach in my toilet along with toilet bowl cleaner.  When I inhaled, I couldnt breathe and crawled out of my house unable to get a breath.  I couldnt talk for 2 days and then got better.  In the last 15 months, I have right side rib muscle pain upon pressure, worse after strenuous activity or stress.  I have a dry cough and clearing my throat often.  Could this be long term effects from this chemical irritation and what should I do about it?  Should I be concerned?Thank you,Joni ### REPLY: Hi thanks for asking question. Noted you have chemical irritant exposure to respiratory tract... So just now by contribution from other causative factors you might have chronic bronchitis.... For its diagnosis chest x-ray done which shows prominent bronchovascular marking. Pulmonary function test also useful... If needed treatment done with anti-inflammatory . If inflammation more short course of steroid can be given... Avoid smoking .... Avoid excess spicy food. Take care. Hope your concern solved. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there was an operation of my aunt i.e laprascopic as it was diagnosed with gallstones in ultrasound .when the surgery was performed the doctor came to knew that there was accumulation of pancreatic fluids around the pancreas which was causing the pain.Around 1/2 ltr of fluid were removed and the area cleaned with saline and we were told to wait and do for an ERCP after 1 month . In the mean time we did a ct scan in one more hospital and there we came to know about that the area is now clean of pancreatic fluids,but there were small stones in the gall bladder which needed to be removed. recently there was a severe pain for which again my aunt was admitted.Please kindly suggest if theres a renowned hospital for the further checkup in Patna as am leaving in Patna and can look after my aunt. ### REPLY: Hello. As far as doing ERCP in any renowned hospital in Patna, such information can be best found in any local based hospital which is dealing with such cases. As for the removal of gallbladder with laparoscopy, this procedure is quite common these days and can be performed in any good reputed hospital. It is better that any further procedure be taken in a hospital which has various departments of surgery to deal with any further arising problems. Hope this will help. 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 15 year old son recently had a lumbar puncture because he was suffereing from severe and constant muscle cramps in his legs and arms.. Doctors think its as a result of a recent ski trip he went on but wanted to rule out lime disease.. Now it has been a week since the cramps have gone but he has really bad sciatic pain down his keg and back.. Shooting pain.. Is it because f the lp ### REPLY: Hi, thank-you for providing the brief history of your son. A thorough neuromuscular assessment is advised. As the pain is radiating in nature it could be due to para spinal muscle weakness which might be leading to pinching of the nerve root. Post lumbar puncture due to pain the muscles might be weak and lead to may be such symptoms. Also, taking physical therapy will help improve the physical and functional status as the overall. We usually in our clinical practice recommend physical therapy post this so the symptoms subside and better health is achieved. RegardsJay 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 think I may have depression or some sort of anxiety problem. I m not sure if what I m feeling is severe enough to fit into either definition but I know that I ve been pretty unhappy for quite some time and I need to do something about it. I ve always been pretty unmotivated when it comes to studying, at the moment I m at uni and I have to retake an exam I failed simply because I didn t feel like I had the energy to revise. I ve always been a bit anxious over trivial things that others seem to have no problem with, like going to work and presenting something in front of the class. My anxieties really hold me back and I feel like I can t do anything worthwhile whilst I feel this nervous. Most days I just feel down and find it difficult to keep going. Every day I try to meet up with a friend and spend as much time as possible with them so that I can distract myself, if I m alone for too long I just feel down in no time. No one else really knows the extent of my problem. Recently I got very close to someone and started a new relationship only for it to fail within the first week, so that s definitely contributed, but I feel it goes way beyond that because I ve been feeling pretty down all year. I don t want to rely on drugs particularly to get me through this, but as a student I d find it difficult to pay for therapy . I m stuck, and could do with some advice! ### REPLY: Hi ...your problem appear to be of depression....need evaluation for its cause...is it Secondary to personality disorder or any persistent stressor or endogenous.because management is different...as far as treatment is concerned medication are good, and you should not worry about dependence....most medication are not dependence producing and all medication if used as advices and regular follow up done, can be tapered, and you can be off treatment after some time.you just need to tell your concerns to treating psychiatrist and follow their advice religiously. 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: how long after getting wisdom teeth removed can someone begin smoking hookah again? and what are the adverse effects that could occur should one begin smoking the day of after the surgery? My wife was wondering, she had two teeth out today shes in no pain but what are the risks? ### REPLY: Thanks for your query, I have gone through your query. Any kind of smoking is not advised after tooth removal, because it creates a negative pressure and dislodges the cloth and can result in infection like .  So its better not to smoke for minimum of 3-5 days. If you still smoke it might not heal, and you will get severe pain, it can get infected. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, i have sun tan in my face, hand and neck. I am using Sunban forte in morning and propynate NF lotion in night from June 3rd week. tan has gone only 60%. I want to get rid of this problem within 3weeks. What i want to for this. Regards, Hema ### REPLY: Hello. Thanks for writing to us at  UV A part of the electromagnetic spectrum is mainly responsible for tanning. Sunscreen is an essential part in the management of tanning. I would suggest you to use a broad spectrum sunscreen, throughout the day. Reapply every 2-3 hours. It should have both UV A and UV B coverage. A broad spectrum sunscreen that has a minimum SPF of 30, would be suitable. You may find one such sunscreen OTC from a . At night, you may use a skin lightening cream, containing one or more of the following active ingredients e.g. Retinoid, Mometasone furnace, Aramaic acid, HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi docter, my mother has been recognized with TB few weeks ago and mecidines were going but she was feeling very weak and suddently she recognized with malaria and again hospitalized now.. She was doing lots lf vomiting but since yesterday vomiting has stopped and today dr is releasing her from hospital but she feels lots of gas when she eat something.why can u please help me to understand what should we do ### REPLY: Hello, thank you for your contact to . If I am your doctor I suggest you that malaria treatment causes vomiting by causing intense gastric irritation. As your mother is already taking the .  As the vomiting is stopped still stomach is releasing acid and body is tried to neutralize it. In process on neutralization it releases the gas, so your mother is feeling gas. Kindly continue the treatment as suggested by doctor. If you have to ask for anything you can contact me. . Infectious disease specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from asthma for 20 yrs from childhood. now i have to take montekulast 10 mg everyday but i get my attacks of asthma daily so i have to use inhaler(salbutamol+beclomethasone). please guide me the right medicine . will this disease severity be reduced in future?i am really in tension about my disease. ### REPLY: Hi, I had gone through your query and understand your concern. Brief answer:Please do not be so tensed. Yes the disease severity will be reduced in future even you may remain symptoms free if you follow physicians advise and take medicines properly. Detail answer:Your present condition requires stepping up of treatment according to step care guideline. If I were the treating physician, I would first check inhaler technique and triggers like dust, cold,exercise, emotions etc. Then I would advise as follows after objective test:>Try to avoid triggers so far it is possible>Bronchodilator inhaler(e.g. Albuterol) as required.>Increase the dose of steroid inhaler(e.g. Beclomethasone/fluticasone etc.) depending on asthma control>May add other .  Since you require prescribed medicine, so my suggestion is:please consult with a respiratory medicine specialist to confirm the diagnosis by objective test and get proper step care management. Hope this helps you. If you any further query, please feel easy to write us. Wish you have good asthma control. 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 neck problems 20 years after I landed ( feeling unable to move for apprx 5 mins) on it while I was doing gymnastics training. Over the years I have done physio/ chiro. I live on anti inflammatory tablets and pain medication. I have constant headaches, dizzy spells and in the past few years I have had a painful lump i on the right side of my neck. If I touch it I get dizzy. This also happens when I turn my neck . Im only 34 years old  and Im at the stage where I struggle and scared just to drive. Doctors dont seem to care, just recommending physio and chiro and medications.. Please help me!!. Amy ### REPLY: Welcome to  .1. It can be the mass arising from the thyroid/brachial cyst/lymph nodal mass.2. If it's seen with the fever we can suspect an abscess.3. You can go for any treatment not an issue, but first you need to find out what is the lesion in first place.4. It can be confirmed by getting an ultrasound scan done to know where it is arising from and what it consists of and how it's involving adjacent anatomical structures.5. Once confirmed you can think of treatment. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My scrotum is swollen on the right side with a hard spot around my penis. This just started a few days ago. I had an ingrown hair that I was squeezing out and I felt a small pop that wasnt the ingrown hair. Over night it started to swell, its now around the size of a lumpy grapefruit. A small blood pimple appeared, and after a sleepiness night. I used a razor and popped it, in which around an ounce of bloody puss came out. The swelling is still there and now I have drainage of bloody puss ### REPLY: HelloThanks for query. Based on your statement it seems that you had a staphylococcal infection of hair follicle (Boil)over Penoscrotal junction which has complicated in to an abscess which you have . The present situation is that you have developed cellulitis of the scrotum due to scrotal abscess. You need to take broad spectrum antibiotic like Augmenting along with anti-inflammatory medication like Diclofenac twice daily. Proper cleaning and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, I was diagnosed with rotator cuff tendonitis and bursidus, I have been through rigorous physical theropy, steroid injections, and had three PRP s acupuncture and chiropractic. I have been dealing with continued pain since December of 2012, what is something I am missing here. ### REPLY: Hi I am . .  In my opinion you may need X-ray, CT and MRI on your spine to exclude cervical disc herniation which may show same persisting pain symptoms.  For patients with severe disc herniation if medical treatments fail a minor endoscopic intervention or even spinal surgeries may be suggested by your neurologist if needed. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir,this is naresh, iam frm india, andhra. iam sufferinf from severe itching in inner part of thighs. my weight is 70. my thighs are almost sweatty always.i applied epidermal and anti fungal creams and tablets also but no use. so pls prescribe proper medicine ### REPLY: Hello, Thank you for posting on . From your description, it seems you are having Tina crisis, a kind of fungal infection. Fungal infections are notorious for being persistent and recurrence if not managed properly. I would recommend you consult your dermatologist for proper management. I usually suggest a proper course of oral antifungals like fluconazole or itraconazole along with antifungal cream like fluconazole for local application. Additionally, use antifungal dusting powder to keep those areas .  Take antihistamines as required for itching. Maintain hygiene and avoid tight undergarments. Hope this will take care of your problem. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what is the Praise the distress ... my boyfriend just had a blood test and the doctor told him he has praise its a virus that starts as a cold and then bactoria that was from the cold goes in the blood and messes with the bones ect ... please i need more information about this hope u can help me thank u ### REPLY: HiT hanks for posting your query on . Incomplete data may be some typing error. It is apparent that your boyfriend is having a contagious viral infection caused by Arbovirus which is also referred to as" slapped-cheek disease" because of the rash that develops on the face. In most patients, the infection is mild and requires little treatment. It can cause serious complications in patients with anemia or with weak immune system like it may stop the production of red blood cells and cause an anemia crisis. Patients with sickle cell anemia are at particular risk. For a noncomplicated arbovirus infection, self-care treatment at home is generally sufficient. People with severe anemia may need to be hospitalized and receive blood transfusions. Those with weakened immune systems may receive antibodies, via immune globulin injections, to treat the infectionSince it is a highly contagious disease, the transmission can be prevented by washing hands frequently, and not sharing food or . Hope this answers your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have fatty liver 1 disease with no alcohal and doctor suggested me to take udiliv 300 mg for three times a day  and heptral 400 mg twice a day. however, im feeling fainting tendency with frequent urination.please suggest me the disease may be reduced by taking that medicines and what is the reason for fainting tendency and frequent urination. ### REPLY: Hi and welcome to , thanks for the query. These medicines will improve your liver function definitely, and it will reduce fatty liver. But it should be combined with dietary changes and exercise. Frequent urination can be caused by urinary infection or enlarged prostate and i don't think this is related to your liver condition. You should do urologic work up to rule out these 2. Till that, try to .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a few days Ive been dealing with severe gas pains. With some relief I had diarrhea today. Along with those pains came chills and sensations of being cold.. then after bad hot flashes. Ive been nauseated and my lower right back has been hurting on and off for a series of five days. ### REPLY: Hi, I am sorry you are feeling like this. There are a few possible reasons for your symptoms1. Viral infection: These can often present with a multitude of symptoms that are often non-specific. Viral infections usually improve on their own and do not need antibiotics2. Urinary tract infection: Pain in the lower back with chills and diarrhea could be due to a urinary infection. The first thing there is to get a urinalysis looking for white cells and bacteria. If you have an infection you may need oral or intravenous antibiotics depending on the severity of the infection At this time, I would recommend1. Plenty of fluids to keep yourself HY .  Get a urine analysis-urine microscopy with culture to rule out an infection3. Since urinary infection particularly if it involves the kidneys is quite a serious condition if not treated promptly, I would recommend you also see a primary care doctor as soon as possible to rule out infection. Please let me know if that was helpful. 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 am 11 weeks pregnant and I had abnormally high levels of TSH and I went in for further testing. Below are my results: Autoimmunity Test: Microsomal (TPO) Antibody titre serum by CMIA: 614.44 (Ref Interval upto 5.61 IU/ml) Thyroglobulin Antibody (ATG), serum by CMIA: 5.83 (Ref Interval upto 4.11 IU/ml) Hormones: Free T3, serum by CLIA: 2.64 (Ref Interval upto 2.0 to 3.8 pg/ml) Free t4, serum by CLIA: 0.77 (Ref Interval 0.7 to 2.0 ng/dl) TSH (Ultrasensitive, serum by CLIA: 9.58 (Ref Interval 0.3 to 4.5 microIU/ml) Can someone help? ### REPLY: Hi, You need to start Levothyroxine tablets and try to maintain the TSH levels below 3 micro/ml in first 12 weeks of pregnancy. And less than 2.5 micro/ml from 4th month till term. At 9.58 it is quite high, and you will need the advice of an endocrinologist regarding the dose adjustment of Levothyroxine. High TSH levels can affect pregnancy, there are more chances of problems during delivery, more chances of bleeding and High TSH is also known to cause developmental delays in the baby, so it is best that you get an opinion of an endocrinologist immediately and discuss all the reports with your Gynecologist. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son of 1.6 years is hospitalised for the past 3 days and is been administered Roscillin and taxim injections..though am far away from home, I want to know for what purpose these medicines since the blood and urinary reports are still not available... ### REPLY: Welcome back to the ChatDoctorRoscillin and taxi mare antibiotics injections. Rosellini is brand name for Ampicillin from penicillin group and Taxi is Chemotaxis from cephalosporin group. Since they are started immediately after admission and before any blood and urine reports, it seems that the doctors are suspecting some bacterial systemic infection in your child and thus have started the .  Once the reports are available, these antibiotics can be continued or changed according to the reports and clinical scenario.Don't worry. For further questions, do contact us. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 terrible allergy problems in the past month. Never before have I had such problems, to the extent of taking OTC medication daily. I cannot get away from a smell of kerosene. There is nothing in my home with kerosene in it, nor do I have gas in my home, all electric. My husband does not smell it. But it is overwhelming, and to the point I feel it s coming from my own nose. Even taking OTC allergy meds., I am constanty using nasal spray, Afrin, as I have used all my life because of smoke allergies, sneezing constantly, burning eyes, eyes watering. What can it be. I ve tossed out candles, even though sniffing them, I did not get the kerosene odor, but thought maybe it was something in the candles, though they are a more expensive brand. Candles gone, nothing with kerosene in my home, but I cannot get this smell out of my nose it seems. My head hurts on a daily, most especially nightly basis. Eyes are very sensitive to lights, especially tv light at night, I ve been wearing sunshades while watching tv at night because I cannot stand the bright light. ### REPLY: Hello dear, On going through your history, it seems you have a genuine situation and I'll try my best to help you out of it.  Allergy is a disease gifted my God, and it is transmitted form one generation to next. Also, the Gift lasts for whole life unless ad . The allergens what ever it may be, be it environmental or dietary or contact, they eventually lead to reaction in blood which then progress to symptoms in nose, ear, throat, skin or lungs. We (And some doctors also) are ignorant of it and usually try to treat the symptoms and never care for the curing the condition in blood. In my clinic I advise my patient to go for a skin prick test where allergens are introduced into the superficial layer of the skin and the offending one gives a positive reaction by creation of a whale. Now basing on this result, Immunotherapy can be started in which  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: a week ago i felt a sizzling sensation on my lower lip line and when i looked in the mirror i saw an abrasion and that my lip was swollen right above it. the abrasion is healing though still red and crusty. the swolleness is gone. what could have caused this? thank you. ### REPLY: HI, thanks for using  It is likely a cold sore. You may not recognize the initial infection, but it is very common. It would normally start with discomfort or abnormal sensation in the area. This is followed by swelling and a rash (this can vary from one person the next). The area then heals over as described. The repeat infections can be provoked by stress, illness, citrus or other acidic foods, fatigue, sun exposure. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: have a 5 year old child with a grape size lump on palm...complains of pain..lump is very venous looking and slightly movaable...notice today that all of her veins in that arm are unusually prominent and somewhat bulging..the other arm has no prominent veins..any idea what it can be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  He may have some benign vascular tumor like hematoma.  He needs examination If needed go for excision biopsy and histopathological examination. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi good afternoon! my concern is this. i have had severe allergie cough mucous all day all night.(3 yrs)im on prednisone for five days started yesterday. i still have mucous!!! it helped lung inflammation but not the mucous! which is making me cough! i see no answers at all on message boards. allergy meds dont help.im going to start to take singulair tonight . see if that helps my cough.but i was also dx with gerd. if the singulair doesnt help end the mucous production and the prednisone desnt should i assume its a reflux issue and take prilosec? tosee if that ends the mucous? its always there! eating not eating i also have peridontal problems untreated..will that help the inflammation to get that treated? please help! thx! im a 37 year old female. ### REPLY: Hello, welcome to , The history and symptoms are suggesting me that you may be having some allergic reactions. I would suggest you to test for absolute eosinophil count (AEC), which is one of the important marker of allergic reactions. If there is elevated AEC, You may be allergic to dust, mite, food and pollen. I would suggest you to undergo skin prick test to determine the allergen causing all these reactions. If you are able to identify the allergen, you can avoid that, or you can go for in vitro or in viva treatment. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I have a history of allergies to makeup (purple color) eye lid wells up and later with treatment it resolves Recently, however I am getting pain Bilaterally in the corner of the eyes only at the end of the day. I dont think I have these symptoms on non-working days when I dont use sunscreen/ eyes make up. But I have used the same makeup and sunscreen for past several years. thank you ### REPLY: Hello, I hope you have undergone a patch test to know what chemical sensitivities you have. Just knowing purple color is not good enough. That your current symptoms are only on working days when you have make-up on, I suggest you get a patch test done to a standard facial battery or take the ingredients of the sunscreen/mascara to your dermatologist who will know what to test you for. Do NOT use any more make-up until this test is done. You can use long-acting antihistamines such as cetirizine 10 mg twice daily if symptoms are unbearable and this .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 banged my left leg close enough to the shin a couple months back now and since it happened theres been a lump, for the first week or two there was bruising and sensitivity to touch that went around the 1st 2nd week but this lump has remained. ### REPLY: Thanks for your question on . I can understand your concern. Since you are having history of trauma on tibial bone, possibility of hematoma or callus formation is high. Any bone injury heals by either callus formation or hematoma formation. And it appears as rounded lump like swelling. So better to get done ultrasound examination of local part. If it is hematoma or callus then no need to worry. It will resolve by its own slowly. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im 23 and ive been having episodes for 4 months now where out of the blue i get breathless, palpitations feeling of weakness pins an needles and numbness in hands an feet an lightheadedness also i get a warm feeling in the heart area and also before all this happens i notice my veigns in hands dissappear and feel like im being drained of oxygen and blood find it hard to find pulse and when i do its very weak not slow but very weak and light this has been going on since june ive been to docs he thinks its anxiety but i think its low blood pressure caused by heart problem because i get no emotional anxiety symptoms an do not stress much ,the doc prescribed me beta blockers but as im aware i mite have low blood pressure i dont think i should take them what do you think it is? ### REPLY: Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As your doctor mentioned anxiety, then the symptoms you are facing can be related to the same. Also, if you are having tingling, pins needles, numbness etc. you should check up with a neurological assessment and an MRI might help understand the brain tissue status, if the scan comes normal than it will be just and anxiety related issues. Besides, the breathlessness, palpitations etc. are controlled by the brain stem and along with the MRI scan we can assess the brain images and come to a conclusion. In most of the cases due to some amount of stress and anxiety such symptoms arise and the scant runs out to be normal. If any abnormality found than treatment will be accordingly. Also, you can get your cardiac assessment done for your satisfaction if you feel your Blood pressure is low, and you have some cardiac disease. Treatment will be all directed as per the comparison between the diagnostic reports and the clinical signs & symptoms. Performing regular meditation, breathing exercises and yoga should help you further more for avoiding such kind of signs and symptoms. RegardsJay 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 accidentally took 2 amox tr-k clv 875-125mg. I also suffer from inactive c.diff which was brought on by prescription Cipro antibiotics. I m assuming amox isn t toxic so, do you think the c.diff will come back or worse? Also anything else that may happen. ### REPLY: It's not that the Amos is toxic, but that antibiotics can wipe out the normal bacteria in the colon, and if C diff is present, it can start to overgrow. Probably just 2 doses won't be enough to cause that, but it is still possible, so be on the lookout for C diff symptoms. Get treated right away if they occur. As far as the Amos causing other problems, unless you are allergic, that was not a toxic dose, so you should be okay. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother in law age 64 is suffering from mouth ulcer for last 6 months.what v beleive is it has been initiated due to inproper fitment of teeth denture. v hae consulted 4 doctors included homopethic,ayurvedic and alopethic but didn observe ny improvement ### REPLY: Thanks for your query, I have gone through your query. The ulcer could be because of chronic irritation by sharp edges of the denture, or it can be recurrent authors ulcer. Consult an oral physician to rule out these two conditions. If it is denture related then get the denture borders reduced or smoothened and use topical aesthetic and analgesic like Anabel gel. If is authors ulcer you can use topical steroids like triamcinolone acetone(0.1%). I hope my answer will help you take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son finish flight school in the navy got accepted in to jet program and his happiness got him into episode of mania he admit of drinking a lot in the past year on his time off school went to treatment for bipolar and alholism and right is going true medical boards to declare him unable to flight.....one episode and u life is done,,,how the can be so sure Never so him with symptoms before during high school etc ..he went to the Naval academy graduate 2011 ### REPLY: Hi there ~ Nothing is impossible.  Your son needs treatment from a dead diction center for alcohol and then rehabilitation.  He has to make his choices - alcohol or flight school in the navy.  Obviously the latter takes precedence, however giving up alcohol might be tough.  Once he has been through treatment he can be certified fit to join the Naval academy and graduate as well.  I hope you consult a good substance abuse counselor and a psychiatrist that can help your son achieve his .  I hope this helps.  Take care and have a lovely day ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my husband had phnemiua and his oxygen level in the blood was 66% his right lung was full and it was going into his left lung he was hospitalized could you tell me all about the seriousness of it all the hospital doesnt explain it to me. thank you ### REPLY: Thanks for your question on . I can understand your concern. Normal oxygen saturation of body is more than 95%. So 66% saturation is considered as very low. Pneumonia is common cause for low oxygen saturation. Pneumonia if uncontrolled and extensive can cause collapse, consolidation and pleural effusion. All these causes non-functioning of involved lung. So oxygenation (main function of lungs) is hampered. This is having poor prognosis. Body can not sustain for long time with this much low oxygen level. After sometimes kidney, heart and brain start loosing their functions due to low oxygen saturation. So his condition is extremely serious. Prognosis in such cases is very poor. So discuss with your doctor and start vigorous treatment to control pneumonia. Hope I have solved your query. Wishing good health to your husband. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, last 2009 im applying for a position in a government but then it came up that my hbsag quali is reactive. Im not contented with the result i got my second opinion to a higher institution all my labs are negavite hbsag quali and quanti, anti hbc,anti hbs, hbeag, sgot, igm and igg are all negative.. The doctor explain everything, i dont have a hep b. last 2012 i had my qualitative test and it showed non reactive.. Im just bother with my self and my career because im applying to work abroad.. Please give me advised.. Ty ### REPLY: Hi! Welcome to ! Bag positivity means recent active Hepatitis B infection. It is tested as a routine in many govt set-ups by a simple screening test. If the screening test is reactive then a confirmatory test is mandatory because there are false positive results and if the confirmatory test is non-reactive and a quantitative test is also negative that means person is free from disease as in your case. So I think it was just a false positive result which gave you worry! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I was recently diagnose to have HIV and am still awaiting for my first apointment with the CDC. I am however now having a ringworm problem at my lower butt area. As I am still awaiting for my first appointment with the CDC I am currently having no medications in regards to my HIV. Is there any ways I could keep my ringworm problem in control at home at the mOment ? ### REPLY: Hello, As per Ayurveda you have to follow some diet regulation for ringworm infection.  Like, avoid curd, pickle and other sour food, fermented food, pungent food.  Do not wear skin-tight cloths For local application use HALDE(turmeric powder) and PLASH BEEN(Bu tea seeds) and make paste with Luke warm water and apply it on infected part, for 3- 4 times in a day, till the infection is cured.  Do not take any internal medicines yourself right now, consult your doctor for HIV.  If you follow diet and apply this herbal paste you can definitely get good result.  If you have any query regarding Ayurveda please feel free to ask. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had this cough/cold for over a week now and it wont go away no matter what i do.  the weird thing though is that it started out as a cough then i got cold symptoms and now i have both a cough and cold.  another weird thing is that i will cough a little bit during the day, but after 5:00 pm when i start to wind down from the day if i try to lay down and rest a bit i will have cough attacks where i will cough really hard and sometimes it makes it sort of hard to breath.  i dont know what this means but if you could help me out that would be great. ### REPLY: Hi, Thanks for your question. After going through your question, I can understand your concern. For better opinion I want to know - 1) Age. 2) Presence of diabetes, blood pressure or heart problems if any. 3) Current medication like ACE inhibitors or Arms if any. There may be following possibilities in your case-1) Respiratory tract infections : in that case there may be expectoration of cough and fever. 2) .  3) Post nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had UTI and put on Bactrim for 10 days. One week later, felt like another UTI. I suffered in silence and finally after 2 weeks, contacted my physician. Urinalysis - ok but culture showed e-coli. Put on macbid but got yeast infection. One diflucan - did nothing One week later one more diflucan. Nothing. I bought Monostat-3 per physicians suggestion. One dose and I felt normal, but broke out in hives all over my legs. She is calling in a 7 day Diflucan. Would you suggest I stick with the monistat-3 and hope reactions don t get worse or should I try the 7 day Diflucan ### REPLY: Hi, thanks for using  Since you are likely experiencing an allergic reaction to the monist at, it would be best to discontinue it. Because you did not have a response to the rifleman your doctor may want to consider a swab to confirm the type of infections and possible resistance to medication. IF this is not an option then you can consider using the alternative medication suggested by your doctor. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump under armpit and next to it is a tiny open pore that sometimes has fluid come out that smells bad. It is like a drainage. The lump has been there for 3+ years, when it is not swollen, it doesn t hurt. But when it is swollen, pressing on it make it hurts. What is it and what should I do? ### REPLY: Hi, Dear,Thanks for the query to . I studied your query in depth. I feel concerned about the worry and fear expressed by You. In my opinion your lump under armpit is due to the-"Acute on-Chronic folliculitis" or chronic . Treatment which I would suggest is as follows looking into its chronicity for 3 yrs time.a-I would advise you to Consult a Surgeon who would-do AFB and grams stain-study of the pus smear taken from the armpit lump.b-Would start appropriate antibiotic-and NSAIDs, which you should take under cover of your doctor.c-Proper  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir, my father has chronic CVA since jan 2011. initially he was in deep coma due to clot of blood in brain but still now he is on bed and full body paralysed. we give feedings with the ryles tube. give some suggestion ncct of brain:-1. chronic infarct noted in the left cerebellar hemisphere2. few lacunar infarct noted in the brain stem ### REPLY: Hi, Thanks for writing in.NCCT brain shows:1. Old stroke changes in cerebellum (smaller brain).2. Small areas of deficient blood supply in brain stem. As these are very important areas of brain, the damage is more even if the stroke involves a small area. Your father needs good supportive care which you are giving him I think. Physiotherapy sessions may help his to some extent. This cannot be completely commented upon without seeing the patient. The damage caused by a stroke can be widespread and long-lasting. Many people need to have a long period of rehabilitation before they can recover their former independence. The process of rehabilitation will be specific to you, and will depend on your symptoms and their severity. A team of specialists is available to help, including physiotherapists, psychologists, occupational therapists, speech therapists and specialist nurses and doctors. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I m 22 years old. The growth below my left wrist is less compared to my right. i m not able to stretch my fingers also. My parents told me it was like this after i accidentally fell from chair when i was 9 months old. What is the problem how can get it cured.... ### REPLY: Hi, Growth disturbances occurring after an injury in growing age occurs as a result of injury to the growth plate(part of bone responsible for growth). As you have now passed the growing age, there is no further increase in differential sizes of your hands. Management of such variations is need based. We have to ascertain the reason for which treatment needs to be done. There is no treatment which would be done only to increase the size of your left hand, such treatment is neither warranted nor required and even not possible. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have lower back pain right side for a long time went to the er got ct scan dident see any thang X-ray same thang uerin test said little blood did blood work no infection but I do have diverticulitis can any one help Ben haveing this pain on and off for years ### REPLY: Hi, thanks for posting your concern in the . Yes, diverticular disease can produce back pain. As per the information provided you had blood in urinalysis too. I think further evaluation is needed for the same. Although your blood infection came out to be normal, blood in urine may also be due to glomerulonephritis, stone in kidney or ureter, any other bladder pathology including CA. All these can cause back pain. If your CT scan was for abdomen, I think these possibilities have been ruled out except for glomerulonephritis. For this the urinalysis report and sediment analysis is very imp[grant. You may need to consult a nephrologist to rule out the same. You may also need to have the following tests done-CBC, ESR, Complement levels, BUN, creatinine. Your X-ray may rule out any bony abnormality. But, you need to have an MRI of LS spine to be confirmed that there is no spinal abnormality. You should also have a routine stool examination done. In case of exacerbation of the diverticular disease, a clear liquid diet for 2-3 days along with a broad spectrum antibiotic, e.g. ciprofloxacin may help. For long term dietary management, you should be on high fiber low fat diet. You should also consult your local gastroenterologist for further evaluation. For any further information, please write back to me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 husband is 29 I am 27 - we are both active, lead healthly lifestyles and have normal range BMI s. No existing health issues, allergies or past health problems. No family history of infertility . We have been trying to concieve for 12 months - saw an RE we both had tests done - mine came back that everything is normal my husbands came back as having sperm count of 2 million but mobilitly and morphology was ideal (1 sample) a slightly elevated FSH at 9 (not sure of the units) all other bloodwork was within normal ranges. After reserach he strongly believes he has a varicocele and is seeing a urologist on Tues. If confirmed he will have the surgery and an increase in his sperm count would be expected, correct? If the little sperm he has now are in good shape would the increased number of sperm also be in good shape? From what I ve read data is inconclusive but in most cases chance of fertility does not increase even though sperm count does, how can this be? Is there anything he can should be doing in the meantime that could increase his fertility? How likely is it to concieve naturally with a sperm count of 2 million? Thank you for your time. ### REPLY: Hello. Thanks for writing to us. A sperm count of 2 million per ml is sufficient for a successful conception. Further increase in the count may not affect the fertility but an increment in the quality of sperms may be helpful. For conception, only a single healthy sperm is needed. It is the environmental factors which do play an important role. I hope this information has been both informative and helpful for 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, My father is suffering from paranoid disorder. forl last 30 yrs he constantly accuse my mother of being unfaithful. the alligations are base less. She is not allowed to meet with people and go anywhere alone or without him. he is always saying absurd thngs to her. when we told him that he should get himself treated..he refused saying i am alright and whatever i say is right. we told him that then he should leave my mum, but he refuse to do so and says sorry , but then the next day again its the same...at once he was ready to get himself treated and doctor prescribed Sizodon drops at night to him, but he won t take the medicine.....what to do....how to give him the medicine... ### REPLY: Hello. Thanks for writing to us. It seems that your father is going thorough a psychiatric disturbance. He needs to be dealt with tactfully. Such patients do need a careful assessment and behavioral therapy. Medicines may also be helpful. You can give him the medicines after mixing them with food. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am told that I need to undergo surgery for severe spinal stenosis.  I failed to ask the surgeon why the surgery will not be performed as a minimally invasive procedure.  I do know that I will not have to have any "hardware" placed in my spine.  Basically, the surgery is being performed to relieve the pain in my left leg.  I have bulging discs at L3, 4, 5 and S1.  Basically, if no hardware is needed, can the procedure which I am about to undergo be performed minimally invasive or does it have to be performed with an open incision? ### REPLY: Hi, Thank you for posting your query. Minimally invasive surgeries are possible if you have a localized disc bulge at a single level, say, only L4-5 or L5-S1. Then, the surgeon can perform what is called as micro-discectomy, with a small incision. However, if the problem is more widespread with bulging of multiple discs and compression of multiple nerves, then an open surgery is required. I hope it helps. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My five year-old son s upper left farthest back molar seems to have cracked off. In the middle dangling is a bit of white tissue that s red where it s attached to the molar. He has excellent dental hygiene - flosses at night and brushes twice a day. He was flossing tonight and he thought it was a piece of corn on the cob. I took a look at it and it did not look normal. He went to the dentist in June and this had not occurred. I think it occurred some time today. He says it doesn t hurt. He flossed last night and it was uneventful. We are definitely taking him to the dentist tomorrow but I am freaking out. What do you think happened? ### REPLY: Thanks for your query, I have gone through your query. Nothing to worry, the cracked tooth ca be secondary to decay, once the tooth is decayed, it will become weak, and it will be more prone to fracture. So the tissue tag which is hanging could be the gums surrounding it. Nothing to worry, consult an oral physician and get it evaluated. You can get the tooth removed by consulting a pediatric dental surgeon. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 27 year old female. Almost 2 weeks ago, I got hit in the ankle with a softball. Feels very bruised still and has a small hard lump under the skin and visible bruising that changes daily. Also, I have lost feeling where the injury occurred and is very painful to touch; however, I can walk on it without much pain. ### REPLY: Hello, Based on the information that you provided I think that the hit with soft ball caused you some hematoma (collection of blood) on your ankle. Maybe you did not use ice and rest that day, so now the hematoma gets harder after 2 weeks. If you continued to walk and work the next day is normal for this situation to happen. Now this hematoma needs more time to be absorbed from your body. I recommend you to massage the place gently 3 or 4 times a day and use warm therapy. Also, non-steroidal anti-inflammatory medication such as Ibuprofen will help for 1 week. Physical therapy for range of motion, ultrasound will speed up the process of healing. I do not think there is a place for concern for you since you do not have pain during walk. 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: My son is 11 and had a lymphectomy in July 2013. Diagnosis is Reactive Lymphoid Hyperplasia. His lymph nodes are still swollen so took him back to ENT and was ordered an MRI. Still waiting on results. I have done some reading on this diagnosis and it has got me worried. Does this mean he could possibly have a form of cancer? He shows no signs of illness. ### REPLY: Reactive hyperplasia of Lymph node is common finding that we come across from histology report of lymph nodes. The Reaction may be secondary to any infection in the .  Generally these lymph nodes respond to a course of 7 days antibiotics. Give him Augmenting 625 mg 1 tab twice daily for 7 days. Extremely rarely this can be very early indication of lymphoma, but I personally don't think it is anything like that. You must get a diagnostic work up for Tuberculosis done before going for MRI as it is a common condition to cause nodes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I am 27 years old and I have Asthenospermia Problem since last 3 years and I got marries in 2007 and I met to doctor and they suggest me for test Tube but due to some limitations from my family I could not do the same hence I request you to kindly suggest the best medicine, Precautions for the same so I can be a good father with in couple of months, your earliest reply in same matter shall be highly apprecaited. ### REPLY: With bias to none. I advise you to go for the test tube process. Though you have not mentioned the number of live sperms, but it seems you have live sperms. Only a single sperm meets the egg and fertilize it. Doctor will easily take out a healthy sperm from you and make it fertilized with your wives egg, so it is your sperm, your wives egg & your wife will deliver the baby as after the egg is fertilized by your sperm in the tube, doctor will just keep this fertilized egg into your wives uterus. Other process are unpredictable, may & may not work but here is 100% chance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor,my baby had greenish loosestool then i had treatment to my baby in hospital but that not effective to my baby,since lost five days my baby has greenish stool,i went to hospital frequently but it is not worth it,now that hospital took motion test.what can i do sir ### REPLY: Hi, I had gone through your question and understand your concerns. I have some questions for you before I can answer you better 1. What if frequency of stool 2. Are they very large and watery 3? Apart from being greenish, is there is presence of blood in it 4. For how many days is your baby having loose motions 5. Is your baby passing urine as passes normally 6. What is age of your baby, diet of your baby 7. Is it associated with high fever, vomiting 8. Is your baby dull / irritableMost diarrhea last for 3-7 days. If baby is well, active, accepting feeds adequately, no large watery stools, no high fever, there is no blood in stool, passing urine every 3-4 hourly, there is no need to worry. Colour of stool other than presence of blood is not significant. You need to worry if there is presence of blood or stools are large and watery .baby is dull or irritable, or passing less urine or having high fever. Let report of stools come, if there are no danger signs, you need not concern and wait for report have tried to answer your query with very little information available. If you have additional questions then please do not hesitate in writing to us. Wishing your baby 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 there, I have a lump in my neck. It appeared when my pins and needles down my arm started. i have had a mri scan and the only thing it shows is that the lump appears as a shadow. It doesnt hurt. I now have to wait ten days for the results to go to my gp, then make an appointment with him to get an ultra sound. this has been going on since August. Could this lump be causing my pins and needles? Its at the back of my neck on the right hand side. Thank you ### REPLY: Hi. Thanks for your query and an elucidated history. The lump at the back of the neck can not cause a direct problem of pins and needles in the arm. It is possible that the muscle spasm caused by this lump can indirectly cause nerve pressure or pinching. Get FNAC done of the lump and the MRI should have been done to see if there is a protruding disc causing pressure on the spinal cord which causes the pins and needles feeling in the upper limb as you have. It is wise to get an opinion f a Surgeon for the lump and of the Neurologist for pins and needles sensation in the arm. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 developed tenderness on my right side and as the weeks continued I suddenly a week and a half ago developed excruciating pain in my abdomen and back. I have a low grade fever between 99.2 -99.9. I had a CT scan, Ultrasound, and Vascular Ultrasound. The only test that came back with something was the CT scan that showed a dark wedge on my kidney. I have never had a UTI or kidney damage. They did blood work and a urine. The urine test came back clean with no infection but slight trace of blood as well as increase in BUN and Creatine. My blood work came back with one elevated liver enzyme. He did a pelvic exam and that was clean as well. I am have lost weight, been nauseated, and fatigued. I am worried and not getting any answers. The pain has continued and not relieved with antibiotics or with pain killers. What should I have my doctor look at next? What could this be? ### REPLY: HI. Thanks for your query and an elucidated history. Read the history with the only few positive findings of dark wedge on the kidney on CT scan traces of blood in the urine and increased BUN Creatine one liver enzyme. I would think of the following causes as the reason for your sudden excruciating pain in abdomen and back: The Kidney being on the posterior wall can give pain like this and the minimal temperature rise is suggestive of non-infectious reason. I would think of an infarct of the kidney/I would suggest you the following:TO go for Reno gram to get a confirmed diagnosis under the care of a Nephrologist and to get further treatment as advised by him ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently noticed a small water blister type rash a quarter inch under the head on the shaft of my penis I had rough Sex n masterbated a couple times n I m scared it might b herpies or just a water blister I popped most of the small bumps n it hurt a little bit but it Wats a clear type discharge ### REPLY: HelloThanks for query. Mostly You have acquired Herpes 2 infection However it can be confirmed only by doing Swab test and PCR test on a fluid from blisters. You need to take broad spectrum antibiotic like Lifetime along with anti-viral medicines like Acyclovir and Diclofenac twice daily along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My PCP doesnt know what is wrong with me. I went in for a Kidney infection and he did labs and found my calcium elevated and my protein at 213 along with muscle deterioration. He thought it was Multiple Myeloma but I went through the testing for that last week and am negative. I am extremely tired all the time and hurting with no idea whats going on. ### REPLY: HiT hanks for your query you have -kidney infection -calcium level raised -protein raised -multiple myeloma test negative -muscle deteorationAa per detail provided by you the problem may be due to--side effect of medicine you took for kidney infection. Because some . -trauma -excessive exercise -hereditary condition-hyperparathyridismin your case it is most probably side effect of the medicine you took. Consult your doctor to stop the  ### END