Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mom is in stage 4 esophagas cancer . she has a big mass behind her panceras and a tumor in her esophogas, and a trace in her lymphoid. how much time does she have? they are going to do chemo to try to shrink the tumor in her esophogas so she can eat.. ### REPLY: Hi, Thanks for writing in. Sorry to know about stage 4 cancer esophagus in your mother. Unfortunately the tumor has grown to a large size and the mass behind the pancreas is a lymph node. Chemotherapy and radiation therapy are the treatments recommended. Surgery is not possible in stage 4 cancer. If the tumor has grown in to the lumen of esophagus then putting a bare metallic stent might open up the lumen, but this is only a temporary solution. Chemotherapy and radiation therapy are used in many patients to reduce the size of tumor. The life expectancy of stage 4 cancer is about 2 years from the date of detection and with proper response to treatment and good supportive care most patients can survive. 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 have a weird red line that moves up and down my spine for some time now. When I initially went to the doctor he prescribed me some medicine for irritation, but that did not seem to work out. Since then I have not had time to book another appointment with the doctor. Any ideas? As a side note, though it may have no relation, I do not have the greatest posture and I am 53 years old. Thank you for your help! ### REPLY: Hithanks for your query on ChatDoctorSee this Ward red line that moves up and down your spine for some time may be due to multiple sclerosis. For that I think you should have an MRI of the spine to detect multiple sclerotic changes or some other degenerative changes. MRI should be done for the evaluation of your problem. It must. Alongside you should consult a neurosurgeon to get yourself locally examined. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom has a swallen gums and white stuff covering her (like a white cheese) gum. the dentists took out five of her lower front teeth prior to the illness. I also would like to mention as well that she starts to complain from her upper side of her mouth, ears, throat . could it be kind of cancer or ....?? I would really appreciate it if you can address my concern. I am looking forward to hearing from you..... ### REPLY: The swelling would be a healing reaction to the removal of teeth. If Antibiotic coverage is not being given this is quite possible. If the extractions are done in heavy infection and trauma it might lead to carcinoma. It is best you rule out infection first by using antibiotics. This could also be .  Also understand that these reactions are mostly seen in medically compromised individuals with Diabetes etc. Kindly Check it up ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m 18 and pregnant. i have always have slight heart cramps for the past couple years. my mother has a heart murmur and other heart problems, including a recent heart attack. well, a couple days ago i felt like my heart cramped up really bad and i couldn t breathe. i went to the er and when they took my vitals, my blood pressure was really high, which has never been a problem. well, i waited for a long time and finally left because the doctors were taking HOURS, so i never got any answers. so does anyone know what s going on? ### REPLY: HI, I understand your concern.  Blood pressure tends to raise in pregnancy when . There is high blood pressure history in family, high blood pressure patients, urinary infections, sever physical/ psychological stress.  In your case. There is family history, you are predisposed to such symptoms specially in pregnancy. It may recede back to normal after delivery/ continues to be high.  But this is not a point to be concerned, on the other hand psychological stress increases the chances of having raised blood pressure. The wise way is to be in touch with your gynecologist regularly/ get investigated & examined regularly & take medicines prescribed regularly.  An ideal lifestyle with healthy nourishing diet, restricted salts/ regular walking exercise & yoga exercises with Panama (respiratory exercises) & meditation help a lot.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am 36 yrs old, Since 1 and half month i hv had recurring episode of infection, symptoms were severe nodryness and due to which i had redness and itching which progressed to white cheese discharge,my gynaec gv me AFc kit for 1 month for once a week for four weeks, but it recurred on the last week , again visited twice with prescribed for canditral once a day for 6 months second day of period and lubic gel for dryness, but i am still getting severe dryness and does not seem to subside , which is affecting me, though after the initial treatment i dont hv any cheese curdled discharge now.pls help ### REPLY: Hello, The management of recurrent vaginal infection is consisting of multiple levels. Take care of local parts with gentian violet site bath, aloe vera gel application, and avoid vaginal sex. The systemic approach includes culture sensitive antibiotics, anti-histamine as per the requirements, a balanced, nutritious diet to boost up the immunity, and maintenance of HY . Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had injections in my low back to reduce nerve swelling. My disc between S1 and L4 collapsed a few years ago and L4 L5 were fused. I have had severe pain the last several years and the injections have helped. This time I am experiencing pain strait across at kidney level. Can the injections effect my kidneys? ### REPLY: Hi. Thank you for writing to . I have gone through your query and understand the anguish you must be facing. I think that you have had a reaction to the medication that you have taken. The medication might contain a NSAID and these are known to affect kidney function. If your kidneys were already damaged or not functioning at optimum level, then there is a chance of damage. I recommend that you see a Doctor and get a kidney function test. .  This is an emergency, and you will need to be treated quickly. Hope this helps you. Feel free to follow up. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hellow and thanks for your help! I m currently undergoing treatment at sponaugle wellness center for Lyme and its many complexes! I feel like after starting my 6th week what am I getting for 3,000 dollars that is the weekly bill and everything out side I ve drip bags of 2 or 3 ingredients kinda unknown and a needle put in my arm, one visit with a nurse practitioner who won t tell me things as simple as hormon levels I went and paid 500 dollars for labs every week??? This place is so slammed with patients the fire Marshall would shut him down due to the size of the building.??? What s your thoughts on this guy? Where is better help that treats you like a patient? I had to fire my first nurse practitioner due to him telling me LET ME FINISH and tring to talk down to me when I have valid question on my condition! Hope this made since due to my mental state it s hard to add 2+2.............just for now I d like to stay anonymous ### REPLY: Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that Lyme disease can be treated at home by taking doxycycline 100 mg for two times a day for 14 days. You can periodically check for your symptoms. If you find anything wrong immediately contact the concerned physician. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 in 8 months pregnant . she started urinating frequently, so the docotor asked her to get a urine and sugar test done. her reports for sugar - post prandial (after lunch) - 153 , fasting - 84 . HbA1C by HPLC method 5.9..estimated average glucose 123 mg.dl .. i would kindly like to know what this means. as her PP levels are a little higher than the normal level, she has been asked to do the test again. is this temporary diabetes? she is also worried if the baby might get diabetes. what effect would this have on the baby .awaiting reply. thanks ### REPLY: Hello. Welcome. Significant insulin resistance of pregnancy develops only in third trimester, gestational diabetes sets only in this period. Your sister is having impaired glucose tolerance test(IT). Usually blood glucose is normalized after delivery. Do an oral glucose tolerance test after 6 weeks of delivery. Women having gestational diabetes are at higher risk to develop type 2 DM during later part of life. No problem to your baby at the moment. 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: Im hurting real  bad on my left side under my ribs and I take pain pills every 2 hrs. for no pain. I went to the hos. and they gave me meds. and I just puked all the time, so I stoped it. what is wrong with me, I m hurting so bad I cant move unless I take pain pills, they told me there was a red mark on my side inside and a little spot on my liver. please help me, should I go  back to emergency??? ### REPLY: Hello and welcome to , The pain experienced on under side of the ribs can be muscular or pleural in origin. You need to get an X-ray to rule out any lung disease or bone abnormality. Is there any history of trauma to the chest? Spleen is also placed on left side of the rib cage. Any abnormality of the spleen can also cause pain in this region. Besides spleen, pleura, sometimes gastritis can also cause pain in this area. Gastritis is associated with other symptoms like regurgitation, water brash, fullness etc. All these possibilities need to be ruled out to find out the cause of these symptoms. Consult your physician for clinical examination and relevant investigations for 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: Why do mastrbution make me lose my temper quickly and become more angry and vilont and somtimes also makes my hand shake although I never heard of it as a side effect of mastrbution or is it somthing else I don"t know just please help me figure this out ### REPLY: Hello and. As a Urologist, I must advise you, masturbation isn't cause for your anger. Temperament of person or moods, is according to the individuals' character. To avoid anger, psychologists advise, that in such situations, count from one to ten, and gradually, you find that, the anger passes away or reduces. Exercise and regular timely meals are also of great help, for the same. Healthy balanced meals, with green leafy vegetables and fresh fruits is helpful. If you find time for yoga, music,or meditation, they're very helpful. If you want to contact me again, send a direct question to me. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I can not stop coughing.  For the past five years I have always had a cough.  Lately, I have been coughing more often and it is only getting worse. I have been to the mds office and even though I am prescribed medicine it is not working.my body aches from coughing so much.  I cough up clear phlem and sometimes it is stained with blood. ### REPLY: Hello, welcome to  ideally cough should subside with the medication but if it is not subsiding, some investigations need to be done which are-chest x Reinhardt lungsbronchoscopy(to look for foreign body)also sputum smear for tuberculosis you need to undergo an antibiotic course if you have not taken. Further management will be planned after findings in the investigations. Hope this helps 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: Age 66, over weight,asthmatic since 1976,gall bladder removed, hernia operated on twice,since 4 months have developed diabetes type 2,was detected in August as FBS 312/PP 448. Now. Under control with little medicine- glycomet and walking.Recently detected micro albumin aria -307.  Please advice ### REPLY: Hello, Your microalbuminuria And diabetes are is related to your gall bladder rem!oval. Microalbuminuria is due the effect of diabetes on your kidneys. You will need either an ACE inhibitor, or ARB(like telmesartal losartan or losartan) to help prevent progression of micro luminaria. You will also need to keep your blood glucose levels under control. Please consult your doctor for a prescription. Hope this helped get back in case you have further queriesRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good morning. I took postinor 2 tablets less than 24 hours after sex but the second tablet I took after 16 hours that is I took the first tablet at 12.44am d second was to be no longer dan 16 hours but I slept n woke up at 5.19am dats wen I took the second pill. Will this prevent the drug from working properly. Thank you. ### REPLY: Hellos the Posting 2 tablet to be taken first tablet within 72 hours followed by second tablet 12 hours after. As you have taken first tablet at right time but second tablet little latter. Still it will work, and it will prevent the pregnancy but not 100%Every pill has not 100% effective, these are just preventive measures. But if it is combined used with the barrier contraceptive (like condom) are more effectiveoktake 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: what does it mean if I have a result of 131 in my Hemoglobin test, 0.39 on my Hematocrit test, 15.4 white blood cell result, 342 platelet count, 0.76 Neutrophil, 0.19 Lymophocyte and 0.05 Monocyte. And in my Urinalysis I received these results Color: yellow, Transparency: turbid, Specific Gravity 1.013, pH:6.0, Glucose: negative, and Protein (+1). I am 27 years old Female. And these results are a requirement for my work. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  Your hemoglobin is 13.1 gm. It is normal. Same way your Total WBC count is slightly higher. Your differential count shows slight increase in neutrophil.  Your platelet count is normal.  Your urinalysis report is normal.  Overall if you don't have any symptoms then no need to worry. Your results are acceptable. 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: hallow doctor,how ar u?i have a problem with my health,when i sex then my penis get bruise.this start just two years now and i went to hospital but what they told me is prepare someone whom i sex with but that is my ususally business before having sex,but still the problem exist.what wrong with my penis skin is it so soft or what actually i fail to enjoy my sex.i had reach a time i run way of my wife when i discover tht she want me fuck her .help pls ### REPLY: Hello Thank you for trusting  Many causes for bruising of the penis some of them mentioned below. 1. Entrapment in clothing-appear as a simple cause and many of times neglected. 2. Thrombosed lymphatic vessel - Lymphatic vessels can be found all over the body - they are responsible for delivering lymphatic fluid. Masturbation, sex, and the use of erectile enhancement devices such as vacuum pumps can lead to bruising of this tissue.3. Trauma to the penis-Any type of trauma, or sudden injury, to the penis may cause bruising, which is characterized by discoloration of the skin, soreness, and in some cases, inflammation.4. Fractures- Unfortunately, the penis really can be fractured; this occurs when the erectile tissue in the penis is ruptured, usually during sexual activity where the partner is on top. 5. Injection of .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 swollen ankles, both feet, especially in the evening. What can be the reason? I spent a lot of time working on my computer. Recently I got a high blood pressure. I also drink 2 - 3 bottles of beer daily. To ad to it, I have a spinal stenosis and pain disturbs mi with walking. Any suggestions, Doctor? ### REPLY: Hello, The causes of pain below ribs are:1. Sprain2. Overuse3. Injury4. Blunt trauma5. Cardiac failure6. Renal failure7. Long standing8. Filariasis that, you can take tablet Las ix. Do x-ray chest, ECG, Color Doppler of legs, LFT, FT. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with physician. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having horrible cramping sharp pains in my abdomen . I can t even stand up straight . I ve had this pain for two days now . Monday I came home and ate a bunch of junk food . Right after that I took a nap . When I woke up the pain started and has been nonstop . What does this mean ? Is it serious? ### REPLY: This is serious. The starting and character of the pain is suggestive of Peritonitis. The probable causes are as follows::Primary peritonitisPerforation of the gastric ulcerPerforation of the small intestine because of Typhoid OT Tuberculosis. Perforated appendicitis. *If the patient is female-Torsion of the Ovarian Cyst, Rupture of the ovarian follicle, Tubal Pregnancy, TO Mass. You need ::X-ray of the abdomen in the standing position for gas under diaphragm UltrasonographyRoutine tests of blood, urine, sugar as per past history. You Need:Admission in the HospitalIntravenous fluids to replenish the third space loss, electrolyte balance, antibiotics and supportive treatment and consent for Surgery if required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feel like im a pathetic person becuase im a 15 year old male who isnt quite sure if i have hit ouberty yet. I have a small amount of pubic hair and quite a small penis, also should i be worried about my situation? Im very scard and also very sad about this, and very angry at myself becuase i feel like this is my fault. I almost forgot, my seimen is clear and i dont ejeculate every time i masterbate. If you can help,thank you. ### REPLY: Hi, Thank you for asking question on . All need not attain the puberty at the same age. There are certain biological variations. Puberty is known by breaking of voice, Axillary hair, Pubic hair, beards and mustaches (hair on the chin and upper lip) increase in the size of testes, elongation of penis, erections and discharges. Penis size is usually small and becomes big during erection. You need not worry you are only 15 years old, and you have got 3-4 years time to develop. Hope this answer will serve your purpose. Please feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear please tell me answer of one of my very sevior issue i had sex 10 days back and i had a bad cut on the down side of my penis and it is not getting filled and i am worried abut any serious issues it should not get pus in to it plaese give me solution ### REPLY: Hello, The rough sex or sex for the first time can cause a tear in the glans penis foreskin portion. You can apply the mild antiseptic solution over that wound.  I suggest you consult a general surgeon or urologist for detailed examination and get your .  Meanwhile, don't try any sexual attempt or masturbation for few days.  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: Age 22 years 9months height 173cm weight 60kgFtom last two months I have been suffering from erectile dysfunction.The test showed low level of testesterone level.I am  getting a treatment but very worried.I dnt know why I think there can be a physical issue which adds to my fears?please suggest me something ### REPLY: Hello Thank you for trusting  Nothing to worry how much is your testosterone level?? In general, the normal range in males is about 270 to 1070 NG/DL with an average level of 679 NG/DL. Anxiety playing major cause for your ED. Please practice yoga and meditation, regular exercise. Tab alprazolam 0.25 at night. Eat Green leafy vegetables Avoid smoking and alcohol. If symptoms not improved consult your doctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 19 years old i have a habit of masturbation which is about 3 times in two weeks but when there is a gap of more than 3 weeks when i dont do masturbation there is this craving whicChatDoctores resulting in masturbation about 5 times daily and i just dont have any control on it i fail to concentrate on studies and watch continous pornography could u please suggest me some medications so that i can get rid of this problem permanently ### REPLY: Hello, welcome to . Masturbation is not harmful for health and more than 80% man and woman masturbate in some point of the time. In present situation if you are not masturbating more than 4-5 times per week than there is no problem.  If you are masturbating more even than it is not harmful, but it is better to decrease the frequency of it. There is no need for medical treatment for it in your case. Wish you all the best.  . 99doctor.com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 little rash on the right side of my groin by the leg and scrotum area. i have something like this before and eventially it away with different treatments. i exercise at the gym a few times a week. i even changed to wearing boxer shorts at night. I take a shower every morning before work or the gym. I even have used desotine baby cream and powder. Morris R. ### REPLY: Thanks for contacting ChatDoctorI am sorry to hear that you are having a rash in your groin. This sounds very much like a fungal infection or something called jock itch. It is caused by a fungal growth in the groin where fungus likes t grow in warm dark and moist areas. In my practice I see this often and treat it with antifungal powders like Inaction or Tamil. To help prevent the rash be sure to shower and .  Wearing less restrictive clothing like boxers may also help reduce the infection and irritation. Hope this answers your question. Please contact us again with your medical questions or concerns ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir...my name is muhib khan...before 4month s ihave suffering by lower abdominal pain...diagonosis report are urinari trac inection mild..octor pescribe me imipramine 25mg+aceclofenac 100mg+omiprazol..i take those drug..and my lowe abdominal pain back again...also pain to my scoturm....then my doctor pescribe cipoloxacine 500mg daily 1+0+1=7days....but my lower abdominal pain r continue...better to talk about this i take imipramine 25 mg only 11 days...bcs o that its may be reaction and my whole body were rashing.icching...but when i take off this medicine before 25 days...but this reaction are stiil now..and i have too much pain of my lower abdomine...i take now hydroxizine...10mg...bcs its help to me few hours to verry bad pain relief...i m a student...And i have very poor...what can i do sir? what medicine i take now? ### REPLY: Hi ! Good evening. I am  answering your query. Discomfort in the testis could be due to ignored repeated trivial trauma, which causes inflammation causing pain/discomfort in the same. Testis being an intra-abdominal organ embryo-logically, brings the nerve supply to it from above, and so the pain in the testis is frequently radiated/felt as a discomfort in the abdomen/pelvis area.  In your case your urinary tract infection might have spread to the testes giving rise to such pain in the testes. If I were your doctor, after a thorough physical examination I would advise you for the following:1) Support your testes with properly fitting undergarments.2) Avoid standing for prolonged period, and avoid lifting heavy weight if you do.3) Advise you for a routine blood tests like a CBC, AEC, Bag, HIV test and a urine routine/microscopic examination followed by a culture and sensitivity report if need be and advise antibiotics as per the report.4) Avoid indulgence in any sexual activity if you are active sexually which would prevent further trivial trauma if any to the testes, apart from precipitating any kind of infection if present. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: your query here...hi doctor basically i am from punjab my sis is suffering from jaundice from last 8 years her normal bilurubin is 2.now a days the level reaches at 6 we are giving her treatment from last 10 days along with 25 bottles of glucose drips but still its increased by 1.kindly tell me the sollution we have done everything ### REPLY: Hi, How are you? My Name is .  I am a Liver specialist in Ludhiana, Punjab and I hope to answer your question today. I am sorry to hear that your sister is suffering from Jaundice. The treatment of jaundice will depend on what the cause of jaundice is. I understand that your sister is suffering from jaundice from the last 8 years which makes me think that it is a medical condition and not a surgical condition. But I do need a few more details regarding your sister before I can guide you further as there are different reasons including blood diseases which can lead to jaundice. Please contact me on XXXXX or on XXXXX for further clarifications. Hope this helped and looking forward to discussing this furthermore a great day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend and I have unprotected and protected sex during these times I have incountered BV Trich and Yeast infections at different times . I thought I was getting it from him but that is not the case because I even have a thick white discharge now and we used protection. I have no itching or redness. what is wrong with me? I Always go to the doctors, they give me medicine and next time I have sex something happens again. please help ### REPLY: Hi, Welcome to . Bacterial vaginosis is caused by gram negative bacteria like gardnerella and bactericides. It is also caused by trachomas which is a genital flagellate. Vaginosis presents with foul smelling discharge and itching, but usually there is no redness. It is sexually transmitted and hence both the partners have to be treated simultaneously. I suggest you and your boyfriend get a prescription for appropriate antibiotics and avoid unprotected sex. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have known for perhaps 5 years that I have gallstone(s). I think I have had some discomfort after a meal, right lower rib area.  Not too bad. What foods are better than others?  I think I know (stay away from fatty foods, butter,cream, etc.  Is avocado another bad fatty food for this condition?  Perhaps some shell fish, prawns??This discomfort is very new, would like to have more info. Thank you ### REPLY: HiT hank you for asking ChatDoctorFor Gall stone disease if you are asymptomatic you can take all kind of fishes. If you are symptomatic then you should take the less fatty fishes like Pollock, haddock, orange roughly. Shellfish is naturally low in fat, making it a good choice in your diet for gallstones. A 3-ounce portion of cooked lobster or shrimp contains less than 2 grams of total fat. It is better to avoid them fried or seasoned with butter or margarine. It is better to take steamed food. Yellow of egg and the cakes containing those should be avoided as they are good stimulants for gall bladder. Hope this may help you. Let me know if you have any further query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr. Keerthi, my neurologist has found only one lesion in my cerebellum , left side, 9.9 mm in size. He suggested it is possible that I have cysticercosis , but I wonder if these lesions can sometimes be confused with multiple sclerosis lesions. I have not traveled, nor have I eaten any undercooked pork. I am just confused and have so many neurological symptoms. ### REPLY: Hi, Thank you for posting your query. One thing we can be sure of is that you do not have multiple sclerosis (MS). In MS, as per the definition, one should have multiple lesions in various locations. Also, there are certain very specific areas affected in MS such as corpus callousum, per ventricular areas, etc. Regarding neurocysticercosis (NCC), it is possible with a lesion in cerebellum. I presume contrast MRI study was also done. If a scale is seen, then the diagnosis is certain, otherwise a presumptive diagnosis of NCC can be made. It is not necessary to eat pork or non veg food to get NCC. If the vegetarian food is contaminated with tapeworm eggs, then one can still get NCC. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have not had sex in almost 2 years but was having a problem which I thought was yeast infection. Nothing over the counter was working so I went to the doctor and was diagnosed with Trich. Can trich be dormant that long? Also, they gave me metronidazole 2 days ago. Today I noticed there is a discoloration around my rectum. Is this normal? ### REPLY: Hello, Welcome to , The history and symptoms suggests me that you are having a fungal infection, but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis. The fungus is the normal commensalism of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason this fungus will multiply and produces the symptoms. I would suggest you to follow1. Keep the area . 2. Topical antifungal cream should be applied.3. Tab Rifleman, 150 mg single dose will help to control the symptoms.4. For itching, you can take anti histamines. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 5yrs old daughter had recurrent fever for the past one week .previously she had viral cough and cold we gave her tminic plus cold cough gone but fever returned after 2-3 days with vomiting.Doctor diagnosed gastritis cefixime syp x 5days meftagessic ds x 2 days after the antibiotic course she is complaining pain in both legs and fever is still there of and on. today she developed some rashes just behind her both ears. kindly advise doctor wht went wrong and wht is happening to her ### REPLY: Hi... 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. Meftagesic DS contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Mediagenic DS. Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do.  Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a question about my asthma medicine. i was taking advair for a few years. it was working great till my insurance change and couldnt use advair anymore and switched me to dulera, which is not controlling my asthma. when i was using advair never had to use my rescue inhaler now that im on dulera i have to use my rescue inhaler more often. what should i do? ### REPLY: Hi, I appreciate your concern. Actually Ruler contains formoterol & mometasone and Adverse contains fluticasone & albuterol. Though both contain anti-asthma .  In case your symptoms were well controlled with Ruler, it is better you continue taking it. In case your insurance company does not provide you Ruler, then you can try increasing the frequency of usage of Adverse, which might help. You can also try taking  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MRI says I have complex tear of the medial of the posterior horn of the medial meniscus. Tricompartmental osteoarthritis with chondromalacia of the medial femoral condyle and patella. Small joint effusion and Bakers cyst. Mild lateral subluxation of the patella. Osteophytes are also seen in all three compartments. Do this mean I need a total knee replacement? ### REPLY: Hi, Thanks for writing in. I suppose you had a knee pain or injury and were referred for MRI scan of the knee. The report shows.1. A complex tear in the spongy ring of tissue known as meniscus which is present in the inner side of the knee. It is mentioned as complex tear.2. There are degenerative changes in the knee with inflammation of the underside of the knee cap (patella) and lower end of thigh-bone (femur) with softening of the cartilage. This can be considered an overuse injury.3. Small amount of fluid is there in knee joint (called effusion) with a benign cyst usually found at that location (Bakers cyst)4. There is also tiny bone out growths seen in all bones at knee joint do to aging and wear and tear changes. The decision of a total knee joint requires the images to be seen and the range of movements that you are able to perform without discomfort. If you have had a recent injury then your condition needs to be reviewed clinically after taking rest and application of ointments for few days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 married on Feb and we are trying for baby and we are not successful. we had tests with my wife to a lady doctor and everything is good for her including her ovary . I want to check my sperm count is low. How to check it. can you suggest a good hospital or can i do it on my own. I do masturbate before marriage. is there anyproblem in that. i masturbate atleast once a day!! will that be the problem for me? please advise. ### REPLY: Dear Concerned., thanks for writing to us. Your query points towards the low quantity of semen being ejaculated by you post masturbation and not the sperm count at all. Having had masturbation pre maritally and worried with a guilt that you are getting fewer sperm count now is no cause for a worry at all as you have undergone a normal phase of growing up. Pls consult any reputed Laboratory in your city and give sample of your semen for Sperm count. Your choice of Masturbation or have a sex with your partner is entirely left to your choice and your partners choice. Ejaculating more than once a day is also not a cause to worry at all. Cheer Up. 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: hi ... i ma 28 years old and married since last three years . i am married to my first cousin . we have started to plan a baby since last december , sometimes i feel it is difficult for me to conceive because its been 4 months and i hv not conceived . pls advise ### REPLY: Welcome to . I have gone through your question. You are trying since, 4 months, I would advise planning in fertile period and do intercourse on alternate days. Try this method for at least 6 months. Then if not succeed consult gynecologist for check up, for ovulation profile, histosalpingography HSG. And semen analysis for your husband. Hope I answered your question. Would be happy to help 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: My mom is 56 years old. From last 15 days she is having swelling on both the ankle. So she consulted a doctor for which she was adviced to test ESR. Yesterday ESR was being tested and the report shows 36mm. As it is a bit high. Now she is afraid what to do. Is there any medicine for this. ### REPLY: Hi, Swollen ankles and swollen feet are common and usually not cause for concern, particularly if you have been standing or walking a lot.  But feet and ankles that stay swollen or are accompanied by other symptoms could signal a serious health problem.  Well, if you don't recall injury then swelling of the ankles and feet is often an early symptom of venous insufficiency, a condition in which blood inadequately moves up the veins from the legs and feet up to the heart.  Normally, the veins keep blood flowing upward with one-way valves.  When these valves become damaged or weakened, the blood leaks back down the vessels and fluid is retained in the soft tissue of the lower legs, especially the ankles and feet.  Chronic venous insufficiency can lead to skin changes, skin ulcers, and infection.  You should treat this with elastic stockings, keeping the leg elevated and in severe cases you should see a vascular surgeon for further treatment. 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: Had one episode of a fib brought on by dvt in leg and pulmonary embolism. Stopped heart twice before it regained normal rhythm. Had extensive testing done by cardiologist, including stress test with persantine and thalium. Result: small leak in one of my valves, but nothing to worry about. On pradaxa since March and have been having chest pain under breast bone annoying but not unbearable, accompanied by a flutter feeling, not intense like the 205 bpm I had with a fib and also .. I have a cough too. BP has been normal (take med) and heart rate around 60. Should I seek cardiac evaluation again? ### REPLY: HelloThanks for posting at . I have gone through your history. Since you have been completely evaluated for the heart including a thallium and presenting scan, there is no need to seek a cardiac evaluation now. Since you had DVT with pulmonary embolism, it may be possible that some amount of lung tissue was affected by the embolism and infarcted. This may be the reason of cough and the chest pain. Another reason for cough can be lung congestion brought on due to atrial fibrillation. But you have mentioned that you had only one episode of AF so I suppose, you have reverted to sinus rhythm. In your case, I suspect there is a lung issue more than a heart involvement. I recommend a chest X-ray initially and if it shows any abnormalities, a HRCT chest to look for lung issues. Cardiac wise you need no evaluation except an ECG. Wishing you good healthRegards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 six year old son who has been having pain in his abdomen, usually at bed time so i thought it was just to get out of bed. Two days ago his stool had some streaks of bright red blood and it was floating, a pale gray color. His stool is usually pale gray to tan and occasionally floats. He hasn t wanted to eat much the last three or four weeks. I thought it was because his molars are coming in and i didn t want to push him. He weighs 43 pounds and has always been tiny, hes very active. Also possibly unrelated, for the last month he s been sleep walking and having terrible night terrors. Could the two be related...He has a dr appointment on sept 13 for a physical should i wait? any ideas. ### REPLY: Brief answer:Stomach infection or anal fissure or tags. Detailed answer:Hi, welcome to . Blood in stool could be due to stomach infection or anal fissure or tags. In case of stomach infection, there are loose stools, fever and pain abdomen while in anal fissure or tags, there is bright red blood with no other symptoms. In my opinion, a stool routine microscopy test should be done and examination by surgery specialist should be done. I hope this will help you. Wishing your child good health. Take care. Regards: .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been experiencing extreme fatigue, severe back pain in my spin the best way to describe is it feels like I have splitters.I have severe foot pain especially in the morning it hurts to walk.I have gained a lot of weight over the last few months mainly in my stomach. I break out in rashes only on my neck like hives.I do not sleep well Im up at least 2 or 3 times a night.These symptoms have been going on off and on over the last year. The pain in my feet  has become quite severe over the last month. ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there is pain in your back and leg. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc,  First went to see my surgeon for my wisdom teeth because I had an infection to the gum area and it as swelling and hurting.  The dentist/surgeon gave me amoxicillin for 2 week.   My surgery was schedule right after my medication ended.  My wisdom teeth were extraxted and I was prescibed again amoxicillin and porcacet.  After the 3rd day taken those medication, I felt my tongue numb and no taste.   I was old that can be a lingual nerve. However, I stopped taken Amoxicillin for 2 days and I was feeling to get better, less numb and getting a little more taste to food.   Today, I took the amoxicillin again, and my tongue feels more numb, and no taste, for tingling and burning cold hot feeling that was fading away.   You think that instead of having a lingual nerve damage because of the surgery, I can be allergic to the Amoxicillin and if so, would I be able to get my taste and normal tongue back??? ### REPLY: Hello, thank you for consulting with . I don't think that allergy of amoxicillin causes this kind of symptoms like numbness of the tongue, because before the surgery also you were taking it if it did not cause numbness at that time, then it should not happen this time. It is some complication of the surgery only. I think you should visit your dentist again for the problem. Because damage to lingual nerve can be diagnosed in X-ray. He will prescribe you the medications, and you will be fine. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im neerja... last month my dr suggest me to take folloiculur study and my egg got ruptured on 20th day then shee suggested me sustain vt 200 for 15 days but i got my periods on 1 of jan2013. again she advised me to take follicular study and on this cycle my egg got ruptured on 17th day and using susten vt 200 ..i want baby desparetely what is the probablity this time. ### REPLY: Hello, Thanks for the query. I can understand your anxiety of getting pregnant. Chances of conception after normal ovulation ranges between 22-25%. So do not panic. Pregnancy chances are as high as 85% in first year of marriage. Rule out other causes of infertility-tubal block, sperm analysis. Continue your medications with follicular study till you conceive. Maintain ideal body weight, BMI 18-24,take folic acid tablets. Wish you good luck., regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have done thyroid surgery. It was cancer. I treat and was feeling better. After that i did fibroid surgey. I also have taken many infetility treatment. Now I see sudden weight gain and lot of swelling on my feet. I feel vey week. Lot of pain in legs. Please suggest. ### REPLY: Thanks for your question on . I can understand your concern. Hypothyroidism is inevitable after thyroid surgery. So patient needs to take thyroid hormone life long. Hypothyroidism causes fluid accumulation in extravascular spaces. So patient shows edema of face, lower limbs, abdomen etc. And this cause weight gain. So possibility of hypothyroidism is more in your case. So first get done thyroid function test and start thyroid supplements. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have small, dense reddish bumps all over that itch , concentrated in folding areas. It started at the back of my neck and now it has spread to my back and arms (mostly on the underside). The neck bumps have now changed to a dry, scaly patch that itch a little less than the reddish bumps, as have some other areas which have started to die down . This has gone on for about 10 days. I was diagnosed with scabies about 5 months ago and my skin has been wreaking havoc since, I have been having some kind of a rash every 1.5 month. I am almost a hundred percent sure this is not a recurrent case of scabies as the itch is no where near its intensity when I had been diagnosed. ### REPLY: These are allergies and the allergy can occur due to any substance at any age at any time as immunity decrease sit can be due to medicines taken for other diseases like paracetamol ibuprofen paracetamol calcium iron multivitamins and diet supplements can be foods pollen clothes oils shampoo cooking oil application oil Lena dyes and other body application material scan get diagnosed yourself by correlating the things or by test still then you can take basting 10 mg OD or apply calamine mixed with salicylic acid on affected areas ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 50 yr old male 6ft3in 220lbs I have had P.A.Cs for about 13 years . They almost never stop and occasionally will go into atrial fibrillation for a few seconds then back to normal. Aything I can do other than not worry about it, as is what my DR. told me to do. ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. Premature atrial contraction or atrial fibrillation are related to rhythm issue. You don't mention if you have been on treatment during this time. As your doctor has told you, you should not worry, BUK if this happens for a long time and if you have catch episodes of atrial fibrillation than you definitely should treat them medical. This is mandatory. You can treat this extra beats or paroxysmal atrial fibrillation with anti-arythmic . Which one depends on the results of your holder rhythm monitoring, blood test analyze and cardiac echocardiography. All this decide the best treatment for you. You don't mention, your associated disease, but if you have paroxysmal atrial fibrillation it might be necessary also to do blood anticoagulation. This prevents thrombotic events from atrial fibrillation. Hope I was helpful. Best regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have osteo athritis in rt. knee, i m 70 yrs old female and recently I can t sit down for more than 45 minutes without getting up or my leg is stiff and takes a moment to use. I also feel my sitting down bones? Pelvic bones? and I have some bruising on left side where I roll to left on toilet seat to wipe myself.I have some arthritis in hand knuckles too. It s inherited. ### REPLY: Hello, I have studied your case. I hope you are taking regular treatment for knee arthritis. I would recommend you following.1. Avoid squatting and sitting cross leg.2. Hot water fomentation.3. Static qua . 4. Volini gel local application5. Tablet Etoricoxib one daily at nighttime.6.calcium and vitamin D 3 regularly.  I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 30 year old male. 6 2 and about 235lbs I have about three spots on my right side that feel tender like a bruise. I have had the tenderness for about two or three weeks now. I can also feel like a pea sized lump under each tender spot. Nothing visible. Any Ideas on what this may be? ### REPLY: Hi I am  and I will help you with your problem have gone through question. Need further information to reach a diagnosis-Duration of the swelling in days/weeks?- When it got painful?- Can a skin move over the swelling? If it is of shorter duration, it is most likely boil/folliculitis. If the swelling was present for some time, and now got painful it is most likely an infected sebaceous cyst. If such a patient walks into my clinic I prescribe tab Augmenting (amoxicillin and Slavonic acid) along with paracetamol 500 mg 8hourly. Incision 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: I have been going through severe anxiety for the last 4plus years. I am currently weaning off Benzos and seem more terrified than ever. I am under a psychiatrist s care (which does nothing for me) as well as phone sessions several times a week because of the agoraphobia I have developed in the last year when A-Fib was diagnosed. The terror I feel in my stomach is so overwhelming I cry hysterically everyday. Around 9pm, I feel wonderful as if I could conquer the world but yet every morning around 5am the terror starts and even the meds don t quiet me down. What can I do. I now have sweats and shaking accompanying the terror, it definitely has gotten worse. I am a 71yo woman and a former paramedic so I am well into medical diagnosis. Any suggestions? Thanks...... ### REPLY: Hello have been suffering from anxiety and also agoraphobia. You are currently weaning off benzodiazepines and the anxiety has increased. Then you have also been diagnosed with A-fibrillation. You are also feeling depressed in morning, having terrors, symptoms of sweating, shakiness etc. Most likely the anxiety has recurred, and you have some form of depression also. I would advise you to again consult your psychiatrist for expert opinion. Medicines like SSRI and SARI are very useful in such cases. Cognitive and Behavior therapy has also promising results. 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: sir,1 yr and 3 months male child having the frequent watery motions from yesterday night onwards.Early morning fever was noticed and given paracetamal and the fever was reduced.What type of treatment i should follow?kindly sugget me.Kidson ### REPLY: Hi, I had gone through your question and understand your concerns. You should be worried but not too much. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to have plenty of water and ORS 5-10 ml every 5 min for rely . You can discuss this with your treating Doctor. For the next 5-7 days, try to follow the following guidelines. Get his stool analysis and stool culture checked.1. Avoid high fiber diet, green leafy vegetables, fruits, tea. Give him rice water, boiled potato, rice soup, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 of 13 when the first time sperms get out of penis but that time i was not able to understand that what is this ?    But when I became of 16 and a week the sperms get out of my penis for a week . But now it is not able to stand erect ? Can this can destroy my married life ? ### REPLY: Involuntary coming out of semen at 13 or 16 is not abnormal. I do not know your age. Erection loss is total or partial. Yes if it is persistent, it may harm your married life. But why upset when Ayurveda has a treatment under kāvya. Pl inform if there is any history of trauma to penis. If no, no problem. Functional laxity can be corrected by Ayurveda. If you are interested to discuss more pl write direct premium question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Today, I had 4 softball games and in the first game in my first at bat the pitcher threw a pitch that happened to hit a little bit above my ankle. I m pretty sure it hit a nerve because my foot was numb as soon as it got hit and eventually got the pins and tacks feeling. I then played 3 games after that limping around in pain. Now I can barley sleep, I feel like crying, my ankle is bruised and swollen, the pain is radiating into my Lower calf and my whole foot, and my foot is still somewhat numb. I am wondering if I should get it checked or wait for a week or 2 and see if it heals itself... ### REPLY: Hi, Thanks for your query. From description, it seems to be soft tissue injury. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory . I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was sitting cross legged for a while and now My right shin hurts. The pain isn t constant and partially goes away when I sit upright or stand.. I didn t sit in that position for two long because I kept getting up and stretching. Could my muscles be sore, or could it be something else? ### REPLY: Hello, As most people have forgotten the habit to sit on a floor with crossed leg sitting there is reduced flexibility in the joints and due to which the muscles get strain. Also, the flexibility in the muscles is reduced and due to sitting in crossed leg position there is the disruption in the blood supply leading to pain.  I will advise doing simple stretching exercises for the lower limbs so when you do cross sit it should not lead to symptoms again. 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 used to see porn but nearly 4 or 5 days ago i was just jerking and steadily a pain in my lower abdomen started and began to spread throughout the lower abdomen and till my testicles and pain is much while i walk but it feels when i am lying or sitting,,, after taking long rest it slowly disappears... plz tell me how to deal with it i am a 19 year unmarried guy... plzzzz.... ### REPLY: Pain in Lower abdomen radiating to testicles after masturbation, could be most commonly due to muscle sprain while the activity. The pain should be dull aching, cramp like, vague, etc., that gets relived on resting. A common condition. Take rest by lying on the back with legs flexed at the hip, it will relax the abdominal musculature and therefore the pain. It should subside by three days without medicines, if not then show it to surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 36, I woke up in the middle of the night, coughing and gasping for air.  This has never happened to me before, shortness of breath, coughing up mucus, I took some cough medicine to see if that would help, but after half an hour, I feel like I cant lay down to sleep still because of the symptoms.  I feel like I still cant breathe no matter how much I cough.  I dont suffer from sleep apnea, and the cough is new. ### REPLY: Thanks for your question on . I can understand your concern. Midnight sudden onset breathlessness, coughing and expectoration are commonly seen with heart failure and other heart diseases. So we should definitely rule out heart diseases in your case. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had a Cardiac Risk Assessment 1 week ago today at the local hospital as part of a Cardiac Assessment Screening that was offered. I am a 57 year old caucasion male, I am 5 7 186 lbs. The assessment included an ECG. The results are as follows: Vent rate 64 BPM Sinus rhythm, PR interval 158ms Right bundle branch block, QRS duration 148 ms Abnormal ECG, QT/QTc 430/443 ms no previous ECGs available, P-R-T axes 44 -20 14. Up until the last 3 years I stayed fit by going to the gym and working out on the treadmill and using the weight machines for strength training. My goal this year is to get fit again by returning to the gym. I would appreciate some insight as to what these results mean. I plan on contacting a local physician to be evaluated, but am concerned about the results of the ECG. Sincerely, Kevin M. B ### REPLY: Hello Kevin, I have gone through your history. Right bundle branch is usually not a serious abnormality .it is possible you may be having long-standing RBBB without any significant heart disease. But when it is picked up for the first time we need to confirm that it is not due to any lesion of heart. If you have old ECG taken in past (by chance) and it too showed same finding then you may consider as benign condition. However it is advisable to get echocardiogram and stress test done. If they are normal you safely resume Gym. And live normal life. My 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: On my left side on my back I get a pain/tingling sensation" (burning even on the inside and heats my skin up on the outside).  It starts sometimes when I stand for over 5 minutes or when I inhale (I smoke) but starts at the bottom (directly above my buttox) then moves up my left side to my chest. Then I will sit down and it goes away slowly.  Lasts about 2 minutes.  One time it did happen in my sleep and I just have no idea what its coming from.  I have no health issues (that I know of). ### REPLY: Hi thank you for trusting ChatDoctorI read your query and understand your concerns I carefully read about your symptoms it seems that the pain isn't related to heart sufferingPain provoked by breathe often lead muscular disorder, called fibromyalgia There is no reason to worry too chloral NSAID will help to relief the pairwise you all the essay healthful free to contact for further questions or doubtsRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: m a studend and my room pArtner is suffering from a problem....................he is very confuse..............one day he was going to kill me...........after some time he was behaving normally.....................his all medical report are normal..................tell me wht should i do? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Your description does not tell the full story. What was the reason for your friend to try to kill you? Was it a simple anger and frustration issue? Was your friend behaving insanely without any apparent reason or the trigger was so small? Was your friend behaving like a maniac? You need to answer these question to reach to a correct diagnosis. For the time being, just one issue like this may not be that serious. But if these repeats do consult a psychologist. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im a 24 year old female and about a week ago I noticed a lump on the right side of my neck near my jaw bone it does not hurt just kinda bothersome my mom says it could be my thyroid because my hands and feet sweat alot and Im tired more than often lately?? Just not sure if its an emergency or if it can wait cuz I have no insurance? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node or thyroid enlargement. Lymph node enlargement can be due to reactive hyperplasia, tuberculosis or lymphoma. Thyroid swelling can be due to colloid goiter or other cause. You should go for ultrasound study of neck.  Then if needed to go for fine needle aspiration cytology of that lump.  It will give you exact diagnosis. Then you should take treatment accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Rose...My bottom left gums are swollen, but it does not hurt. I had a tempoaray filling put in about three weeks ago. It does not hurt, I would like to know why its happening and if I should seek immediate attention or wait it out until my dentist aplointment in monday? ### REPLY: Hello Welcome to , I have gone through your query, see you have undergone temporary filling in tooth, but now you have swollen gum this can be due to periodontal problem or periapical infection at your temporary restored tooth. There is nothing to worry, but you should consult your dentist and go for IOWA X-ray to evaluate swollen gum is due to periodontal problem or periapical infection. In meantime you can do Luke warm saline gargle two - three times a day. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently visited my doctor and was told that I have a hernia. My hernia is located above my penis in my pelvic area on the left side. Since receiving this hernia I have been having slight discomfort/slight pain in my left testicle that had not been there before. Is this a common thing or do I need to worry about something else? ### REPLY: Thanks for asking in  forum In short: If your hernia is reducing itself on lying down and your bowel movement is normal you need not worry. Explanation: As I told you, .  You need not worry if your hernia reduces itself(disappears itself) on lying down and if your bowel movement is normal.  If not please visit your doctor. Hope this will help you. Good luck. Get operated early. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Lately I have been waking up with that sleeping feeling in both of my knees. They are numb and start tingling once I move them and stretch. I have no history of knee problems, and currently do not have any pain or swelling. This only happens when I am sleeping on my back, I have tried to sleep with my legs elevated to see if that helps, but is does not seem to make a difference. Is this something I should be concerned about? Or is this just a minor inconvenience I have to deal with? ### REPLY: Hi, Thanks for your query. The symptoms that you are having are likely to be due to a nerve root compression. You need to get an MRI scan of the area done and consult a neurophysician for proper diagnosis and treatment.Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist. Hope this helps. Let me know if you have any more concern. Warm Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just developed a soft bump on the inside of my wrist that is the size of a pea.  It is below the fold where the wrist and hand join.  Can you give me an idea what it might be.  It doesnt hurt, but I do have severe arthritis in the hand and already have an appt. with a hand surgeon but not for a month. ### REPLY: Hi, Thanks for posting in . Soft lump at the wrist could be lipoma or ganglion. You need to get evaluated by a Surgeon for that. Lipoma can be removed by minor surgical procedure, to be done under aseptic conditions. Ganglion would best be aspirated as it arises out of joint. Surgical excision is recommended if the symptoms are not relieved by non-surgical methods. Hope the information provided would be useful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HiI returned home from turkey 10 july . I have been feeling ill with high temp, chills, sweating, back pain and nausea and have been to see my dr who diagnosed a viral infection. 10 days on i am no better high temp same symptoms. Should i be worried about thyphoid? My face has started flushing and i have an itcy spot on my chestThanks ### REPLY: Hello, Welcome to , As you are having fever and other constitutional symptoms for last 10 days and the symptoms still persists even after taking the medications. As the symptoms are not coming down, I would suggest you to undergo lab investigations to find out the cause for your sustained symptoms. Your blood and urine test will help us to identify the cause for your symptoms. After diagnosing the condition appropriate treatment can be given to control the symptoms. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter- in-law e- mailed me today to say that she is running a low- Temp. of 95.7( oral)   Has abdominal pain, cramping, and it feels like the onset of diarrhea. She is concerned about a possible kidney infection. She says that the only way she can get comfortable is to lay on her bed and pull her knees up to her chest. I have recomended that she go see her Dr. ,  Would you have any other ideas? ### REPLY: Hi, thanks for using  A kidney infection would present at least with urinary symptoms such as frequent urination, the urge to go the bathroom often, discomfort on urination, possible Balfour of urine or blood in the urine. Fever and abdominal pain can also occur, but there is always a history of urinary symptoms. If there are no such symptoms then it is unlikely that she is experiencing a urinary tract infection. She may be experiencing gastroenteritis if she states that the symptoms are cramping abdominal pain and the feeling as though diarrhea is about the start. The most important aspect of gastroenteritis is fluid management. She would need to replace any losses with fluid. It would be best to use an oral rely . She may want to avoid solid food for now and concentrate on fluid. Yogurt with probiotics would also be helpful. 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: My boyfriend was itchy between his balls and his inner thigh. It has now turned into a raw rash. Red and a few bumps on the thigh. I think it s fungal. What can I get for him to make it go away. He has had athletes foot before. He plays rugby as well and is a little hairy down there. ### REPLY: Hi dear, itchy between thigh and testicles and also rash is may be due to fungal infection as it is the most common site where sweating accumulates and leads to secondary infection.is there itching associated with it?and also you told that he is athlete, so he has more perspiration, so chances of infection are high. First maintain hygiene of the part and keep it clear. And apply any antifungal cream and if associated any systematic infection took oral medication also. Consult skin specialist for detail ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a fall about 6 months ago down some stairs and hit the front of my leg just above the ankle joint. The original lump from the fall is still there. It is solid and not filled with any liquid. Never had any pain apart from just after the fall until today where I could barely stand on the leg sporadically. Any ideas? ### REPLY: Hi, thank-you for providing the brief history of you. A thorough clinical examination is advised. As you have pain in the ankle and a lump as well I will advise you to undergo an x-ray or MRI of ankle to see possible soft tissue and bony injuries. Also, undergoing physical therapy like therapeutic ultrasound therapy should help reduce the lump as it is more looking like a muscular and skin tissue non flexibility. By ultrasound this should get mobilize and vanish. Also exercises for ankle is important to regain the stability and the mobility of the ankle joint. In my clinical practice such cases are referred to physical therapy and responds well. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! So I m 15 and I ve recently, just this week, gotten some cuts in my mouth, especially one, whitish cut on the bottom of my tongue. Any way I do smoke but its not every day and its only like a 1 a day. But I haven t smoked in like 2 weeks. I also drink some vokka here and there. I m so nervous it might be like oral cancer but I don t know. ### REPLY: Thanks for your query. I have gone through your query. If the cut on the tongue is because of the trauma, then it heals with in a week. Meanwhile you can use topical anesthetic like 2%lignocaine and topical analgesic like Colin salicylate. Nothing to be panic. It is not looking like cancerous lesion. Since you are giving history of habits like smoking and . Stop the habits gradually. I hope my answer will help you. Take care ### END