Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been watching my blood pressure.  Sometime its normal, sometime not.  My pulse also is doing that.  This reading is 137/84 and pulse is 45.  I was just wondering how lower your pulse can go and be okay?   Reading earlier was 139/76 and pulse 110.  One of my high ones was 133/94 and pulse 46.  I have been taking prednesone since yesterday in a tapering dose due to an unknown allergic reaction under my eyes/swelling.  But my blood pressure has been doing the high/normal stuff for some time. ### REPLY: Hello thanks for posting at .First I would want to get some information whether you are a known hypertension patient and if you are on any medications. Your heart rate is definitely low. I guess you must be on medications for blood pressure control which also lower the heart rate (beneficial effect). IF you are not on any BP medications, then you must get evaluated for why do you have such slow heart rate. See, there is no immediate risk, but there must be a cause for a heart rate less than 50 bpm. If you are an athlete or on BP medications then such a heart rate is acceptable. Your BP readings are under normal range, and they do not seem worrisome. Please do continue taking your medications. Wishing you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a healthy 44 year old female, 143 pounds and had blood work done due to extended bowel condition that lasted 3 weeks.  My AST/SGOT # was logged at 51 and my ALT/SGPT at 33.  Also had an abdomen ultrasound and liver was fine.  Should I be concerned about drinking 2 - 3 glasses of wine each night? ### REPLY: Hi thanks for asking question... Noted you have only elevated got with only borderline elevation... Here it need not much concern... You have to keep control in . Maximum safe unit according to few articles is max 3 to 4 unit per day with two alcohol-free day in week. Maximum safe limit is 20 gm per day.... Regular check up and follow up for liver enzymes done..... If any unusual sign and symptom appear you can contact  or consultant for further advise. 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 think i have pancreatic cancer , weight loss , low grade temp, digestive dr has about taken every test. Did a bacterial test. positive, Did inflamation blood test . positive, i had gallbladder out 5 month ago. low grade temp, always. i go in for a mrcp mri on 1st. I have lost 10 lbs this week due to I can not keep anything down. vomiting is most often in evenings. I know that I have one of my duct that was at 45% a yr ago. I am starting to have spasms, like I want to crawl inside out. lately I have had problems with jaw, almost cannot open mouth at times, swallowing is hard some times. Am i on the right tract? ### REPLY: Hello and welcome to , Your chief complaints are that of weight loss, low grade fever, difficult swallowing, and feeling of vomiting. These symptoms suggest a malignant process. The symptoms indicate a problem in the gastrointestinal tract however, they are not specific for pancreatic cancer. A upper gastrointestinal tract endoscopy is required to look for status of the esophagus and stomach. The MRCP is done to investigate the biliary tract and the pancreatic ducts. This investigation can be combined with upper GI-endoscopy. The management will be decided after the results of reports are obtained. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think I am having a severe reaction to alprazalam. My doctor prescribed 1mg 3x day in order to stop a cycle of severe anxiety along with costachondritis. His theory was that I try to sleep 19 hrs per day to break the cycle. It has only allowed me to sleep for a day and a half. Last night I took 1.5 mg and slept for 3 hours. I have lost control of my bowels with diarrhea, i am irrationally sad and very irritable. I have had the pills taken away from me due to thoughts of harming myself. What should I do? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. I am sorry to say, but I have never come across such a treatment protocol where a patient is slept through to cure anxiety. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. Especially serotonin, nor a .  Medicines are the best options to take care of these symptoms. Paroxetine is the most popular medicine and my  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 took a medical exam which included a chest xray and i noticed a small blur on the screen. The technician said if its something the doctor will let you know. Well now i have to redo the medical test for three consecutive days. Can you help ease my worries and tell me a reason why i would have to go for three consecutive days? ### REPLY: Thanks for your question on . I can understand your concern. Fussy spot on chest x-ray is commonly seen with 1. Lung infection like tuberculosis or pneumonia 2. Old fibrotic lesions 3. Lung cyst 4. Malignant nodule. To rule out tuberculosis and other lung infection, sputum sample is needed. And specifically for tuberculosis, sputum should be given for consecutive three days. This is standard protocol for the diagnosis of tuberculosis. So get done three sputum sample reports. Also consult pulmonologist for further evaluation of this spot. 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: Last year my mother had issue of csf rhinorrhea. So ENT doctor suggested for endoscopic surgery after which everything was fine for 6 months. After 6 months she had intermittent complain of CSF coming via nose. We checked with ENT team but as per there endoscopic report they didn t find any open hole. Last week she had problem of high fever and was unconscious. Later she was diagnose with meningitis which was cured after week of vaccination. Further doctor suggested for MRI scan (there was leak) in which we can see open hole. After which we consulted neuro surgeon they confirmed hole is still there and we need to open brain to fix it. So looking this to be big and complex surgery I consulted ENT team and they again did endoscopic (as I mentioned this CSF leak is intermittent, so during endoscopic check up there was no leak) and mentioned there is no leak. As per them this intermittent leak can be due to high CSF pressure and suggested for diamox 500 mg. So just wanted to check: 1) only having diamox can this heal. 2) is this possible that due to CSF pressure she is seeing intermittent leak. 3) should we go for suggestion provided by neuro team. Thanks. ### REPLY: Hi, I have read your case details. Before giving my opinion, I would like to know that Ct cisternogram has been done or not. If it is not done I would advise you to do it. I. tab diam ox can reduce CSF gonorrhea but can not heal it.2. No, she is having CSF gonorrhea due do bony defect at the base of skull not due to CSF pressure.3. You should go with advise of neurosurgeon. Plan should be ACF repair to stop it as she is having recurrent gonorrhea after failed endoscopic repair. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just tested my blood glucose level is 228, Ive never seen it this high, should I be concerned. I am not on medicines or insulin. Recently diagnosed w type 2 D, with a 6.5/140 testing. It has been controlled by diet.  I am vegetarian, no sugars or overlyprocessed grains, but vegetarians do eat more carbs -thougChatDoctorplex. I did overeat a bit, 2 hours ago, sprouted grain corn tortillas with lentils and plain yogurt, usually dont have the tortillas. Also its late, Ive less sleep from work on avg. More anxious. I usually experience fast falls in glucose 2 hours after eating, into the 70 and 80 range. ### REPLY: HI, thanks for using  Diabetes can progress, though the progression is normally slow. Persons can move from control with diet to needing more and more medications. The reading that you quoted is high. You should consider a 4 or 5 day profile where you note everything that you eat or . If the readings are persistently elevated, then you may need to start medication. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had all four of my impacted wisdom teeth surgically removed four days ago and I am still suffering from loss of appetite, weakness, nausea, and itching, most likely due to the Vicodin I was taking. How long before the symptoms wear off and what to do in the menage time? ### REPLY: Hello, Thanks for consulting , Read your query, as you have loss of appetite, lethargy, nausea, weakness this can be due to side effect of local anesthesia, nutritional deficiency, .  For this I will suggest you to take proper sleep of 8 to 12 hours, don't take stress, take proper nutritious healthy diet, take soft diet, you can also start with vitamin B12, folic acid supplements by consulting with your doctor.  If your weakness, nausea and itching continues for more than 24 hours you can report back to your doctor to evaluate for hemoglobin, malnutrition. Hope this will help you.  Wishing you good health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi there,, was keen to know can i go for plastic surgery for my face ift ,, rather say bright skin tone as well fair complexion upto two tone possible... is it possiple in india and wat about the side effects.. thankful if concerned.. ### REPLY: Hi....dear Thanks for choosing ..., Now I enumerate these things..., So get through., and discuss with Your family doctor...,1) A facelift .....involves tightening of the neck and jaw., as well as a lifting and repositioning of the cheek and temple region. This generally includes liposuction of the neck and Jane region, as well as tightening of the platysma muscle (responsible for loose bands in the neck)2) "deep plane" facelift, meaning the deep layer of tissue beneath the skin is lifted and tightening, providing an often .  Often, a full facelift will also involve a brow lift.  3) A "midface lift" ad ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 achilles tenodon surgery 1 week ago and started having heart palpitations yesterday. They are not constant but very frequent. Not a racing heart beat but skipped beats or extra beats is what I feel. I am not dizzy with this nor do I feel faint. I was able to sleep last night but each time I awoke, I did feel the fluttering. I have been taking Oxycodone for my pain, but yesterday I only took 5mg early in the morning and no more, and none today. My pain is basically gone. But for 3-4 days or so I took between 20mg-10mg Q 4-6 hours. I was wondering if the oxy could be the cause? ### REPLY: Thanks for your question on . I can understand your concern. No, oxycodone can not cause heart palpitations. So this is not a cause for your symptoms. Sometimes, few patients do get cardiac arrhythmia (rhythm disturbances in heart) after surgery. And this can cause palpitations. So we should first rule out arrhythmia in your case. So get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about arrhythmia. Stress and anxiety related to surgery can also cause similar symptoms. So consult psychiatrist and discuss all these. You may need anxiolytic .  Don't worry, you will be alright, first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: due to vitilgo problem doctor priscribed me tricort 40 mg my weight is 62 kg. hight 5.10 kindly suggest what is the function of tricort 40 mg injection . after taking inj my feet nurve stiff under the cold atmosfare. from dermatologiest i need answer ### REPLY: Hi, Vitiligo is an autoimmune disease that occurs due to antibodies produced by the own body against the melanin pigment. Destruction of color giving melanin causes white patches all over the body. Main treatment is immunosuppression. Steroids are useful in vitiligo. In your case, instead of steroid injection, topical application can be done to reduce side effects. Phototherapy can also be added. Hope that was helpful. Let me know if I can assist you further. 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 these parallel lines that go up my wrist that come and go. When they are present I experience severe whole body pain and muscle spasms, I also feel very weak and have memory loss. Along with those lines I get open sores on my face and hands. I m experiencing all these symptoms now and am in severe pain what should I do? ### REPLY: Hi hope this msg finds u in good health. I have gone through your complaints and understand your concern. U might have strained some sort of soft tissues that might be causing pain. If the part is warm u shut take analgesics and anti-inflammatory tablets. .good amount of elevation and rest later on physiotherapy. U can get a X-ray done to find out what's wrong. Nothing to worry about. If u have any follow-up queries, feel free to consult me anytime.  Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 often get headaches and difficulty in reading because I would see the paper moving, and sometimes a double post. so Ive read about brain cancer on the internet and read about the symptoms of cancer of the brain. most of the symptoms was in me. this happened a few months ago, but now the symptoms are still there, but declined. so I want to ask whether I still had brain cancer. ### REPLY: Hi, Thanks for writing in. Headache with double vision is not always due to cancer but a cancer or benign brain tumor might cause these symptoms. Since the symptoms are reducing therefore it is unlikely that you have a cancer. In people with cancer these symptoms progressively increase causing the patient to approach the doctor. However since the symptoms are still there but reduced in intensity, it will help to consult with a neurologist and get a CT scan brain done if required. It is also required that you consult the ophthalmologist and get an opinion after clinical assessment of your vision and if there is any problem in the eyes that is causing the symptoms. 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: I suffered a fall on April 10. I tried to treat my foot with soaking it in epsom salt in warm water for 30 minutes followed by ice water for 45 minutes only once a day. I am on my feet most of the day. It did not get better so on April 18 I had a x-ray done which showed the fifth metatarsal had a fracture. Why is the whole foot still swollen and not just the area of the fracture? The urgent care facility gave me a referral to an emergency room and sent me on my way after doing nothing other than taking the x-ray. I am 61 if that makes any difference. ### REPLY: Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. Any fracture in foot can cause the whole foot to swell. Fifth metatarsal fracture definitely needs attention the fracture is minor, undisplaced, plaster immobilization should be enough. If It's displaced, it may require surgical intervention. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having dizziness, and night sweats with headache and a persistent cough which wont go away. 2 weeks ago, I was ill for a week (headache, fever and cough with night sweats) then I got better only to relapse a week later for a day and then a week after that, another relapse.  I am beginning to worry what it could be. ### REPLY: Hi, Welcome to  ! It seems like you are having some chronic infection like tuberculosis or malaria or any of other visceral infections. You should be evaluated with clinical physical examination to start with. You should also get some initial work up like ultrasound of whole abdomen, complete blood counts, renal function test, chest X-Ray and blood tests for malaria to provide more clues to the diagnosis. I hope the advice would be informative and useful for you. Take Care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: WHAT ARE THE BEST HERBAL PRODUCTS TO HELP WITH ANXIETY AND DEPRESSION. I AM JUST GETTING INTO THE STUDY OF ALTERNATIVE TREATMENT FOR THIS ISSUE. I HAVE BEEN READING A LOT OF INFO OUT THERE, BUT WHO EVEN KNOWS IF IT IS ACCURATE OR HYPE FOR SELLING THEIR PRODUCT. i RECENTLY RAN INTO A PRODUCT CALLED RED CALM WHICH CONTAINS SEVERAL NATURAL PRODUCTS SUCH AS Ashwagandha root, L-Theanine, Passiflora extract(PASSION FRUIT?), 5-hydroxytryptophan (5-HTP), AND LEMON BALM, WHAT IS YOUR KNOWLEDGE OF THESES HERBALS? ### REPLY: Hi.  Great question.  There are quite a few herbs that function as well if not better than prescription medication.  The first is St. Johns Wort that you've probably heard of.  It increases serotonin in the brain as do the SSRIs (prescription medication) with fewer side effects. It is effective for both depression and anxiety but can interact w some prescription medications, so I would ask your physician.  Other herbs include passionflower, ginkgo Balboa (also helps w memory but has a positive serotonergic effect), vitamin D, magnesium, and passionflower to name a few.  These are generally safe and effective.  Lava is as effective as Xanax or Asian however there have been rare cases of severe liver disease with it, so I would not recommend it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pain in my left shoulder due to cervical disc degeneration. There is a bone spur compression on a nerve that causes shoulder muscle to continuously be contracted on a Charlie horse. Continuous pain. Nerve ablation was unsuccessful due to the bone spur being in the way. Any suggestions? Nerve blocks, cervical epidurals have not worked. Physical therapy did not work. I take flexeril and ibuprofen for pain. Any suggestions? ### REPLY: Hi there. You could be suffering from cervical spondylosis which is causing pinched nerve and the symptoms you are experiencing. You may need surgical decompression of the nerve to remove the bone spurs. Avoid bending the neck forwards and avoid lifting heavy weight on the back. Apply hot water bottle for pain relief. In your cause I believe you need surgical treatment to give you better relief on the whole. Consult your Orthopedic surgeon for the same. Wishing you a speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My grandson has had a bad cough for several weeks now. The doctor said there was drainage and was probably allergies and gave him antibiotics which he has been taken for a week now but today he has blotchy skin and his cheeks are red. Should I be concerned? ### REPLY: Hi, First thing blotchy skin or rash or red spots over cheeks need to examined by doctors naked eye and only after then one can comment on that if its duty antibiotics allergy or something else. If your grandson was having severe cough and doctor diagnosed it could be due to allergy and then given antibiotics and other antiallergic treatment. So better u go to him first and then dermatologist if there is no solution. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: in 2009 i had two bulging disc s in my lower back L4 and L5 i believe. i have mild pain (5-6/10) every day. today when i woke up i felt normal sore but can still move around and do normal functions when i got to work i noticed when i bent to the right side there was a sharp pain like some stabbing me in my lower right back and my pain level moved up to about 8/10 since then. when i got home today i looked in the mirror with my shirt off and my right love handle was swollen. ### REPLY: Here are the symptoms what you have explain shows that there is increased problem at your back at spinal level. However the conformation will be done by MRI of your lumbosacral spine. Now based on this report I suggest visiting orthopedic doctor and take suggestion and treatment. If MRI reports showing mild to moderate issue at spinal level then orthopedic doctor will suggest for physiotherapy treatment with medication like calcium, vitamin D, muscle relaxant and painkiller. If MRI reports showing severe damage in spine at lumbosacral level then here or tho doctor will suggest for surgical correction and then physio treatment for further rehabilitation. In both above case you need to visit physio for postural advice and for spinal exercises suggestion and follow it to have long term relief as well prevention of recurrence. You can also use hot and cold pack at home to have some more relief as well to reduce inflammation and swelling in soft tissues. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am in the US, but my friend lives in Rishikesh and she was diagnosed with TB. She was told she has a closed TB and nothing can be seen on the x-ray. She is now on her 3rd month of medication and was told to take it for a total of 10 months. I am very concerned about her and have several questions. ### REPLY: Hello ! Can you please mention in which organ in the body your friend was diagnosed to have TB ? Because TB can affect any organ n from head to toe. Since u mentioned X-ray, I presume you might be speaking about Pulmonary TB. For diagnosing pulmonary TB clinical (patients presentation symptoms and signs), radiological (Chest x-ray, high resolution CT appearance), microbiological (sputum AFB, sputum CBN AAT testing) findings need to be correlated.  The common symptoms suggestive of TB are cough for more than 2 weeks duration not subsiding with routine antibiotics, fever with evening rise in temperature, bloody sputum (hemoptysis), loss of appetite n loss of weight.  Did your friend have any of these symptoms ? If yes then definitely investigations to rule out or rule in TB have to be proceeded with. Also, two things need to be kept in mind.  One, not always chest x-ray show some abnormality in TB.  If there is minimal lesion then only a HRCT chest can pick it up, and it can be missed on chest x-ray.  Two, Since TB is common in India, at times, other diseases are wrongly diagnosed to be TB. Hence, it's essential that you get the consultation with a qualified physician to ensure that diagnosis is correctly arrived at.  As far as the treatment for TB is concerned, if this is the first time your friend is taking anti-TB medications then he/she has to take it for 6 months.  If this is second time then the course will be for 8 months ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 in California over the weekend, and I woke up Sunday morning and noticed I got a little bite on my leg then by the next day it got dark red looks like a blood sucking bite with a little clear bump in the center of it, what could it possibly be.. It s doesn t itch or it doesn t hurt ?? ### REPLY: Hello, I understand your concern. I am , infectious disease specialist, answering your concern. Hygiene is very important aspect in healing bump. Maintain cleanliness and . You can take cetirizine and prednisolone under your doctors' guidance, it will cure you the remaining bump. It also helps in the allergy and itching caused by bug bite to you. You can apply a polypoid powder to the area, it helps prevent secondary infection. Please apply the repellent to the skin so that further biting caused by these bugs can be prevented. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello First we are living in Belgium. My wife is 7 weeks pregnant and is cramping, passing blood and clots. We went to the ER earlier and they could not find a heart beat. They said come back in three days.My wife says the cramps are getting worse and still passing blood. Do we need to go back to the ER? ### REPLY: Hi, If she is not feeling good, the cramps are increasing, and she is passing more clots, yes, you should take her to the ER. This probably means she is having a miscarriage and this will be confirmed by Sonography. Absence of heart beat, and passage of clots usually indicate a miscarriage. But if her condition is getting worse, she will need supportive management from the ER. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a female aged 43, 5ft 4 weight 11 stone. I have just been diagnosed as having cervical spondylosis in my neck and are also going through the menopause. I have had my bloods also taken and I also suffer with lack of iron. I have currently been given anti inflammatories for my neck and have been taking these every day. My problem at the moment though is I have started experiencing a dull aching under my right side under my rib cage. What could be causing this. Many thanks Mrs Barlow ### REPLY: Hello, I read carefully your query and understand your concern. Rib cage pain can be caused by various of causes such as a fracture or a pulled muscle. Based on the fact that did not refer a fracture in the query, it is probably related to a pulled muscle. I suggest using Baclofen three times a day. I also suggest magnesium three times a day. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a BP at 140/100 and after medication for 2 weeks it has now reduced to 120/80 ithe BP has been high for the last one year.now does that mean im supposed to be on medication daily and is there a way the BP can normalise because I dont want to use drugs daily. thankyou ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I must tell you that hypertension is a chronic disease. This means that it should be treated always. In our daily practice, when we want to treat hypertension we begin with lifestyle modifications. A person with hypertension should avoid salt, alcohol, caffeine products because they all rise blood pressure. It is advisable a low fat diet and a little exercise training, just walking for 30-40 minutes. This for the beginning than we pass to medical treatment. If you have now normal blood pressure values it is because of your treatment. This does not mean that you should stop the medication because if you do sow, pressure values will rise again and might become problematic. So, it is a very good think that you have stabilized values now, you should continue this way. My opinion as cardiologist is that you should continue your treatment always and make occasionally check ups to monitor the dosage of your medication during time. The . Hope I was helpful. Wish you good health. Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 6yrs and she is having fever at night for last one week and head ache also,whn she is having any food,she is feeling stomach ache also and whn we checked blood,ESR is 45,doctor told that its a starting of typhoid,i dont know whta shouldi do ### REPLY: Hi, fever for 7 days in a 6-year-old child can be due to typhoid, acute gastroenteritis, dengue. Pain abdomen can occur in all three. You should do blood test like complete blood count, typhoon IGM, dengue serology, and malarial antigen test. Pain abdomen is a complication. Antibiotic like definite needs to be started. If fever persist in spite of using antibiotic, then child needs to be hospitalized. Give soft diet to child. Give medicines properly. Temperature starting should be done so that we may know that the child is responding to treatment or not. 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 fell on my knee a couple of years ago and an MRI showed nothing wrong. I am now having throbbing pain in my knee that is a 10 on the pain scale and my knee is now swollen and has fluid... is my knee more injuried now than it was a couple of years ago even though an MRI showed nothing wrong? ### REPLY: Hi Thanks for your query and Welcome to Liberate. I am . It is difficult to actually answer your question right now without examining your knee, but if there is an effusion inside your knee with no other joint being involved and no other issues like an inflammatory joint disease, then I will recommend two things to you :- Kindly get blood tests like CBC, ESR and CRP levels done to rule out an inflammatory or an infective pathology- If blood tests are ok, then a repeat MRI scan may be required to look for a meniscal or a ligamentous pathology. Till that time you can start with an anti-inflammatory medication as per your bodies suitability, intensive ice packs for local application, give rest to affected knee (You can use a Knee brace for 10-14 days)If your symptoms do not improve, then we will have to get these tests done. Also make sure that there are no systemic s/s like fever, skin redness, local increase in temperature etc. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my name is mary and im 23 yrs old,I recently went to the ER for heart palpitations and small chest tightening,They gave me a chest X-ray,EKG,urine and blood tests which all came back normal.The only problem was that my heart was beating fast.They gave me metoprolol 25 mg once a day,it seems to be working but im very tired and cant see a cardiologist until 2 1/2 weeks from now.I have felt my heart flutter before but not enough to scare me but after babysitting alot of kids and one getting hurt thats when i started noticing the flutter turned into a thump.I personaly think i may have anxiety and that might be what has to do with it.Some ppl say it may even be antacid but im not sure,I guess my question is what do you think,whats your opinion? ### REPLY: Hi, Increased heart rate and palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation and tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24-hour ECG monitoring (Holder Monitor). You also need to do a 2D Echo and thyroid function test to see for any associated abnormality if any. It will be really helpful if you could send me your ECG and other reports. 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 played in a soccer game yesterday morning and got headed in the back of my head by another girl. I have had small headaches towards the back of my head and like pain down towards my neck. Now my ears feel like they re plugged (I don t know if that has anything to do with it), but do I have a concussion? ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms and would like to reassure you that they are not suggestive of severe head injury. The symptoms of headache, neck pain and ear plugging may be related to concussion. The symptoms would get better on their own in a few days. For pain relief, you may take diclofenac or ibuprofen tablets. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc my wife has been identified with tuburculos meningitis as her protien was 496 / lympocytes 90% after lumber tap..she spent 5 days in ICU & now she is on akt 4 treatment. 01 Large Tablet after breakfast / rifamicin after 02 hours of breakfast and rest two after lunch is this the right way to take the medicines as earlier she was taking rifamicin empty stomach but this creates nausea and vomiting so our doc changed to the sequel mentioned. Also she has a fever around 100 - 101 please advise ### REPLY: Hi Planar, Ideally Rifampicin should be taken an hour before breakfast. But do not worry; it is still fine to take it after 2 hours of breakfast. The current treatment regimen is fine. Let me continue the same way. Fever is known to occur in TB meningitis. She can take paracetamol 500 mg as and when she has high fever. Please complete the treatment to prevent any relapse. Wishing her speedy 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: Hi, I was running a race last Sunday and fell and landed on my heel quite hard. In the shower tonight I have noticed a small lump inside my butt cheek near my anus. It is quite painful to sit in certain positions. Could this be anything to worry about? ### REPLY: It could be a thrombosed pile or an abscess. Unlikely to be due to the injury. If it is due to the injury it could be a blood collection or hematoma. I suggest you get examined by a Surgeon who would be able to tell you what it is. It is quite difficult to say with certainty what it is. Examination will with great purity reveal what it is and then treatment can be initiated accordingly. Take care, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am taking the pill qlaira. I missed day 20, I just took it now(24hours later). Will I take day 21 also? The instructions say do not take the missed pill and discard pack and start a new pack. I misred the instructions and took the missed pill. I do not have a new pack to start.Also, it says use extra precaution for 9 days, are they being over cautious? ### REPLY: Hi, Thanks for the query. Area is a combined oral contraceptive pill. In a pack there will be four types of active pills containing different combinations of hormones. And last two white pills are inactive pills. As you missed one pill, you can take the pill when you remember. Means if 24 hours over, you can take two pills in a day. For more details : http://srsree.blogspot.in/2013/11/general-guidelines-of-using-combined.htmlIf more than two tablets missed, you need additional contraceptive method. As only one tablet is missed, you can two and can continue with your pack as usual. 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: Had anesthesia two days ago for removal of kidney stones. I do smoke. Since surgery I have been coughing up phlem with blood. Could that be from the irritation from anesthesia. I know smoking contributes but never had blood before surgery. What do you think. ### REPLY: Hi, Although it is rare but hemoptysis can occur following anesthesia. As a result of anesthetic induced negative pulmonary pressure blood vessels in the lung undergo damage resulting in coughing of blood following general anesthesia. There is nothing to worry, it is generally a benign condition and results in full recovery within a couple of days however the possibility of chronic lung disease such as tuberculosis must be ruled out. 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: Volume                        7 mlCount / ml                 12.8 million Count / ejaculate   89.6 million Motility                       61%Rapid progressive 46%Morphology: Normal                        20%Slightly amorphous 11%Abnormal                    69%Please advise ### REPLY: Hello and welcome to . I will analyze it step by step. Your volume is adequate - only 2 ml is needed. Sperm count is low - 20 million is needed ; you have only 12.8Motility is good - only 50% is needed ;you have 61 motile sperms About morphology - at least 15% normal sperms are needed, and you have 20%So overall It's suggestive of low sperm count. There can be different causes like varicocele, abnormal antibodies, hormonal imbalances, surgical obstructions, environmental factors like exposure to X-rays, intake of certain .  So as next step will try to find out the cause and treatment depends on the causative factor. Hope this discussion will be helpful to you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is 93 years old and has been experiencing slight memory problems.She fell last Sunday and hit her jaw on the kitchen table. She has a bruise on her jaw/neck an the last 2 days has now been having more memory problems; such as not remembering a major ingredient in a recipe (she still cooks) and asking the same question over and over. She has no energy and has been sleeping more than usual.  She wont go to the doctor.  Advice, please. ### REPLY: HIT hank for asking to ChatDoctorI rally appreciate your concern looking to age of your mother this is geriatric problem and nothing to worry about that and nothing can be done for that only thing you can do is try to spend more time with your mother the company that you give her could be much helpful for her and this some times bring the unbelievable results, hope this information helps you, have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, iam having pain on my lower right side of abdomen. test had been done few days ago and everyhting came normal and even the pregnancy test came negative. i have a history of ovarian cyst but present test shows i dont have any cyst. plz tell me what should be done. ### REPLY: HI, thanks for using  Pain can originate from any structure in the area from the skin inwards. Since the ultrasound did not show any problems with the ovaries then other causes need to be considered. This would include issues such as: hernia, inflammation of the muscle or tendons in this area particularly iliopsoas pain. Pain due to these muscles can be detected by physical examination. The use of anti-inflammatory painkillers would help. 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: Hi, I need advice. A couple mornings ago I was woken up by a pain in my lower stomach and I felt like I had to go #2 but couldn t. I havent been able to pass gas or have a normal #2. It hurts to sit up, walk and cough sometimes. I was thinking it was getting to be the beginning of my menstrual cycle and its day 2 and still nothing but im still feeling the same.I m hoping its just built up gas and its not something more severe. ### REPLY: Hi. Thanks for your query. Noted your history of waking up with pain in abdomen and feeling to go for bowel movement but could not. The pain increases with sitting up, coughing and walking. You are on 2nd day of menstrual period. Since you have given a detailed history, it appears that there is some inflammatory process going on the right side and the probable diagnosis can be :AppendicitisInflammation of the tubes or problems with ovary. I would advise you to undergo X-ray of the abdomen in standing position and Ultrasonography along with proper clinical evaluation by a General Surgeon. The diagnosis hence made will give us the plan for management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 took a hot bath and when I got up I was completely turning red, my face still 30 minutes later is still beat red, I felt flushed, head to toe, kinda scared, could hear my heart beating in my ears, and my whole chest was pumping, Ihad to rest on the couch, and I went outside to try to cool down, but it was scarey ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. These are one time anxiety related experiences. Ignore it. Just think about what happened before you went to shower and what you were thinking about when you were in the shower? Was there any difference in temperature? Usually, when there is difference in temperature inside the bath and outside, our body reacts by adjusting body temperature. During winter, you must have noticed, our ears and nose become hot red.  Such a change is normal, and you could have miscued such a symptom. Recall. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Do Limbic Encephalitis sufferes ever recover their memory and emotions to the degree of a managable home life. My partners simptoms were constant crying, panick attacks, almost primal behaviour, short term memory loss, long and random memory loss, constantly eating and major confabulating. Unfortunatly I left my partner as I felt I was having a breakdown myself, being unable to detach from his behaviour, even though I love him dearly. ### REPLY: Hi, Thank you for posting your query. I am sorry to hear about your partners' illness, and the separation that followed. Limbic encephalitis patients do recover. However, the recovery is slow and gradual, and often partial. The extent of recovery depends on the severity of encephalitis and the ensuing brain damage, the treatment offered, and the rehabilitation process, which includes good family support too. I hope it helps. I would be pleased to answer any follow-up queries. 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 been suffering from abdomen problem before 1.6 year. The SGOT and SGPT of my liver is 38 , 47  bp is normal hemoglobin is 15.6 and hepetitis B and C are Negaive . and in indoscopy doctar tell me there is little bit swalling in the stomac in left side .so tell me due to swalling sgot and sgpt of liver may increase ### REPLY: Hi and welcome to . This is slightly increased SGPT only. Your symptoms may be caused by stomach issue or by fatty liver. Stomach swelling may be caused by high acid secretion which is found in gastritis. Symptoms that are experienced in such conditions are pain and tightness in upper stomach, bloating, breathing difficulties, heartburn, feeling of lump and sore in throat, gurgling sound in throat, fatigue and loss of appetite. Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated .  1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise.Also, you should do ultrasounds to verify is there liver damage. I don't think that because you have no significant liver enzymes' elevation. For improvement of these findings you should avoid alcohol and fats. Control your blood lipids, glucose and lose weight if overweight. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had routine "old" cavities replaced in late April.  Very tender/sore gum near one tooth.  Had it re-check a few weeks later.  Dentist performed xray on affected tooth and found nothing. Said my bit was off and did some routine filing of the tooth and said it would be better in a few days.  This week my gum is sore, tooth is sore, cheek is swollen and slightly bruised and I woke up with a small white head on a bubble atop the affected tooth ### REPLY: Hi, Welcome To . I had gone through your question and understand it. Sore of gums and tooth can occur due to many reasons such as use of certain medications, poor nutrition, presence of bacteria /virus, use of citrus food and cheek biting. As you are saying you had gone through the treatment of cavities, so soreness can occur due to allergic reaction to medication which was used in the treatment of your cavity. Your cheek has become bruised might be because of cheek -biting. If I was your treating doctor, I would definitely advise you the following things which are very helpful to relieve from sore gums.1) Avoid hot beverages and food as well as salty, spicy and citrus food.2) Use pain relievers like ibuprofen (if no allergy) 600 mg, at the interval of 7-8 hours 3 times in a day for 3 to 5 days.3) Gargle with cold water and suck ice cubes.4) . 5) Use a topical corticosteroid preparation such as Triamcinolone dental paste, which protects the sore inside the lip and on the gums. I wish this information will resolve your query and other questions are also welcome. Wish you good health. Take Care, Thank From:-  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey there I ve been having these slight heart burns for two weeks after taking mdma mixed with weed & a little bit of alcohol & I was wondering If I am gonna recover from this? Parts of the day I feel normal & then the heart burn creeps up on the random. I feel lost, no sense in reality, low energy, & I start to get quiet. Most of the say I feel like im dieing slowly. ### REPLY: Hello! Thank you for asking on ! Coming to this point (facing your actual complains and overall clinical scenario), I strongly recommend you to consult immediately the nearest ER service in your living area, as those cocktails (MDMA, weed, alcohol, etc.) are very dangerous for your health, especially for your heart. They may exacerbate form mild blood pressure fluctuations, to serious arrhythmias, sudden heart attack, and even cardiac arrest and death. So, do not lose any more time, but ask medical help, to undergo a careful physical exam, resting ECG, several lab tests (like complete blood count, CK-MB, troponin, AST & ALT, renal function tests, blood electrolytes, etc.), and rule out serious health conditions, as well as start an appropriate therapy for your health status. I strongly recommend you to avoid having such dangerous substances in the future, to protect your health and life. Hope to have been helpful! Greetings!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At 3 am this morning I was woken up to use the restroom (I had to poop). As I was using the bathroom I started sweating. Don t know if I was hot or if it was cold sweats. As this happened. My arms got tingling and I felt like I was going to pass out. I also felt nauseated. This lasted about 10 minutes. Then I felt a little better. Got up at 5 to go to work. While at work I didn t feel so hot. Not nauseated. Or like headache. I can t explain how I felt. I just felt off. Not quite right. This lasted till about 1/2 this afternoon. I feel ok now. ### REPLY: I'm sorry to hear about your ordeal. Tingling in the arms can come from multiple causes: cervical radiculopathy (pinched nerve in the neck), peripheral neuropathy (typically related to diabetes, AIDS, or alcoholism), or from peripheral nerve compression (sleeping in a strange position or on an extremity). In your case with the constellation of symptoms you felt it is likely you may have had a vasovagal reaction from using the washroom. This type of reaction can occur when you strain and increase the tone to a nerve called the legal nerve. Typically, this causes sweating, nausea, and an uneasy feeling like you described. I'm glad the symptoms dissipated and hopefully this will not occur again. If the symptoms do return it is best to see your physician for a thorough physical exam. I hope this answer helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my mum has a persistent cough after having relatively serious cold/flu like symptoms last week. She was light headed and in bed for several days. She is a smoker who recently had her thyroid out ( small amount of cancer at the centre) and last night at a work function someone mentioned to her that he cough sounded like lung spurs caused by peumonia. Apparently this person had suffered something similar with this diagnosis. My mum insists she is starting to feel better but I am concerned that she needs to visit a Dr which she keeps avoiding. What are lung spurs and could these synptoms indicate she has something more than a cold/flu? She is 62 years old, a little overweight but not majorly and she has a golf ball sized growth on the rhs of her neck. Apparently it is benign, but it was tested a long time ago and appears to me to keep growing. she was meant to have it removed through surgery at the start of the year but has avoided that too. Thanks. ### REPLY: Spurs, by medical definition is a short pointed growth or process on a part of the body. With your moms case, it could be calcium deposits, accumulating causing this process. Calcium deposits are small accumulations of calcium, which can accumulate anywhere in your body. These create bone spurs, kidney and gall stones, and, in the shoulder, tendonitis. Many calcium deposits don't require medical treatment (they can even be reabsorbed right back into your body). In the lungs, however, they can be a sign that you have a serious underlying condition that is causing them to form. While calcium deposits in the lung are usually benign (non-cancerous), they can become malignant. Calcium deposits should be monitored both to prevent cancer, and because many of the conditions that cause calcification are also serious. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two adult children in my home who have both been diagnosed with mental illnesses. My son is under treatment, but my daughter is not, and in the last 16 months, she has brought havoc to my home. She has taken over my dining/living rooms, and part of the kitchen with things that need to be recycled or thrown out. I have gone through the process to have her committed, but despite a diagnosis of bipolar/schziod affective disorder, the jury would not mandate treatment since she didn t met one of three conditions; harm to others, harm to self, or unable to care for herself. I can take her to court to have her evicted which will take 45 days or more, and puts her out into the streets again. She was originally diagnosed in 85 and went into treatment through the courts, but has not been on meds or in treatment since 88, and has been homeless many times when she didn t have a place to stay. I m 69, retired and tired of taking care of both my children. Their father died in 83, there isn t family that are able to help, and they definitely hawith me for three months. I love both my children, but I need my space and place back, and they need to be more independent as possible. Mother of Two ### REPLY: First of all, only psychiatrists and psychologist can decide and not the jury directly whether any treatment is required-there should be re-appeal in court and one may seek help of human rights activists and agencies. Secondly, the helpless child . There are spiritual counselors as well who could guide them to some self-faith in themselves. Resperidone is a medicine which can help so consult a psychiatrist in your area ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 38 yrs (female) & undergone renal transplant in 2003. i was on hypertensive drugs for last 8 years. i was on drugs aten50 BD, Dilzem 60 BD, Losar 50 BD for hypertension. my regular levels of blood pressure was maintained at 140 to 150/ 80 to 90. for last 4 months my BP levels have shot up to 180 to 185/ 80 to 90. Doctors have asked me to stop Dilzem 60 & Losar 50 & added new drugs arkamin 2 tablets thrice, minipress xl 5mg BD & also added Asomex 5 mg once a day in morning. i want to know if this conbination & drugs are OK for post renal transplant patients like me. Please advise. ### REPLY: Hi noted all your details dearth combination given to you by your doctor is perfect one for renal patients your target BP should be 130/85 mm of calcium channel blocker amlodipine is highly safe in renal patient try to avoid a prescription of loser by any cardiologist in future as often in renal patient with deranged kidney parameters at 1 antagonists are not indicated you current medication is a good one take your BP every third day and maintain its records try doing regular exercise 45 minutes a day avoid too much fat and oily foodtxhave a good recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom s blood pressure is very high right now. The doctor had changed her bp meds a couple of weeks ago but she spends most of her time very dizzy and nauseous. She just went to the local pharmacy for a bp reading and it was 161. She didnt tell me what thebottom number was. How can she bring it down right now so that she can start to feel better? ### REPLY: Hello, I understand your concern and would explain that her actual therapy does not seem to be really effective in managing her blood pressure values.  For this reason, some changes need to be made to her therapy. I would like to know her actual therapy and the doses in order to suggest possible changes that may help improve her situation.  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: my mother is suffering from cancer from last 10 yrs she has taken 28 chemos along with 26 radiaton,now she is suffering from back pain in her L4 -L5 there is harniation grwoeth her left lef is paining due to that  and now from last two days i hv seen a black reddish patch on her right leg,Please will you help in what is that black patch is this any kind of blood clot? ### REPLY: Hello, such patches can be due to blood clots. This is usually superficial thrombophlebitis. Cancer predisposes to thrombosis. You can check this out either with a clinical encounter with your doctor or with an ultrasound scan which could detect the occluded vessel and the clot. If it is indeed a superficial thrombophlebitis then pain is expected sometimes moderate to severe unless inflammation has already subsided (usually a couple of weeks after the appearance of the patch). I hope I've helped! If you'd like more information, please let me know and I'll be glad to answer. Kind Regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pulmonary sarcoidosis ( crhonic) upper right lobe removed 4 months ago with scarring in left lung , after surgery I have afib  and put on amiodarone 200mg  50mg of pred. my pulse rate at rest is from 90-96 if I walk to back room itt goes up to 128-144, I have never had a high pulse rate I am 43 /male could this be pulmonary hypertension? short of breath, always tired pressure in chest on right side of brestbone. Please help ### REPLY: Thanks for your question on . I can understand your concern. Yes, possibility of pulmonary hypertension is high. Chronic acidosis can cause pulmonary hypertension. And your symptoms are also suggestive of the same. So get done 2d echo for the diagnosis of pulmonary hypertension. You will need methylprednisolone (for acidosis) and tadalafil or Bosnian (for pulmonary hypertension). So consult pulmonologist and discuss all these. 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 have pain and numbness in my feet and legs. Ihave had it for about 7 years now and I have been to about 10 doctors to tryand find out the problem but have had no diagnosis. I am 47 years old and other than that I am in perfect health and feel good . I have had all different blood tests, checked for diabetese .had nerve tests done , been to back doctors, and have had brain scans by a nuerologist and everthing came back negative. I am on tramedol now and have learned to live with the pain. Any suggestions. ### REPLY: Here I suggest when there is a pain and numbness in legs that could be a possibility of problem at your lower back or else the problem for your leg circulation. For this you need to check whether you have pain from your back to radiating at your leg level as well do you have the numbness from your back to your legs if yes then there might be a possibility of having problem at your lower back spinal or disc level. However the conformation can be done by MRI scan of your back and if that is positive then you need to visit an orthopedic for further guidelines. If no then there might be a chance of having less blood flow to your lower limbs this can also be possible because of high cholesterol so I suggest going ahead with Doppler test as well as cholesterol test. Here this test will let you know about the circulation in your lower limb and cholesterol will help you to know your cholesterol level in body as per the result I suggest visiting a vascular surgeon if Doppler test is positive. And a physician if cholesterol is more and start treatment as per the result. There could be also possibility of atherosclerosis for your lower limb blood vessels this will also be diagnosed With Doppler test if you want to check physically you can hold the calf muscle belly and try to squeeze it if there is a pain at your calf muscle with this squeezing pressure that means the test is positive however the confirmation will be done only by Doppler test. But due to this also there might be a possibility of leg pain.at home you can also use hot water and Deep your legs in that to have some more relaxing effect on your soft tissues as well as increase the circulation with the effect of heat.in any of above case, you can also visit a physiotherapist who can guide you for good lower limb exercise program which will help to increase circulation as well as relax the soft tissues. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have tested my semen and the following results came:2 ml, color Greyish White, reaction:alkaline, Viscosity: Normal, Sperm Count:64 million/ml, Motility:, 60% active,10% weakly, 30% non motile, PSU celll;2-4/HPF, Sperm morphology: 80% normal and 20 % abnormal. Pls give your opinion ### REPLY: HelloThanks for query. The report of your semen analysis that you have posted is well within normal range of WHO standards as far as sperm count, motility of sperms and morphology of the sperm is concerned.However, the presence of 2-4 pus cells suggests infection of either prostate or Seminal Vesicle which can be cured by taking antibiotics like Doxycycline for one month. Repeat your semen analysis after completion of course of antibiotics to be rest assured about that infection is controlled completely. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just got dental implants this Tuesday (yesterday) with stitches and stuff. I was wondering g if by next week on Tuesday I would feel okay/it would be safe to go on a roller coaster? The two spots have stopped bleeding but I was unsure bc of the pressure and stuff. ### REPLY: Hi, Welcome to  .com.  I had gone through your question I can understand your concern.  Yes, there are some concerns but if you handle it properly you can go for it.  As your wound has not healed fully, you need to take care of it. If you have a ride you will have to avoid clinching of teeth too hard that is impossible in high stressed conditions.  So you need to get a dental guard made by a lab (night guard) put it in your mouth while going for the ride. Hope my answer will help you. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is 65 years old with Alzheimer s disease. Ironically, he was a family practice doctor, until 4 years ago. Yesterday, his right eye began to bother him. Redness on the lid, rim, and eyeball itself. Today, I noticed that the eyelid was not closing completely. His smile is crooked. He is unable to answer my questions about numbness, pain, etc. He has always had excellent health except for the Alzheimer s. No high blood pressure. Low cholesterol. Only taking RX for enlarged prostrate. I am trained as an artist. Thank you, Kay E. Peterson Woodburn,Oregon ### REPLY: Hello Kay! I read your question carefully and understand your concern. I think that your father may have a peripheral facial palsy, which in most of the cases is caused by a viral infection or the cause is not found. Furthermore, I would like to know if he has had problems with expressing himself and answering the questions before, from Alzheimer disease, or it has started now with the face problem. Does he have a slurred speech, or he can't express words? A peripheral face palsy can be caused by a possible stroke in the brain stem, but it is not associated with difficulty expressing, only with slurred speech from the dysfunction of the muscles involved in speech. Other symptoms like paralysis or dizziness would be present in case of a possible stroke.  So, I would advise you to consult with a neurologist, have a good physical examination. If it is just a peripheral face palsy no other examinations are needed, and he can try treatment with steroids and antiviral therapy for some weeks if no contraindications. If other signs are present a brain MRI would be helpful to exclude a possible stroke. Hope to have been of help! Thank you for using ! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY SON IS 7 YEARS OLD. WE GOT TREATED FOR SCABIES ...WITH PREME...CREAM NOT SURE IF WE HAVE IT ..PROTOCOL. MY SON HAD A SMALL RASH ...AND THE DERMAT GAVE HIM A SMALL CREAM FOR HIS BUTTUCKS. THE RASH ONLY LASTED ONE DAY...IT S GONE NOW.....HE SUFFERS FROM ASTHMA ... NOW HE IS COUGHHING...I TOOK HIM TO HIS PEDI AND HIS LUNGS ARE CLEAR...ONLY POST NASAL DRIP AND HAS GREEN MUCOUS....CAN SCABIES AFFECT HIS LUNGS ### REPLY: Definitely but your allergies are changing systemic might have been allergic rash misdiagnosed with scabies because after some years the allergies start effecting another system like you asthma after some years can cause allergic rash. And if you treat that subsides, and it shifts to other organ like nose and sinuses only give anti allergic fexofenadine 120 mg singular 10 mg busy Astoria 1/2 SF sand tossed 1/2 SF n righto for 10 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: My partner has end stage liver disease (alcoholic cirrhosis). Hepatic encephalopathy seems advanced. He is home, but because of his confusion and disorientation, he cant be left alone. He has been in and out of the hospital/ICU several times. His doctor told him he was dying, and when the doctor and I were alone he said it could be days, weeks, or months, but not likely a year. I feel lost and not sure what to expect. Financial and health POA are all set. How long does he have? Is it really so vague as days, weeks, months? How will I know when the end is imminent and I need to have someone here with me? ### REPLY: Hello, Sorry to hear about your partner. Advanced cirrhosis has a 20 survival at 5 years. But if he has required recurrent admissions for cirrhosis then the median survival is six months. This means that 50 percent do not live beyond six months. Sever Chest infections, fall in blood pressure sever GI bleed, and rising creatinine are signs of deterioration that might point to imminent end of life. Hope this answers your queryRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 there! My name is Phillip in New Zealand. I have been suffering from prostate problems like an urge to urinate more often, using the rest room more especially in the evenings, enlarged prostate gland some times through out the day/evening etc. Are those symptoms of prostate cancer please? I am 51 years old right now & turning 52 in November 2014. I have a family history of cancer in my family.. Phillip Longley. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Frequent urge to urinate, difficulty in urination, gland enlargement are seen in both benign prostatic hyperplasia and prostatic cancer. In old male benign prostatic hyperplasia is very common. However, you should go for PSA level to rule out prostate cancer. If your PSA is normal then no need to worry, just take treatment of benign prostatic hyperplasia. If Your PSA is high then you should go for biopsy to rule out cancer. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,am 23 years of age and the problem I have is that my gums are unhealthy causing my teeth to be forming gaps which I do not like, besides that my gums form pus and plaque after some time,now can braces work for me @ my age? Looking forward to hearing from. ### REPLY: Hello, Thanks for consulting  Read your query, as you have gap in between teeth, plaque and pus formation in gums that is periodontal abscess, gap in between teeth can be due to periodontal problem may be due to weak periodontal ligaments or there can be bone loss. I will suggest you to consult Orthodontist for examination of tooth periodontal condition if possible yes you can go for Fixed Or tho treatment at your age. Discuss with your dentist, and you can go for braces. Hope this will help you. Wishing you good health, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have small lump near my right elbow. I notices it about 6 months ago. When I press it had I will feel pain some times. Otherwise no pain. Some times it seems to be bigger when I touch it. For few days the size is decreased and agian increased to original size ### REPLY: Hi ! Good afternoon. I am  answering your query. From the history it seems to be an olecranal bursa, a benign condition which occurs due to chronic pressure and friction on the elbow. If I were your doctor, I would advise you not to exert any pressure on the lesion. If it increases or gives rise to increasing symptoms, you have to consult a general surgeon or an orthopedic surgeon for a surgical removal of the same after a clinical examination and necessary investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just dosed off into a nap, and woke up feeling a little confused, shaking internally, and feeling like my sugar was low. My wife came and checked my sugar and it was fine 139. I dosed back off and same thing happened. I am little worried since I have been hurting on the right side of my neck and shoulder and sometimes the right side id my head like a bad headache for over a week now. What does this sound like? ### REPLY: HIT hank for asking to ChatDoctorThis is clear-cut indication of hypoglycemia, even though your blood sugar level shows 139, but that does not take or granted as normal or right level for the particular event, blood sugar concentration is very complex phenomenon, and so the clinical symptoms have to be given priority instead, so in my opinion have some glucose whenever such thing happens and measure the blood glucose level with standard method, and this is being done in pathological laboratory, take care and have good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a acute viral chest infection in Jan 20011. When i was coughing & bringing up mucus i thught some had stuck in my throat. Now when  swallow I can still feel something - as if there something there. Day to day swallowing is not a problem but when I take a gulp I really feel it. Doc has refered me to hos so I will have a long wait . Could this be a tear  something more sinister? ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* This is in relation with adenoid enlargement post viral infection.* Subsides once the infection is controlled totally.* Suggestions for early recovery - . - Gargles with salted lukewarm water added peppermint oil 3 times a day - Dietary precautions also help as avoidance of chilled items, excess sugar spicy, non veg, ghee, dairy fat.- Avoid exposure to excess cold or pollen, dusty environments.- Refrain from smoking, alcohol. Hope this clears your query. Welcome for further guidance. 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: Ive recently had some dental work done over the last several months, back tooth pulled and had a partial denture made.  The partial denture  is an upper denture to replace lost teeth  on both my right and left side, I only have 5 upper teeth because of previous lost teeth. Now my gums hurt, its a burning pain that hurts, the pain is primarily on the left side where the back tooth was pulled, the pain is also under my partial and lower left side.  Do you have any idea why I should have such burning pain? thank you. ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query pain in gums can be due to inflammation in gums it can be due to gingivitis, or it can be due to periodontitis also and there might be possibility fill fitting partial denture or sharp or irregular surface of denture. I will suggest consulting oral surgeon for examination of denture and gums if needed go for oral prophylaxis, in meantime do warm saline rinses 2 - 3 times a day, and you can apply gum paint on gums. 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 got marrid in june 2009,we never intercourse completly bcoz we didnt want baby at that time but we nevr take any sort of external precautions,in dec 2010 my husband came to malaysia and i still remain in pak but juz after my husband went my periods became irregular and after some time it stop i took treatment and finaly periods become regular,now in feb 2013 i came to malaysia my husband and me met after 2 years now we want baby but my periods again become irregular like my last date were as follows 17,jan2013 befor met to husband then after met husb my periods start on 1march2013 nd now i would be on 1 april bt it started on 21 april. ### REPLY: Hello, There are many causes of irregular periods like stress, hormonal imbalance, thyroid disorders, sudden gain or loss of weight etc. I would advise you to undergo certain tests like CBC with ESR, Thyroid function tests and an ultrasound of pelvis. Meet your doctor with the reports and if needed you can again take the treatment for regularizing your cycles, as this is needed before you plan your pregnancy. Don't worry, every thing would be fine. Take care.  ### END