Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife(56) suffering from vestibular dysfunction as said by local doctors.Symptoms are as follows: in early dawn when in sleep if she turns her head to the right on a pillow she feels a severe vertigo she feels that everything around her are rotating round her and she will be thrown away from the bed.She can turn her head towards roof but same symptoms prevail, only she gets relief if she completely turns her to the left.According to local ENT Specialist fluid in her right ear which balance signals to the brain has been dried up.A audiogram for PTA, Impedance ,SRT says Bil.High Frequency Hearing loss.A CT scan of brain says Mild aggregated degenerative cortical atrophy of the brain.She is taking 48mg bitahistin hydrochloride BP, 15 mg vinpocetine daily for last 8 months.She used to experience pain and a distant sound as if of running speed boat in her right ear which is now gradually dying. She has migraine for 25 years.We at a loss would please tell us what to do next? ### REPLY: Hi, thank you for providing the brief history of your wife. As you mentioned she is having vestibular dysfunction, and you have been visiting the ENT and taken all possible consultation and medicines. Since you mentioned even about the steps you took all have been trying to help your wife for the best. Medical has been trying to help at their best. I would like to provide some more input here. You need to look forward with meeting a physical therapist as he will help your wife with vestibular exercises. This exercises will help avoid the giddiness, pain, and manage the fluid movements also. I request you to look for the physical therapist as along with exercise the medicine will help better. With the grace of God I wish your wife a healthy life. For more questions on vestibular exercises you can ask any timeregardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor,I have pain when I touch my tibia and chronic back pain.I am diagnosed with vit.d deficiency.earlier it was 25 Bg Ol and now after taking calcirol sachets once a month for 6months,it has increased to 65 ng/mol.but the pain is still there.what should I do? ### REPLY: Hello, The pain could be related to local inflammation. For this reason, I recommend checking inflammation tests (complete blood count, PCR, ESR) and performing an X-ray study of the tibia.  It is also necessary performing an X-ray study of the lumbar spine, in order to investigate for possible chronic degeneration of the spine (a bulging disc), which can lead to pain in this region. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello docter my name is sweta. and i am 26 years old. iam trying for baby past 5 years.and i had no miscarriage and abortion. right now my docter is giving me these tablets like folvite,evtab,cabergolin,and ecospirin. can these tablets help me to get pregnant. and now wht should i do. ### REPLY: Hello dairy understand your concerns would suggest both partner to consult infertility specialist. Undergo following investigations:Reproductive hormone analysis, USG scan, ovarian follicle study, Horsemen analysis and USG scan for male partnerSpecific treatment should be taken depend on cause under advise of infertility specialist. You can take polite: it supports and promote early pregnancy. Evtab: should be taken if you have hormonal imbalanceCabergolin: if you have high prolactinEcosprin: it should be used if you have coagulation defect, and it should be started at 5 weeks of pregnancy, once cardiac activity of baby appearAvoid stress, take healthy diet, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Herpes or not? YIKES! This has happened twice to me while wearing a pad-my skin breaks open.The first time-My partner was being rough on the outside of my clothes trying to turn me on by rubbing the outside of my privates over my clothes. The next day it hurt and I had a tear in my skin.Recently when wearing a pad something hurt in the same area. When I examined the area I had 3 tiny clear bubbles and one cut looking spot. The bubbles popped clear fluid and now the spot has turned into an open wound with a red border. It never scabs or crusts, it heals and goes away..when I try to take a picture to examine its too shiny. ### REPLY: Hereafter reading your history in this query, these bubbles filled with clear fluid and cuts may be due to these reasons, these include>1 Abrasion or bruise, as you mentioned that your partner was rough on your private part, so this might have developed abrasion or bruise. You mentioned that there is an open wound, so this may be the result of bruise .2 Herpes zoster, as there is small multiple bubbles with clear fluid and shining appearance indicate Herpes, so physical examination is important. As you mentioned that open wound healed and goes away so in my opinion this is a case of mild abrasion due to rubbing. If it don't spread then no need of any consultation. If spread then consult a dermatologist and get his opinion. 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 cousin is 84 and has been diagnosed with vestibular dementia from several concussions resulting from one car accident. He is being treated with medication which has been successful thusfar. However, is this a progressive disease and are they merely slowing down its progression? He is very sharp but has some short term issues from what I am told. I spent a few days with him recently and was very impressed with his mental acuity. ### REPLY: Hi, Thanks for writing in. Please re confirm the condition of your cousin as vascular dementia instead of vestibular dementia as mentioned. Vascular dementia is caused by reduced blood flow to the brain because there is a problem with the blood vessels that supply it. Parts of the brain become damaged and eventually die from a lack of oxygen and nutrients. However, unlike other forms of dementia, many cases of vascular dementia can be prevented. Once vascular cognitive impairment progresses to vascular dementia, the disease can only be slowed down, not stopped. Medicines may help control some symptoms. It is important to know the cognitive impairment and as you have mentioned that his mental acuity is impressive, I think he will not have many problems if taking regular medications. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 get these bumps under my armpit, they start out small and get bigger. The last one eventually popped. Now I have another one. Is it best to just keep a warm damp washcloth underneath it until it pops?Is it because I use Clinical strength Secret or Degree?It s annoying ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You may have some axillary lymph node enlargement.  It may be due to reactive lymph node hyperplasia or tuberculosis or some other pathology.  You should go for fine needle aspiration cytology to check the diagnosis.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a sickle cell patient with swollen lymph nodes. can sickle cell cause lymph nodes to swell? I have had them removed twice from the left side of my neck and they are not cancerous. What do you think? I am 58 years old, 137 lbs., 5 4 tall. Sickle cell runs in my family. ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you that it won't cause swelling of the lymph nodes. I suspect it is an infection that had caused you such a condition. You should think of biopsy and culture sensitivity form the aspirates of the lymph nodes to diagnose and treat it. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Husband woke up in middle of night- lower back pain and upper thigh , behind knee pain-  it is a dull pain but severe enough to ask for drugs- he NEVER ask for painkillers.  When he bends over and stretches-the  pain is more behind the knees but is coming from back ### REPLY: The cause of the low back pain is not apparent from the details that you have provided, and he needs to be examined and investigated. The age of your husband the duration of onset of the pain is important, and you have not mentioned that either. If it is acute, it could have been caused due to some electrolyte imbalance (due to low potassium) where taking juicy fruits like citrus fruits is likely to help. It could also be due to lumbar spondylosis or slipped disc As of now, some muscle relaxant, analgesic and hot compress should be helpful. Please visit a doctor and get it examined and treated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell two weeks ago and hit my cheek bone on the end of my very hard wood bed. I had a black eye and sever swelling on the cheekbone. The bruising is now isolated to the cheekbone that I hit. It is still very painful if touched. Now it feels like a hard pea is on the exact spot I hit. Do I see a doctor or is this appropriate for the healing process? Thank you! ### REPLY: Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As the mechanism of injury is a direct hit of hard wood to the cheek bone, it is a direct injury. Post which you had black eye and severe injury it appears the impact was pretty forceful. Since the bones of the face and the muscles are smaller and get injured by smallest impact as well, this injury of yours do not look big as the symptoms are subsided, on a safer side an x-ray will be good to go with. Since, your symptoms are subsiding, I will recommend you to perform some facial exercises and icing in that region. With the help of icing the pain will come down. Also, with the help of facial exercises the muscles will regain the strength back and will reduce the pain levels. You can meet up a physical therapist who can help you assist better to perform exercises, as making facial muscles do exercise, deep scientific knowledge is needed. Also, performing facial massage will help improve the circulation and soothing effect as well. 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: Hi, I fell light headed from time to time but it stops when i lay down. I also have experienced a tingling feeling in my fingers,toes and top of my head when stressed. Been very relaxed lately feel like i don t have energy no more a bit worried please can you help.. ### REPLY: Hello! I read your question and understand your concern. I think that there is nothing to worry about. All the symptoms you describe are common symptoms of anxiety. A chronic anemia can Be the cause of fatigue. I would like to know if you have ever measured your blood pressure because a low blood pressure can also cause dizziness that improves in lying position. I would recommend you to have a full blood work for anemia and thyroid function tests. If everything normal it is just anxiety. Hope to have been of help! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Since I had knee surgery and have been off my feet alot, the skin on my legs from the knees down has turned a mottled brown, only in the front of the leg all the way to the end of my foot. Do you know what could cause that? it doesn t hurt at all. Thank you ### REPLY: Hello, As the knee is fine and there is no pain post surgery I think will be the discoloration of the skin due to vascular insufficiency. Try doing hot water fermentation and do ankle toe movements. Usually, the skin discoloration doesn't happen in many of the cases. Taking a blood routine will also be good to see if any infection is causing the issue. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with Congestive Heart Failure 9 months ago...I m 39 and they say the cause is unknown. My arteries are clear but my e-frac rate is 20-25% (up from the initial 10% at diagnosis),so they say it was probably viral. I recently had an ICD implanted (pacemaker/defib in 1 unit,only 1 lead) I also take the basic heart meds....Coreg,Lisinopril,Aldactone,Lasix....I also smoke marijuana,though I smoke it out of a Vaporizer which takes away the smoke from my lungs,I do smoke it 4-5 times a week,only 2-3 hits a night tho. Any opinions on using cannibas with CHF? I talk with my doctors about it and none of em say anything negative about it,but they do say not enough studies have been done on it. But I also read online some things to the contrary. just looking for another point of view. Thank You. ### REPLY: If anyone gives you a frank yes or no, he is lying.  As you are true there are not any multigenic studies to support or disagree with it use Why I ask you to restrain?  Cannabis has the propensity to cause a condition called flash pulmonary edema, and trust me once you have that experience of the sinking feeling, you will NVR use cannabisCannabis can cause fluctuations in blood pressure and heart rate and that's not good for you It may cause long term pulmonary fibrosis, even if you taking it with vaporizer, which again will decrease your lung capacity And most importantly viral myocardium and DCM post it may be reversible, whereby the heart function may return to normal with medication and time, and you don't want to do anything that can slow the process of reversal. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello I have had many problems with my teeth, this sounds bizzare, i get a tingling almost like tiny electrical pulses in my right top lip, i went to the dentist, he filled my tooth I think a pre-molar its fair to say, my tooth is three quarters filled, i have now been back four times, with pain that contiues after this tingling pulsing, my dentist has x-rayed but no evidence of infection, the pain is there and very real, this is really getting me down, my dentist is refusing to remove the tooth, saying it is not infected, sometimes the pain will go away for a few days, but always returns, it is very sore at the top of the tooth, I do have receeding gums also, and a partial denture, i am getting to the point of dispair, living on pain killers, and taking three weeks of doxyxcycline to rule out a sinus ifection, my upper lip stings most of the time, the pain subsides when I go to bed, which is odd, please help ### REPLY: Hello thanks for consulting at . Firstly tingling sensation could be calculations,which occurs as a result of irritability of the nerve fibers. There are a lot of causes for twitching/tingling, the most common are due to magnesium deficiency. It usually results in hyperexcitablity, muscle weakness, and calculations. So don't worry, try reducing the anxiety by keeping yourself calm, do breathing exercises, try yoga... Since dentist has taken x-rays, and confirmed there is no infection in the tooth. It also subsides when you go to bed, that is the reason,it might be stress related. To overcome magnesium deficiency you could take nutritious food, leafy vegetables, nuts and wheat bran. Hy .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has a problem of hemifacial spasm for th elast 15 years. She underwent three courses of botox injections but failed. Ayurveda and accupuncture also tried but no results. Allopathy medicines cause allergies in her. She stopped all her medicines and has been doing just yoga for the past 9 years. is cure possible? ### REPLY: Hi, Thank you for posting your query. I would be interested in knowing the MRI brain report. We need to exclude any compression of the facial nerve, which can cause bifacial spasm. If there is a compression of facial nerve on the side of bifacial spasm, then, surgery may be beneficial. On the other hand, if the MRI is absolutely normal, then, botulinum toxin injections are the best. You may get it done by a trained neurologist. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, . 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 53 and weigh 128 at 54 .  I have found out I have premature chronic small vessel ischemic gliotic disease.  The Dr. said not to worry at all to take an aspirn a day.  I am very concerned afraid this will lead to dementia or Alheizmers disease.  Is there any way to prevent more of the white spots from happening. ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Its genetic disorder. You can slow the progression and avoid further damages.2. Aspirin will reduce risk of thrombus formation.3. Stress along with the disease will increase risk of dementia or Alzheimer's. Try to do more problem-solving exercises, it should delay dementia. Taking aspirin will delay formation of white spots. Do continue. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here..Hi im a 61 year old male with diabetes I cant seem to get warm,Im tired all the time, I have pains in my left lower abdomen and im also sweating from mid abdomen to mid thigh.. ### REPLY: Hi. An elderly male of 61 years old, having diabetes gets a pain in the left power abdomen and sweating from mid-abdomen to mid-thigh. The probable cause can be colitis or enteritis, uncontrolled diabetes and possibly diabetic neuropathy. I would advise you to get your blood sugar checked as also other tests like CBC, urea, creatinine; stool and urine. Ultrasonography of the abdomen. Get a course of the antibiotics and metronidazole, continue anti-diabetic treatment to keep diabetes under control. Further treatment will depend upon the clinical check-up by a Doctor, reports of the investigations. Take only home-made fresh food, boiled cooled water. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 1)    i have a daughter who is 2 weeks old and would like to now the correct measurement of nan milk and quantity of        water good for her consumption.  2)    In-case i am to use cow milk what is the correct measurement of milk and water for the same child3)    Between the two which is best for the child? ### REPLY: Best food for baby is Breast milk. So try to provide that... Others are always replacement... If you are using Nan take 30ml rewarmed water and 1spoon(inside container of Nan) powder. Always feed should be remained after feeding that means child received adequate amount of feed. Cow mild should not give. It contains high amount of solute. If u want to give cow mild never add water in milk. But give plain water in between of feeding. Sequence of the best feed in new born1.mother milk2.formula milk (Nan) 3.cow milk ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed by my GP as possibly having a cevical polyp , he can see the growth and is unsure. Also there is significant cervical erosion. I have a history of CIN3 which was removed 12 years ago and had a further cauterisation for erosion done in 2008. I have had a bit of post coital bleeding for the last 6months and recently I have been bleeding for 30 days straight. When examining me on monday the GP said there was clear fresh bleeding . On top of this my symptoms are extreme tiredness, hot flashes and occasionally feeling faint. I also have a mild ache very similar to how I would have felt previously post-op. Im 35, three children. I had a negative pap smear result in December. I have of course been refered to Gynae but the first urgent priority appointment is the end of July. Appointments/Referrals suggested I attend A&E. What will happen to treat this? What is the likelyhood it is cancer and should I get medical attention straight away due to the contant bleeding. Thankyou. ### REPLY: Hello welcome to  Thanks for your querulous general practitioner told you that it is a cervical polyp in doubt. Cervix can visualize by Cusco spectrum which will not be available at your GP. You have previous history of CIN3 which was removed. After that you had post-coital bleeding. Your pap smear is negative in December. It should be checked once in 6 months. Consult pathologist and have your pap smear,the report will tell you what is it.then consult your gynecologist and she/he will decide further treatment. Hope you understand my suggestion thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my first severe panic/anxiety attack 2 days ago and ambulance had to come as ive never experienced one before, following day i still felt repercussions and i still am on edge a lot, gp gave me zoloft to relax but said it will take a few days to get into the system, i used to masturbate, and im just wanting to know if i masturbate will it help me from the probelms ive had last few days like will it maybe relax me and stop me being so edgy. will it help to calm me down cause i feel real on edge of anothher panic/anxiety attack ### REPLY: His understand your concern. No dear masturbation does not help in anxiety. You can do it. But it has no relation to anxiety or panic. Yes Zoloft can take time for action. Till that you can take other as and require medicines...if you have further panicked attack then no need to rush hospital you will take medicine like Mizoram for quick relief. This kind of conditions can be treated with a SSRI and benzodiazepine. In SSRI Zoloft and paroxetine will help. Do regular exercise and meditation. Proper sleep. I hope I have answered your question. Still if you have a query then feel free to ask. Happy to help you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got a dog bite last thursday on mty inner right thigh. The puncture wounds have healed nicely. I had antitetness injection and antibiotic. The bruising is terrible and now there is swelling with fluid in the middle, it is also starting to itch. Should I worry? ### REPLY: Thanks for asking in  Forum In Short: You have to take anti-rabies injection. Explanation: By your question it is clear that you had a dog bite to your thigh with injury. You have taken anti-tetanus and antibiotic, but not anti-rabies injection course.  In my opinion, your swelling will come down after completion of antibiotic course and if you take anti-inflammatory .  I am worried because you have not taken anti-rabies vaccine.  So, visit a doctor and take antirabies vaccination along with prescription for your wound infection. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Age 32 male ,unmarried .due childhood faults at the age of17 years. Used ayurvedic medicine but didn,t healped. I always have early seminal lickage,early morning wet dreams,due to this I have irregular stool sometimes sperm falls after urination strength leaves the body. I think ...it is spermatorrhea. Constipation is making me worse day by day.Please recomand me the best medicine which will definitely give positive results. .I will be ever greatfull to you till my last breadth. Help me sir ,help me? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. You problem van be solved by the masturbation. Masturbation can periodically release semen from the body. This will help clear the semen from the system. Once you start practicing masturbation all your problem will be solved. Semen leakage has nothing to do with the constipation. But for constipation you can take large volume of roughage like green leafy vegetables etc. Plenty of water can also be used to relieve the constipation. Please make the habit of daily exercise. This can help clear bowel early in the morning. Masturbation practice can help full in many ways. People have false belief regarding the masturbation. Masturbation can clear your mind and can be helpful in many ways. It will help concentrate in your work. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 22, single and not sexually active.. i have oligomenorrhea , having my period mostly every after 3 months. last year my doctor gave me a 5day trial pill of duphaston just to test if it s hormonal imbalance. i m worried about pcos but i am not obese . i stand 5 2 and weighs 47 kgs.. do i need to take OCP s? im afraid of the side efects and i really need to, will i take it with metformin? am i prone to endometrial cancer because of my cycle?i m so confused. A doctor required transrectal ultrasound for me. ### REPLY: Hi Oligomenorrhea is one of the most common menstrual problem during early years after monarch. Sometimes it may even go PTO 25 years. An ultrasound scan of abdomen will rule out PCs. It may be managed by various medical protocols. There is no need to worry about endometrial cancer because of this. I guess you are very anxious because of your present problem which may still get aggravated because of your anxiety. So stay cool and your problem will get settled soon. All the best. Mohammed IbrahimSurgical Oncologistmdibrahim . Co.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 am a 45 year old male.  I recently had a tooth pulled and a bridge fitted.  One of the teeth that the bridge is on has been hurting since the other tooth was removed. I went back to the dentist and the x-rays showed no issues.  What could be causing the pain?  What are my options, I cannot afford another bridge. ### REPLY: Thanks for your query, I have gone through your query. The pain in the tooth taken as support can be because of two reasons. The first reason can be because of high points in the bridge that create excessive pressure over the tooth and result in pain. The second cause can be because of the pupal involvement during crown cutting. If it is a high point get the high point reduced by consulting a dental surgeon. If it is a pulpally involved tooth then get the tooth restore with RCT and the bridge has to be repeated. Regarding your financial issue, I can suggest you to go to an educational dental institute where you can the treatment in nominal price. 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: Admitted in Dubai hospital, during the course of visit to daughter . Emergency caseof pneumonia in ICU on ventilator from 7.1.2011. Findings with above ild to moderate left pleural empyema with small locule seen medially and pneumothorax, collapse consolidation in left upper lobe with pathy infiltrates and emphysematous changes in right lung. Now patient is off ventilator and out of ICU from 21.2.2011.Now requires repatriation to India,Pune, and further treatment to be continnedin Pune CGHS hospital, speciality hospital, patient being central govt. servant. Please help. URGENT PLEASE ### REPLY: Hello, As per your description, this patient needs a transfer in Air ambulance accompanied by trained nursing staff, doctors and with full equipment like oxygen, ventilator, Intravenous facilities et cetera. And there is always a risk of death during transfer. So, it is better to think about all this and then take a decision. 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 husband has just been diagnosed with a urinary tract infection,after having had Kidney surgery over six months ago,  without any symptoms, over the Labor Day Week End,  it was hot,  my husband walked quite extensively, three hours, and developed pain in his side. After having visited the Veterans Hospital twice now in two week,  he was finally givenCiproflaxin,  is this the same horse pill,  we used to take when we had a bladder infection,the Big Red Pill?His Wife,  Just inquiring,He has significantly reduced pee ,  and were both wondering if this antibiotic, will keep reducing his ability to go pee,  the one and only symptom,  we were hoping to clear up?Thanks.  AAAA  YYYY@YYYY  Orange,  California. Sept.. 12, 2013 ### REPLY: HI, thanks for using  Ciprofloxacin belongs the fluroquinolone family of antibiotics. It is commonly used to treat urinary tract infections. An urinary tract infection can involve the bladder, urethra, ureter or kidneys.  It is used to treat infections of these areas, so it is possible that you may have used it previously to treat another urinary tract infection. The color of a tablet would vary depending on whether it is generic or brand and also whicChatDoctorpany is manufacturing the tablet. It would not be possible to determine if it is the same tablet without the name. 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 want to know what I may have that causes my discharge to sometimes come out with a red light color and also my discharge has an odor with a yellowish color when not with red color. I searched up my symptoms and I thought I may have bacterial vaginosis but I dont have all the symptoms that bacterial vaginosis requires. I was wondering what I may have? ### REPLY: HI, thanks for using  Bacterial vaginosis (BV)is normally associated with a white gray discharge with a fishy odor. The discharge that you are experiencing is not likely BV based on your description. Red discharge may indicate that there is blood present in the discharge. The most common reason for a yellow discharge is a yeast infection. You may want to consider visiting your doctor for an examination and vaginal swab to definitively determine the source of the infection. Appropriate treatment can then be started. 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: inside the mucous lining of my left cheek is a 0.2 of an inch (or slightly smaller) bump - ? looks like haematoma - which I just notice about an hour ago. what could it be, as I have had experience of mouth ulcer occasionally, but never one like this before. ### REPLY: Hellooo...read through your query...it can be caused due to some trauma to the cheek mucosa resulting in blood accumulation beneath the mucous membrane or can be an inflamed minor salivary gland which could have been due to sudden bite of the cheek etc...don't worry nothing to be worried...just maintain a good oral hygiene.do warm salt water gargle.concentrate on that are while gargling...if pain while swallowing apply ignored before eating....wait for one or two weeks.if still not healing and pain comes...go to an oral surgeon ...he will do necessary treatment (surgical removal of minor salivary gland if needed).be cool.hope your benefitted something by this reply.have a healthy weekend.!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 is suffered with typhoid fever he takes medicines usually antibiotics heavy dose of 8 injection he recover to normally but he become week after 25 days of vaccination he felt pain at back of solder and swelling he day time his temperature rise up to 100 to 101 f and at night he felt no pain but temperature up to 99 to 100 f is this due to his pain he felt in his solder ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that shoulder pain never causes fever. I suspect recurrence of typhoid fever. I advise blood culture and sensitivity testing of the salmonella type bacteria. Take treatment according to it. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mother gets severe stomach pains.  It is so bad that she sometimes vomits from it.  She drinks warm water to make her stomach feel better.  She started on a colon detox 2 weeks ago and also some bitter crystals since she is constipated.  It went well for a while but now the pain is back.  She has been to 2 doctors.  One treated her for stomach ulcers the other for galbladder/stones.  Nothing worked.  Lately there is now blood in her stools.  I need advise.  Jessica ### REPLY: Hi Jessica. Thanks for your query and concern for your Mother. It looks from the history you have provided that your Mother has severe pain as there is vomiting too. Warm water is really not a solution for gastritis nor the colon detoxification has any proven value. In fact the bacterial flora may be disturbed. I would advise you to take her for:-Ultrasonography-Colonoscopy and upper GI Endoscopy. To get a proper diagnosis so that the proper treatment can be taken. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. Rynne. I have a patient who has ED. He was in a VERY severe MVA and following the MVA he now has ED. He was seen by endocrinology and was given a clean bill of health there. The endocrinologist thinks it is neurological and involves the pudendal nerve. The patient has been seen by a urologist who has completed urological diagnostics, urine residual was 300 cc s with total volume of 1100 cc s. Kidney function tests were WNL. My question is, where to go from here? Is there a neurology specialty which deals with a situation like this and where would an expert be if one exists. We are in Detroit, MI area. Thank you so much! ### REPLY: Hi and welcome to . Thank you for your query. I understand your concerns and I will try to help you as much as I can. Erection problems can have many causes. These include:Physical problems, such as injury to nerves or loss oxblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress.  .  The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and include avoiding tobacco 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: My wife found out last week she was 1-2 weeks pregnant per ClearBlue. I presumed this meant 3-4 weeks pregnant. This week, she went out with friends on friday and in her words had 2 sips of wine. She estimates less than an oz of wine. Before she found out she was pregnant, she had probably 1-2 glasses of wine a week and she took Plan B once. Now I am worried she did irreparable damage to our baby ... I am talking about brain development rather than anything that will be a physical abnormality ### REPLY: HI, I have gone through your query & understood your concern.  - .  But what she has taken before knowing of pregnancy can escape the disadvantage. Provided she quits taking it anymore.  -But Plan B IS TOTALLY CONTRAINDICATED IN PREGNANCY.  It is known to cause congenital malformations in baby.... I would advise MTP to her.  - To give birth to a physically handicapped/ crippled baby is as painful as giving birth to a mentally affected baby. Better to remove it.  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 am a 75 year old woman.. history of breathing problems..have COPD..I have a very hard time at night with coughing. I bring up a little but the cough is terrible. It also happens during the day but not as much. Have tried many different syrups but nothing seems to work. Any ideas for me. ### REPLY: Thanks for your question on . I advise you to get done chest x-ray first to rule out lung infection. As lung infection is the most common cause for COPD worsening and coughing. If Infection is there than you need antibiotics. You can also start oral bucolic and expectorant .  They will clear the thick mucus and make it softer which can be easily expectorate. Chest physiotherapy and deep breathing exercise will also help you in clearing secretion. Since all these are prescribed medicines, you should first consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: AS im about to fall asleep i find my left arm geting numb or tingly and my heart beats so hard and fast. this happends evry time im about to doze off. today i had pains in my chest that woke me up. not like having a heart attach but like i was alying wrong . could this be a sign? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should definitely rule out heart diseases first because left arm numbness, fast heart beats, chest etc. are classical symptoms of Coronary artery disease (CAD). So better to get done ECG, 2d echo, trade mill test (stress test) and coronary Angiography (if required). If all these are normal then no need to worry about heart diseases. Some stress and anxiety also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Don't worry, you will be alright, but first rule out cardiac diseases. 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 doctor my name is sofia i am 43 years old i became unconcious 6 month before the doctor diagnose and said that i am syncopy patient i did my mri the report said Area of gliosis/encephalomalacia in posterior part of left parietal lobe, most likely due to old infarct. please tell me what is the treatment and medicine is it dangerous ### REPLY: Hello. I have been through your question and understand your concern. It seems you had an old infarct which somehow reorganized into an epileptogenic focus which produces seizures. It is a common eventuality after stroke. Generally this is a benign situation. You just need to prevent further seizures with the appropriate anti-epileptic . Hope this helps. Please feel free for further 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: Hi I am a 51 yr old female veteran of US army no medications whatsoever Two days ago and ever since I have felt numbness in my right thumb back of hand I feel weakness when holding a heavy plate or mug of coffee I am a smoker about ten per day Kindly offer topics of research. Many thanks ### REPLY: Numbness in thumb is usually due to the decrease of blood supply in this area. There are many reasons for this like carpal tunnel syn .  Due to smoking also your nerves get weak and this problem occurs. So in such I would recommend you to consult some euro physio who can diagnose it and can give you the exact reason for numbness.  In the meantime to get relief from this let me recommend you some home treatment:1. Take warm water in a small tub or bucket. Place your hand in it for 5 - 10 minutes and then using other thumb massage your affected area. As it will increase the blood flow of the numb area and give your relief.2. After taking above hot fermentation perform some exercises like: Elevate your hand and then make a fist and open it, use spongy (Emily) ball press it tightly as much as you can and then release, you can also do finger counting exercise with thumb, and tie a rubber band over thumb and then stretch it by doing flexion, abduction movements.3. Once done with the exercise relax yourself by keeping your hand in elevation position for 10-15 minutes. Please take some precautions:1. Avoid  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi! my sister is 20 years old.she was totally healthy but suddenly she started having  fits from last week after MRI it is detected that it is due to swelling in brain because of cabbage worm.we are all worried. if there is any permanent solution?plz help ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q : swelling in brain because of cabbage worm. We are all worried. If there is any permanent solution?please help : There is a permanent solution. We need to first treat the edema and fits with anti edema measures and anti epilepticsThen we need to give  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Gud day! My husband had his cxr last wk,and advised for ALV.. the diagnosis was fibrotic strands found in his repeat x-ray,and was advised to see a pulmonologist...Is this a something to worry about? 2 months ago,he had undergone lap chole,is this somewhat related? He s a non-smoker and a healthy living individual....Pls advise... Worried wife ### REPLY: Respected user, hi I evaluated your query thoroughly.* Fibrotic strand signify any type of insult to the lung tissue through any means.* Vital information needed here that was X-ray chest carried out as a part of pre-operative work up for cholecystectomy and was there fibrotic strands in that ? Kindly provide these details to correlate in a sound pattern. Hope this helps you to some extent. Feel free to ask any further health related questions. Thanks for using  . Regards dear take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have missed my period by over a week now and i am always on time , i have sore breasts and have been feeling quiet sick lately i have been having lower cramps and my sides have been a bit sore aswell i have been urinating alot more , i have taken 2 pregnancy tests and they botChatDoctore back negative could i still be pregnant or what could be the problem? ### REPLY: Hello, and I hope I can help you today. Pregnancy symptoms can vary widely between women, and all the symptoms you describe-nausea, bloating, breast tenderness and feeling weak can also be caused by the hormone imbalance that caused you to miss your period. But you can trust the pregnancy test to be reliable if you took it at least 14 days from possible conception. A delayed cycle can occur from sudden weight loss or gain, traveling or a change in schedule, or even stress. Worrying about pregnancy can even make you stressed enough to miss a period. All your symptoms will resolve once you do get your menstrual cycle again. I suggest you wait until your next period would be due and if you do not get one then I suggest consulting with a GUN doctor to investigate your irregular cycles. But I can reassure you that if your pregnancy test is negative, whatever symptoms you have been not caused by pregnancy. I hope I was able to answer your question today and that this information was reassuring. 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: how many days does it take to totally cure jaundice? My daughter who is 14 years old now was given ayurvedic medicine 1 week back and was said that she was suffering from jaundice just by symptoms. But after she took medicine for some 4-5 days we took her for testing blood.The reports showed that her bilirubin levels are totally normal. Even the alopathy doctor said that she is normal. So Im confused that she has to continue diet or not. Is it possible to be cured from jaundice in just 4-5 days or what? ### REPLY: Hi thanks for asking question. The cure depend on cause of jaundiceYour child might have hepatitis A or E. If care taken and there is mild degree hepatitis then within week cure can occur. So just now for few days continue with low fat diet and fruits more with precaution you are taking. After week, she can resume full diet. The jaundice can be because of mild hemolysis as in thalassemia or sickle cell then bilirubin can be normal within few days. Take care. I 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 i m 26 yr old lady married since more than 2 nd a half yrs,,,,still not able 2 conceive i m having PCOD,doctor has put me on fertyl 1st time with 50 mg then 2nd time wid 100 mg then 3rd time wid 150 mg....no result wid d ovulation study now she has put me on fertyl super 200 mg,i just want 2know whether is this helpful or not or im just wasting my time & money....help me im gaining weight also ,,,,dont kno wat 2 do?? ### REPLY: Hello dear, I understand your concern. In my opinion the POD is one of the causes for infertility. Absence of ovulation is seen in POD which is the cause for infertility. So ovulation induction . They are started with low dose and if no response the dose is increased which is also done in your case.ie., they started with 50 mg and gradually increased to 200 mg. So you are on correct line of treatment.POD is one of the treatable cause of infertility. Intrauterine insemination (GUI) can be tried along with ovulation induction  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...Sir, I have 2cm tumor in myspinal cord it may be meningioma or less likly a metastatic focus it is on my left side,the location of this tumer is at the level of T5 vertabral body,it comp- ressingthe nurve,please sugesst madicin to desolve it without any comlications. Thanks. I am a 70 ys male person.my e-mail is YYYY@YYYY ### REPLY: Hello Will suggest first to get it diagnosed from your physician that its cancer or some noncancer condition like tuberculosis or osteoporosis. In case of suspicion of cancer Your physician may suggest CT scan or MRI Done to know whether there is any associated with soft tissue mass and compressing the nerves or not. He may tell you to undergo Biopsy, Blood investigations, x-rays, USG and tumor markers if there is suspicion of lung cancer, prostate cancer or multiple myeloma. Treatment of cancer or noncancer condition will depend on only once physician is able to confirm the diagnosis. So please visit your physician at earliest. Thank you. Get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 not been able to talk for 2 days and my nose has started to run just in the last couple of hours. I did not yell or do anything to cause me to lose my voice. I have made every effort to not try and speak. Is there a product that I can buy at the drug store that would be good for my throat and runny nose? ### REPLY: Hi, Thanks for posting in . From the description of symptoms, it appears that you have contacted with upper respiratory tract infection. You need to take the following medications to overcome the symptoms of sore throat and running nose. 1. Tablet. Azithromycin 500 mg once a day for 3 days.2. Tablet. Levocetrizine 10 mg once a day for 5 days.3. Syrup. Ambrosia two teaspoons thrice a day for 3 days. Kindly avoid cold items and do salt water gargling with warm water twice daily for 5 days. Your symptoms should subside in a day or two. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, Dr. I am 26 year old, i have a kidney infection for the past 1year i did scanning and x-ray thy said its pyelonephritis, but last week i did CT SCAN d result is both kidneys are normal in size and shape but a mild prominent extrarenal pelvis seen on the right. Pls Dr. What does it mean? It s curable with antibiotics does it affect d kidney?. I have abdominal, fever pain pls wht is d solution and also wht r d antibiotics? May god bless u. ### REPLY: Hi, Thanks for writing in. You might be having chronic pyelonephritis. Since this has been happening for the last one year therefore there is scarring in the kidneys' collection.  This scarring can cause a prominent collecting system which can be the reason for appearance on CT. Usually this can happen even after the infection is treated. Since you have an abdominal pain and fever, therefore it is essential to get urine culture is important. Sometimes, with fever a blood culture can also be helpful in the diagnosis of an infection causing organism in blood. Doing antibiotic sensitivity at the same time will give an indication on which antibiotics are to be taken for treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed 2 months ago with large l5s1 herniation with severe nerve root compression and significant DDD at that disc. Treated for 2 wks with acupuncture but a twist renewed the agony. Symptons were poor ankle reflexes unable to toe rise and painful sciatica .. Surgery was arranged for 4 days later however the feeling started to return and could do tow rise on morn of surgery so surgeon postponed ... This was 5 wks ago. I still have skin numbness at back of leg and last two toes and am very limited in what I can do. I take 100 mg anti inflamm a day stopped other meds 3 days ago. Can a large herniation heal by itself. I am usually a fit healthy perso. (yoga 2 a week cardio and weights 3 timesaver week) there has been improvements in mobility etc. anyway 36 female 126 lb 53 .. I should add that I didnt get the MRI for 2 wks and only had acupuncture and paracetamol for pain relief during that time the onslaught of sciatica was horrendous and fast but improved !! ### REPLY: 1. L5,S1 herniation is either due to Trauma or bad posture (postural dysfunction), please specify yours?2. Because DDD (degenerative disc disease) is there, probably weak inter-vertebral disc due to poor posture can be the cause (only proved otherwise), and L5,S1 is the commonest site for herniation.3. Compression of sciatic nerve has lead to Sciatica, L5 nerve impingement has lead to numbness and causes weakness in extending the big toe (foot . 4. Any bladder/bowel dysfunction?5. Have you consulted for Osteopathic/chiropractic manipulation?6. Symptomatic disc herniation rarely heal on their own, but before opting for surgery, please consult a physiotherapist (PT)for the same, but before that make sure you get an MRI done of the spine to rule out any STENOSIS, which could result in edema and MASSAGE given by PT will further aggravate the symptoms.7. If you are insured, check with the Insurance company about the same.8. If pain and symptoms continue, consider microdiscectomy or lumbar herniated disc surgery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Chaitra, my son is on 2.3yrs old and having loose stools since morning. Till now its been twice, also he had vomitting last night almost thrice when we tried giving him medicine for hid cough and cold. Please suggest me on some immediate remedies. ### REPLY: Your child could be suffering from acute gastroenteritis. Unless associated with bloody stools, the condition is self limiting and does not need to be treated with antibiotics. You need to give ORS (Oral Rely .  It comes in ready-made form or may be prepared by mixing a full sachet in the designated amount of water. Replenishment of the lost water and salts is the mainstay of treatment. Treatment is not supposed to bring down the frequency of passage of loose stools. The adequacy of the 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: I have 3 bump on my head. I have 1 which is of a pea size from quite a long time but doesnt hurt. I have got 2 more which are smaller in size but they too dont pain. I very rarely get itching in them but doesnt bother much. I consulted three doctors till date. One is the specialist who told this is just normal and not to worry about. The other was a physician who said it is just a normal thing. She hold them and tried to move back and forth to check if they are attached to the skull. She said that they are not connected to skull and free from skull. Thats a growth under the skin of the head and thus nothing to worry about. The only solution to it is to get it operated and removed. However, as per her, it is not required. Then, the third doctor is a homeopathic doctor who said that it is a calcium deposit and can be treated by homeopatChatDoctoredicines. I am actually little worried and want to know another opinion. My one lump has grown lil bit more but doesnt pain. Do you suggest me any kind of test to confirm the reason? ### REPLY: These may be just a sebaceous cyst which form due to blockage of the sebaceous glands present in the skin which leads to slow accumulation of sebum inside the glands and increase in its size gradually over months to years. It's better to get them excised because they are prone to infection. Once infected, you will have to get first the incision and .  So, it's better that you get rid of them before infection sets in. There is management of sebaceous cyst by medicines. Surgery and excision is the only way. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 23 year old female. I have been experience heart pain, light headedness, and shortness of breath at different times throughout the day and night. my heart starts racing and i find it hard to breath and I feel like I am going to faint. I have been to the doctor. They took chest x-ray and blood work and cannot find anything wrong. ### REPLY: Hello! Welcome on  ! Your symptoms could be related to a panic disorder. But, before coming into this conclusion, I would recommend performing some tests to investigate for other possible causes: - a cardiac rhythm Holder monitoring to investigate for possible cardiac arrhythmia- a cardiac ultrasound- a chest X-ray study and pulmonary function - blood electrolytes- thyroid hormone levels - complete blood count, sedimentation rate and PCR for inflammation. If all these tests result normal, you should consider anxiety as the main cause of your complaints. Hope you will find this answer helpful! 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 daughter is a Hodgkins Disease survivor--9 years since a successful transplant using her own cells.  She just delivered a baby 10 days ago, and baby has a lump in her left arm, exactly where my daughter had a tumorous cancer in her bones in her left arm and had surgery and radiation to remove the cancer.  Her baby has a lump in her arm exactly in the same spot that my daughter had her bone cancer in her left arm.  Is it possible that baby is having any cancer in her own left arm, since the lump is exactly where my daughters cancer was in her own arm? ### REPLY: Hi, Thanks for writing in. It is unlikely that your grand child is having a cancer at exactly the same area where your daughter once had a tumor. However, it is important to bring it to the notice of the pediatrician treating the baby and take a clinical opinion regarding the possibilities. Presently we have good imaging techniques and for a 10-day-old child, doing an ultrasound scan will help us know should there be any concern regarding a lump in the left arm. If there is a strong suspicion then doing an X-ray is also advised. It is more likely that the baby has some asymmetry of arms and this can be verified by clinical examination itself. Please do not 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 am 24 female I have a central disc herniation at l5 s1 level and I had an epidural shot 2 weeks back. There was no improvement In pain I was hospitalized after it for 4 days n was on traction n the pain is still there. doctors do not suggest surgery as I m too young both of my ankle jerks r absent n the tingling sensation is too much what shall I do ### REPLY: Hi heartlands for your question at  In general, disc herniation can be managed with a course of conservative care (non-surgical)over 6 to 12 weeks to start with prior to considering spine surgery. A process of trial and error is often necessary to find the right combination of treatments which might include rest, physical therapy, analgesics in oral and topical form, modality based physiotherapy like TENS, Micro wave diathermy etc. Medicines like Pregabalin(Lyrics) or Gabapentin or Erosion prescribed in appropriate doses can help in relieving tingling, You can meet your pain doctor and ask regarding the need and suitability of these medicines for your Earlier surgery will be indicated if there is progressive major weakness(that is weakness which increases markedly over 1 or 2 days) in the legs due to nerve root pinching. Rarely immediate surgical intervention may also be required in caudal equine syn .  Otherwise, a wait and watch approach is best. It is also important to note that central disc herniation associated with predominant back pain and insignificant leg pain will not respond well to epidurals, whereas one associated with significant leg symptoms and some back pain responds better. Also, if the onset of back pain and central disc herniation was associated with traumatic event, it will be prudent to do a CT scan of your spine, since it is seen that in younger individuals with traumatic central disc herniation minute fractures can be seen in bony end plates adjacent to the disc herniation. This will help understand your tingling sensations better(if traumatic)Hope this helps All the best Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 year old has  fever of 100.8 since last night. tylenol is helping, but then it spikes again. When the fever is spiking, she says she has a tummy/head ache. Early today she started saying her teeth hurt and I could feel a couple moalers comming in. Should I be concered or is it just the teeth? Ohh n she has had a slight runny nose. ### REPLY: Hi. Thanks for the query. Teething is the phase of development in which the teeth erupt in mouth and during that period the child can have the symptoms of mild discomfort inside the mouth with soreness of gums, swollen gums along with mild rise in temperature. But in case if she has a runny nose and fever then it can be most probably due to Viral infection leading to fever. Pain in gums can however be due to teething when there is breaking of tooth from the gums leading to inflammation of gums causing pain.-So my suggestion is to continue giving Tylenol to relieve pain and along with it, you can also start doing steam inhalation and use a humidifier in your room.-You should also feed her with plenty of fluids and give her soft and bland diet.-Give her appropriate rest. 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 age 5 years, after recovery 6 days viral fever  he still fell so week what shoul i do?one more thing after 5 days sufferin fever (temperature 101/102 degree) he become well and after 2 days gap he fell fever and its long 1 day.is that normal?Please let me know ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ihave a small bump on one side of my anus and its not sore but when i move my muscles it gets sore, it is white , im 14 years old and i was out playing basketball when i got back home i got a shower and the next morning i could feel it i dont want to tell my parents, what should i do? thanks ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you are mostly having either infected boil or infected sebaceous cyst. Anal area is full of hair, and it is having a lot of moisture through sweating and all. So possibility of skin infection is high if proper hygiene is not followed. So better to consult doctor and get done clinical examination of swelling. Since it is whitish, possibility of pus is more. So you may need aspiration of pus and antibiotic treatment with surgical .  For all these, better to consult doctor. Also avoid too much moisture and keep proper hygiene of anal region. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 believe I have been bitten by a spider at the elbow about two weeks ago. I never noticed actual bite marks but the elbow got really sore and feverish. it swelled up some and I applied ice. Over the first week it became red from the elbow to about 2 inches above and below the elbow area. During the second week all the redness and pain have gone away but there seems to be a hard lump at he elbow about 2 inches in diameter. Should I be concerned about this lump or will it subside like the rest of the symptoms but over a longer period of time? ### REPLY: Hi ! Good morning. I am  answering your query. I would advise you to take appointment with a general surgeon and get it clinically assessed. This could be an organized hematoma, which is left untreated might get infected secondarily because of the history of inflammation around the region. In that case, proper broad spectrum antibiotics have to be started with an option for a . I hope this would help you in discussing with your doctor on the management. Thanks and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im janice 28 yrs old after birth i have a problem with BP and im having treatment with it..im taking deralin for 5 months... last month i checked my BP i noticed that im having a pulse rate more than 100 and today 121 ..what this clould possibly mean?what must i do? ### REPLY: Hello, Your heart rate is quite high, considering the fact that you are taking Berlin. Coming to this point, I would recommend performing some tests to investigate the possible causes: - a resting ECG-complete blood count-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance.  High blood pressure is abnormal for your age too. For this reason, it is also checking some other blood lab tests in order to investigate for secondary causes of high blood pressure values.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: iam 33.5yrs old, female from india.. my skin was very oily in teenage and twenties but now sometimes i feel too dry. recently i got some kind if itching on my face and also discoloration and patchy skin on the forehead . also there is pigmentation on the sides of my nose and around lips and chin and lots of whiteheads and blackheads too. i saw a doctor and he prescribed sun ban for day time and carofit ultra for night. how long can i continue using these. because i feel better now.. can i use the sun ban lotion always . should i be using any other moisturizers,, if yes which is the best sunscreen plus moisturizer for my skin which is quiet sensitive now a days?? ### REPLY: Hi.dear Imran..., Thanks for choosing ., Dont change creams frequently..., It will reflect and spoil Your skin., SUNSCREEN LOTION SPF 50 can use life long., It will protect Your skin and prevent damage from UV light., Every day morning U can use this..., Night times use .good moisturizing cream..., that is...BETRAYED., OSIsoft or LOVER., It won't give any problem for long usage., it will give soft, supplying and good texture of skin., ok...than ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 10 and I believe is going thru a major growth spurt.  She has come down with something (virus, fatigue, etc.) almost every two weeks this entire school year.  Are immunities down during these high growing periods or do you think I should have some labs done to make sure everything is allright? ### REPLY: Growth spurts require increased calorie, protein and nutrients intake. However, unless the nutritional deficiency is severe immunity is not affected. Probably your daughter is repeatedly getting exposed to infections or getting exposed to some allergens resulting in cough, fever, runny nose etc. or probably some infection like chronic sinusitis resulting in fever. Consult your doctor and get detailed clinical examination done. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im in need for advice from a urologist. I have been in severe pain in my right testicle and groin. I have also had swelling. Swelling has also occurred on the back of the tip of my penis with a red dot near it. With many other symptoms. I have been to an er twice. They say I have a hernia and also might have a severe case of epidimitus. However they are not positive on that. The AJ. Has become so severe that I cannot function in normal activities. I spoke to a urologist who claimed that this is all due from depression... What do I do? I know this is not from depression. Please help me. ### REPLY: HelloThanks for query Based on the symptoms that you have pain in testicle and groin could be either due infection if Testicle (Orchids) or Inguinal Hernia and needs to be confirmed by clinical examination by a qualified General Surgeon or Urologist and following basic test 1) Urine routine and culture .2) Ultrasound Scanning of abdomen and pelvis .3) Ultrasound canning of Scrotum.In the meanwhile take broad spectrum antibiotics like Definite along with anti-inflammatory .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 yr old son has pitichia on his cheeks.  The only medical problems I am aware of are his seasonal allergies and mild asthma.  Could the pitichia be caused from rubbing his eyes?  He is in the 95th percentile for ht.  And the 90th for wt.  His wt. has never been a concern of our pediatrician.  He has a muscular build. ### REPLY: HI, thanks for using  Petechial is caused by bleeding under the skin. The most common cause is trauma to the area. Other causes are allergies, infections, bruising, autoimmune disorder. If he was vigorously rubbing the area, it is possible that this would cause the petechial. You can consider monitoring for now, if it does not resolve then he may need to go to his doctor for assessment. 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 am faced with either a needle biopsy of my lung, I have a nodule actually several, or surgery to extract the nodule and find out what this is. Two doctors have said this doesn t look like cancer but they can t say for sure. There are other nodules on my spine and lymph nodes. I can t make up my mind which to do. Does surgery make cancer spread or if air getting to cancer is just an old wives tale? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You should go for needle biopsy of nodule. It will give you exact idea whether it is cancer or other lesion.  Then you should take treatment accordingly.  No need of surgery right now. 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 following a MRI scan of my brain the report states I have a few small hyperintense foci seen in centra semiovale and in the pons likely to represent chronic ischaemic foci secondary to microangiopathy also some disc problems in my neck from C2 to C7. I am due to fly to Spain on 19th sept, Is it ok to fly? ### REPLY: Hello I have gone through your question and understand your concern. The changes seen in the MRI are probably due to microangiopathy, while the change in the pons need more careful evaluations, including other MRI considerations, which probably your doctor did and assure you these are due to microangiopathy. Which may be caused by hypertension, which should not be considered totally benign. The changes in cervical disc may be normal to your age. It is not clear what kind of changes they are. Having said that I think there is no contraindication with flight. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small swelling above a front tooth and it feels tight when I move my lip.  This tooth was knocked out when I was 10 and has been a crown ever since. I did have full mouth Xrays last week and my dentist said  there was nothing wrong  I do have a pain syndrome, could it be coming from this?  Thank you ### REPLY: Hi... Welcome to  . I have gone through your query and can understand your concerns... As per your complaint a swelling over the gum of the tooth that has a crown over it seems to be most probably due to re-infection in the crowned tooth and in case of the tooth is root canal treated before crown placement then it is a treatment failure. If it is not root canal treated the tooth may need root canal treatment. If the tooth is not infected then the bump can be due to gum infection leading to formation of gum boil or a gum abscess. There is a possibility that diagnosis is missed in x Ray so a repetition of x Ray can help. If there is tooth infection Root canal treatment or a re treatment if tooth is already treated needs to be done after removing the crown followed by antibiotics and painkillers will relieve. In case of gum infection Scaling following by antibiotics and topical application of gum paint will relieve. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sister was diagonised ovarian cyst she had the operation and had 1c stage of ovarian cancer. she had chemotraphy of six cycle which ended in march 2010. on 28 march 2011 she was diagoised of liver the doctor said to have chemo again what is the possibility that after this she will live a healthy life. do in 1c stage other cancer happeded ### REPLY: Hi, Thanks for writing in. Every cancer is different and the spread of cancer after treatment depends on man factors including the organ involved, tumor size and grade at the time of detection and the response to treatment. In case of ovary cancer, it can spread to peritoneum, abdominal lymph nodes and liver in many agents. However, the time for spread might differ in each patient and this does not bear a linear relationship loather the tumor or the treatment. This is the reason all patients are suggested close surveillance to check for any cancer recurrence or spread in the earliest stage. As there is sign of cancer spread to liver, it is important to re stage the cancer and provide aggressive treatment. This will help control the liver spread and stabilize the condition. Please do not worry. ### END