Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently been getting terrific tooth pain when flying   The dentist says it is not from my teeth and I finished a treatment of antibiotics and prednisone for sinuses prior to my last flight and still had terrible pain both up and lower on left side  My jaw became very warm also  After about 30 min at cruising altitude the pain resides  Can you help? ### REPLY: Hello Thanks for consulting ChatDoctorRead your query pain in tooth can be due to some reasons it can be due to carious tooth or due to periodontal problem don't be worried so much I will suggest you to consult dentist for complete oral examination and for proper investigation to rule out cause of pain. Inmeantime for pain in flight I will suggest you to take dispensable analgesic like paracetamol. Do warm saline rinses, maintain proper oral hygiene. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 45. Female. 6 1.5 . 155 lbs. Been checking my blood sugar because it ran high at a health screening. Always over 240 when fasting at least 10 hours. 247 this morning. Just ate dinner, and it s 463. Always overly thirsty. Getting up 4-5 times a night to urinate. VERY sleepy feeling a lot. Am I ok to make a doctor s appointment and wait for that, or is this something I should rush finding out about? ### REPLY: Hello, Thanks for the query. I have gone through the details given. Your blood glucose levels are high, both fasting (247 mg) & after food (463 mg). This definitely is a serious concern. You have diabetes, which needs immediate initiation of treatment. Because of high glucose level after dinner, you are bound get more urine at night, disturbing your sleep. Feeling excessively thirsty, more hungry and going to toilet more often are clear signs of diabetes, plus tired feeling. Ideally there has to be immediate treatment initiation to control blood glucose, plus diet control like avoiding sweets, deep-fried foods, high fat products (cheese), junk foods, pastries and other bakery items. Your weight and height seem to be fine. Plus avoid sweet corn syrup containing products and colas. If possible please seek immediate advise from the doctor. Waiting is not good. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am trying for baby but suffering from PCOS problem. I am undergoing treatment and doctor is advising Fertomid from last 3 cycles and from this cycle i have started with Oosure. I have did ovulation study for 2 cycles. Ovulation is happening on 20th day bt i am not conceiving. Please help. ### REPLY: Yes.I can understand your concern. In my opinion now u should stop Fatimid as u have taken it in the 3 cycles, and now it might have become resistant.u better stop this only for one cycle and then in next cycle u start it from 2nd day of your menses and this month u take tab polite 5 mg once daily, syrup eve care 2 spoons daily and tab ova bless once a day(it is good in PCs pts).then in next cycle Fatimid for 5 days and go for follicular study and when your follicle size becomes 18-20 mm and endometrium min 10 mm then u try and let's hope for the best. If even then no result then decide for medical procedure ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve read many, many replies (on many websites) from doctors regarding the chances of getting pregnant by a small amount of ejaculant on one s hands being rubbed onto the vaginal opening. Some simply say yes, possible b/c it only takes one sperm , while some say It s highly unlikely , etc. What I d like to know is: 1) Is there any medical professional here who actually knows of a case of pregnancy happening from such a situation? and 2) are there any more scientific studies on this? Thank you. ### REPLY: Hello, thnks for trusting  doctors for your health related queries.I guess your concern is-probability of getting pregnant in this kind of scenarios n any scientific studies on these???lets discussion part by part...well let's have short discussion about semen n sperm...semen is that white lotion thing what guys ejaculate.in this lotion small sperms will be there, which meet ovum n women beams pregnant....semen is sticky in nature...imagine u have had a very oily food,even if u wash with soap water still u can feel that sticky nature for sometime.same way semen is...it is sticky in nature...with this sticky nature of semen, it will be sticking to the part of vagina where ever it's been rubbed,thereby sperm too.....so this sperm may meet the ovum present inside vagina and women becomes pregnant...usually success rate of pregnancy increases when men ejaculate inside the vagina...this is the usual norm...however medical field is know for many miracles....this small amount of sticking semen can also cause pregnancy....but chances are very, very minimal.....whatever replies u have come across online it seems to be correct...no one can pinpoint n say pregnancy is possible or not possible...1.is there any medical profession:as such separate departments are not available to judge in these special scenarios as u he told above.generally its obstetric n gynecology dept that deals with pregnancy n infertility.2.are there studies:there may be present....fr that u need to access scientific journals of medical fields.......I hope this was informative enough, n useful for your query.regards: . .(usually a woman can pregnant after 12-13yrs when her menses start...n a woman can't become pregnant after 50yrs,as her menses stop.....but there it's been reported the oldest women to pregnant is approx ABV 60yrs n the youngest women approx 10yrs....wanted to give example to say medical world is known for miracles!!!!!!!)- ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dropped a 135 lb barbell on my right quad above the knee on Tuesday morning. It immediately swelled but got worse over time. I have iced it and kept it wrapped. Today, the bruise is clear where the barbell hit my leg but surrounded by black bruise and still swelled. It only hurts to touch. What should I do? ### REPLY: Hi there, thanks for your question. The natural history of a bruise is to go through stages of color changes over a week with gradual reduction of pain and swelling. Rest, Ice and bandage application accelerate this process. Nothing more is required at present if you can stand and walk without pain, you are not on blood thinners, you don't have fever. If the answers to any of these is no, you should visit your physician. Hope this helps. All the best. Regards.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am one month post carotid subclavian bypass surgery, I have been short of breath since about the second day home from hospital, surgeon just looked at me funny and said he did not know why i had shortness of breath, sometimes i cannot even lay down, other times i cannot talk , any suggestions, thank you for your help ### REPLY: Is he the heart patient as well or chronic smoker, history of cough with sputum. Is there history of getting up from sleep associated panic, air hunger, if yes it strong suggest heart problems. So as you mentioned it increases on lying down it can be heart related. So to confirm that you should get your echocardiography done to know your status of heart function. Also get chest x-ray done. In treatment consume low salt diet and restrict fluids and see the response. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 husbands sperm analysis shows this results: volume 1.5 ml, ph 8.5, total concentration 160 M/ml, total 240 M, morphology normal 70% abnormal 30%, motility: rapid progresive 15%, slow progresive 40%, non progresive 25% , non motile 20%, WBC/ hpf 2-4%, RBC/hpf 0-2... Is this normal? ### REPLY: HelloYour husbands semen analysis findings may indicate semen infection with borderline low motility. Infection is indicated due to presence of WBC and RBC in semen. Normally semen shouldn't contain any WBC. He may need investigations like routine hologram, random blood sugar, semen culture and sensitivity, ultrasound of scrotum. He may need to take antibiotics based on culture and sensitivity report. Motility is also borderline low. Normally it should be at least 55 %. Sperm count is normal. Normally it should be at least 20 millions/ml. Fertility is expected to increase with control of infection. Other findings like pH, morphology etc. are normal. He should take healthy and nutritious diet. Avoid alcohol and cigarettes if he takes it. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Female Age 31, height 5 ft., weight 165 lbs.  I have dry, cracked, bleeding patches of skin on my genitals and anus as well as ulcerated hemorrhoids.  I also have blister-like sores on my legs and breasts that fill with fluid, sometimes pus, and once they burst, have an ulcer-like appearance.  I have been treated for yeast for 2 months and am not better.  It will appear to be clearing up for a day or two and then "come back with a vengeance."  I have many other symptoms in addition.  I cannot get in to see my PCP until next week.  Any ideas or suggestions? ### REPLY: Howell come to ChatDoctorBlood born infection may be likely with bad condition, first blood sugar need to be tested second local care of wound and lesion is must keep the area clean apply Provide iodine ointment, antibiotic is advisable, and the best option would be Tab Definite 300 mg twice in day for five days, if this is hemorrhoid then surgical treatment is the option for cure, other skin lesion that you have would be fine with the same suggested treatment, take care for overall hygiene, hope this information helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have diabetics 2 , and take a lot meds, or highblood pressure, chosteral,, nerve medication and menopause. the last little while I have been forgetting things. for example was doing a ladies perm and for the life of me I cannot remember if I was the neutralizer out of her hair. I have tried to visualize back to what I did. and can t remember . just like to today drove to my mothers a hour away and for got to take my wallet. ### REPLY: His am . I have read your message. I think I can help you. First, the symptoms of the query are quite suggestive of early dementia. Dementia is a condition of gradual loss of memory and other mental functions. Now, I would have liked to know your age. The only clue I get from the query about your age is that you are post menopausal. So you must be at least above 45 - 50 years of age, which is the age where some forms of dementia start manifesting. I would, in my office, have preferred to do a full mental status examination. That however, is not possible on this query. This is important. Because forgetting things can be a part of normal day-to-day activity- I mean lot of people forget things at home daily, and lots of people go through a practiced activity without remembering the details. This is not dementia. One may even be concentrating on some other work whereby a practiced activity is performed perfectly, but the patient does not remember the details because the attention was not paid to the activity. A simple example from daily routine-when  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 gurgling, wheezing noises when I lie down to sleep, cannot clear it with coughing.  Do have pnemonia, was given antibiotics, albuterol inhaler and told other meds to take.  Have been sleeping last 2 nights sitting up due to the noise.  Any suggestions to get rid of the noise? ### REPLY: Thanks for your question on . I can understand your concern. Breathing difficulty, wheezing during lying down (sleeping) are seen with bronchitis and heart failure. So better to consult doctor and get done blood pressure monitoring, ECG, 2d echo, chest x-ray and PFT (Pulmonary Function Test). ECG and 2d echo are needed for heart failure. Chest x-ray and PFT are must for the diagnosis of bronchitis. Treatment is based on diagnosis. 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 m hajra 30 yrs old, got married 4 years back,i have been operated once for left ovarian on 15.07.2010 and that was removed and also tubercular infection was detected in pelvic region,the course of t.b.has been completed but after 6 months the cyst recurred again on my right as well as left ovaries and both are 7.5 cm of size,i have no child and i dont want to be operated again,can homeopathic remedy is available for me? ### REPLY: Hello Hara, Welcome to . The kind cyst you have mentioned of the ovary could be cyst due to endometriosis, in which case the cysts have a tendency to recur. It could even be a functional cyst, which is seen generally in a case when, ovulation i.e..removal of egg from ovary, does not take place and the follicle continues to grow forming a cyst. This is seen in cases of Polycystic Ovarian Disease. In such case there is a hormonal imbalance too. I would suggest you to get your hormonal levels done after discussing with your GAEC, in case not yet done. And follow the treatment as advice. Homeopathic treatment, of course might be of some help, as long as the cause is not something which mandates a surgical treatment only. Hence, the best person to commend upon the same would be your GAEC, after it is thoroughly evaluated as to the cause of the cyst. If it is still of tubercular origin. Hope I could answer your query well. Get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My two  year old granddaughter got into her Mothers purse and took 1 mg xanax.  Since the Mom cant find the xanax and shes not sure if she took one or not, what kind of symptoms would she have?  Should she go to the hospital?  The Mother has a presciption from her doctor. ### REPLY: Thank you for following up. I figured your concern. Alprazolam(Xanax) is medicine from group of benzodiazepine, which can give 1. Dizziness, .  Vomiting,nausea3. Fast heart rate4. Low good pressure5. Blurred vision6. Allergy Your daughter doesn't have even dizziness and vomiting, then don't worry, if you are confused give to her charcoal 1 tab immediately and take her in ER for washing of her stomach 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: It begun 4 weeks ago, on my lower right side just under my ribs I felt a bruise with no mark, then a tiny lump, the dull bruise feel has worked around my lower back now reaching my spine and feels like tiny lump has moved also! My GP booked me in for ultra sound, but am worried as to what it could be, any idea? Also, I am fairly fit, 28yr old female. ### REPLY: Hi, DEar, thanks for your query to . I studied your query in depth.1-In My opinion the small lump underneath the right ribs with bruise spreading to the spine, with the movement of the lump also, appears to be-Shingles -or Herpes zoster/ or Spider bites-with lumps.2-I would advise you to -have consultation with physician...3-Ultarsond may add little to the causation of the lump but the FBS and PPS -needs to rule out diabetes-as shingles is more prone in diabetics.4-Hope this would solve your query.5-Wellcome for any more questions on new or this subject also... Hava A 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: hi i have throat pain from this i have fever also then what precautions i will take care for my health ### REPLY: 1. probably sore throat as you said has arose from your common cold. (Viral)2. Make sure that other causes of sore throat mainly bacterial (Streptococcus, Tonsillitis) are ruled out.3. For how much duration this sore throat has been present: which could also be due to low humidity, smoking, air pollution, or post nasal . 4. It is important not to use antibiotics to treat viral illness, as they do not alter the course of viral illness but causes unnecessary side effects like nausea, vomiting,diarrhea, rashes.5. Saline water gargles, Lozenges (Stress, koflet, Halls), herbal tea of ginger, lime,fenugreek,6. If sore throat is associated with difficulty in swallowing check with your physician about the same.7. Avoid cold  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 heard that a ChatDoctor diet can be beneficial in treating absence seizures. My daughter is 5 and has recently been diagnosed with petit mal. We dont really want to put her medication as yet and want to try alternative methods. Can a child be on this diet safely? ### REPLY: **1.  Since Epilepsy is mainly caused by abnormal electrical signals in the brain, thus prior to opt for any alternate system of medicine, make sure there aren't any secondary cause of the same [neurological/metabolic disorders]2. Epileptic seizures can be triggered by many additives that are in processed foods, thus avoid Aspartame [phenylalanine & aspartic acid]3. Vitamin B-1 and vitamin E have shown very positive results in helping people who are suffering with epilepsy, as also Zinc Supplements.4.   diet is available OTC [over the counter] which has shown some benefits. But there are no studies to say it is safe, moreover this is not FDA approved .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor I have a cyst (small) called pilonidal cleft , on my tail bone that had been oozing out some pus and blood for 3-4 month now and at present, it is more of blood rather than pus. May be because i had been consuming some blood purifiers. I want to know that can I use Nebasulf powder on my cyst to treat it. If not what can i do? ### REPLY: Hello! Thank you for the query. As a colonial cyst is caused by hair ingrowth, the only way to get rid of it is surgery. Usually such ingrowing hair irritates tissues and causes local inflammation. It leads to abscess and that is why the pus comes from it. None of creams or powders will treat it. You should consult a general surgeon and have simple removal of this cyst. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has recently began to complain with a sore penis . As if it were bruised. It has now been several weeks and the symptom has not went away. He has no other symptoms, no burning during urination and no discharge , no bumps. Although he says he has been faithful I am worried this is an STD . I recently started showing signs of a possible BV infection but have not had any painful urination, bumps or discolored discharge either. Just a n odor after we have intercourse. Could this be the cause or should I be worried it is something more or may he in fact have an STD? ### REPLY: Degree understand your concerns went through your description. I suggest you not to worry much. You have not given your age. With no other symptoms pertaining to STDs, that part should not be suspected. The odor during intercourse is normal and is due to intercourse itself. The soreness could be due to lubrication problem. Get to your gynecologist and get a confirmation about this lubrication problem. Use of proper lubrication should clear the problem. Hope this answers your query. Available for further clarifications. Good luck. Merry Christmas. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 tingling in my soles which most of the times is unbearable and it goes only if i spray lotrimin or i massage vigorously with any oil like coconut or olive oil or i put my feet in warm water with epsome salt in it. my question is is it the symptom of type two sugar or any thing other than that? ### REPLY: Hi, Thanks for your query. Tingling in the toes indicate that there is some sort of neurological disturbance (impaired conduction of nerve impulse) in the involved nerves. This may result due to compression of the nerve at some level during its course or may also result due to some systemic diseases. A detailed clinical examination and few investigations like EMG & Nerve conduction studies are needed to establish a correct diagnosis of your problem. I suggest you to consult a Neurophysician and follow the advice. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im jeric 26 yrs old im planing yo go abroad but sadly im pending in my medical result because of my sgpt 120 sgot 54, now im starting go on diet because after 2weeks i need a low sgpt to make me fit to work. please help me, wat should i do? please to decrease my sgpt thankyou ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Your Sept level is really very high. Sept is a liver enzyme.  Its level increase in any liver damage.  It may be due to viral hepatitis, .  You should go for complete liver function test. Find out the cause of that and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just found out I have cysts on both adrenal glands and polyps in my gallbladder. This was all found due to pain in my right lower back and lower front, which remains undiagnosed. I was told to get my gallbladder out immediately, but not to worry about the adrenal gland cysts. My sister is a nursing student and is telling me they can be serious. What should I watch for? ### REPLY: Hello, I have reviewed your query in detail and here is my advice. As you have been informed, a single a . Gallbladder polyps are usually due to cholesterol build up. However, there is a remote possibility that the polyps can be small tumors. This can be confirmed after cholecystectomy (gallbladder removal) and pathological evaluation of the gallbladder. You need not worry too much about malignancy at this point. Please be advised to undergo gallbladder removal surgery as recommended. 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: Is it possible to receive cancer, in your eyes, for being in the computer too longAge: 16Height: 511Weight: 185 lbsWhen I was young I was overweight, as I grew I lost it and maintained the average weight. Until I grew to twelve years of age, then I began to eat more junk food, and awful beverages that increase weight. I have gotten all vaccination shots and am perfectly healthy as I write this. ### REPLY: Thanks for your question on . I can understand your situation and problem. In general eye malignancies are very rare. The common eye cancer is Retinoblastoma. It is common in extremes of age, in less than 10 years and more than 60 years. The most common cause for this is genetic mutation. Retinoblastoma gene is responsible for this. So eye cancers are very rare and if at all occur, occur in susceptible individuals only. Since your age is 16 years, possibility of eye cancer due to excess computer work is very less. But this will certainly damage your eyes. So better to take intermittent rest in between computer work. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can a sore palate be a result of post nasal drip. pseudophed helps. ### REPLY: I have an extremely sore palate at the roof of my mouth. It is irritated & aggravated by hot food and salt. I've had two teeth extracted this week and have been told to use hot salty water to aid the healing process, I cant do this as the pain is excruciating and salt aggregates even more. I also have a cold sore on my lip. What do you think is the cause of the sore palate at the roof of my mouth & are there any home remedies or cures or something I can buy over the counter? ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just diagnosed with shingles and have a rash on my torso.  Just started antivirus medicine this afternoon.I was planning to visit my elderly mother (86) next Saturday but very concerned she may catch this. She thinks she had chickenpox but unsure. Should I cancel? ### REPLY: Hello are a patient of shingles and your mother had chicken pox. Note down this and read carefully. In shingles in the normal host, lesions may remain few and continue to form only for a period of 3 to 5 days. The total duration of disease is generally between 7 and 10 days ; however it may take as long as 2 to 4 weeks for the skin to return to normal. When any patient who had chicken pox may get this disease from infected person (as you may spread this to your mother). Varicella-Zoster virus infections have two types .1 VARICELLA (CHICKENPOX IN CHILD . 2 Herpes Zoster (shingles in adults). So chickenpox infected person may get infection very rapidly. In my opinion at least you should remain away from your mother for 4 weeks. 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: Yesterday, my husband all the sudden came down with a cold, sneezing, runny nose, sometimes congested, coughing up yellow mucus and now his back is also sore on both sides where his kidneys are. Are these all symptoms of just a cold or should he go see his doctor? ### REPLY: Ok, productive cough is often a reason to see the doctor to evaluate for a potentially serious lung infection. The pain from lung infection can occur in many places for many reasons. Generalized pain from inflammation would imply a more serious infection than a common nose cold. Coughing from anything, even very minor things, frequently pulls back muscles. It is unlikely to be serious., but I cannot say in your particular case. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 28 year old woman and have been suffering with constipation which has caused haemmorhoids. It is that bad that i have has to put my thumb inside my vagina to push the hard faeces down the wall between vagina and rectum. There i found quite a large bump which felt almost like a lump of muscle. Please advise! ### REPLY: Hi. Welcome to .First you should not put your finger into vagina. That can hurt you. Due to constipation you are getting hard stools which you fill as lump. Try to eat high fiber diet like green leafy vegetables. Do your thyroid once. Hypothyroidism sometimes causes this. If no blood in stools no need to do surgery for piles, but you should see gynecologist once as you may be having reconcile. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small lump on my leg below the knee, its flesh coloured, does not itch, does not bleed, the doctor said it looks like a actinic keratosis, can i have this removed, the doctor does not seem concerned and told me to go back to see her in a month, i m worried. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have acidic keratitis or other lesion. You should go for biopsy once. It will give you exact diagnosis and clear all doubts. Then you should 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 Doctor, I am experiences almost continuous palpatations ( like you have when you have an exam and you are worried) since last 4-5 days. alos, i feel shortness of breath and a feeling that ears are getting blocked. accompanied symptom : my tongue is dry, i get a feeling that i am about to develop blisters on my tounge i am 34 year old and dont have any heart condition or major ailment as yet. about 12 years ago i had a ratinal detachment operation and have been going for eye check up every six months. ### REPLY: Thanks for your question on . Since you are having palpitations and shortness of breath, we need to rule out cardiac cause first. Common cardiac cause s are1. Arrhythmia2. Hypotension3. Heart failure. So get done1. ECG2. 2D Echo. 3. Holder monitoring (continuous recording of ECG) to rule out all these. If all are normal than no need to worry much. This may be due to anxiety only. So avoid stress and tension. Be relax and calm. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 victim of tape....is it normal to still have moments where I feel like I can t breathe and like my heart is racing and to have moments where I cant stop the flash backs? It has been three years and I still have times where if feels like I am hyperventilating. ### REPLY: Hi, I read your query and can understand what you must have been through. The symptoms of heart racing and hyperventilating can be due to anxiety. Since you are having such symptoms in addition to flashbacks, it is probable that you are suffering from post-traumatic stress disorder. This is giving rise to all the current set of symptoms that you are struggling with. I suggest that you seek a psychiatric consultation for your problems. Treatment with selective serotonin reuptake inhibitors would be helpful. In addition, sessions of cognitive behavior therapy or supportive psychotherapy would also be helpful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a lower right sharp abdominal pain on and off for about a week.  When it hurts, it hurts worse when I take a breathe of air, I have to take very small breathes as long ones cause a lot of pain.  Is this just maybe  a pulled muscle or something I should get checked out when I have time? ### REPLY: Hello! Welcome to . This can be muscular pain or stone in urinary tract or gall-bladder or appendicular pain. Did you have any trauma there or is there any urinary complaint/fever? Clinical examination is important. Many such patients come to my clinic to whom I advise ultrasound abdomen & pelvis, X-ray PUB, urine & stool routine, renal function tests, CBC. Treatment is done accordingly. Hope this helps. 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: I have been taking Lisinopril Tabs 10 mg 2x/day in the last 6 weeks I have been taking it 3x/day(per my Dr. to try and lower my blood pressure. Since the increase I have experienced achiness in my feet, hands, knees, back etc. Do you think it is the increase? or do you think something else is going on? Also, my blood pressure is down to a better reading. Thank you ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you are wondering if increase dosage of Lisinopril induce pain in the feet. Well the symptoms you mention in query can occur due to May reason, but in your case the symptoms can occur due to lisinopril as its side effects. Because the medicine can cause joint pain sometimes as a side effects. I would suggest you to consult your cardiologist for proper evaluation and rule out other causes. Doctor may alter the dose or prescribe substitute. Doctor may also refer you to podiatrist for other foot problems. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been prescribed sotalol, Coreg and metropalol to be taken together by my electrophsyologist. My primary care doctors first reaction wat that it sounded crazy to him. I am a long term heart attack survivor with long runs of pvc s after 2 cardiac ablutions I have also taken amioderone for 10 years before having the ablations. Does the current triple bata booker prescriptions make any sense whatsoever .?.? ### REPLY: Welcome to Ask a doctor service have reviewed your query and here is my advice. Single molecule of beta-blocker is enough, but some time second molecule of same group or different group can be added, and it is depends upon the clinical response adding second molecules is okay, but third molecules is somewhat weir, you can have second opinion if needed, one need to be very conscious while taking the cardiac .  Triple beta-blocker is not suggested. Hope I have answered your query, Let me know for further assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 found out I have Osteoarthritis. It seems to be more active. When I sit too long or walk and bend. Just cant get it to stop hurting. Today it feels like my knees are going to give out on me when I walk. I am currently a stocker at walmart and not able to do the job very long. what do you recommend? should i apply for disability? ### REPLY: Hi, Thanks for your query.* For osteoarthritis, weight reduction is the main treatment along with medicines to decrease pain like NSAIDs - paracetamol, diclofenac etc., Lifestyle modifications like avoiding sitting cross-legged, squatting, using Indian type toilets will decrease the rate of progression of osteoarthritis. Exercises like qua . Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You can take them after consulting an orthopedic surgeon. Many of my patients do get relief by yoga - Panama and darshan Oriya. You can start with these under the guidance of an expert. In early stages exercises, medicines, joint supplements & intra-articular injections are helpful & may revert the changes but in late cases joint replacement is only option. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can a colonoscopy actually increase a persons chances of developing colon cancer? I had a colonoscopy 10 years ago at the age of 58. I had a small polyp that was cut out during the prcedure. There was no evidence of cancer. I am one of nine siblings and one of the youngest. Some of my older siblings are nearing 80, all are in good health. No history of colon cancer in the family tree. Right now I am having strong symptoms of colon cancer. ### REPLY: Hi and welcome to . Thanks for the query. And what are strong symptoms of colon cancer? Colon cancer symptoms are very nonspecific, and it is impossible to know if you have cancer or not without diagnostic tests. All these nonspecific symptoms can indicate any other bowel disorder such as polyp, hemorrhoids, IBD and many others. Colonoscopy can't increase risk of cancer. If you have any doubts, you need to repeat colonoscopy.  Wish 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 66 year old male. I work full time a a lawyer. I am able to walk on flat ground without difficulty although I have a lot of pain in my left foot. I become breathless when climbing stairs or walking uphill specially if I am carrying something. This has been the case for a year or so but worse lately.. I recently ha d a chest infection. ### REPLY: Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of mild to moderate pneumonia. I advise you to get a clinical examination and ECG,2D Echo of your heart, chest x-ray, ABG analysis immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. . Pantop once daily for 14 days and tab. Deriphylline thrice daily, syp. Grillinctus. Avoid stress and anxiety. Avoid smoking and alcohol. Consult your pulmonologist for expert management and follow up. Hope I have answered your query at the moment. Post your further queries if any, Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi:  I am 67 years old and am wondering if it is safe to fly comercially a week prior to having turp surgery.  Im concerned that the air pressure changes will cause additional pain.  Any information you can share with me will be greatly appreciated.  Thank you very much. John ### REPLY: HelloThanks for query. You have been planned to undergo surgery of TURN for enlarged prostate and want to fly over a week before planned surgery and worried about some complication may occur due to pressure. Flying for a short period of 3-4 hours will not have any pressure effect on bladder neither there is danger of getting retention of urine if you follow instructions .1) Empty your bladder before you board 2) Do not . 3) Avoid sitting continuously for more than 2 hours and prefer to have a walk for short distance in flight itself .4) Do not hold on urination 5) Empty your bladder if you have urge to pass urine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctors..............im sinju from kerala, india... now a days have moderate to severe back ache.... from the last 4 or 5 days... i happened to carrry my 2 yr old son continuously for almost 4 hrs... from that day i have this back pain... my sons delivery was my lscs.. heard from many that if delivery is through lscs, we will get back pain... for me also got the same...... till my delivery i never got back pain... and after that sometimes i used to get, but at mild levels... but now it is really intolerable for me... and cant do any work at home.... what should i do for this now...? should i suspect something ivdp or something of that kund.. or i just need to neglect this... please help me with this.......... ### REPLY: Such back pains are common in Indian scenario in nursing mothers. Carrying child gives strain to back muscles. Back pain is also common after both LCS or normal delivery.u need not worry much about it.it does not seem like avdp. Just keep some precautions. Avoid forward bending and lifting weights. Start low dose analgesic with muscle relaxant. Most important start back strengthening exercises. Do hot fomentation for pain. U will surely get relief. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 baby is 3 years and 2 month old. From last 4 days whenever he is passing urine ants are coming to that place. From last 6 month he was suffering from recurrent cough and mild breathing problem. He was not cured after taking Doxcef 100 for 10 days. My paediatrician prescribed Duolin (2 puff x 2 times for 10 days) and Seroflo 25 (2 puff x 3 times for 10 days and then 1 puff x 2 times to continue). He also advised to resume Duolin if recurrent cough starts again. He is also taking Montair L for three months for breathing problem. From last one month he is fine but medicine is continue. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of asthma is more likely in your baby. One more thing, diabetes should be ruled out because ants in urination place is indirect evidence of diabetes. So test your baby for diabetes. About Dublin and Aeroflot, no need to worry about these inhalers as they are safe for long term use. Hope I have solved your query. I will be happy to help you further. Wishing good health to your baby. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 1 yr daughter is having fever last two days with ear infection due to cold and she had loose motion during the 1st day nearly 5 times. we were prescribed with ZiFi 50(4ml M & N) , Nutrolin-B Syrup (2.5ml A & N ) and P125(1ml every 4hrs if fever exists . Next day her fever was oscillating between 102.6 and 99.4 and same day night she had vommitted twice and we took her to the dr. and she was asked to take additionaly Emigo(2.5ml Morning & Night), Ibugesic Plus(2.5ml A & N) and Mefanorm(if fever is continuing). Pls advise. ### REPLY: Hi. I feel with so many systems of the body involved and the fluctuating fever being there, it should be viral illness. . Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Do not use Metonymic acid. It is an NSAID. . It carries the risk of gastritis and renal problems in the long run. Please do not use Reform. 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: HiI have had a in the last few days a pain under my left rib cage. It feels like a balloon is under my lower ribs. It makes me nauseous. and i get dizzy. It is hard to walk or sit down. I do not know what to do or what kind of DR. to call Thank you Shanna ### REPLY: Thanks for your question on . I can understand your concern. Pain under rib cage, nausea and dizziness are seen with acute gastritis. So avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take combination of pantoprazole and levosulperide twice daily before food. You will mostly improve with all these in 1 week. If not improving then consult internal medicine specialist. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my blood pressure is going way high and low lately many problems- surgery errors now hernia and arterial fibrillation bulldozing our property no tresass court actions i need to take something to bring it down now being told I need medication 400.00 monthly I cant afford no drug ins what is your suggestions right now im having veinous insuffientcy hbp part involved need the surgery for it too in progress plus hernia future always two procedures first colonoscopy with anti freeze then another at hospital freeway down the middle two weeks to heal or walk ### REPLY: HelloWelcome to Ask a Doctor service have reviewed your query and here is my advice. Underlying cause of uneven hemodynamic system is matters, although it is very less likely, it is always be the high blood pressure, if you are going to read it on your own then it may show you great deal of fluctuation so better to see the physician, moreover such condition may not cause any obvious condition, venous insufficiency of what region is question ? It is being treated according to vein disease of related region or area, for the hernia it is again what type hernia is there in which area on body it is happening, surgery is the option for most hernia. Hope I have answered your query, let me know for further assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MRI scan report says central canal stenosis appears to be most severe at L3/4 in comparison to the degree and severity at L4/5. This is almost certainly causing neural compression of the traversing nerve roots bilaterally at the levels L3/4 and L4/5. Have problems peeing and now use ISC and take mixture of 25 analgesics a day plus oramorph 2 hourly if needed and am still in pain if I stand for a few minutes or walk 50 yards. Can you suggest alternative treatment. Do I need to get second opinion? ### REPLY: Hello. Thanks for asking from . I can understand your concern. The canal stenosis at L3/4 and L4/5 involves nerves which supply urinary bladder, bowel, leg and foot. Your symptoms are due to compression of these nerves. You can take second opinion for evaluation of your symptoms and can get tests done for nerve function evaluation like nerve conduction velocity (NCV) and electromyography (EMG). This will help in confirming diagnosis. Coming to the treatment of lumbar canal stenosis, it can be treated by: Medical treatment like painkillers which you are already taking.  Surgical decompression of spine by removing bone and thick ligaments compressing nerves like laminectomy or rhinoplasty. It is done if medical treatment fails, compression leads to focal deficit. You can discuss it with your doctor. Hope it will help you. Thanks. 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: if a persons report for tuberculosis after medically treated is found to be negative after 5 months, yet the medicine is supposed to be continued till 9 months, does that mean the person is completely cured and is it safe for small childrens to live in the same house? ### REPLY: Hello. Thank you for asking at . There are many types tests for tuberculosis. I assume you are referring to sputum examination for tuberculosis, which is most commonly used for diagnosis of tuberculosis. If a persons' sputum has turned negative after 5 months of treatment, it does not mean he/she is completely cured. He needs to complete the full course of anti-tubercular medicines suggested by his physician. Negative sputum means the person is no longer excreting tuberculous bacteria in his sputum. So it is considered safe for other persons coming into his contact. So, yes, once a person is sputum negative, it is safe for child . However, this does not apply to other tests for tuberculosis. Hope this will be helpful to 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: Hi, Im 20 years old, usually a very healthy person with an amazing immune system. About a week ago I had a pain in my chest that was worse when I would breathe. I took tums and aspirin and the pain disappeared. But ever since I have a pain in my right arm that feels like when you sleep on it wrong, but all day, and for several days. It starts at the wrist and continues to the elbow and I can occasionally feel it in my shoulder. Is it just a coincidence or are the two incidents possibly related in some way? ### REPLY: Hello, The Possibility of musculoskeletal pain is more likely. So, follow these below steps for better symptomatic relief in musculoskeletal pain:1. Avoid heavyweight lifting and strenuous exercise.2. Avoid movements causing pain. Avoid sudden jerky movements of chest and shoulder.3. Apply warm water pad on affected areas of arm.4. Take painkiller and muscle relaxant . Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a friend who says she has salty taste in her mouth along with extra saliva.  She also has noticed 3 episodes of forgetting where she is as well as a bit of soreness on the top and side of her head. She has been recommended to see a neurologist.  What cab these symptoms mean for her? ### REPLY: Hi, Thank you for posting your query. I have noted the symptoms in your friend. Episodic loss of memory can be seen with TIA-transient ischemic attack (which occurs due to lack of blood supply to brain) OR seizures (due to abnormal electrical discharges in a part of brain). She would require MRI brain and EEG for further evaluation and confirmation of diagnosis. There are good medications available to treat both these conditions. 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! My name is Jennifer. I have had severe chest pain for 6 weeks. Headaches, burning back pain, always tired, dizziness, and easily distracted, abdominal pain, and feel uncordinated. I have been to the PC, Cardiologist, Gastro , and ER. All tests are negative. Symptoms are getting worse, and still no answers. ### REPLY: Hi and thanks for the query, it is important to know why you had this chest pain. It is important to know if you had ever experienced this before or not. A complete past history and a chest X-ray could help. An infection, gastritis and heart disease are all possibilities. Tests like the chest X-ray, microscopy, EKG and a cardiac ultrasound might be important in the evaluation process. But all these have to be guided by an appropriate and thorough clinical review. Thanks and 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 had stage 3 lung cancer 1 year ago May. I had 33 days of radiation and 2 rounds of chemo consisting of 6 days each round. In November I had the upper lobe of my right lung removed....there was still 10% live cancer at time of surgery. I had 2 more rounds of chemo one in December and one in January. I had a ctscan in July which was clear. I have had a dry cough again for about a month, now have a cold. I went for a chest X-ray Wednesday. Results..I ll defined density. Can you tell me what that could mean? I am waiting to see if my oncologist wants to see me. Thanks, Jenny ### REPLY: Thanks for your question on . I can understand your situation and problem. Since you are lung cancer survival, ill-defined opacities can be due to 1. Relapse of lung cancer2. Malignant nodules3. Infection4. Fibrosis. So better to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis to rule out above-mentioned causes. Possibility of relapse of cancer is more. So consult pulmonologist and get done above tests to diagnose your densities. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell down three stairs on my buttocks, when I got up I almost passed out I ran to my bed and waited till I felt better. I have been feeling nauseated since then and cant stand for a long period of time without feeling like im going to be sick. It is also painful to sit. Im on blood thinners what should I do? ### REPLY: Dear France pain is from muscular strain due to injury. You can take analgesic like ibuprofen or if severe pain take combination of diclofenac+paracetamol+chlorzoxazon/serratiopeptidase with omeprazole/pantoprazole + risperidone to relieve nausea for 2-3 days. This will clear all symptoms. If symptoms are severe consult your family doctor first. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My tongue and mouth are uncomfortably sore for 1-2 weeks---I m thinking it may be oral thrush but there are no white spots; I m not a smoker. I am a generally healthy Type 2 diabetic, well controlled w/ medication. Is there something I can take to relieve the discomfort. ### REPLY: Dear Sir, greetings from  ... I understand your problems ... You told that your blood glucose is well in control ... That's great . Any way to be on the safer side get your HbA1c done ...along with lipid profile and fasting glucose levels ... The sore tongue could be due to vitamin deficiency . Please take good nutritious food and for a month better take any vitamin and mineral supplements . Riboflavin / even zinc deficiency could also lead to this kind of problems ... U will be alright in a week after starting supplements but regularly take green leafy vegetables and fruits which will give these supplements naturally . Take care and all the best . Do contact us for more queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, I just got over the flu this week, still feel alittle sick. I went to the er twice in 1 week cause of how bad I felt, I don t have health insurance so going to a doc has cost me 300 in 2 weeks, I can t go again to soon. my question is this, I got a copy of the er records and two things in my blood work are high...creatine kinase total was 610 and my d-dimer was 384, what do they mean? I have not had a fever for over a week, I m eating normal again and have gained back 11 pounds. ### REPLY: Hi, Creatine kinase is a marker for muscle injuries. It could be elevated in injury and hyperthermia. Due to fever it could have raised and levels will surely fall down. CK-MM fraction should be the one increased in your case. D-dimer is a fibrin degradation product. Without any other symptoms could be irrelevant now. Possible thrombosis or embolism can lead onto increased levels. If you are well enough, can ignore both the findings unless you have still persistent pain in any muscle. Hope I have answered your query. Difficult to interprets all values in an investigation sometimes. If you have any further queries, I will be happy to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from the pain in kidney as sonography report found the 4.5 mm stone in the right kidney. and other thing that found fatty liver of first to second stage , my sgpt is 28 , there is no  pain at liver area .but i feel fuller ness when take nonvegetarian diet for atleast 24 hours & facing constipation problem .even im not an alcoholic.i m 35 years of age.so pls, gives suggestion regarding the seriousness of this liver problem. and what to do to overcome from fatty liver.Thanking you ### REPLY: Hello, I read your question very carefully and can understand your concern very well.  I would like to probe you few things whether you are taking any medications for any chronic illness, what is your weight and height, whether you had done your lipid profile or not. Come back to me with all this information anytime.  Meanwhile, I would like to tell you that it seems not to be an urgency or any serious problem, but at the same time you need to have few precautions to prevent further complications of fatty liver, because it can lead to cirrhosis and liver failure.  I would suggest you few things...........1. Check your lipid profile with fasting blood including HDL, LDL, Cholesterol and Triglycerides. 2. Start regular brisk walking of at least 40 minutes a day and reduce your body weight...3. Take high fiber diet including green leafy vegetables, fresh fruits, e tc.4. Avoid oily and junk food, rather have protein rich diet...5.  . 5 mm stone...6. Avoid alcohol, smoking and caffeine containing  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a menopausal 48 yr. old woman who has somehow suddenly become depressed. I have beeen dealing with a lot of lack of sleep and disturbed sleep. I was always a little bit of a night hawk ; but only on the nights that I didn t have to get up really early in the morning. Anyways, the bottom line is for the last past while;say the last 2mo. straight I haven t been sleeping much. I blame it on hormones; but it s leaving me feeling very drained and lifeless. Their has been a lot of stress in the last few years; we nearly lost our daughter 2 yrs.ago due to an almost fatal car accident. My mom underwent a major heart surgery; a double by pass; our home has been under major rennovations and my husband travels so a lot of the time, I have to be both parent; mother and father. I still have a little one at home; she s in school but she s still young . I lost my father back in 2006; but in spite of it all; I ve always been really good about anything that came my way. Oh yeah; I ve been dealing with abnormal noncancerous cells in my cervical area. So far so good; but I m not out of the woods yet; I may have to undergo a partial hysterectomy depending on the results coming up this november. I ve always been a really happy, full of life who lived her life to the fullest kind a person. I ve always taken everything in stride. I was always a very easy going type of person. Anyways it s out of character for me to be going through this whatever this is. I hope it s just a phase and I can snap out of it soon. I m not happy right now and I m trying so hard to hide my feelings; because I wanted to believe that i could overcome it without anyone noticing; and that I could fight this depression that i m going through. Anyways, I ended up seeing a doctor recently a wk. ago; and she prescribed medication called Venlafaxine for 7 days; 1 tablet daily.After the week is over, I m suppose to double my dose. Well, Ive only taken it for 2 days, and Ive been experiencing no sleep from the medication and i developed an allergic reaction ; I ended up getting a severe case o hives. So now yesterday was the third day and I did not take the medication . Oh yes, I am also taking a natural, herbal formula 2x a day for my menopausal symptoms; and I am allergic to penicllin; so I don t know what to do. But the positive side was that I noticed how my mood and my emotional state had just changed after 2 days. I was much more happier the second day that i took Venlafaxine. I must tell you that a few years ago; when I was 45, I had gone through a little slight depression so i went to see a doctor and he prescribed citalopram during the day; and Zoplicone for night time and that medication really helped me overcome my depression back then. But this time; I think I waited too long to seek help and I feel I m in a deeper depression more than I know. I totally almost stopped talking and I have always been such a great communicator; I used to have a lot of friends; but my husband is very satisfied with being by himself and he s a little bit of a loner and his job actually doesn t permit him much for socializing; too tired to now that he s getting older. I loved people, and I still do; but i dont feel that I have anything to offer anybody at this time; I feel confused, tired, empty and lonely inside; and I feel that I m sheltering myself; and I feel a lot of anxiety because I know that I m not me right now; The doctor that prescribed me to take Venlafaxine just recently is very young; but she said she s been practicing for 7 years; and I think she s qualified to help me; but I m suppose to go for blood work actually this last week; but I plan to go for sure after Thanks giving. I tried to get a whole of my physician today; but she wasn t around. I was thinking I should talk to a Pharmasist to see if he can offer me some advice about what I should do from here. Can you give me some expert advice on how to deal with myself. Also, I d like to mention that I had a family funeral to attend today; and I didn t take the medication; and I could honestly say that I was very alert for driving, but at the memorial service; I knew people their even my own immediate family; and I didn t know how to truly connect with them. Me was their, but not the 100% me. It was my sister s husband s mother who passed away due to a long battle of cancer. She was a very courageous woman; and it was very emotional for everyone; and I had become very close to her also given the little bit of time that I ve known her. She was an angel in disguise;she was a very strongminded, courageous loving,and caring beautiful person inside and out. So it was a very energy draining, emotional day today for a lot of us.Ok I would like to know if I should continue taking the medication which is Venlafaxine and is it better to take the medication early during the day, because i was taking it late in the afternoon; because i was worried that i would be too sleepy and I would t be able to get through the day. What should I do ? I did not take the medication yesterday; should i still take it tonight now at this time which is 9:00p.m my time. I really want to get some sleep; I can t keep on this way; I need medication to help me sleep; but before I took the medication; my whole system just turned around; because since I couldn t sleep at night; after I drove my little girl to school; I found myself having to severely go back to bed; and it seemed I was able to actually relax and get some sleep; but it still was not a sound sleep; but it was enough sleep to help me cope. Please give me your expert advice. I m very desperate for an anwer to solve this problelm. Believe me it would be very greatly appreciated if you could take the time to help me find a solution. Thank you for listening. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  From the given description, depression, anxiety disorder etc. are almost confirmed. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. 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: 3 days ago a lump formed on my forehead between my right temple and right eye; just at the edge of the eye brow.  it is painful at time, but not all the time.  it does not itch, but it is beginning to blur vision in my right eye.  i am beginning to get concerned ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have angular Desmond or some soft tissue tumor or cyst.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice. Once its excised you vision gets clear. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ring worm. I been having this for about a year.I have treated for it with creams ketoconasole 2%, twice daily, Mentax twice daily. pills Fluconazole 50mg once a day + creams for 2 weeks, then Griseofulvinmcr 500mg + creams 1 per day for 2 weeks. These helped some but I still have some ring worms on my legs calfs and back of my thighs, will tea tree oil help, would vinegar help thanks for any info you can give me Leonard Bacon YYYY@YYYY ### REPLY: Welcome to ChatDoctorHello, Ringworm is a fungal infection is contagiousMode of spread1. It spreads when you have skin-to-skin contact with a person or animal that has it2. It can also spread when you share things like towels, clothing, or sports gear.3. You can also get ringworm by touching an infected dog or cat, although this form of ringworm is not common. The reason your infection may be reoccurring are 1. Touching/scathing the infected area than touching other parts of your body2. Using the same towel or clothing after cleaning the infected marabou can prevent it by1. Not touching any other parts after a scratch2. Sterilizing the towel and frequently used clothing 3. Continuing the medication for longer period of time 4. Maintain proper hygiene including hand wash after touching the infected areaVinegar is said to help due to its potassium content and the alkalinity, but there is no data to prove this Thanks regard .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I have always had blood in my urine. But now I am 5 months pregnant with blood in my urine. I am having pain in my right kidney. I can not tolerate lying flat on my back. I start having spasms in my right kidney every 3-4 seconds. It also hurts to walk. I did have leukocytes in my urine but not alot. They diagnosed me with kidney infection but possible also kidney stones. Any ideas? My greatest concern is that I went to my OBGYN a couple of months ago with a bulge on the right side of my navel. It felt like something ripping when I would move do you think this is any relation? ### REPLY: Pain on movement is not related to kidneys, but related to the muscles. Application of warmth, local gels and Muscle relaxants should help. Your urinary problem needs confirmation by urinalysis, urine culture. MRI is needed to look for stones as the pain occurs repeatedly. Once confirmed, treatment can be started. Antibiotics will cure UTI and stone treatment depends on the size and location. Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 32 year old woman. Although it is not very apparent, I have excessive hair loss every time I oil, shampoo or comb my hair. I have hypothyroidism and take 100mcg of eltroxin every day. I check my thyroid levels every year and they have been normal with this dosage of eltroxin for the last 4 years. What can I do control my hairloss. I have tried ayurveda but it did not help. ### REPLY: Hello and welcome to , You seem to be suffering from excessive hair fall commonly seen with hypothyroidism. Though your levels are normal, the overall hair growth and rate of growth may be affected more in your case, even on treatment. In your case, the hair fall, maybe prolonged due to other factors as well, such as poor nutrition, stress, lack of rest, low iron and hemoglobin levels, hormonal changes, also any history of thyroid disorders etc. Dan . For your hair to grow well, it needs sufficient nutrition. Fever, typhoid, recent illness, water change, work stress, pollution etc. is a factor. Low hemoglobin/iron levels need to be checked as well. These causes need to be considered and treated as they affect hair growth. You can consult a dermatologist regarding any tests that may be required to diagnose the causes. They can assess your hair in person and advise accordingly. They may advise hemoglobin, iron, hormone levels if needed. For now, you may start a Recite solution or Tress go serum to scalp at night, along with hair supplements daily like Seraglio or Bootee capsule. This needs to be continued at least for 2-3 months to see results. Use mild shampoo and conditioner like Anaphase or Renoir for hair growth start with the treatment as advised and see a doctor. If your hair is very thin and scanty on the scalp, and medical methods do not work well for you, after a few months of observation, certain new surgical procedures can be considered such as PRP, as will be advised by your consulting doctor after observation, if they feel that it will be a good option for you. This is a later option. Also get a good nutritious diet, avoid stress, pollution, get good rest. Hope this guides you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im 21, ha my appendix taken out 2weeks ago Sunday it was already purferated when they operated I currently have a collection of fluid left which I am taking antibiotics for and have a scan next week, but today I noticed a brown coloured coating on my Tongue and a sore on my lip and wondared wether it could be due to the antibiotics. ? ### REPLY: Thanks for using . Read your query. Yes, the brown coating can be due to the use of antibiotics. The brown colored coating which you have mentioned suggests overgrowth of bacteria than that is normally present on the tongue. It can be caused by the killing of some bacteria with antibiotics so other bacteria overgrow. I would advise you to brush your tongue gently to remove all food debris and stains along with good oral hygiene maintenance. Avoid smoking if you do smoke and reduce on your caffeinated . Consume high fiber foods. For the sore lip, apply a topical anesthetic gel. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i am an ashtmatic and i have been having a thick nasal drip which seems to be affecting my lungs for a few months now and i have great difficulty breathing and it is geting wost with each passing day. my chest is also very tight but i am not wheezing, ( when using the peak flow meter i can only get to MAX) i have also noticed that i have been bringing down from my sinuses alot of mucus with black streaks in it. i am very concerned because my resporatory health has been greatly affected. it really scary not being able to breath properly  90% of the time. Can these black streaks in my mucus be the cause of my detriorating reporatory health? what is causing these black streaks? what is causing this? my doctor put me on symbicort and allegra D.  but they have not been helping. PLEASE HELP. Ladystraw. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of worsening of asthma (exacerbation) is more in your case. Most likely cause for this is lung infection. You are also producing a lot of mucus with black streaks (likely blood). All these favor lung infection (pneumonia) more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule pneumonia. PFT will tell you about severity of the disease and treatment of asthma is based on severity only. You may need antibiotics, additional inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i am due to have surgery (decompression on my elbow) in a weeks time. I am currently taking a short course of steroids and antihistimine for severe hayfever, i have a dry un productive cough which is still present i have mild asthma but this is worsened during the summer months. will they still perform the surgery? ### REPLY: Hello, The symptoms of hay fever will not have any negative effects on the surgery scheduled. In fact before surgery day also, they will do all the possible precaution tests to make sure that surgery goes well, and you get benefitted more. But post surgery you need to do regular physiotherapy exercises for the elbow muscle strengthening and range of motion and also undergo Pulmonary rehabilitation under a cardiorespiratory physiotherapist. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, For a month I have been suffering from a wide range of symptoms. Anything including, bad headaches, pressure and burning sensations in my brain, taste of blood in my mouth, off balance and dizzy, fatigue, and now cold feet and hands constantly. I m nervous and scared. What is going on.. I play soccer and I am known to head the ball an awful lot.. My Dr says it s nothing but post concussion syndrome. I believe its more than that... ### REPLY: Hello! Welcome on  ! Your symptoms could be related to the concussion or a metabolic disorder. For this reason, I recommend performing some tests: -a resting ECG-blood electrolytes- complete blood count-thyroid hormone levels-vitamin D and vitamin B12 plasma levels. If all the above tests result normal, you should consider anxiety as the main cause of your complaints. Your headaches are typical of tension type headache which is a benign type of headache triggered by psychological stress. You should discuss with your GP about the above tests. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir,how r uThis is krishna from hyderabadi am facing the problem as low sperm count & motility.last 4 months onwards i am using Ben Q 10,CCQ 25,NANO LEObut there is no results.can u advise me which tablets are more affective for getting the sperm count & motilitymy email id  YYYY@YYYY ### REPLY: Hi welcome to . I have one through your question. Low sperm count and motility should be investigated properly. I would advise doing semen analysis. Ultrasound color Doppler to rule out pathology like varicocele, testes vascularity and consult a urologist. There are no any medicines which increase Motility. So first investigate then consult urologist. Hope I answered your question. Would be happy to help you further. Take care. ### END