Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Was wondering what might be causing a rash that is very similar to the malar-rash: flaky itchy/burning brows and cheeks, the rash seems to be at the top of my scalp as well and has trailed to the upper lip. The rash is slightly raised and almost always leaves it feeling tender. ### REPLY: Hello, Thank you for posting on . From your history, it looks like you have got seborrhea dermatitis. Sebaceous hyperplasia is enlarged and swollen sebaceous glands which produces excessive sebum and this in turn can lead to dermatitis of skin called Seborrhea dermatitis. Excess sebum production promotes fungal growth and these in turn eventually contributes to seborrhea dermatitis. I would suggest you a course of oral antifungal .  Fluconazole 150 mg tablet should be taken once a week for at least 6 weeks. Apply a cream containing mometasone and terminating twice a day and a salicylic acid 1% based gel in evening over affected areas gently. Use ketoconazole based shampoo on regular basis for hair wash. I am sure you will be fine with this treatment. Let me know if you require any more assistance from my side. Wish you best of health. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have fluid in my knee for 2 days. i didnt went to hospital. but im taking flucoxacillin 2x a day. i have put some ice and my neighbour gave me a few blue small tablets that i dont know the name but she said was for fluid. but my knee still sweld an sour. nothing is helping, what shou i do? ### REPLY: Hi.I've gone through your query and I can understand your anxiety. Fluid collection around knees cause localized swelling. It could result from many conditions like overuse of the joints, damage to ligament or cartilage, fracture, bacterial infection, osteoarthritis or rheumatoid arthritis, gout, prepatellar bursitis etc. I advise you to visit ER to, - do a Joint aspiration & the aspirated fluid should be tested for - bacteria, crystals, protein, glucose, blood cells to rule out gout, infection, injury etc. - Do X-ray of affected knee to find out the cause - Take anti-inflammatory .  - If infection is confirmed, then take a course of antibiotics. - Therapeutic joint aspiration can relieve some pressure in knees, followed by use oral / injection of corticosteroids directly into the knee joint- Physiotherapy Hope I have answered your query. Let me know if I can assist you further. Take care.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m having a lower back pain, and sometimes a neck pain for the last two weeks. I have no abdominal pain or cramps. However, I having loose stools for two days now. I have to go about 4-5 times, but only before evening. There is some sound coming from the lower abdomen as well. Thanks so much ### REPLY: Dear-thanks for using our service and will give you my medical advice for this situation. You might be having an infective process that is creating the loose stools. Due to this, there are multiples electrolytes as sodium, potassium, calcium and magnesium that you loose in the diarrhea. Water is also part of the looses, all of this will create a metabolic imbalance that can give you pain. I recommend you to consult with your doctor because it has been more than one week with this complaint. You might need a stool sample for bacteria and parasite to find out the reason of your problem. I hope that my advice has been helpful .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 started to take prigyuton a month ago, and finished the first box. I have been breeding this three days.  But my friend suggetsed me to take a kind of ointmnet rather than tablets. It is due to the reason: tablets for Menopausal are likely to gain weights. Before I restart the second prigyuton box, should I take a differnt remedy? ### REPLY: Hello! All hormone replacement therapy contains estrogen and progestin and the common side effect is weight gain, in all forms(tablets or ointment). As a hormone replacement therapy this is very good and to take a different remedy you should consult with your doctor that gave you this tablet. To eliminate weight gain you should walk and do activities for about 30 minutes a day, and eat a plenty diet with fruits, vegetables and natural juices. Take care for your self ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 years old, I shave my Testicles, And I have Red bumps in one area on my scrotum, Just one area. They are not big, But can get itchy sometimes. I never had sex Before ever. Friends say its because i didnt shower in like 5 days because of plumbing? ### REPLY: HelloWelcome to . I appreciate your concern. Looking at your description it seems that you might have injured your scrotum during shaving, if possible upload a photograph and write back to me Meanwhile was it with antiseptic soap or solution and apply antibacterial ointment to avoid infection. If it doesn't subside in a day or two than you should see your family physician or GP for physical examination, you may require a course of antibiotics. You can take acetaminophen or ibuprofen for pain relief. Maintain good hygiene Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son was hit in the head three years ago with a tree limb causing his first seizure. Now at age 38 he doesn t use but can his right hand. He just recently went to the doctor an they diagnosed him with having MS. However then sent him to a neurologist an he diagnosed him with Corticobasal ganglion degeneration I feel like he had a stroke an it went undiagnosed. ### REPLY: I read your question and I understand your concern. To be honest I am very puzzled by your story, especially the corticobasal ganglion degeneration (CBG) part. CBG typically presents around the age of 60. The youngest ever documented case has manifested at the age of 34 (I rechecked before answering just to be sure). So if your son had that disease at 38 with manifestations starting at 35, he would be an almost unique case in the history of the disease, I would be really careful in taking that diagnosis. As for the distinction between MS and stroke related to the head trauma it should generally be easy with an MRI if history and examination do not already make that distinction. Without knowing more about the signs and MRI report it's hard for me to say something more because these diseases can have many presentations. The seizure would direct more towards the head trauma rather than MS, as would the fact that the deficit has remained constant in time since the hit, without new signs, as you seem to suggest, but as I said MRI and more details are needed. I hope things work out for the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had a small bump on my forehead that has been there for over 12 years. I was struck with a rock when i was about 9 and im pretty sure that was the cause. Is it because I had a fracture and the bump is a calcium build up? It feels like bone, not some build up of liquid and it hasnt changed size. ### REPLY: Hi! Good moving. I am  answering your query. Common bumps on the forehead are Desmond, fibrous, and sebaceous cyst. This bump may or may not be related to your history of trauma. If it is hard and have been there since the trauma, it might be an organized hematoma with calcification. However, to be sure, you have to take appointment with a general surgeon, and get it examined physically. The management would depend on the results of physical examination and investigations if any as advised by the general surgeon after a physical examination. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had bleeding and passed a small clot and am in my 3rd Trimester. I went to labor and delivery they monitored me for 4 hours and the bleeding stopped and the baby had a very active heart beat. I was not dialated and was not having contractions. Is any of this just normal? Also, all that was done was that I was put on pelvic rest, does this seem right? ### REPLY: Hi there,Bleeding in the 3rd trimester is due to one of two causes Abruption, which is associated with high blood pressure and pain abdomen, trauma to abdomen, or it is due to placenta prefix where the placenta is attached to the lower part of the womb, and it causes painless vaginal bleeding. An ultrasound to identify the exact location of the placenta is essential. A physical examination to monitor your blood pressure, urine albumin and fetal heart rate pattern is also necessary. Rest is advisable, as repeat bleeding may make delivery a necessity. Blood cross-matched to your blood group should be made available and corticosteroid injection to help fetal lung maturity need to be given. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My name is Senada and I have a Question regarding my Father. He is 60 years old, and has type 2 diabetes, high blood pressure, high cholesterol, no gallbladder and occasional hernias, also he just got diagnosed with the beginning stages of prostate cancer.I try my best to take care of him to the best of my ability but its very hard. He also is a social drinker and smokes. We own a family restaurant and is always very stressed out. So, my question is what can I do now! I will put him on a very strict diet but, I dont know where to start with it, what to give him what not to give him and how much and how little! I have done some research and have now just become more confused. Also, what sort of supplements/vitamins should he be  taking? Thank you SO VERY much for any help.Senada G. ### REPLY: Thanks for your question on . I can understand your concern. He is diabetic and hypertensive, so better to avoid sweet, sweetener, rice, potato, fruits like banana, Apple etc. Also avoid high salt diet. Prepare his food in sunflower or olive oil. Both are good for diabetes and hypertension. Regarding prostate cancer, food is not an issue. But maintaining good immunity is important in cancer patients. So give him high protein diet like eggs, beans, legumes, pulses etc. Multivitamin tablet containing folic acid, niacin, riboflavin, pyridoxine, vitamin b12 etc. is also important for immunity. Zinc, selenium, vitamin C etc. are good antioxidants and helpful in immunity, so antioxidants' tablet is also recommended in his case. Hope I have solved your query. Wishing good health to your father. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a lump which appears to be connected to my testicles via some tube(?), 3 days ago I was hit in the testis with a ball and this appeared a day later. I plan on getting it looked at in a few days but I was wondering if you could offer any speculation to ease my mind? ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Causes and Remedy-In my opinion your testicular lump is mostly epididymis cyst -post-traumatic, which occurred after ball hit to testes. I would suggest you to wait and watch for 2-3 days time. If the swelling subsides on its own, you need not worry but keep a watch. If not-Consult ER Doctor and take anti-inflammatory and antibiotics to reduce the swelling. If it grows in size consult ER Surgeon. So consult your doctor and don't worry. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to  and be comfortable to resolve your health issues. Welcome for any more query in this regard to . Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 girlfriend has something she was told is called Griddy Breasts, and has had it for sometime. When you press on them you can feel a number of lumps formed around the the edges but they dont show on the outside. What is this and is it harmful to her? Will they grow more or be a sign of cancer? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She may have some benign proliferative breast lesion like fibroadenoma, fibroadenomas or fibrotic disease, or she may have rare chance of breast cancer. She should go for mammography and biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,Two weeks ago, to date, I had 4 wisdom teeth extracted. Everything seemed to heal fine until yesterday when my final stitcChatDoctore out. Unlike the other times, I felt a sharp pain when it came out. Since then, my cheek has swollen where the cheek and gum meet inside. I went to my oral surgeon today and he said nothing looked wrong, but went ahead and wrote me a rx for a swelling medication and a mouthwash. My mouth is in pain at the site, and the swelling is becoming noticeable from the outside. Id it is relevant, I smoke (my doctor said I could after 7 days). This is also possibly the site where the numbing was injected. Again, no problem for 14 days and now this. ### REPLY: Hello, Thank you for choosing , The stitch after extraction has to be removed after 7 days... I think infection has been developed in that region... I would like to suggest you to stop smoking for another 1-2 weeks because it interferes with the healing process. Take proper antibiotic and analgesic according to prescription... You have to do warm saline rinses for at least 7-8 times/day...Don't apply any hot fomentation from outside that may worsen the present situation...Don't be panic...give time, it will heal properly... Wish you good health... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daugher who is now 8 years old, now takes valpharin 200 tablets twice a day. She is taking this drug since she was 5 1/2 years old (earlier she was given valpharin 200 syrup for 2.5 and 5 ml daily) . Is there any side effect to this drug, if taken for longer period. ### REPLY: Hello, Your daughter has a seizure disorder and the doctor is adjusting the dose of her medication according to the weight. So as she grows, she would require more medicine. It is important that she receives the medicine continuously and in the correct dose to remain seizure-free. The side effects are minimal and far outlay the benefits. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter stepped on something about 5 days ago that we assumed was a some type of bee sting. She had a little swelling, very mild, and some pain and itching. Yesterday it looked fine but today she has about a 2 inch purple area around where she was stung/bitten. Is this a normal reaction or should this be looked at? ### REPLY: Hello, Welcome to , As your daughter was stung by something which has lead to very mild swelling, some pain and itching. You have to find out what exactly has stung your daughter and find out that. If it is a bee sting nothing to worry if she has developed purple area after 5 days. If she was bitten by any other reptiles it should be treated vigorously and adequately. I would suggest you to consult your doctor regarding these issues and confirm what has bitten her. If it is bee sting this response are the normal responses and nothing to worry. 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: Hello, i just noticed my daughter (23 mo) has a pimple on her tummy and a few on her back. I know it isnt that KP this is like a pimple on an adults face looking type pimple. Its red around the outside dont think its itching her...any ideas? My email is  YYYY@YYYY ### REPLY: . Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a boy, I have 27 years old and I have a cavernoma in left temporal lobe. Cavernoma has 15 mm and I discover it in 2008. I don t smoke, I don t drink. In present I take pills from psychiatry ( Carbamazepine 300 mg, Clonazepam 0,5 mg, Sertraline 50 mg) because last year I had partial seizures and I don t lose consciousness . Then I couldn t breatChatDoctorplete, I have tension , I feel fear. Now I feel good and I take Sertraline because I have depression too. My analysis are good and my psychiatrist said me that cavernoma affect nerves and depression is a result of my cavernoma. I feel sometimes headaches. I m happy that I stopped seizures and fear, but I don t know how to resolve my depression. I lose my sexual desire, sometimes I m exhausted, I feel angry. I read materials from net about temporal lobe and I saw that problems in this region causes: low sexual desire, depression, anxiety, digestive problems and more. I want to said that testosterone are good, I don t have problems with thyroid and other glands. Now I m sure that cavernoma controls my sexual problems, anxiety, etc. I write to you because I hope to find an answer. I want to have again sexual desire, to love a person, to feel better and resolve my problems. Please give me an advice, a suggestion, how to proceed in this case. I want to belive that my cavernomas let me to be free. I hate my cavernoma. I want to dissapear or retreat somehow. I don t have possibility to go in other countries for a consultation. I want to belive that exist a way, without operation, to retreat my cavernomas. I live in Romania and medicine doesn t evolve so much. Please help me and I wait your answer. ### REPLY: I have both good news and bad news for you.  The bad news is that the main treatment for cavernous is still surgery and there are no medical cures other than symptomatic treatments.  The good news is that people have excellent responses to surgery in decrease in seizures and seizure freedom.  Also good news is that headache and decreased libido are both known side effects of sertraline.  You should speak to your psychiatrist about these issues and consider dual headache and mood treatment if both persist.  There are good medicines that treat both ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 tip of tongue tingling and have been dizzy for two days now...havent changed any medication nor do I have any allergies...diet has been the same..please advise not sure what fo make of it....oh I dohave high blood preszure and am taking medicine for that ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have dizziness and tingling on tip of tongue. Well there can be many reasons for symptoms you mention in query like nerve entrapment, neuropathy, diabetic neuropathy, multiple sclerosis, diabetes multiple sclerosis, .  I would suggest you to consult neurologist for proper examination. Doctor may order nerve conduction test and take history to confirm the diagnosis. Doctor may prescribe nerve supplement or may consider surgery in severe nerve damage. Doctor may also refer you to endocrinologist for diabetes or oral surgeon for TMJ problem. For now keep yourself HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 6 years old and suffers cronic astma and is also on the waiting list to have his tonsils and adenoids removed, in the last 6 weeks every time he runs around and full on plays he comes running to me saying he cant breath I can tell he is struggling to breath and I give him his ventolin although he isn t weazing it seems to help him straight away but my concern is every time he runs around this happens and the ventolin seems to open his airways up but why is he needing it all of a sudden has it got to do with his oxygen level? ### REPLY: Hi. I had gone through your question and understand your concerns. As I understand, your son is having asthma for long time. Exercise or exertions are known triggers of asthma symptoms in those who is a ave chronic asthma. And in some people exercise may be the only trigger for asthma symptoms. When asthmatic patients exercise, they inhale cold, .  This happens particularly when it's too cold, during pollen season and when air is polluted. When you give albuterol (Ventolin) inhaler, it opens up the contracted airways and symptoms improve. One way to avoid this is use of albuterol inhaler before doing the exercise. And if it happens regularly, daily use of preventive medicines like steroid inhalers or montelukast tablet is advisable. Hope I have answered your queries. Thanks for using . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear brother Iam Dr .Ammaid me and my wife we have severe  very severe loin pain which it has same severiy and radiation we more investigatio but we did not receve diagnosis and become affraid of intercourse please what can I do and if you can solve this problem we can come every where  and any where ### REPLY: Howell come to ChatDoctorI really appreciate your concern, if the pain is both of you having then it could be due to sexually transmitted disease that is the common reason right now can be thought, but it can be changed with clinical examination, although it is little unlikely to have pain at the same area to both of you, the only option is to get done the test with clinical examinations hope this information hopes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 something happen to me last night. I was standing in the kitchen cooking and all of a sudden I blacked out and loss hearing and loss balance. I couldn t see for about 2-3 minutes . After that hearing started coming back slowly then vision started seeing shadows after vision came back I started hyperventilating . What can be the problem? Thanks, ### REPLY: Thanks for elucidating your history. Possibilities as per your history are-1. Syncope-get an ECG done first though 24hrs Holder monitoring would be best to rule out cardiac cause.2. Seizure-do an EEG3. TIA (Transient ischemic attack), a kind of reversible stroke for a short duration-get a CT scan of brain, fasting blood sugar and lipid profile done. If all are normal then vasovagal attack would be the most possible explanation. Get to me back with all reports done. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a keloid that is draining a clear, bloody type liquid...It is over a c- section scar and it occured about 6 months ago. I have had three c-sections and this is the first keloid..my last surgery was in Feb 2009... Ive always felt like there was something pointy in that area like an old suture or a staple and it still feels that way. I dont know if it is a suture granuloma or a keloid,how do I distinguish between the two? ### REPLY: Hi, If I were your treating Doctor for this case of wound infection, I would say that your problem is not a keloid or hypertrophic scar; nor it is a suture granuloma; rather it is kind of a sinus getting infected repeatedly! Some atypical mycobacteria could produce such symptoms also! I think only biopsy confirms this; however, microscopic study along with Culture of the wound discharge would help you in determining the treatment line. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 15 year old boy who is very active and plays hockey about 5 x s a week is always very tired. Wants to sleep constantly but forces himself to get to hockey or training. Eats very well but has great difficulty concentrating. Drinks plenty of water. Has recently gone through a major growth spurt. He is 15, 5 10 and weighs 155 pounds. Has black circle under his eyes and when not doing something physical he sleeps, hard staying awake at school. ### REPLY: Hello! Thank you for writing us here. He might be having stress from school or maybe from his sports. He's growing and energetic at this age of life. But you have to make him relax and tell the importance of proper sleep. I won't suggest any medicine for him but just talking to him would help. He wants to do a lot and that's perfect. Also, it's common at this age group that boys are highly energetic. As time passes he would be alright but still I would suggest you to council him about his health. Best regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had prostatitis since last July. My doctor prescribed Cipro for about 4 months then Doxycycline for 4 month. But I can t seem to get rid of it. There were times when i was taking the Cipro that I thought it may be gone but it would come back when the prescription was done. I also had bllodwork down and my doctor has assured me that there s nothing more serious going on. I m still taking the Doxy but after reading an article by Dr Weil I am also taking 60 mg of zinc daily and 6,000 mg of vitamin C daily. Also drinking lots of water. Any other advice? ### REPLY: HelloThanks for query. You have been facing problem of Chronic Prostatitis since 6 months and have been taking Ciprofloxacin and Doxycycline for almost 6 months, but there is no satisfactory relief from symptoms. Chronic Prostatitis is very notorious disease embarrassing both to the patient and treating Physician. In a given situation I would suggest you to consult qualified Urologist for clinical examination and digital recto get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Semen examination and Semen Culture 3) Ultrasound scanning of abdomen and pelvis4) Serum PSA.5) Culture of Urethral discharge obtained after prostatic massage. This will get specimen sample for microscopic and culture test directly from prostate.  Further treatment will depend upon result of these tests and final diagnosis. Since it is chronic in nature you will be benefited more with daily prostate massage along with taking appropriate antibiotics as per culture report. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 looking for an antihistamine for my 9 year old son who has multiple food allergies and environmental allergies.  I met with an allergist yesterday and he recommended xyzal syrup which is flavored.  i am not sure what the flavor is since he is allergic to a number of flavors including artificial flavors.would you know of what flavors are available?  the tablet form contains lactose and he is intolerant to dairy so not sure here as well.  please advise. ### REPLY: Rizal contains levocetirizine which is an effective antiallergic. Although a child could be allergic to many external principles, he would not be allergic to all. You may still give the medicine a try and see if he has any reactions to it. Chances are that he would not be allergic to them. As of now do not bother about the flavor. The amount of lactose contained in a tablet is not much and so it would probably not be a cause of concern. You may also try giving Montage LC Kid (montelukast + levocetirizine) in tablet or syrup form. I hope that helps. Feel free to revert with further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a small black bump on the corner of my upper lip. I m not sure what it is, but I know for sure that it is not a pimple. The texture is really hard, like a small rock. It s been on my lip for a while now, but I m just recently getting annoyed with it. Is there any way that I can remove it myself, or should I have a doctor look at it? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You may have some tumor like basal cell carcinoma or some benign lesion.  You should go for biopsy.  It will give you exact idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: under my right foot near my small toe is all these little circles and in the centre is a white dot, if you press on the area its like a bone and if you press on this bone like thing it can be a little painful , what could it be? i am 38 years old and have this since i was a child but never did naything about it because it doesnt bother me ### REPLY: Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have a bony spur or outgrowth that might be causing pain and inflammation of soft tissues in that region. Apply ice packs.  Rest analgesics and anti-inflammatory tablets should help. Get a X-ray done to find out what's wrong. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi ..i am a female of 34 years with 4 kids my height in 5.7 nd weight is 70 kg...i was diagnosed with pulmonary embolism with a small clot in one of my lung..i am on warfarin for the last seven months....my inr levels r not much settld....dose is adjusted after every one week....now for the last 15 days i am having chest pains...palpitations sp while sleeping ..echo was done in which right ventricle is mildly enlarged  wth border line report....docter has given me delaware 6.25 mg nn valtac of 40 mg per night...at times i fl very restless specially while sleping fl as if somthing is moving in the chest...any precautions and diet you suggst....i have problem also when i eat ..at times get berathless ### REPLY: Thanks for your question on . I can understand your concern. Anticoagulant . So better to avoid hot and spicy food at night. Avoid large meals in the dinner. Go for walking after meals. Keep 2-3 pillows under head in bed to prevent acid reflux. Continue Valley (antacid). Avoid stress and tension, be relaxed and calm. If symptoms continue despite all these then get done CT pulmonary angiography to rule out worsening pulmonary embolism. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with a gallstone last year and nurse practitioner recommended to wait until I couldn t take it. I have been to a cardiologist and changed primary care....I am majorly. Bloated and if I overeat I vomit is this a symptom of the gallstone? ld nurse said I would know. ### REPLY: Hi Thanks for choosing  I understand your concerns. Your symptoms can be due to your gallbladder stones but for your knowledge I will write all the symptoms related to your gallstones from which you may suffer from time to time, and you can get timely appointment with a gastroenterologist or a surgeon if needed. Gallstones normally presents with the following symptoms:Severe central abdominal maintain that may extend beneath the right shoulder blade or to the backpack that worsens after eating a meal, particularly fatty or greasy floodplain that increases when you breathe in deeplyHeartburn, indigestion, and excessive gas feeling of fullness in the abdomenVomiting, nausea, oversharing with chillsTenderness in the abdomen, particularly the right upper qua . I hope you quarry is answered 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: hii sir, I am something feeling some internal light pain on my left stomach like air in my stomach but when i press the area i dont feel anything . And not in a particular place but any place in lefet belly. i did endoscopy and everything found ok. I think l have gain weight bcos my wt was 70kg now its 76 kg. There is no symptoms nothing. I am feeling hungry, tool and urin is ok. No hard pain in my stomach. no food irritation. only thing is my urin colour is yellow but after drinking water its as usual natual color. Genarally when i sleep i feel the light pain. Can u clear me wat exactly it is and wat is the remedees for it. ### REPLY: Hello! Thank you for the query. Such symptoms can be caused due to diet causing bloating, vertices or some other large intestine disease. It can be also caused by stress and can be not significant. However, as in left abdominal area mostly large intestine is located it is advisable to have some diagnostics before diet change etc. Before upper GI endoscopy you should have abdominal ultrasound and full blood work, liver tests, pancreas tests, pregnancy test performed. After this tests, if no findings, colonoscopy might be necessary especially if you also suffer from constipation, blood or mucus in stool. Only after this tests you can explain your symptoms with bad diet. Beans, broccoli, cauliflower, cabbage, sprouts, onions and garlic can cause such feeling if large amount consumed. Physical activity always makes intestines to work property. 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: hi my 3 year old has a cluster of 3-4 large red pimples on her bottom. They have whiteheads on them and are large underneath the skin, almost like boils. She has had them for several days. She is in a little bit of pain to the touch but otherwise, everything else is normal. I have been alternating with a cortisone cream and a cream I used once before for yeast when she wore diapers. Doesnt seem to help. Thanks ### REPLY: Hi...by what you quote I feel that it could be pyoderma or skin and soft tissue infection. It might spread if steroids are used.  The white heads you are seeing could be pustules. It may require antibiotic therapy. But, Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hii, i m 22, 5 10, and 70 kg i have low erection n my organ is bent downward in c shape i had problem in intercourse due to less erection i m depressed plzzz hel me i took all the himalaya drugs like confido, speman tentex royal forte for short time plzz give me some medication for permanent treatment ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have systemic disease like diabetes or other. Your depression may be responsible for less erection. Don't worry about shape of your organ. It is normal. You should take treatment of your depression and systemic disease. It will help you in erectile dysfunction. Sildenaphil like . Hope I have answered your question, if you have any doubts then contact me at bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a 49 yr old female with no known health issues. Back in July out of no where I had severe pain in my upper abdomen right below my chest, the pain would come and go which lasted for about 3 days, and on a scale of 1-10 it was a 7 and I assumed it was gas. Recently I had a cold with a terrible cough and now I m having discomfort constantly in the same area on a scale it s like a 3. It s very uncomfortable for me to lay on my stomach this issue has me concerned. I have no other symptoms ### REPLY: Hi. Thanks for your query and an elucidated history. It is good to know that there is no past history of anything. Your problem started with sudden pain in the upper abdomen, which you assumed to be gas-now you had cough and the same are discomfort started. The most probable cause of such a pain which has recurred can be due to the following, considering you have no other symptoms:-Costco . Another probable causes can be : Gall bladder, liver inflammation. I would advise you the following: To get an X-ray of the chest and abdomen and ultrasonography of the abdomen to rule out any internal problem.-Get a local examination done by a General Surgeon so that the Costco ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my mother  is 54 years old has been wondering why she has an unusual enlarged stomach, she is not pregnant, but had a recent case of gallbladder stone. However, she claims this time, that her stomach doesnt have any gallbladder stone and its unusually enlarged for some reason. What could be the cause? ### REPLY: Hi welcome to the  Here for your mother condition first investigation to be done is USG abdomen... It will help in rule out any organic cause if present Chronic constipation also can lead bulging stomach area If digestion is the issue then laxative like psyllium with milk can be prescribed If no organic cause found in USG abdomen then it can be functional problem Take green leafy vegetables and fruits more So investigate with USG abdomen and consult physician for examination Hope this will help you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a small bump on my stomach, kind of looks like what a mosquito bite would look like, but it does not itch. I had it for one day a week ago, and than it disappeared and reappeared today. When I touch it I felt the urge to use the bathroom, what could it be? ### REPLY: Hi, Dear,Good evening. Thanks for your query to my virtual  Clinic. I studied your query in-depth. In My opinion-diagnosis is-Bed-bug bite / or-spider bite/or insect bite.-Urge to bathroom, may be just coincidental to its touching and I don't feel any relation is there. Still I would advise taking ER Surgeons opinion, who would treat it appropriately. Hope this would resolve your worrying query. Wellcome for more query from you. 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: My son is 3.5 years old and always been very healthy. Two months ago he had a stomach virus and a cold and threw up twice in one day, while I was changing him I noticed a small lump above his belly button. I made an appointment and after having an ultrasound, x rays and blood test the Dr said its not cancerous, all tests are good and its most likely a lymph node only 1 cm big. He said it was in a harmless location and probably was swollen due to the virus. Two months later he still has it and it has not changed at all. ### REPLY: Hi, The information regarding the swelling is inadequate. Is there any other swelling at other parts of body? Lymph node swelling has got typical texture, consistency, surface, margin and that can be clinically accessed. Any swelling like this may also be lipoma. Anyway from this information the swelling seems not to be serious. In case appearance of other swelling you should inform your doctor. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i met psychiatrist for depression and he said i am facting OCD for which he prescriped Zoser 50 & Fluvoxin 100. But i read in few website that these medicine will have one of the side effect like Delay in ejaculation and no desire for sex. Is this temporarty side effect OR a permenent. I have started taking these tablet since last 3 days and i noticed about no desire for sex. let me know if i stop taking these medicine can i become normal ### REPLY: Hello ....firstly that not every person experience all side effect, secondly psychology have a very important role in sex...if you worry a lot about it, it will get affected even if you are not taking medicine ...so my advice is asked your doctor about side effects, and they will tell you about most common and most dangerous side effect and not the whole list of side effect which can prevent you from taking such vital medicine.  Lastly and most importantly these effects are temporary and reverse back after .  So go ahead with your treatment and enjoy OCD free life... Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a hole behind my right too molars by where my throat opening is. It started as a,cut and just grew. You cant really see it, but its very painful. My insurance says I cant see the dentist till next month and i am also 10 weeks pregnant. I have a,few cavities, and one big one on my front bottom tooth near gun line... ### REPLY: Hello, Thanks for posting your query. The hole may be arose from periodontitis/peritonitis of wisdom teeth. Since you are pregnant, the decayed teeth has to be treated with excavating infected pulp and dentin using hand instruments and by placing medicament. Get your teeth cleaned. Frequent warm saline gargle may be helpful. Maintain good oral hygiene. Use chorhexidine mouth rinse to gargle. Medicines can be taken after consulting with your dentist. 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: Hallo Doctor;my 2&8 months year boy he is losing weight,he avoided breastfeeding when he was 8month,now his eyes are no longer white but changed colours to grey green like(not realy good in identifying colours).he is sometimes couphing and clinical doctors said its allergy.sometimes he is crying in the mid of night as he is fiiling pain.what may be the cause please help.from Given Nhbhbhna. ### REPLY: Hi. Can you please mention the birth weight and recent weight of the baby? Also, what is the feeding pattern of the baby? Lose of weight and difficulty vision can be due to poor nutrition or faulty feeding techniques but before that we need to rule out if the baby is having underlying ophthalmologic problem along with any organic cause for poor weight gain. I think you should visit a pediatrician for a detailed evaluation of your baby. If everything is all right then the baby will be started on nutritional supplements. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, I recently had blood work done. The doctor said all was fine, However, I noticed that my white and red blood cells were low. Red was 3.9% Neutrophils was 47.9% Eosinophils was .9% Is this a cause of concern since this has not ever been the case before? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your RBC count is slightly low. You may have mild iron deficiency anemia. You should check your serum iron and ferritin as well as it b12 level. If necessary take treatment for that. Your differential WBC count is normal. No need to worry about that. 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: shocking in hands yesterday my hands started shocking themselves. It was not normal but I thought it may have been my socks. It has continued today and I am concerned it may be serious and I m wondering what is the cause od reason... it is like if you brub you feet on the carpet and shock someone with the static electricity, but it s happening within my own hand. ### REPLY: Hello, What I understand with the history is that there may be 3 possibilities of injury for the reason of this shocking pain.  First, you have to differentiate that is it a shock kind pain or tingling pain. Based on that we can come to some provisional diagnosis. If there is compression of the nerve beneath the flexor retinaculum at the wrist level then you may face one. The second is if the nerve is getting compressed in the elbow region due to muscle weakness or the third one is the nerve entrapment in the spinal column.  We need to definitely assess this as this doesn't sound of the higher motor function issue at all. But a peripheral issue. Until we come to a conclusion giving you a diagnosis will be just like making you panic for no reason. I recommend you to meet up an orthopedic to rule out the possible cause and the proper diagnosis as some diagnosis are made only when we have a physical hands on. But in all the above-mentioned provisional diagnosis I feel that with exercise and care you should perform well. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am Nayan from Bangladesh. I have a stone in my pancreas head. so i need help to meet up a doctor in cmc hospital. The size of my stone is (1.5*1.6)cm. And if i suggested to surgery  how much money needed for this purpose. so Please help me and oblige thereby.ThankfullyNayan ### REPLY: Hello Mr Mayan, I am so sorry to hear regarding your condition. Stones in the pancreas head are not very common, but do cause a lot of problems including pain, poor absorption and malnutrition and can also lead to diabetes due to pancreatic failure. There are two ways of dealing with the stone, based on how close it is to the pancreatic duct opening. If it is close to the opening, then it could potentially be treated with endoscopic technique (ERCP). If however the stone is big, then it will necessitate surgery to remove the stone. There are two CMC s in India. Nellore in the south and Ludhiana in the north (where Dayan and Medical College is also located). If needed I can put you in touch with the Gastroenterologist in CMC, Ludhiana. Regarding the cost of the procedure, if it can be done endoscopically, then I would assume a total expenditure of about 35-50 thousand rupees (including the necessary scans). If Surgery is required, then the cost could be around 1.5-2 Lakhs. Hope this helps, and please do not hesitate to contact me for any other details required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my baby is suffering from respirational problem. Doctor (pulmonary paed) has prescribed Asthalin and Budecort 100 inhaler. I am worried whether it will have side effects in near future. Also please suggest how to reduce the respirational attacks.Please help.Regards Monami ### REPLY: Hi, Asthalin should be taken only as required and Decor should be given on regular basis. Usually in pediatric age group after a trial of improvement with the inhaler the .  With inhaler no serious problem can happen, if you use it properly. You can use spacer. Budecort is for prevention and Stalin is for treating the episode. You can use montelukast dose based on his age to prevent inspirational attacks. 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 5 YEARS LOW MOCYTES IS 1038, DOCTOR SAY ITS SUPPOSED TO BE A MINIMUM OF 1500, OTHE THINGS PARTS OF THE THE WHITE ARE LOW AS WELL LIKE LYMPHOCYTES ETC, I DON T HAVE THE RESULTS IN FRONT OF ME BUT I AM MENTIONED ONLY WHAT STOCKED IN MY MIND. HE HAS BEEN SICK WITH 104 FEVER FOR MANY DAYS, KNEES, ELBOWS AND NECK PAIN AND HE GETS SICK VERY OFTEN. NOW HE IS COUGHING AND COUGHING WHAT COULD IT BE? ### REPLY: Hi, the problem needs a thorough evaluation for your kid. For immediate treatment let your doctor start antibiotics along with anti fever medication. A CBC with peripheral smear will be required to see the status of blood cells. The .  But I would suggest basic investigation and close follow up till it resolve. Donot take steroid for joint pain, unless its mandatory. Then also, after bone marrow test only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my FIL was diagnosed in 2005 with kidney cancer. He has his left kidney removed and about 5 years ago he was diagnosed with Renal Cell Cancer with mets to the lungs, since then he has new growth, now with mets to the lungs, 1 in the liver and several on the skull. He did 3 weeks of radiation on 2 of the skull metastisises, but that is all he can do. He has a wound that is preventing him from trying medications. We ve noticed a great deal of energy loss, a decrease in appitite, weight loss. Now we are dealing with swelling of the legs. It started 2 weeks ago in his feet and calves, yesterday it was noticed in his thighs. He s been on Lasik for 2 weeks but it doesnt seem to be helping. Can you please provide any information as to what is happening, is this all coming to an end? What can expect next? ### REPLY: Thanks for your question on . In my opinion you are going towards last stage of illness and may succumb anytime in 6 months. The main reason for loss of appetite and weakness is constant turn over of cancer cells in blood. These produce thousands of cytokines and chemokines and these affects appetite and well banners. So advanced stage patients tend to have poor appetite and great weight loss. The reason for edema feet in your FILM case 1. Hypoproteinemia2. Lymphatic obstruction due to radiotherapy. 3. Renal failure. So in my opinion he is going towards terminal stage, better to give him palliative treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have now prostatmegly grade 1 and I have creatinin 2.2 and iam taking presser medcine Name olmizest H20, and half EspineAT at night.my age is 47 years.male Usg report is rt kidney 9.5 and left 9.7 and renal pole thick rt 1.8 and left 1.4 Urin report 1.030 sp gravity. Please answer me weather it is curable by medicine. All the reports has done on 30.06.2014 ### REPLY: Thanks for asking in  forum In short: Not curable by medicineExplanation: Your creatinine is quite high which indicates renal problem. So, please visit a doctor and get investigated for the cause. Prostate enlargement cannot be cured by medicine alone as per present application of knowledge.  Hormonal treatment can shrink it but at the cost of side effects. Surgery is very useful in this and helps a lot. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes,   I am a  65 year old  diagnosed  with prostate cancer and today    I will inform my urologist   of the treatment  I would prefer    after  studying searching  informing myself. will  go with the  seed implantation.   since its relatively effective  and it hasnt  spread.   MRI and   Biopsy of  the organ  indicates still it hasnt spread     given theyve checked the  bones, blood, etc.    symptoms are small  to none  outside of the Gleason score of 6 and the PSA of 15.2 and   of cause the biopsy which revealed  positive  there.  urination isnt bad    my only problem is passing gas? ### REPLY: Seed implantation is an option if you are too weak to undergo radical treatment for prostate cancer. The standard treatment for stage 1 prostate cancer (I am assuming its stage 1 by your description), is either radical removal of the prostate (surgery), or radiotherapy. I suggest you get in touch with a cancer surgeon before embarking upon the treatment since a urologist is not the best person for this. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: respected sir ,                     i am addicted to corex for the past 9 yrs .now a days am having drooling  from my oral cavity and severe  back pain.Two days back i had epilepsy.Two years back i was under medication i was using carbamezapine and valporine ,and clonozepam tabs.can you kindly advice me how to get back to normal state of life.                                    regards ### REPLY: Hi, I am . . At first ill inform you in summary about epilepsy and epileptic seizure, Epilepsy is a group of neurological diseases characterized by epileptic seizures. The cause of most cases of epilepsy is unknown, although some people develop epilepsy as the result of brain injury, stroke, brain tumors, infections of the brain, and birth defects. Known genetic mutations are directly linked to a small proportion of cases. Epileptic seizures are the result of excessive and abnormal nerve cell activity in the cortex of the brain. The diagnosis involves ruling out other conditions that might cause similar symptoms such as fainting and determining if another cause of seizures is present such as alcohol with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 54 years. i have svt episodes twice a year on average  half the time it stops on its own, half the time i have to be administered drug IV.. if i have svt episode while travelling (in flight for example),and cant get to a doctor , what medication can help ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. You can take a calcium channel blocker to terminate SVT if no medical help is available. However after each episode you have to go to the doctor to get yourself checked up. Consult your doctor for a prescription and discuss with him alternatives available. I also advise you to consult a cardiologist as you are having recurrent Sets. There are treatment options available like an EP study followed by RF ablation which works as a permanent cure is some types of Sets. Do discuss that option with your cardiologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 88 year old mother has the diagnosis of adenocarcinoma of the colon. The gastroentrologist said he could not pass the scope passed the recal tumor. She is not in great shape and could not tolerate two surgeries and chemo so has elected to do nothing. She was in hospice but is now in a nursing home. She did have a CT scan and nothing was seen in her liver. I do not know the stage. We thought she was going to die when they took us to hospice but now seems to be doing well. What can we expect as to a time frame. Just want to know how to best deal and help her. ### REPLY: Welcome at  I have gone through your query and being your physician I completely understand your health concerns.  She needs a multidisciplinary approach including surgeon, gastroenterologist and radiologist. It is difficult to comment on basis of history provided. If there are no secondaries in liver then surgery can be done but your surgeon will decide whether to operate her or not depending upon the overall status of the patient.  Meanwhile, stay calm May she get well soon Hope your query is adequately ad .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sister in-law was hospitalized with cronic pancreatitus.her pancreas became infected and they put a stent in it to remove the infection pus ans blood.while they did that they found a mass near the area and she went into various complications, c diff. she was put on a vent and a tube in her nose to the area that was infected to take out the toxic fluids, they had to drain the infected area several times with a tube directly thru the stomache area(not sure exactly where) she was on morphine for pain in the hosp for 4 weeks and they told her that she needed an operation and it was extremely dangerous , she might not survive....she wanted to go home, and it s been almost 2 weeks she has stopped eating and within the past 2 days not urinating...hospice said her body is shutting down...how long does that take ? and can she recover? ### REPLY: Hi, Welcome to , Pancreatitis is a medical emergency condition where the person should be immediately evacuated with higher antibiotics(cephalosporins or amaryllis with clavulanic acid or levofloxacin)with other supportive and fluid electrolyte replacement. Here, in your sisters-in-law case it should be checked which kinds of complication are she having and what are the basic blood parameters with overall general condition of the patient. As per your description, she is actually in serious condition and from here it becomes very difficult to survive. The complete recovery time may be 2 to 04 months after discharge from hospital, till she should take complete bed rest. Always follow your doctors advise. Thanks and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently went to the hair salon and was wearing a low cut shirt at the back, I had my hair dyed and I think I got a rash from the cape they put around your neck it was rubbing against my back as I was moving back and forth to the wash station and pressing it against myself as I was sitting. A couple days later I noticed a bumpy rash on the same spot my shirt has an opening exposing my skin. Any help on what this could be would be helpful.. It is red, and feels hot and sore... I am worried because in this area where the salon is located has been an outbreak of measles. Not sure if it could be transmitted through the drape they at the salon? ### REPLY: HI, thanks for using  Measles does cause a rash but would have other systemic symptoms such as fever, fatigue, cough, sore throat. The cape likely irritated the area, and it may be infected as well. You can consider using a topical antibiotic such as funding/Bactrian/newsprint along with an oral anti-inflammatory medication such as naproxen, Catalan or ibuprofen. If there is no response or worsening then you may need oral antibiotics. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with a mediastinal mass. In 1996, I had 2 thoracic surgeries due to cryptococcal pneumonia. I lost my upper left lobe of my lung cavity. Ten days later had to have a pericardium graft to seal my lower left lobe that the pneumonia had begun to damage. I took several rounds of diflucan antibiotics till my blood cell counts returned to normal. I m currently being seen by pulmonary specialist who feels that this mass is a result of scar tissue. Over past year I have noticed changes with my pain level, night sweats, shortness of breath, etc. anxiety / stress causes my chest to constrict as if a boa constrictor is squeezing the breath out of me. By having the 2 surgeries I lost 4 of my 5th left rib when I was only to loose 4cm! In the beginning my doctor diagnosed my situation as being scar tissue, another physician referred to it as a left hilar mass, now they refer to it as a mediastinal mass. I m scheduled for a pft test this week & have had chest X-ray last march, followed by cat scan w/ contrast last April ,& finally a cat scan this past Friday but contrast couldn t be used because after 8 attempts to have an IV contrast was cancelled. Medical assistants stated I wasn t dehydrated. They could pull the blood but when they tried to flush either vein blew or dried up . Specialist says I m not a surgical candidate . They do consistently use the term mass & not tumor. What s the difference & chances of my recovery? ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. You seem to suffer from -Streptococcal Pneumonia with fibrotic lung and with COPD. Mediastinal Mass could be from-Scarring or Could be from Cryptococciosis spread from streptococcal Lung infection which was excised last. Because of this extensive mediastinal mass, Specialist says yo you're not a surgical candidate. They do consistently use the term mass & not tumor. Q- What's the difference-Ans-NO practical difference, but in your case-it has different meaning-like-you mostly have extensive -radio-opaque mass-in mediastinum, indicating extensive lung lesion spreading to mediastinum also. Only possibility of care and cure -is by antifungal medicines. & chances of my recovery-are grim in your case. But see if you get benefits from antifungal medicines. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following  link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: alright the problem is that my mind isnt undercontrol, its totally out of control, I dont know if it is a health problem or not. but i am sure you can help me, or give me a reference to where this problem can be solved. the most important thing is i am not kidding . ### REPLY: Hello !! Yes, overactivity of mind crosses the barrier then sometimes serious issues may result. Yes this is a health problem. To keep control over mind, you have to engage your mind in your work, hobbies etc. Never stay idle, always think about productivity and positive thoughts and never think in negative way. Do some relaxation exercises and meditation such as yoga, Dayana, Panama and anulom-vilom. Besides this maintain a regular daily routine and try to stick to the routine. Share your thoughts with your partner or close friends.  Avoid taking alcohol/smoking. Take balanced diet with plenty of fluids. Take some time to thank God, pray/ worship and maintain positive attitude. You may consult a psychiatrist for medication if the above-mentioned nonpharmacological techniques do not offer much help. I hope this answer would be helpful to you. Any further questions are welcome. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 scar above my belly button from an appendectomy more than a year ago. Now a month ago I got my belly button pierced and the piercing hole seems to have healed but now the scar above my belly button has flared up, gone red then purple and the skin got really thin and eventually burst with I believe pus & blood. I pushed it all out and soaked with hydrogen peroxide. Idk if there is more pus under the skin where it hasnt burst. What do I do? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint it seems that you have got an infection at the scar site of appendectomy leading to pus and blood discharge. I would suggest you to consult your treating surgeon and get evaluated, and he can advise you to take antibiotics like Sulphamethoxasole and Trimethoprim. You can take anti-inflammatory painkiller like Ibuprofen. You can clean the area of infection with antiseptic solution and put gentle pressure to . . You can apply a combination of triple antibiotic and steroid ointment over it. You should avoid water exposure to the area. Keep the area  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi this is arjun, receantly i ve consulted Dr. B.K roy for the less mustach and beard on face, so i underwent for the sperm test and blood test, every things was moderate. I got final reason for above problem is the under development of male harmone and Dr., advised to take injection of testoviron depot 205 MG for every 15 days(for 1.5 year). Please advice me weather to take this injection or not, i herd that if i get injected with above drug it will leads to impotency... Please validate my point. ### REPLY: HiTestoviron-Depot may only be used to treat confirmed cases of diminished testicular function which is clinically proven by abnormal hormone levels and also after exclusion of other causes. In proven case of hormonal deficiency, the hormone will not cause impotency when the . Tiredness, back and joint pain and injection site reactions are the usual side effects.1 ampule of 250 mg is usually administered by intramuscular injection at intervals of 2-3 weeks for initial treatment of deficits with respect to male hypogonadism. Hope I have answered your query. Let me know if I can assist you further. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im a guy and got my face waxed 2 days ago. I have a noticeable burn on my upper lip which seems darker than the burns on my cheeks and neck. Now the lady at the salon who did it for me as well as a friend of mine who had it done about a year back say I should give it at least a week or so to cool off since its not unheard of. Ive been applying aloe vera for the last two days and recently bought a vitamin-e oitment for healing. Please help, what should I do? Go see a doctor, dermatologist, skin/laser specialist, etc. ### REPLY: Hello. Thanks for writing to us at  A burn due to waxing can well take up to a week to subside. However, it is a minor issue, and you need not worry as it would completely resolve. If I was the treating doctor I would have asked you to use a moderately potent topical steroid e.g. fluticasone propionate 0.05% cream, twice daily for a few days. A topical steroid would certainly heal it faster. However, it is a prescription product therefore you can only get it if you have got it prescribed from a doctor. Therefore, Yes, you can go to a dermatologist for the needful. 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: After two days of pain from my anus, I found blood on my toilet paper after a movement this morning. None seemed in the stool or bowl. The blood wasnt fresh. The pain in noticable when I cough and occassionally when I move. Im 30 and in decent health. Went to the doctor last week for a check up. I was diagnosed with juvenil polyscythemia at 22 (extra red blood cells.) How alarmed should I be? ### REPLY: Hello. Blood after deposition and anal pain, first diagnostics to rule are the most common anal pathologies(hemorrhoids or anal fissure). Both are not important pathologies. Your doctor must examine you to rule out that pathologies. If there is no pathology in anal area, blooding can be caused to lower digestive tract pathologies(internal hemorrhoids for example). In that case your doctor can request a colonoscopy. Polycythemia, initially,is not related to actual disease. I wish you good health, (In case the answer would have been useful please indicate this) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son aged 6 keep getting severe headache which cause him to get very upset. he then is very sick and will then sleep and be ok when he wakes. the headache always appears sighted over the eye. This also seem to happen when he is outside for a long period of time. can you offer any advise ### REPLY: Hi, I would like to clarify few more points:Is the headache associated with nausea / vomiting / photophobia (difficulty looking bright light) / photophobia (difficulty hearing noises) / any visual disturbances?Also, how long he has this and any other members in the family having this? These points, if present, suggest migraine as the cause of headache, which can be treated with analgesics and lifestyle modification, with occasional need of taking regular .  If these points are not there, it can be a tension headache. Kindly see your doctor for detailed evaluation. Meanwhile, few tips for control:1) Give paracetamol for pain relief (I used to add ibuprofen if no response)2) Take a nap in a dark and quite room when having headache3) Keep regular meal times-avoid missing meaks4) Regular sleep is must-sleep deprivation can precipitate5) Avoid much tea / coffee / caffeinated  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 18 year old daughter has an elevated d dimer. I think they said 1.18. She had a cat scan for blood clots in her lungs. Everything else came back normal except she had an urinary tract infection. What other test should we be asking for to pin point the problem with her d dimer? She had every imaginable test run in ER. ### REPLY: Thanks for your question on . I can understand your concern. If CT scan is normal than no need to worry about blood clots in lung (Pulmonary embolism). D dimer is not a specific marker for Pulmonary embolism. D dimer will be raised in many other conditions other than Pulmonary embolism. D dimer is actually acute phase reactant. So any infection, inflammation in the body will cause raised D dimer. Since she is having Urinary tract infection (UTI), possibility of raised d dimer due to UTI is more. So treat UTI first. Once it is treated, d dimer will definitely be reduced to normal level. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. 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: Adderall is causing my yeast infections! I ve heard of doctors telling women that its not common, but now that I have spent alot of time researching this, I have found I m not the only one. Antibiotics with adderall is not something to be mixed. I don t want to take antibiotics anyways, because prior to taking adderall I had chronic yeast infections; I was rx antibiotics many times and the result has been that I have developed a super resistant yeast infection. The infection has been impossible to kill. I m open to just going off the adderall for a couple weeks to doctor my yeast infection with antibiotics and being persistant in taking probiotics after I (hopefully) kill it. However, I m concerned about what to do after that. I m not going to go off my adderall permanently. Adderall has changed my life for the better, I m not even the same person, and I m in love with the new person I ve become: I even got a 3.9 GPA, with the help of adderall. Things I have tried: I drink at least 3 bottles of water a day, I typically stay away from dairy (I might have cheese on things, but I never consume lots of milk, ice cream, yogurt, etc.), I ve tried to do the probiotic yogurt to help good yeast grow (however I only helped the super yeast bug come back and become much worse). I have had success with taking garlic pills (natural supplement that kills yeast), but it also kills good yeast. How can I maintain a healthy vaginal chemistry while on adderall? Is there a combination of garlic supplements and probiotics (pills, yogurt) that I could take on a regular basis? ### REPLY: Buddy I appreciate your concern. I know few people who come to clinic use ADDERALL. I generally prescribe it for ADHD(attention deficit hyperactive disorder) or in cases of Narcolepsy(excess daytime sleepiness, loss of muscle tone suddenly). But the . I think you are going through the phase where Adderall made you worried, and the yeast infection is nothing to do with it. So please follow the suggestions1. Take FLUCONAZOLE (150) twice a week for first week, then once a week for subsequent 4 weeks. Alternatively ITRACONAZOLE(100) capsule can be used once daily for 10-12 days.2. A complete blood work is needed to review any underlying condition. Like COMPLETE HOLOGRAM, LIVER FUNCTION TEST, FASTING AND PP BLOOD SUGAR, HIV 1 & 2.3. If you are on steroid, get rid of it slowly.4. Use alternative  ### END