Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter is 17 and has suffered with migraine type headaches seems all her life. she has been to many doctors and has been on various medicaitons. a couple years ago she did start to have seizures and is on topomax for those. has had 3. anyway she has had a continuous headache for the last 3 weeks. medication no help. i looked online researching out types of headaches and the one that most closely resembles what she has is occipital neuralgia. she has had mri s, eeg no evidence of anything that would cause these. I want to find a physician to find the correct diagnosis and treatment for her. kids should not have to suffer like this im wondering should i suggest to her neuro botox injections? chiropractic intervention? i am at wits end here and need guidance. thank you , sheila ### REPLY: Hi, Welcome to  forum.  It appears to be the tension headache, or headache due to refractive error of the eyes. As there are seizures, it may be secondary to the epilepsy, or there may be some underlying cause like T. B, etc. I advise you to consult a neurologist for diagnosis and treatment. She may need to have C.T. scan with contrast.  I usually prescribe to my patient with such symptoms' alprazolam, ranitidine, caloric acid, and paracetamol when ever required, till the diagnosis is established.  Wishing for a quick and complete recovery. 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 m trying to get pregnant and been taking prenatal vitamins since april 2014. I had a miscarriage but in January 2014 at 8 weeks pregnant, the doc said to wait 2 menstrual cycles and start trying again, is August 2014 and we re still trying....I ve been taking prenatal vitamins since april...any other advice please ### REPLY: Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) First do not panic. Sorry to hear about your previous pregnancy loss. 2) please fully trust in your treating doctor. You are rightly advised to wait for 3 months before you plan to get pregnant.  Also, it is very right advice to start prenatal vitamins. Usually, I suggest to start with Folic acid, vitamin B 12 and Omega-3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. 3) As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you have unprotected sex act in the fertile period, at least on alternate days, then you stand chance to get pregnant.  Also, you can Get HSG - hysterosalpingography done, to know about the patency of your fallopian tubes. I hope this answer helps you. 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 3 month old baby and everything is going as well as could be expected. Recently he s had small red bumps under the uncircumcised skin. Seems almost as if the bumps are further back than the foreskin can be pulled back. Not sure if it s clumped up baby powder or some other cause of these small bumps. They to be non-painful and I ve heard that regular bathing can help remove these. Any information would help greatly. ### 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: Here lately I have been feeling really bloated and having really bad nausea. I ve already had my period at the end of Aug and early Sept. It was a very irregular period where I was passing massive blood clots, but I had a physical and blood test done at the hospital, and they came up negative. I have pain in my lower back and my chronic headaches are far more frequent. I just took an OTC test and it immediately came up negative. I m not sure what it is really. ### REPLY: Endometrial shedding is menstruation in the absence of conception. If all the factors are normal e.g. hormonal balance, He level, proper internal uterine lining i.e. without any lesion, cyst etc. the shedding of endometrium is regularly intervened by nature. That's what's called regular periods. If irregular, factors above are tried to bring to normally using the support of . My recommendation is herbal medicine. Generally I give Eve care and Liquid Ashokarishta to my own patients for 4-8 weeks for regularizing the periods. These also replenish He level, balance hormones, manage lumbago etc. associated with gone. Hope it 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: Had dental  procedure six days  ago. I am resistant to  the local anesthetics and required quite a bit  more  ( 7 injections) to eliminate pain, was a little foggy  when I left there.  ( this resistance  is normal for me).  I had a perio  cleaning, a molar extraction, and a bone graft implanted.  The dentist closed with stitches.  Because I had  a perio  deep cleaning on the other side of my mouth and have an aortic valve  surgery scheduled in a month, I have been on amoxicillin for 2 weeks and just finished that today.  Note that I do not get headaches.  Ever.       After the extraction, I have not had pain or  problems with the wound itself , nor fever or sickness, however, I have had a mostly-pressure headache constantly for the entire week, and it does not seem to be lessening.  It is not sharp like a migraine must be, but I  also seem to have a  light-sensitivity going on as well as the tension-type headache. ### REPLY: Hello, Your surgery is still considered recent, and you are in an initial healing stage. It is not uncommon for you to experience some discomfort. Take anti-inflammatory medication and finish all medication as prescribed. Report your condition to your treating dentist. This is the best recommendation for evaluation post surgery. Upper extractions and surgery raise some concern if there is a sinus complication during the healing process. Do you experience any congestion in your sinus area?  This can explain a pressure headache. It is not unusual to experience a pressure sensation with a large amount of inflammation after multiple dental procedures. Again, anti-inflammatory medication may help you deal with this discomfort and your discomfort should continue to decrease with time. There is greater concern if you feel this condition is worsening. Thank you for your inquiry. Please schedule a follow-up visit with your dentist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 husband has got chronic cough. We treated it with antibiotics few months ago. The cough was fine but he started to shiver at night with high body temperature. He doesnt feel feverish but body temperature is high. Once the episode of shivering with high body temperature was finished, the cough re-occured. Now again we got him treated for cough. The cough was fine after which now he again started to shiver-High body temperature at night. All major tests are negative which include TB, H1N1, HIV, Bronchitis. Xrays, MRI CT Scan, Ultrasound all normal. Little enlargement in Spleen which doctor said is not to be worry about. Kindly suggest. ### REPLY: Welcome to  does he have night sweets and weight loss ?sometimes blood related disorders including cancers can behave like this. Please see a hematologist. Other possibilities are severe acid reflux. That can cause cough but not the shivers or fever. Still laryngitis or pharyngitis from acid reflux can cause. Silent aspiration can cause these. If hematology evaluation does find a cause I would suggest Endoscopy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 trying to get something out between my two front teeth for now about five months.  Within last couple weeks there has been tiny spurts of liquid when I do so.  My jaw gets very fatigued because I try to get it out constantly with my tongue and bottom teeth.  I am totally obssessed with this thing between my teeth and I cannot stop getting it out.  I get jaw and head pain real bad. ### REPLY: Hello have gone through your query. If this is causing u so much problem i what suggest you to visit a dentist. If there is something stuck between your teeth that is irritating the tissue and causing pain it can be removed easily by a dentist. Try maintaining a good oral hygiene. Flossing can help remove food particle stuck between teeth. Spurts of liquid like substance suggest some kind of infection in the gums as well. Don try too hard to remove through your tongue and teeth. Hope this ans helpsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 girlfriend and I want to have sex for the first time,around 15 days from now. We have read about safety but feel that we need to know more. She hasn t been on pills,as she is yet a virgin. Should we use a condom on the day followed by an emergency harmonal contraceptive pill within 24 hrs? What relation with periods can we use to figure out the safest date? ### REPLY: Hi dear.first and last days of the periods are safest to not get pregnant.that's day when her bleeding stops should be considered as first day of the cycle.then you can count.always advisable to use condom to prevent pregnancy as well as some other infections.and if by chance you ejaculate inside then, and then you should use pills.else it's not recommend.hope this will help outranks and regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir i have a problem some in mean time suddenly my mouth or may be in toung taste buds are change and ,i fell like a vomiting and at in morning at the time of tooth brush i have vomit nad my stomach acid come out side some time they have bitter taste ...... ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have bitter tasted and feeling like vomiting for this I can say it can be due to digestion problem due to that decapitation of papillae is there causing bitter taste. You can do is take one capsule vitamin B complex once daily for one week.  Do warm saline gargle two - three times a day Consult physician for digestion problem that will help you more in treatment. 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: My daughter is suffering with high fever from this morning doctor has prescribed dolo650,augpen, 625,monteil,ambrolite,mucinaac.she has taken one dose of all the medicine but her fever has not come down pls advise can I give her ibugesic plus for fever ### REPLY: Hello, Thanks for the query. If high fever is there then a higher dose of Paracetamol (Solo 650) may be needed. What is the weight of the patient? Dose can be 10 -20 mg per kg per dose for 4 times a day with a maximum of 4 g in 24 hours. Following a single dose, one may not see sudden reduction in fever. Plus even if fever does come down on taking adequate dose of paracetamol, there is always a possibility of fever coming back after about 5 to 6 hours as the blood levels of the .  That is why dosage is advised every 6 hours initially. The antibiotic given helps to treat and remove the cause (infection) for the fever. So in that case to a single dose is not going to be helpful. A minimum of few doses of antibiotic (2 to 3 days, 625 mg three times a day) has to be given. To help a better recovery give a good deal of fluids along with normal food. Preferably 1 to 1.5 liters of oral ready ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am having lump near neck and recently i found another lump near the ribs.i am feeling very bad and i am very affraid of those,bcoz few people are saying that those are symptoms for cancer.is it like tat and can u plz suggest me any nice doctor in pune ### REPLY: Hi, Dear thanks for the query to  virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from NHL-Non-Hodgkin Lymphoma, which possibility could be ruled out, if you want to rule out cancer fear, which you seem to have. With no further information I would suggest you to Consult a Surgeon / Physician to investigate these lumps at these neck/ near rib site and treat it accordingly. A detailed physical information with proper investigation would only lead to the right treatment of your lumps with scanty information from Your query. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. . N.M.S. Genl-CVTS -Senior Surgical Consultant ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went to my family doc and have phlebitis under my right rib cage surface of skin 4-5 inch solid vein that travels down. I thought you only get in legs/arms? This seems close to lung should have went to ER instead?? Best advice?? Thank you for your time. Justin ### REPLY: Thanks for your question on . I can understand your concern. Yes, you are right. Inflamed veins on chest wall are not seen commonly. It is commonly due to skin infection with virus or bacteria. So better to consult dermatologist and get done clinical examination of skin to rule out skin infection. You may need antiviral, antibiotics and anti-inflammatory .  No need to visit ER for this. Consult dermatologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 24, my upper right wisdom tooth (completely erupted from the gum) is continously rubbing my cheek which causes swelling and pain in that particular area but not the teeth itself is in pain. i went to the dr and he recommended its extraction m scared of getting it extracted... should i go for it? ### REPLY: Thanks for your query, I have gone through your query. The swelling and pain could be because of the trauma caused by the wisdom tooth over the cheeks. You can take a course of antibiotics and get the tooth removed. If the wisdom tooth is not a proper position, it has to go for extraction. Nothing to worry it's a simple procedure done under local anesthesia. Do saline gargling.I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my right testicle feels like it is being pulled up into my stomach, pain in the abdomen area, some back pain and a feeling of being bloated or discomfort. Ive had problems ever since my vasectomy years ago, some pain and such. thought it was that again but its not right. Any ideas? ### REPLY: . Thank you for your query. It sounds like STD and this must be ruled out first, but some other disorders can cause it as well such as folliculitis, allergy reaction, irritation or sebaceous gland inflammation.  You should do urethral swab test to investigate the exact causative agent.  It can be viral or bacterial infection. If there is discharge, pain while urinating or pain in testicles it can be bacterial STD. Most common viruses are herpes, HPV and molluscan contagious. Before tests, visit your GP or pharmacist and ask for some antiviral and antifungal local treatment. 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: dear,dr.my wife is 58yrs. old she is suffering fromgallstone 4yrs.back with acidity ,now a days appear renal diseases .No B.P. No Sugar,other investigation  are normal. serum creatinine level is 1.35mg/dl.kindly sugest a homoeo remidies thanku you.     O.P.Sexena ### REPLY: Dear SABENA, I have read your quarry. The homeopathy medicines usually prescribed for such a case are Berbers Vulg, Cards Mar, Chionanthus etc. The duration of the treatment has to be decided only after further details of the case is obtained. I wanted to know about the frequency pain, vomiting if any. I would also like to know type of renal disease? Is it a Renal calculus? Let me know further so that I can guide you. 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: I have a lump on my inner thigh the size of a nipple. When I squeeze it, there is something inside like blood or pus. It is a bit annoying when I wear pants, the friction it creates. I have had similar and in the same location but never this size. I think its causef from chafing as I am 40 lbs overweight. Can u tell me what to do to make it go down until my dr appt in a week? I dont want to go to an ER... ### REPLY: Welcome to . 1. The history and location suggest the possible cause could be hair follicular infection with collection.2. Next possible cause could be subcutaneous infective abscess / collection.3. In the both cases in small and not compacted state a course of antibiotics will help in treatment.4. In case of complicated state a small incision and . 5.Finally, till you get treated as a remedy - do not squeeze, press, scratch the lumps (in that way you will complicate), maintain local hygiene, clean with antiseptic liquid, avoid clothing that irritates that area - soft clothing suggested. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor,I am suffering from toothache since last two days.can I take Dolonex tablet? I am already taking Tsart AM -1 Tab. & Met XL 25- 1 Tab for Blood pressure, ECOSPRIN -150 mg (Blood thinner) & Galvusmet 50/500 1 Tab before lunch & 1 Tab before dinner for Diabetese. Will Dolonex create any interaction with these tablets?Thanks and regardsPednekar . ### REPLY: Hello, Thanks for your query. The Colonel contains the active ingredient Proximal and the Lexical contains the active ingredient Meloxicam, both of which on non-steroidal anti-inflammatories used to treat pain and swelling. Their side effects may include: nausea, dizziness, headache and stomach irritation. Visit your doctor and take the medicine under prescription. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good morning. I will try to summarize. I was Dx with a craniopharyngioma and underwent a craniotomy in June 2010 to have it removed. It recurred and in January 2011 I underwent transsphenoidal surgery to again remove it, followed by six weeks of radiotherapy. Ever since the first surgery I have experienced swelling of my forehead over my right eye. At least once or twice a month. However, with the heat the swelling increases. This summer the swelling is happening right over the bridge of my nose, in the center of the forehead, reaching a size and shape that resembles half an egg. When the swelling goes down my eyes are bruised and puffy for a couple of days. This is now happening on a weekly basis with at least 3-4 days of swelling. None of my doctors can seem to find an explanation. I am very worried. Any help would be appreciated. Thank you. ### REPLY: Hi dear thanks for choosing ChatDoctorthe swellings which appear off and on are usually HERNIAS or vascular swellings 1. Get a fresh CT scan of brain. You have not mentioned the cranial approach during the first surgery .it could be a herniation from the craniectomy site 2 if it is a vascularized swelling get a contrast enhanced CT.bruising and puffiness after subsidence of swelling points more toward herniation as reduction of the mass would increase the intracranial pressure good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m currently having a weird feel mid chest. not pain but a heavy feeling and some air hunger like I can t fill up my lungs. last week my doctor did an emg and it was normal but ordered chest xray, stress test and echocardiogram which are scheduled for the end of the month. still having some shortness of breath some lightheadedness periodically. I m wondering if this is anxiety (already take Cymbalta) or something else? ### REPLY: Thanks for your question on . I can understand your situation and problem. Your symptoms can be due to anxiety, but it is still early to stamp anxiety as diagnosis, because your investigations to rule out cardiac and pulmonary causes are still left. Chest heaviness, lightheadedness,shortness of breath, all can be seen Cardiac causes like heart failure, coronary artery diseases etc. and pulmonary causes like chronic bronchitis, pulmonary fibrosis etc. So get done chest x-ray, PUT (pulmonary function test), 2d echo and stress test to rule out above causes. If all the above investigations are normal than anxiety can be the cause. So consult psychiatrist for diagnosis and treatment of anxiety. Avoid stress and tension. Be relax and calm. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a hard dime sized bump in the crease of my leg near my pelvic area. It doesn t hurt and doesn t seem irritated. I ve never had this before and am a little freaked out. I do however have cysts along my jaw line and was wondering if it could possibly be the same thing? ### REPLY: Welcome to ChatDoctorThis may be enlarged lymph node/gland or hernia. You have to show it to your surgeon since without actually seeing its very difficult to definitively tell the diagnosis. Hernia lump reduces or goes off on laying down and becomes prominent on coughing while lymph node remains same size, and it is more firm/hard compared to hernia. I don't think it has any correlation to your jaw line lumps unless they were also enlarged lymph nodes. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Dr.Im a 30 yr old unmarried Guy. I recently did ultrasound kub test and came to know that i got small stones in my kidney of 2-3 cms in size. I do experience lilttle pain sometimes as such in left side in my back. 1) what should i do for it to get rid of thoise stones as early as possible. Also i have been masturbating for a long time now say almost 10-12 years as i know. My penis is bended slightly towards left side.2)  Is that to be worried about?.3) is it ok to masturbate since i hav stone now in my kidney? ### REPLY: Hellos you have stone in kidney of 2-3 cm, but you didn't mention that you are taking any treatment for stone or not. If not taking any treatment for stone you should take the consultation from urologist and start treatment as advise. Masturbation at this time may be risk full because during the act it may displace from the site and can obstruct in the ureter and this situation is an emergency. So it will be better to avoidoktake care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell four years ago and hit my head on concrete I didnt go to the hospital even though I forgot where I was for a few seconds...years later I have noticed my memory went from being amazing to really bad where I can barely remember my own phone number and address. Today I got lost in a city I have lived for 14 years. I didnt know where I was although that street is the main one. I have blackouts for several seconds where its like if I freeze and forget things. its becoming more frequent, could there be damage don rom that fall? mind you this was a really bad fall ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms. The only way the two-fall with head injury and memory problems-could be related is, if the fall led to head injury with brain damage, and you are now having seizures (post-traumatic seizures). Seizures are known to adversely affect the memory. The way to go forward would be to get an MRI scan of the brain done. This could show any past brain damage (idiotic changes). Doing an EEG would help to exclude any epilepsy. If there is epilepsy, and we treat them with anti-epileptic . I hope it helps. 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: Hi. I have been having gallbladder symptoms. My ultrasound and blood work fine. My ejection fraction was the following: 10 min no emptying, 20 minutes, 16% and 30 min 37%. They told me I am in normal limits. I am reading that below 40% is abnormal...is this so. I have horrible back pain, constant belching, diarrhea. When I eat fat I am in a lot of pain. Now starting to get a lot of sharp pain under rib cage on right side of abdomen. Please advise. Thanks. ### REPLY: Hi, I have gone through your query. The values you have mentioned are something different. Ejection fraction is normally between 50% to 60%. As your doctor said that it is within normal limit then be it so. Back pain, belching and increased pain on fatty food may be due to pancreatitis, as your ultrasound reports are normal. I would suggest you to go for blood amylase. If it is raised then it will confirm pancreatitis. Mentioned symptoms are seen in Inflammatory bowel disease, so colonoscopy may be required if all investigations came out to be normal. In the meantime avoid oily, junk food and alcohol. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: on 25.09.14 During FNAC test I got to know there is puss filled in my swelled lymph nodes, but I have no problems in eating or drinking and also there is no pain in throat movement. . what kind of disease it may be? as report is pending till date. is it surgical or non surgical? Please revert. ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that there are many infections which produces a pus into the lymph nodes. But in India the most common cause is Tuberculosis of lymph nodes. I suspect tuberculosis in your case. If it is so you have to take the AKT or anti Koch's treatment for it. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a home health aide and yesterday I lifted my client that ways the same as me. The first lift I felt bad pain in my lower to middle back and it sounded and felt like tiny bubbles popping or like rice crispies crunching. I ve had horrible back pain all day yesterday, all night and now my lower up to middle back is killing me! Horrible sharp pain. Now I also feel like I have to pee a lot but I go and it s just a very small amount. What could ve happen when I lifted my client and felt crunching in my lower to middle back in the center right on spine??? I m in so much pain!!! ### REPLY: Hello and Welcome to , Thanks for writing to us. The symptoms you have described are more likely to be symptoms of muscles strain. To get relief from the pain and for quick healing:1. Do hot fomentation at the site.2. Apply local anti-inflammatory gel 2-3 times a day.3. Take anti-inflammatory . 4. Do not lift weight or try to do exercise that involve painful muscles. Give proper time for the injury to heal. Hope this helps you. Wishing you good health... Regards.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 72 years old and have been on peritoneal dialysis for almost 10 years. For the most part I am healthy. Recently I have noticed tiny red spots that have turned brown and look like freckles on my feet and ankles. My kidney disease was diagnosed as HSP and I had the red spots at the beginning of this diagnosis. I am wondering if this could be a reoccurence of the HSP or something else. I have mentioned it to my kidney specialist and he is testing me for something about my platelets. Do you have any advice? ### REPLY: Hello. As per your information, you must be having Chronic Kidney disease requiring dialysis. The cause of kidney failure as commonly is, may be diabetes, Chronic glomerulonephritis, Chronic interstitial nephritis, or it may have followed Acute kidney Injury. HSP is a condition of childhood with peak incidence in first decade of life and its unlike that the cause of the rashes you are having, or the kidney disease is HSP. In Chronic kidney failure, the is usually platelet dysfunction that can cause the purpuric rashes that have appeared on your feet. You may have decreased platelets or some vasculitis. I guess your kidney specialist is going in the right direction. Take care and have a 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: Yes I have had massive pressure like chest pains for about 4 days now. I have been trying to couch things up but it has been a dry cough. The symptoms with this is headaches, fatigue and stomach ache, and hard to take deep breaths.As of this am I was able to cough up some bright orange mucas but the chest pain is still there. Extremely painful to take deep breathes. ### REPLY: Hi, It can be due to upper respiratory tract infection like pharyngitis or laryngitis or sinusitis, may be acute bronchitis, pleurisy you can go for routine blood and X-ray chest with sputum (if still coming) examination, it will be helpful to make clear diagnosis. You should take antibiotics (quinolones or accolades group) with analgesics and anti-inflammatory, antihistamines in combination with mast cell stabilizers to combat . Don't worry about stomach ache and fatigue, it will subside with the infection. You need to see pulmonologist for further advise. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My femur fracture happened Jan. 2014. I had dynamization 10 days ago d/t delayed union. I am having a great deal of pain from the dynamization. Before the surgery I was walking with a cane and had minimal pain as long as I used the cane. I cannot understand why I am having so much pain. Thank you for your time. ### REPLY: Hello healthcare user, dynamisation is done in cases of delayed union.it helps in increasing the speed of union of fracture. After dynamization pain increases in initial few days.it's been only 10 days since your dynamization procedure so don't worry....but if pain persists for longer duration, or it increases then I will advise you to consult your orthopaedician.I can guide you better on this if you can share your X-ray reports.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 had a blood test showing a 180+ H pylori count, how high is this? ### REPLY: Hi, Welcome to  Forum, H. Pylori infection occurs when a bacterium called Helicobacter pylori infects your stomach or the first part of your small intestine. You are having this Infection since it is confirmed by your Blood Test. In many people H. pylori infection causes no signs or symptoms and doesn't lead to any complications. But for others, H. pylori can lead to serious complications, such as ulcers and stomach cancer. To need to take antibiotics for a minimum if 14 days along with antacids. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 coach a 6 year old t ball team and out of 13 players there is ONE who when he doesnt get his way goes into major meltdown and throws tantrums up to removing shoes and throwing them at will. His mother has no control over this and I want to help him be a bigger part of the team but these fits are effecting the other boys and causing them to lose focus.Since this boy is not mine I do not know how stern I can be with out crossing the line but something has to be done quick or the team will think about him more than learning the game.Any help is appreciated.Donald ### REPLY: I recommend an evaluation by a child psychiatrist. This boy may have ADHD or a behavioral disorder than might benefit from medication or psychotherapy. Please remember to rate and close this answer thread when you are finished and satisfied. In the future, for continuity of care, I encourage you to contact me directly at my private web ad .  After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 been on Cipralex for 14 weeks and have been tapering off for two. I have had anxiety/ depression and shaking   since a ski accident in March. I am 65 years old and I would like to take a serenity formula a herbal solution. Am also taking 0.5 mg of sublingual Ativan. Can I do this safely. ### REPLY: HiT hanks for using  In case of anxiety or depressive disorder, you need antidepressant as well as benzodiazepine. You should carry on with antidepressant. It would help to control depressive and anxiety symptoms. In case, you want to use herbal product, you can. There is nothing harm in it. There is no interaction between .  You can also try some relaxation exercise that would help to control anxiety symptoms. In case, you need further help, you can ask. 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 been monitoring my husbands blood pressure.9/6/12 9:20 PM: SYS = 147, DIA = 749/7/12 8:15 PM: SYS = 145, DIA = 739/13/12 9:20 PM: SYS = 128, DIA = 749/15/12 9:25 PM: SYS = 162, DIA = 79How come the variability is so great and should we wait until October to see a doctor (after trying natural methods to lower pressure - weight loss, salt and alcohol restriction, etc.?) ### REPLY: Hello! Thank you for asking on ! I understand your concern and would explain that these changes in the blood pressure may be related to physical activity, psychological stress, high salt intake with food, caffeine intake, etc. His blood pressure values are above the normal limits (130/90 mm Hg), most of the time, which means that he is suffering from high blood pressure. Lifestyle modifications are very important at this stage of high blood pressure. Is he already making these changes to his lifestyle? This doesn't seem to be an emergency. My opinion is that you may wait until October to see your doctor for a careful physical exam, a resting ECG, a chest x-ray and some blood lab tests (complete blood count, thyroid hormone levels, kidney and liver function tests, fasting glucose, blood electrolytes, etc.), to exclude other possible secondary causes of high blood pressure. You should discuss with his doctor the possibility of starting an antihypertensive therapy, if his blood pressure values are still at these levels, even with the lifestyle modifications. Hope to have been helpful! Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I believe i have had this yeast infection for a while now. i didnt know the symptoms and was recently informed of them. What could happen if i have had it for to long? and how do i make it go away without going to the doctors office? unfortunately i have no money to go to one. ### REPLY: Hai, yeast is a type of infection normally affects the skin, genitalia and other parts of the body depends upon the type.i didn't pick which part of your body get affected from your statement.it is easily transmissible through the contacts, clothes like inner wear, towel,soaps etc. Long term infection should be ad . I advise applying an antifungal cream to the affected area and keep your self hygienic to avoid transmission. Thank you hope I answered your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had two lithotripsy procedures done for kidney stones.  One was on August and the other in September.  Since the. I have had ongoing tenderness and pain on my left kidney area.  Recently had a ct scan that showed left kidney was inflamed.  Is it normal for this to still be a side effect from the litho?  Any suggestions on how to relieve this discomfort?  Other than the kidney stones I am a healthy 34 year old female. ### REPLY: Hi, The tenderness and pain in your left kidney area could be related to possible remaining tiny stones. Usually, lithography is associated with remaining stones that could cause inflammation and infections of kidneys. I suggest consulting nephrologist again to do ultrasound and check for the presence of stones. You can take painkillers and if infection is diagnosed, get treated with antibiotics. Do not forget to .  All the best! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my boyfriend has extremely bad allergys to pollen, dust, etc..he has sneezing episodes that will not stop for hours and ends up in slight pain to his nose,eyes, head. It goes like this off and on for days before letting up. Hes tried every allergy med over the counter but nothing really works. Is there any homeopatChatDoctorethods or any advice you can give to help him? Thanks ### REPLY: Hello, However, the best remedy for treating allergic rhinitis is to avoid the allergen itself. There are various masks available in the market, he can use in daily life and the results have proven to be amazing. Although is he does get allergic then he can use tablet levocetirizine in a day. Watch for any warning symptoms as well as breathlessness or swelling of lips. If any of these events happen to him rush to the hospital to get a shot of HY . Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello dr,i have done color doppler scanning the report says that the are no evidence of the presence of varicocele,but a neurologist says that the scanning report itself is wrong as i have pain in right scortum often,is there any other disease other than varicocele or if you can suggest me have any other scanning and my age is 50yrs i had the same problem in my 20th and 30th year also ### REPLY: Hello! Thank you for the query. Yes, there are few more issues which can give pain in the scrotum apart from varicocele. It may be epididymis or testis inflammation, inguinal hernia (can be invisible if the ultrasound were done on the lying position) or even urinary tract infection/stones. Too tight underwear can compress the nerve in groin area and give numbness and pain in the scrotum. I suggest you to start your diagnostics from urinalysis and urologist consultation. Antibiotic might be beneficial at your case. 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! I a couple hours ago punched someone with my fist (I wasn t fighting) but I hit harder than I meant to, and at first my whole knuckle area reddened on my right hand. a couple hours have passed and over time, I noticed the actual vein that runs between my ring and pinkie finger was purple and aching very badly. Is there any possibility I popped the vein? There isn t any general bruising, and my knuckles aren t red anymore, the vein is just dark purple there. and hurts when I flex my fingers ### REPLY: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, the fracture called boxers fracture occur in similar circumstances. The first thing you need is an X-Ray of the hand to ascertain if you have any fracture or not. Hurting the vein is a high probability as the amount of trauma that can cause fracture always cause damage to small vessels and that is the cause of edema after injury hope that answers your query. If your want any more clarification, contact me back. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife is a patient of Hereditary spherocytosis, now a days she is suffering from jaundice treatment as her Bilirubin and Sgpt level history is belowFirst Test Diagnosed as jaundice SGPT       =      103Bilirubin   =        2.3Treatment Jetepar  500 Ml repeated 5 days continueslyand some other Test Repeated after 12 daysSGPT       =      115Bilirubin   =        2.6only syrup and food TreatmentTest Repeated after 10 daysSGPT       =      287Bilirubin   =        3.2now again after 14 days test performSGPT       =      296Bilirubin   =        3.7please advise what to do ### REPLY: Hi thanks for contacting . Noted she has persistent high liver enzymes and bilirubin ... Hereditary phagocytosis present... So if phagocytosis not controlled partial or full splenectomy may might need for treatment of it.... If needed RCC transfusion and folic acid supplementation useful....Meanwhile, cut of oil in diet to rest liver. Fruits taken more. Avoid alcohol... Green leafy veg and adequate protein taken. Regular follow up needed... 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: How long before I can exercise after an open cholecystectomy? I had my surgery last June 5, 2010. I am now trying to jog but can I already lift weights or what kind of exercise can I do since I do not want to gain weight since I lost weight after the surgery. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. We recommend rest for 3 weeks and then low intensity sport can be started for next 2 weeks. After 4.-5 weeks you can do all exercises as before unless there are complications. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi..i m suffering from skin infection on my foot and also having lots of pimples on my face and also full dandruff ### REPLY: Hi ...welcome to .dear user U were not telling about the correct location and symptomatology.on the foot....ok.regarding pimples having very good treatment.... first do --1) come done extraction by using Radio Frequency to remove all comedones on the face-this one is doing by expert dermatologist with carefully 2) using topical creams like clindamycin in morning times and Darlene cream in nighttimes after washing the face with Triclosan soap 3) orally take Doxycycline capsules 100 mg daily half an hour after lunch....4) Isotretinion tablets alternatively morning after breakfast.5) regarding diet ...restrict the fat intake.5) for Dan . ... avoiding this ., by using frequent head baths with ketoconazole shampoo...after shampooing thorough  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had my period 2 weeks ago everything was fine but I have had unprotected sex in the last week & now I m bleeding again it s light bleeding & kind of pinkish. Could I be pregnant or are there any other causes, I m 22 years old & after my last unprotected sex I was worried so I took 2 birth control tablets I am waiting to start the pill until my next regular cycle. ### REPLY: Hallow Dear, If you are menstruating regularly with cycle of bot 30 days, you can expect egg release (ovulation) about 2 weeks after the last menstrual period. Some amount of light bleeding, may be with some pain in the abdomen can be experienced on and around the day of ovulation. It is called Mittelschmerz. Your bleeding seems to be this type. Also, this bleeding could be due to the birth control pills you have taken after the intercourse. In fact post-coital emergency contraceptive pills within 72 hours of the intercourse would have been more effective in avoiding the pregnancy. However, you had unprotected intercourse during this period. So the possibility of pregnancy cannot be ruled out. I would advise you to get Beta  test done 10 days after the last unprotected intercourse to find out the evidence of pregnancy. Alternatively you may wait for menstruation. If you miss it, perform pregnancy test on overnight morning first urine sample about a week after the missed period; earlier the test may report false negative results. I hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 13 yr old daughter randomly gets right side arm & leg shaking. Also along with this now her upper lip twitch. All is random. She is ADHD and takes 20mg of Adderal XR but she didn t take it at all today & she got out of the shower with the right side shakes. With the meds not being in her system could this still be a side effect of her meds or Im thinking something else. ### REPLY: Welcome to the ChatDoctorI have gone through your question and understand your concerns. It seems that your daughter is suffering from partial form of epilepsy. I would recommend you to take her for proper neurological examination by pediatric neurologist. They may advise you for Brain imaging (MRI), EEG and serum levels of Adderall to know the reason for it. There are many anti-epileptic . Hopefully this will help. I would be happy to help you with any further questions. 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 this is varsha I had TB in my lungs ,I have been treated by doctor Agam vora borivali since 6 months reports says there is significant regression in nodules there was nodules in right upe lobe lung,paratracheal and pretracheal region but report shows almost everything positive but i am having tariffic breathing problem what could be the reason can u suggest me doctor in sion hospital ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should rule out bronchitis in your case. Bronchitis (inflammation of airways) is common after lung infection like tuberculosis. Bronchitis can cause breathing difficulty. So get done PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). In Sion Hospital,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 have been seen by 4 doctors but they feel I should go to pain management. I am in pain beoynd what I can bare, now try to get help.C 3/4 Bulging disc C4/5 Bulging Disc. C5/6 Fibrosis/ surgical scar . C6/7 Fibrosis/ surgical scar.Thats just one area L 2/3 Bulging Disc L3/4 Arthritis Disease, Bulging Disc L 4/5 Arthritis , Bulging Disc. My Question is the 4 Specailests sais I should just go to pain manament , stop worring, I have a slideing Disc in C3 on my spine feel its nothing to be concerned about.As well as I had A 2 dics C5/6 C6/7 slipped needed to be frused in 2001. I cant take the pain or pain medacations, I am afraried the one disc will slip and cant walk for 100 ft with out awfull pain.I am a Mom of a Autsic child MR Deaf , I am 54 of this month can any one help me, Mrs Fran Woy ### REPLY: Hi, thank you for providing the brief History of you. As mentioned in the history by you that you are having cervical disc degenerative disease I will be more concerned as the levels mentioned by you are painful, and you are right on your part that the pain is excruciating. Since the painkillers are not possible due to various factors of which you have not mentioned I will advise you to undergo physical therapy. As you are 54, you may have degenerative changes in the body as this might be leading to weakness of muscles and also reducing the inter vertebral space. By the reduction in the inter vertebral disc space there will be compression on the disc which is a jelly substance in the inter vertebral disc to provide act as a shock absorber. Also, when muscles fail to hold the vertebral body in place the pressure applied to disc may in turn compress the exiting nerve roots and leads to pain and weakness. As in my clinical practice such patients with high level of disc injuries we refer to physical therapy and MRI. With physical therapy like therapeutic ultrasound therapy and TENS therapy the pain can be controlled for a limited period of time and in that duration strengthening the muscle groups of the neck is important. Also, the therapist can provide manual traction and release the pressure from nerves to provide good relief. Most cases in my practice respond well to physical therapy. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i have just started using mouthwash after i brush my teeth and have noticed that my tongue feels like it has a blister or been burnt on the tip. i have also noticed that some of my taste buds on the front and partially on the side seem to be enlarged and almost look like little pimples. i do not think they are cankers because they have only appeared after using the mouthwash two or three times. what do you think they might be? ### REPLY: Hello and welcome, this blisters are of authors ulcer type which can be caused either due to allergic content in mouthwash used or due to food ingested causing allergy like mixture, crab etc. Avoid harsh tongue cleaning. Take vitamin becomes to overcome vitamin b-12 deficiency. Take tab.flanzen-10 mg, thrice daily for 3 days, tab.wysalone-5 mg-thrice daily for 3 days. Avoid intake of hot and spicy food. Please change your mouthwash if it is causing allergy. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My aunt is having severe back pain at the bottom of the spinal cord. Doctors have given some physiotherapy treatment and advised an operation. But she refused, and the doctors have given her some antibiotics to reduce the pain. Now from past 2 weeks, she is suffering with chest pain. Also recently she has observed an enlargement in the liver area and hardening of the stomach. She says, she is not feeling hungry, and not able to breath properly. She has visited a doctor recently and he told, that there might be a wound inside the liver. Some other doctors told, due to high usage of antibiotics, it is common that it happens. Kindly tell me the problems related to liver and what could cause them and what are the treatments. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. Usually liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases it doesn't require any specific treatment.  If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are the most common causes and in this case medical evaluation is required. Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. You need to check your viral markers and do liver biopsy if necessary. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, I have a heavy feeling low down in my stomach (the groin area) pain in my lower back and sometimes feel a bit sick, also sometimes feel the need to urinate after I have just been, I got my urine tested today and it only showed up a tracing of blood? What do you suggest .. ### REPLY: HelloThanks for query. Pin in lower back with hematuria and frequent and urge urinating is mostly due to presence of stone in lower ureter.However, this needs to be confirmed by clinical assessment by a qualified Urologist and by Ultrasound Scanning of abdomen and pelvis. Take broad spectrum antibiotics like Definite along with Nitrofurantoin and anti-spasmodic like Cyclops twice daily with urine alkalizer thrice daily. Ensure to . Further treatment will depend upon the results of these tests and final diagnosis. D. Patil. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 month old son is having some sores pop up on his head in dime size patches. small pimple like bumps that will eventually secrete clear fluid and dry to a crusty yellow scab color and will spread out from that area. He also has small pimple like bumps popping up sporadically all over his body but are not clustered together and do not scab over like the ones on the scalp. He is on his second round of antibiotics for his scalp right now. Any ideas? ### REPLY: Hi, I am .  Also shampooing of hairs 2-3 times a week with medicated shampoo will help. But its it requires a proper diagnosis, you should seek help of pediatrician of dermatologist. You can also upload photos at this site. 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 questionsTake 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 been dealing with inexplicable joint and musculoskeletal pain on and off for 5 years. My wisdom teeth wre never removed and now my jaw aches constantly. Is is possible that the failure to have my wisdom teeth removed may be an underlying cause to my other chronic pain? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern... As per your complaint and presentation of symptoms such a chronic joint and muscular pain is not seen in case of problems related to wisdom tooth and in case if your wisdom tooth has not caused any pain symptoms then, although it was not extracted it will not cause symptoms like joint and muscle pain. The most common cause of muscle and joint pain which is chronic in nature is FIBROMYALGIA, and it leads to pain in muscles and other soft tissues, and mostly it is of unexplained origin. The jaw and facial tenderness can also be due to it and not associated with wisdom tooth. You should consult a Rheumatologist and get evaluated and get treated according to the cause. Hope this information helps. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My grandson, 20 months old ran a low grade fever with cough and congestion. Fever is gone but he has developed a rash on his hands, knees and elbows. This iis the second time this has happened. The first time the doctor said it was not hoof and mouth disease. It disappeared on it s own. What is this? ### REPLY: Hi welcome to  Rashes after fever and cough are mostly due to viral illness itself. Usually they appear after subsiding of fever and resolve in 3-5 days. Mostly create doubt of . Usually child is active and playful. They are to be taken seriously is baby is dull, there is pain abdomen, vomiting, cold extremities, bleeding from any part of body, baby is passing less urine. Hope I answered your question revert back if any other querythankd ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 four year old daughter has very large tonsils there so large that they almost touch, the left side touches her uvula. They also have bright red veins at over them. She said her throat doesnt hurt at all. She sleeps with her mouth open and snores very loudly. Should I be worried? ### REPLY: Hello. I just read through your question. This is a very common problem. If she is sleeping comfortably, even with the snoring, there is really nothing to be worried about. However, if at any point during sleep you notice that she stops breathing for a period of 20 seconds or more before beginning her breathing again, it is a good idea to be evaluated by a pediatric ENT. Additionally, if she experiences recurrent infection in the throat, that would also be a good reason to be evaluated. Outside those two scenarios, there is nothing to worry about. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir my 16 months old baby boy getting cold cough and fever and loose motions from last 7 days i am giving calfstop ,s mucolite and crocin syrup but it is not recovering so is it cerious condition? then what should i do if yes or what to do if not ### REPLY: Cough and cold are common in child .  Generally these are not a cause of concern as these are self containing conditions and resolve in 5-7 days without any treatment of the cause. Antibiotics are ineffective in a viral infection. At times, in case of a severe reaction, secondary bacterial infection may be present and only then antibiotics are indicated. Generally the viral infections have an allergic component and some anti-allergic may help. The medicines being given are proper, and you may continue giving them without worrying. Additionally, giving steam inhalation will help in diluting the cough and give the child relief. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have this itching feeing inside my chest. I can t physically scratch it because it s inside my chest. I feel it the most when I cough it s located under the muscle in my breast/ in rib cage/ inside my lungs. I don t understand where this coming from because I never had asthma but I was diagnosed with bronchitis in high school about 8 years ago. But I haven t been bothered with bronchitis since 2009. So can you please help so I do have to many an expensive dr bill? Thanks ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Itchy feeling in chest is mostly due to1.  Retained secretions2. Inflamed and edematous bronchi (seen in bronchitis). Since you had bronchitis in the past, chances of recurrence are high. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray3. PUT (pulmonary function test). Chest x-ray is needed to rule out retained secretions. PFT is needed to rule out bronchitis. So consult pulmonologist and discuss all these. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feeling pain in a part of the fore skin of penis for last 15 days which is continuously persisting. perhaps it happened after excess streching of the foreskin during penetration. What should I do? The space provided for entering debit card number is 16 characters whereas requires 19 characters. ### REPLY: Hello You need proper clinical examination. You may have fibrosis(not able to fully stretch foreskin over prepuce). It can only be confirmed by clinical examination. Definitive treatment is circumcision. It is necessary to get rid of this condition otherwise foreskin may get stuck over glans penis, and it may compromise distal vascularity. It may cause surgical emergency. So, you should consult your surgeon. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,my mom just had a heart bypass surgery last year nov 11, 2011. ever since she s on dialysis and she s also diabitic. She s was diagnose for pnuemonia after her surgery, she is finally home now 2 weeks. 3 days ago shes unable to stand up. she gets so tired and unable to move her shoulder and unable to raise her hand. kindly let me know what to do? pls advise. thank you. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of brain related event like CV (cerebra vascular) stroke is more. Unable to walk, move, not raising her shoulders and arm are suggestive of paralysis sort of thing. And shouts at high risk of CV stroke due to diabetes and heart diseases. So immediately take her to the hospital and get done CT scan or MRI of brain to rule out CV stroke. She will need intensive care with 24 hours monitoring. So don't wait at home, take her to the hospital as soon as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. 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: Im 29 weeks pregnant and sometimes out of no where I feel like my heart is beating super fast and I have a hard time catching my breath at times. It almost feels like I have asthma. Itd been like this for a long time. My heart beating fast just started though. Im just scared for the baby. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should rule out arrhythmia (rhythm disturbances in heart) first because arrhythmia can precipitate in pregnancy and gives similar symptoms like palpitations and breathlessness. If not treated promptly, this arrhythmia can harm you as well as your developing baby. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). You may need anti arrhythmia .  Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI , I AM suffering from pcos and have past medical  history of pulmonary tuberculosis and now i want to concieve , marrried life 2yrs, tsh normal, usg reveals bilateral cyst in both ovaries, esr 2 hr is 40mm.  FSH Normal, prolactin normal, LH INCREASED, FASTING INSULIN IS INCREASED. ### REPLY: Hello member, Thanks for writing to  .past history of tuberculosis may not affect fertility(chance of pregnancy) if the therapy is completed and sputum is negative for TB during follow up. If genital organs are affected due to TB then usually it causes blockages in both fallopian tubes. You have not mentioned whether tube testing either HSG or laparoscopy has been done. The other report you mentioned are suggestive of PCs. Increased fasting insulin and high LH are noticed in PCs.when I have infertile client In my clinic with PCs I recommend a detailed blood work up and also recording height weight cycle regularity and body mass index. Based on above . Kindly consult your doctor before taking any of the above medications. I would also recommend testing of fallopian tubes. 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: Im feeling really tired and exhausted everyday. My dad and Grandmother who i was really close too passed away within 2 weeks of eachother this year and i havnt been the same. I have really bad mood swings and i will break down and cry at the slightest things. Im sleeping at night but its not a sound sleep when i do wake i feel as if i havnt slept at all. please help? ### REPLY: Hi dear. I had gone through your query. Sorry for your loss. I understand your emotions and mood swings can be a part of this. It is grief reaction because of loss of loved one. You are in stage of bereavement and require support. Psychological and social support is must. All will gradually disappear as time passes. Never let yourself alone. Try to discuss and taking with friends and relatives. Medicines like benzodiazepine can useful for sleep. Psychotherapy like grief therapy can be useful. Consult with psychiatrist and get help. Still if you have a query then feel free to ask. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I have a nephew who is 2 years old now. After 6 months of his birth he was very week and frequently getting fever. So we consulted a nearby doctor. After all the diagnostic tests he was diagnosed as Coombs Negative sutoimmune hemolytic anemia. He was transfused blood 4 times after the diagnosis. After that predisone has been started. He is on the same treatment even now. But he is prone to infections now. Is there any permanent solution for this condition? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have autoimmune hemolytic anemia.  So your RBC are destroyed by your own antibodies.  To suppress this steroid is the .  You can go for splenectomy.  It will improve your condition.  Consult your doctor and plan out for surgery. 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: Had an episode today that hasn t happened in a long time. I got light headed and had this jagged bright light all the way around to where i couldn t read the words on my TV news. Lasted for about 15 minutes. But this happened a few years ago but i couldn t see anything but bright lights flashing so fast back and forth. Please tell me what s going on. Is it going to get as bad as it was before.? ### REPLY: You are most likely suffering from visual aura of migraine headaches.  You didn't mention this in your note but often what happens after the aura goes away (5-60 min. duration) is a terrific headache with nausea/vomiting, and there are other very bothersome and debilitating symptoms.  I am actually a headache specialist and would be very happy to work with you on a 1-1 basis to try and figure out what you've got and point you in the direction of treating these things with definitive means to minimize the chances that they should progress to anything more serious. If this interests you then, please contact me at the following ad . 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 had kidney failure its a cadaver kidney and 20 years and counting. Got a hernia in kidney and the surgeon put a hole in the utter now have a tube to pea. the tube kept coming out of the bladder and I finally clasped . took off 37 liters of fluid . but I then lost my picture vision . do you know if that is common with dialysis ### REPLY: Hello, Dialysis may cause:1. Cannula insertion site infection2. Hypoglycemia3. Hypocalemia4. Electrolyte imbalance5. Hypothermia etc.Sometimes peritoneal infection also may be seen in peritoneal dialysis. I didn't understand about your query that what do you mean by loss of vision. In case of hypotension or hypoglycemia may present like loss of picture of vision temporary. Please consult with your nephrologist he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is having breathing problem. he is obese, 100kg. feet and body gets swel. he is 72 years. recenty we have consulted cardiack specialist. he has done blood and urin test. urea 55mg/dl, creatinine 1.8mg/dl. according to dr. his both kidney is damged. but we have doubt on his comments. because other then his breathing problem, he is absolutely fine. because of his comments we are all mantely disturbd. can you give your suggestion, what i should do with my father. ### REPLY: Thanks for the query It is true that the serum great is altered. But I guess your doctor has forgotten that he is 72 and s great of 1.8 is normal in them but the s urea is raised indicating acute renal failure which is reversible. If he is throwing more than 900ml f urine per day then he will be hereafter getting his s bytes checked he can be put on tab lasix 20 mg 1-1-0. But please meet a good nephrologist before this has a healthy living ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Whenever i bend my leg, or if im just simply looking at it, i have a bumb right next to my shin bone, completely painless, and it feels like it is filled with liquid when i push down on it. It s about a quarter size, and i have one on my other leg, but less noticable.. Do you know what this is?? ### REPLY: Hi, These lumps on the knee on bending, seems to be due to synovitis, as its there on the other knee also. Mostly they are due to the arthritis you have. Get the X-ray knee joints and consult ortho-surgeon for the further treatment. Hope this would resolve your query. Welcome for any further query in this regard to . Write good review and hit thanks if this reply is helpful to you. Have a Good Day. . N. Senior Surgical Consultant. M.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: literally a week ago i woke up and the right side of my inguinal area i noticed two lumps the same size. i looked it up and it seems to be swollen lymph nodes maybe. then monday i started to have spotting. i don t have a normal diet. i am a very small skinny girl and i stress a lot and have bad anxiety. i freaked out about swelling quite a bit. could the swelling be causing me to spot or is it my stress and diet ? i am sexually active and i am on birth control. we use triple the protection. i got 2/3 of my cervical cancer shots. i just need advice i am freaking out. does something serious grow over night like that ? ### REPLY: Welcome to . Thank you for posting your question. Do not panic so much. I can understand that you are very anxious about your health. A lump in the inguinal region can simply be due to inflammation of the lymph nodes over there due to some infection. Spotting is not due to these lumps. Do not neglect your diet. Have regular diets. You see anxiety is an ailment which can be overcome very easily. Try relaxation techniques like consciously breathing in and out twice a day for 5 minutes. It will help you to relax. Every night before going to sleep write out 3 things that went well that day, it can be anything like you read a good story book, or you helped someone in the street, cooked a delicious dish just anything. For the lump, I would suggest you to visit a doctor and get it examined. It may be nothing serious, just a routine checkup. Have a nice day. Regards ### END