Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sir,,                           sir i am masturbating last 10 year i dont control it. some feelings and fearing is done now it the time also, and this masturbating any related effect of chest swelling,please provide how to control the masturbating   ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, thanking you sir, ### REPLY: Degree understand your concerns went through your details. Masturbation in any case is not related to any adverse health effect in your body. Masturbation is normal, natural and not unhealthy if done within moderation. You could be a young adult. In that case, thrice a week is considered ideal. You should engage yourself in other physical activities and make yourself tired, so that the urge to masturbate reduces automatically. I suggest you to consult a physician to determine the cause of swollen chest area. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. 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 mother is 52 and she has been put on dialysis . her creatinine levels are 5-6 and have no diabetes or high blood pressure. People have recommended ayurvedic or homeopathic treatment for her rather than dialysis. She has gone under dialysis 3 times but mentally not able to accept the fact and thinks its a really big thing. Can ayurvedic or homeopathic treatment help her? ### REPLY: Hello At the outset, I wish to say that I am all Allopathic specialist - and I do not know about other systems of treatment.  I will not comment.  From our point of view - the only alternative for dialysis is kidney transplant.  Dialysis itself is a temporary - an arrangement until transplant.  She MUST continue the dialysis.  Reactive depression is well known in this situation - and it is the responsibility of family and friends - to help her to tide over it.  We have seen several such instances - they finally got well and regretted their opinion.  Better be safe than sorryTake care 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: Car insure 500 is recommended for my ankle pain for 15 days one per day I am 59 yrs old lady with BP .Along with that Cap.Snepdol is given two caps daily .Any side effects are there,and the swelling at the ankle is not reducing completely. I am advised to use crape bandage ( like socks) during the day.It is detected in MRI of left ankle that there is no fracture but there is a clot . Pain has reduced considerably.This is 2 months old case Pl confirm whether the medicines have any side effects ### REPLY: Hithank you for providing the brief history of you. As most medication will have its own side effects, and they are on random basis so judging is not possible without any physical examination. As you are having persistent swelling of the ankle, I feel it is lack of venous insufficiency. Also, you are a high BP patient and proceeding towards aging this is also the factor to keep into consideration. As, in my clinical practice I see geriatrics with high age groups. Many of them have multiple issues and with medication some are not getting relief of swelling. I personally prefer to have a thorough examination and then advice physical therapy and find miraculous changes in the swelling of the ankles. I will advise you to undergo a proper physical therapy where your venous insufficiency can be improved, and the swelling can be avoided. Also, venous insufficiency is due to the lack of the venous pool by the Heart which needs an attention. I didn't mean the heart has problem, but I intended to mention that the heart needs more pumping action to reduce the swelling. 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: I had my last period on time, started my new pack of pills on Sunday and everything was fine. Then I missed 2 pills and began having brown discharge. Now it is time for me to have my period again, I am on the placebo week. Should I start a new pack? Or continueto wait? ### REPLY: Hi, Thanks for the query. If you use the pills according to guidelines only complete protection from pregnancy can be expected. For more details : http://srsree.blogspot.com/2013/11/general-guidelines-of-using-combined.html As you missed two pills, complete protection from the pills cannot be expected. So, better to use some additional method of contraception during this week. If you do not get with .  If test comes negative, you can start new pack. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what heart problems could i possibly have if i feel; chest pains like someone is hugging me too tightly or like my chest is collapsing. i also get dizzy/light headed sometimes. my chest pains make me feel like i cant breathe the way im supposed to. also, with my chest pains when i inhale i feel as if someone is stabbing me in the heart (a very sharp pain). my chest pain sometimes feel as if its heartburn, but much more serious. when i get the chest pain my heart beats very rapidly. ### REPLY: Hello, Brief Answer: Your symptoms are considered typical chest pain, that needs to be assessed. Explanation: My opinion is that typical chest pain that includes burning, crunching pain that may radiate to the left side of the jaw. Time from five to fifteen minutes and associated with sweating and vomiting sometimes. I suggest my patients the following clinical examination, and good history taking is mandatory, electrocardiography and some laboratory investigations may be needed. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about risk factors such as smoking, family history, hypertension, diabetes, and lifestyle. Conclusion: I suggest you check with your physician. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 28 weeks and 3 days and just went into preterm labor almost a week ago. (They gave me medicine to stop contractions) For about the past week and a half my stool has been really extremely soft (almost diarrhea but not quite) My stomach has been hurting, and every time The color has been a lot lighter than normal. I also feel like I ve had to go a lot more than normal. Could this be a sign of anything? ### REPLY: Hi, .  I Think I have understood your concern. As such there is no relation between your tummy upset and medicine for preterm labor. Actually preterm labor starts because of intestinal upset. I will suggest you Tab Pan D Sr once a day for 5 days. Tab Flagyl 400 mg three times a day for 5 days and Tab Cyclops as needed for pain in abdomen. Also use of Cap Vibrant DS once a day for ten days will be of help.  Include curds, yogurt and buttermilk in dirt. Eat fresh food, fruits with pulp and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 63 year old married woman, I have 3 deteriorated disks in my neck, have headaches and get dizzy also feel like electricity in the back of my head feels like there are 3 lines across the back of my head and I have to massage it hard for circulation, my blood pressure went to 189 over 103, and also have degenerated disks in my lower lumbar. I am in constant pain day and night. What can I do? Is operation the next step. I had physical therapy, aquatic therapy, epiderals and pain tablets, natural medication help but pain goes from 4 to  10 constantly. Please help me out , I will appreciated verymuchhhhhhhh I will wait for your answer. Thank you very much!!! ### REPLY: High blood pressure is the main cause of headache, so you should consult your physician for treatment of high blood pressure. Other thing is disc degeneration but i don't know MRI cervical spine findings but if pain radiating down in upper limb and constant pain you can take short wave diathermy and cervical traction. If that does not work you can take epidural injection if it still does not work then you should go for surgical modality. Hope your doubts are cleared. Thank you. Get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Gupta Mam, This is chaitanya(26) from Andhra Pradesh I have a dental disorder, i have to cure this disorder Is it right time now to wear a teeth clip if so how much it costs and what should i take precautions for this can you give an idea to me thank you ### REPLY: Thanks for your query, I have gone through your query. There are more than 100000 dental disorders, please confine your query to the actual problem. Considering and imagining your problem as a MAL aligned teeth, If I am your treating doctor, I would suggest you to go for braces or orthodontic treatment. You need to consult an orthodontist and take an opinion. After that they will take measurement(impressions) of you upper and lower teeth, You need to get radiographs like OPG and lateral rephotograph. After going through these and analyzing, we can give an exact treatment plan, like how much time it takes, whether we have to remove any teeth or not or do you need any surgeries. So consult an orthodontist and take an opinion. Regarding the cost of the treatment it varies from material used and the consultants, it can vary from 15000-50000. 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: I just had a stent put in my iliac vein due to extensive clots that I had 10 years ago (caused by birth control only; no genetic cloting factors). I am a marathoner and fitness competitor, super active, healthy and not overweight. When could I work out realistically? The doctor told me 3-4 weeks but I don t think he understands how fit I am. I just put in 90 miles last week training for a race I have in September. Could I start back up slowly in 10 days instead of 3 weeks? ### REPLY: Hello Welcome to Ask a Doctor service. I have reviewed your query and here is my advice. It is not how your fit, but the thing is the stent it has to be fixed properly on a place so looking to this you have to follow the medical advice, it is the responsibility and question of your health if you do not follow the advice then bad consequences would be there, you have to follow the medical advice given to you, it is just for your good only. Hope I have answered your query, let me know for further assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir how can posible to improve my active motile? i have now active motile 1st hr 10 & 2nd hr 05 my sperm count is 3.4 million i use madicine levocarnitine tablet 330 mg. mecobalamin 0.5 mg. levothyroxine sodium. choriomon 5000 i.u.inj. & gonal fsh 75 i u inj evry week 1 by 1 4 month after use all madicine & i test semen this result before use madicine my result is sperm count 38.2 million active motile 1st hr 30 2nd hr 25 my age 46 i dnt have any child ### REPLY: HelloThanks for query. You have asthanospermia and have been taking medications advised by your family Physician. I would like to state that there are no medications proved scientifically to be effective in increasing the sperm motility.However, Following measure will help you to improve sperm motility to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son of 15 years old caught viral fever since Sunday night. Doctor has given medicine and advised to be indoors for next three days. Attended school for test on Thursday. Today again he is feeling very weak and is not able to standup also. please advise ### REPLY: Hi, welcome to ChatDoctorViral fever is generally associated with generalized weakness, body aches, malaise, etc. Therefore, feeling of weak during or post infections, esp. of viral origin is common. Adequate nutrition with enough calories, proteins and fluids will help the body to fight organisms and restore the strength quickly. A judicious and as required use of analgesics like diclofenac .  In case, the condition of your child appears to be critical a consultation of a local general physician is always helpful and safe. With a good supportive care the symptoms should recover by a week. Welcome for further suggestions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fainted at work tonight. We have been taking her blood pressure and it is running 100/60 to 80/40 when lying down. She feels OK now just a bit off. We plan to have her seen tomorrow but worried about low blood pressure throughout the night. Is this blood pressure dangerously low? She is 5 6 and weighs about 120. Does not smoke or drink. Ex Athlete/swimmer. ### REPLY: Dear-thanks for using our service, I understand your concern and will try to help you with my advice. She is having orthostatic hypotension, with a baseline of low blood pressure. She should not worry about this blood pressure during the night but will need to be careful when stands up and moves her head to avoid a .  Furthermore, she needs to have an evaluation to find out the reason of her low blood pressure. Athletes can have low blood pressure and low heart rate due to the exercise and physical fit. I hope this advice will be helpful ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a large white lump on my heel and it has made my heel numb and bruised and had a pink center on the top of it, it s making me limp very badly. It feels like a rock is in my skin and it s constantly burning. I ve been told this could be a Plantars wart but it keeps swelling and getting less bearable to deal with... What could this be and how do I get rid of it? ### REPLY: Welcome to ChatDoctorThis can be a corn which has got infected or something got pricked like thorn or glass piece which is developing into abscess. You need to remove the causative factor (thorn or glass piece) and .  For this you have to show it to your surgeon. Also, antibiotics like amoxicillin with Slavonic acid 625 mg three times a day for 5 days and tab choral fort three times a day for 5 days will help. Tab broken can reduce your pain. But most important is its surgery. 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: Yes. I have really dry skin sometimes. I think I might have eczema. I wash with sensitive skin soap, but sometimes my skin can still get pretty irritated. My scalp is pretty bad too. I can wash my hair and get it done, but it will itch the very next day and after a week of it being done, I find scabs in my scalp. Do you have any recommendations? ### REPLY: Hi. Thanks for posting your concern at ChatDoctorI would keep a possibility of Seborrhea dermatitis of the scalp. If I was your treating doctor I would have asked you to use a Ketoconazole shampoo twice or thrice weekly a mild non-soap based cleanser like detail twice daily, on your face along with a good moisturizer (non-comedogenic and hypoallergenic) for a soft and HY . I advise my patients to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, when I was about 11 or 12 I began getting these dizzy spells that would come and go. About a year or so I noticed this bump on the left side of my head at the bottom, I didn t really think anything of it because it grows and then shirks but it never goes away. What could be wrong or what can I do? ### REPLY: Hi, Dear,Thanks for the query to My  Clinic. I studied your query in depth. I feel concerned about the worry you expressed. In my opinion-the bump is mostly-a Chronic Fur uncle which recurs for a year, but never goes. You should consult a Surgeon who would treat it by -proper antibiotics and I & D- . This is what you can treat it. Hope this would help your query. Wellcome for more queries to . Have a good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Vaginal hysterectomy was performed in 2009 with removal of uterus and cervix. Recent vaginal spotting caused concern and an ultrasound was performed. Ultrasound report states: exophytic hypoechoic mass lesion arising from the vaginal wall interposed between the vaginal cuff and the posterior aspect of the urinary bladder wall. This measures 4.4cm and demonstrates vascularity. There is a closely adjacent smaller lesion measuring 1.5cm. Gynecologist recommends removal of lesion. Should further testing or imaging be done to determine any other conditions or should a second opinion be sought to see if other options are available? ### REPLY: Hello me, Good noon, Mem, I read your history thoroughly n you said that that lesion is clearly diagnosed by imaging test n other histopathological examination... Now I don't think that you should do it again for confirmation n second opinion that you have that lesion or not... You have problem that you cannot accept it that you have that lesion after surgery...but this is fact that you have...n every investigation are positive again if you did repeat them n just waste your money... N I am also sure that your gynecologist also provide all option suitable for lesion n your health condition...so keep faith IIN your doctor n just go through his advice if you are anxious n cannot adjust with n have excessive thought about that than you should consult psychiatric physician also...they help to reduce anxiety about lesion n surgery... Even I think you are diagnosed in early stages so just remove that lesion as it is vascular n may be malignant n still it in low grade n not spread in other sites... Once spread other site that it is difficult to treat... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got diagnosed with small cell lung cancer ( extensive ) last July 13,2014. The mass on his right lung measured 10 cm. cancer metastasized already to his bones, liver and lymph node. He will be starting chemo maybe tomorrow. Can nutrilite double x help him with the ca tx? Thanks ### REPLY: Thanks for your question on . Small cell carcinoma of lung is very aggressive and notorious cancer. It can rapidly deteriorate patient and succumb him in death. And it is highly responsive to chemotherapy and radiotherapy. So start chemotherapy as soon as possible. Any cancer patient needs nutritional support. So it is better to give him multivitamins, anti oxidants and protein supplements for symptomatic relief and subjective well less. So you can definitely give nutritive double x. But start chemotherapy as soon as possible. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, may I answer your health queries right now ?  Please type your query here...  My 5 year old daughter had crowns put on all of her back molars 6 days ago.  She would not eat anything but yogurt or completely soft foods for 3 days.  She has finally started eating but limited.  She has been moody and seems to have a cold.  She has had a mild fever off and on but tonight when we were brushing her top teeth in back started to bleed. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint bleeding from the gums in the area where there is placement of crown can be due to infection in the gum in that area that can be due to infection caused due to lack of proper cleaning. Pain can lead to reluctance in eating too. For this consult a Pediatric dentist and get her evaluated and also get an x-ray of the tooth done to check for infection. In case if there is gum infection then scaling will help. For fever and cold that can be due to viral infection you can give her Acetaminophen but f the fever continue to recur consult a Pediatrician and get a blood test done. 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: I fell down the stairs carrying my little girl the other day in the rain. I held her up in the air so I landed quite hard on my hip. It happened about a week ago. Although I can get around better now there is a large circle on my hip and upper thigh that is sore to the touch and is reAl red with fever in it? I hate going to the dr but do you think it could be serious? ### REPLY: Welcome to  I have gone through your query and understand your concern. This is hematoma (collection of blood in and beneath skin). This is likely to resolve gradually with passage of time but as you have got fever, so it is advisable to visit a doctor. You need analgesic such as ibuprofen for pain relief and antibiotics to control the infection. Vitamin B and C help in healing. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My self purusottam. On the 15th of may my wife take Unwanted 72 tablate. within 12 hours she face more problem like vomiting, pain in private part and many more. After that on 1 June 2014 she face more problem like to much bleeding. Please give suggestion what i do? ### REPLY: Hello, Thanks for trusting us with your health concern. In the current scenario, the most likely cause of the heavier bleeding is the use of the emergency contraceptive pill. I would suggest a proper clinical evaluation by an expert to exclude other causes like an undetected pregnancy. If the intercourse took place during the fertile or ovulation period, she has higher chance of conception as she had vomited soon after the consumption of the pill thus reducing the contraceptive effect. If pregnancy is negative, styptics and hormones can be prescribed to control the bleeding. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 yr old boy (weight=16 kg)complains about stomach ache since yesterday morning.Also he had fever 100 degree yesterday night.He also vomited twice today early in the morning.I would like to know is it because of food poisoning or something else and also what the medicine i can give him????? ### REPLY: Welcome to the ChatDoctorIt seems that your child is suffering from gastroenteritis. It may be a self limiting viral infection or a food poisoning if he had taken anything contaminated orally in past 1-2 days. Don't worry as both these conditions require just symptomatic treatment and a good HY .  They usually improve within a few days. At present, you may take the following measures to help him out:1. Give him an anti-emetic such as Risperidone or Ondansetron for relief of vomiting.2. Also give sanitizing or Lansoprazole for associated gastritis.3. Offer him good, healthy homemade diet with plenty of oral rely ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 head hurts, and my body feels very weak as if it is a viris or something and stomach hurts right at the bottem under my bellybutton area. i dont know if its stomach flu or something but its very weird and im also wearing a sweater because im cold but its not cold here and i have a bad taste in my mouth too as if i was sick. ### REPLY: Hi welcome to  forum.  Thanks for choosing . Forum.  You had body pains, weakness, stomach pain under the bellybutton, bad taste, and I am getting rigors, All these are collectively called fever, and pain under the belly button is due to urinary tract infection, totally it is a fever due to urinary tract infection.  I advise you to consult a physician for diagnosis and treatment. You may have to undergo blood work and urine examination for confirmation.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing pain shooting from my belly button to my lower right abdomen accompanied by smelly, greasy, foamy diarrhea. I had my appendix removed in 2010. I have a history of Crohns disease in my family. I also have chronic back pain that I am attempting to see a specialist for and have been diagnosed with IBS in the past. ### REPLY: Hi, Thanks for posting your query. With the available described details, there appears to high possibility of Acute viral gastroenteritis. Other possibility could be inflammatory bowel disease i.e. Crohn's disease and ulcerative colitis. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, blood sugar, serum electrolytes, tidal test, amoebic antibodies and thyroid profile. You should also go for colonoscopy for better clarification. If ulcers has been found in large colon then biopsy is mandatory for exact diagnosis. You should take complete antibiotic therapy, antispasmodics, probiotics, antipyretic, if needed. You should maintain your HY .  Take soft diet along with yogurt and banana. Avoid milk and all milk related products. 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 ovaries hurt and I dont know whats wrong. I frequently need to pee but struggle to get it out. I also struggle emptying my bowls. It hurts during intercourse or inserting a tampon. I have yellow smelly discharge. Im extremely tired and my periods have gotten heavier. I have pains just under my belly button to the left. And sometimes I get pain shots in my vagina and just a little bit above it. I dont know whats wrong at all. Someone please help me ### REPLY: Hi. You are suffering from pelvis inflammatory disease. You have to get yourself checked by a Gynecologist and Gastro-Surgeon. Furthermore, you need to undergo Ultrasonography of abdomen, pelvis and transvaginal USG to get a proper diagnosis. This will lead us to a proper treatment plan. With proper antibiotic cover you will get alright. Keep in mind the possibility to undergo surgery if indicated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 taking Amoxicillin 500mg x3 a day after having a chest infection a week tomorrow my last day of taking them is tomorrow, however I am on my period and the pain is awful and it is not a normal period it is just blood clot after blood clot I have never had it before and is really painful. Is it normal? ### REPLY: Hi, Amoxicillin is unlikely to cause blood clot during menses. Chest infection can act as a stressor on the body which can cause menstrual irregularities such as passing blood clots or having painful menses. Once the infection is eradicated you will resume your normal menstrual cycle. Complete the course of prescribed amoxicillin. However, if bleeding continues I would recommend you to consult a gynecologist to rule out other causes of passing blood clots. 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: hi i have a 16 month old baby girl who seems to suffer from dry coughs and runny nose and lately hear infection, im wondering if its best to have a babys window slitely open and door open for ventilation or keep them losed like my wife saysthanksmark ### REPLY: Hello Mark! I can understand your concern. You should avoid cold weather or wind during winters especially when your child is allergic to cold or if he/she is running cough and cold but not during summers or warm and humid seasons. Babies also need adequate ventilation to breath. You should maintain normal temperature of room and normal level of humidity like the adults can tolerate. No extra care needed for temperature maintenance for babies can open a slit of window to avoid suffocation. Hope it will help. Wishing your child good health. Stay blessed :-) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 33years old he takes Coumadin 7.5mg for mechanical aortic valve and abilify for bipolar disorder ,and his teeth are extremely prone to tooth decay.I know low saliva precipitates this condition,although ,when I look up these meds side effects no indication of this.we went to dentist three months ago,and now same dentist says he has cavities in almost every tooth!! ### REPLY: Hello, There can be many reasons for the tooth decay like poor oral hygiene, faulty brushing technique, poor eating habits, low immunity, less salivary secretions, sticky foods, etc. As low salivary flow is the factor present in your case, you can use oral salivary supplements to enhance the salivary flow. Please visit to dentist to rule out other factors also and get the prescription for the oral supplements for salivary flow. Vishal Jain ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Over the past few days I feel like I have a slight soarness in my r/h kidney area. I have been working and bending over building a pizza oven so I dont know if I may have pulled a muscle. When I take a deep breath i get some pain a little in the back R/h side ### REPLY: Hi, Thanks for writing in. While the commonest cause of pain on the right side can be bending over and having a muscle spasm, it needs to be followed up and confirmed. Take rest for a few days and apply a muscle relaxant ointment to the area. If the pain reduces then it is more likely to be a pulled muscle. If the pain is still present, consult a doctor and get an ultrasound scan to check for any kidney stones. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 for the last 4-5 days my 16 month old daughter has had very strong smEllington nappies (they smell like poo) all day and night. I change her quiet often and they all smell. She hasn t done an actual bowel movement in three days until 10minutes ago and it was very very runny. She is also very tired and lathargic but is still sleeping her normal times and she has had a slight temp the last 2 days.If u could help or give me an idea or what might be happening that would be great. I am going to take her to the bush nurse tomorrow ### REPLY: Thank you for posting your question. Smelling stools in the absence of actual passage of stools indicates that your child has been frequently passing gas. This would most probably be a benign occurrence, associated with some gas producing content in diet. However, in the face of mild fever and lethargy, it could also be due to a mild infection in her gut. If this causes pain or discomfort, you may try giving any anti colic agent (preferably with dimethicone). Keep her away from any offending or gas producing food. You may try giving her cold milk or ice cream to allay the acidity. If you need any more guidance regarding the case, do write 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 father 65  had a slight double vision on left eye ,  we contacted many doctors (eye specialist) but no progress at last one doctor recommended MRI . The MRI show Pituitary adenoma compressing left optical never sizing 40mm x 27mm , unfortunately the CBC shows WBC cells more, doctors has put him on imatinib 400 and WBC are reducing , can we make the surgery for Pituitary adenoma and the cost and the type of surgery I want to know..? ### REPLY: Hi, Thank you for posting your query. I have noted your fathers symptoms and diagnosis. Pituitary adenoid needs surgery for treatment, as there are no medicines to reduce it completely. Also, this tumor may press on the optic nerves resulting in greater loss of vision. The surgery would be done by a neurosurgeon, and is mostly done through the nose. The cost differs among different centers in India and may range from 5000 to 10000 USD. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has to get an mri because they her bone had an abnormal thickening. What do you think it is ? her numbers are all good otherwise, but her leg has been giving her alot of pain. When she was little she was ran over by a milk truck and in a body cast for along time. Do you think it has anything to do with that? What are the chances you think that its cancer. ### REPLY: Hi, The problem as you say is pain in the same limb which had the fracture when she was young. Fracture in young age heals well, and the none tends to regain its shape and size and by adult life will be almost normal. If a thickening has been detected then it's a new change resulting from either a hormonal problem or cancer. Hence, an MRI is necessary to study the appearance to reach a diagnosis. If all the blood tests are normal its possible that it may not be from cancer. However, this needs to be investigated. 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 mother after having her food she develops a sevre pain at the upper side of her stomach and the pain spreads round about. after i give her some gastic medicines it gets relived between half to one and half hour one .when iwent for her check up the general surgeon got ultra sound and mrpl of gal bladder done.the reports saind there were few stones in gal bladder and one in CBD TUBE. i want to know whether the pain is gastic or due to the stones. ### REPLY: Hi dear, As your mother are diagnosed with gallstones, It is enough for the upper abdominal pain. The nature of this pain is, it will start in and around the epigastric region and localize to Upper right qua .  Nausea and vomiting are generally present. As there is CBO, that may cause inflammation of gallbladder and form fever. Non-specific symptoms also may be there including bloating and indigestion. Gallstones which sizes below 1 cm can be managed without surgery, but here there is common bile duct obstruction that may cause inflammation of gall bladder that may spread to other parts, so it is better to opt surgical management. Liquid form food or low fat diet must be followed. With 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 want to ask about evion capsule ? Can i take this for skin without doctor pescription Secondly my son is 13 years old .He is suffering from a very bad backpain for last five years .he has vitamin d deficiency ,he had injection course but the pain is still there .he is underweight also .What can be the cause ### REPLY: Thank you very much for contacting . Don't take Evian capsule without doctors suggestion. You don't mention which type of skin problems you have. You have severe back problem that is because of vitamin d deficiency. Sun rays are best source for vitamins d. Check your calcium level also. Sometime vitamin d and low calcium level may cause back pain problem. Nerve compression or injury may cause this problem. MRI is helpful for further diagnosis. Take more milk and green leaf vegetables. Consent a physician for further treatment. I hope my guidance is helpful to you. . Take care. 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: what would be the symptoms of ashtma and i am having diffuculty bvreathing i am having tiredness i have mucus in the back of my throat and i am constantly yawning and i was just told by a doctor over the phone that it was not cancer so is it asthma ### REPLY: HelloDifficulty in breathing, tiredness, mucus in the back of throat, constantly yawing may be to these reasons, these include:1 Bronchial asthma :Airways hyperresponsiveness that is secondary to inflammatory airway disease that results in recurrent or chronic episodes of wheeze, Shortness of breath (SOB), CHEST tightness, &/or cough particularly at night or in the early morning.2 Bronchiectasis, in this usually patient feels as some mucus is plugged in throat. However, it is very difficult to say something on the behalf of these symptoms. At present, I can say that these are not the symptoms of CANCER. Anemia may be one such cause of these symptoms. Cardiac involvement may be the another reason. In my opinion the best way is to consult a physician and get his opinion because physical examination is important. 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: on a routine urine test my P,C said I had High protein. I went back 2 weeks later to retest. He told me I now have microscopic blood. I retested again and had microscopic blood and protein. I met with a Urologist. He checked my bladder with a cytoscpy. then a CT scan then a Ultrasound. Now he wants a Uretorscopy. I have an appointment with a Hemotoligist/Oncologist because the Urologist says the CT scan shows Enlarged vein swollen kidney and swollen lymph node on my left side. I do not have any other symptoms and feel normal. I also have no health insurance and this is getting quite costly.( Financially and mentally). I have not scheduelled the Ureterscopy, because I want to see what the oncologist has to say. There is no cancer cells in my blood or urine. I also had a second opinion with a 2nd Urologist who told me that my condition is uncommon and recommends a Ureterscopy. How concerned should I be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some mass lesion or obstruction in ureter or in kidney.  Please send me your ct scan report.  Ct scan report gives idea whether you need ureteroscopy or not.  Please send me your reports so that I can help you further. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am being folowed up of carcinoma ovary- post hysterectomy and BSO. Current ultrasound study reveals- * Hepatomegaly with fatty liver. * Left renal pelvic fullnes- ?significance. Report also says Previous CT scan correlation may be suggested to rule out left extra-renal pelvis/ mild pelviureteric junction obstruction. Please sugget the exact issue and the course of action. ### REPLY: Hi and welcome to . You can't start treatment without knowing exact cause, so you need to do some blood tests to verify cause of hepatomegaly.it can be cirrhosis, infection, hepatitis or bile duct obstruction. The same is with your kidney report which indicates urinary tract obstruction, and it can be caused by stones or tumors. You should do intravenous biography to rule these out first. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My left knee used to pain .I had underwent a MRI scan.Report suggests there is mild grade-I lession. doctor had advised me to undergo physiotherapy session,after undergoing also pain is not reduced much .So I like to know what are the treatment available for this problem. ### REPLY: Hifor grade 1 lesions the best treatment is physiotherapy especially the ultrasonic or cold laser therapy do not do excessive movements, or heavy weight lifting works, so that the injury should not increase. Use of knee caps especially while climbing or coming down the stairs, will be very helpful. Symptomatic treatment to reduce the pain with pregabalin, added with glucosamine & methylcobalamine will be of help. If the pain is not relieved, you can go ahead with an arthroscopic procedure all the best take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 30 years old and my testis are imbalanced from last more than 12years one is up and one is down and i  am not feeling any pain but when i went for medical for abroad dr is given unfit report because of testis disorder so which treatment get my testis balanced. ### REPLY: Hello and. Both testes is not symmetrically located in a straight line horizontally. In the vast majority, the left testis hangs lower than the right. No qualified doctor should make you medically unfit on these criteria alone, as it doesn't affect your health in any way. As a Urologist, I can tell you, no surgeon operates anybody to balance the two testis. So, clarify with your doctor, on which grounds, he/she has made you medically unfit. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Secondary Infection from antibotics?I was recently on antibotics for a kidney infection trimoptin( doc thought it was a UTI) so those tablets didnt work because it was a kidney infection & i was then on augmentin..Because i suffer of recurrent infections (UTIs) he prescribed me a 6month course of macrodantin i had just started them when i finished my augmentin for two days and i started to feel very sore down below like someone had kicked me!! The next day there was ball like bumps under the skin around my vagina lips and one on my anus so back to the doctor i went and he gived me flucloxacillin & an antibotic cream said it was a bacteria infection from been on antibotics... So that was a week ago i have todays tablets left and tommorrow but i still have the lumps not so much painful anymore only a few went down in size the one on my anus is gone...how long more should i give for these to clear up? really really annoying me please help!!! ### REPLY: Hi, Thanks for posting in . Hi, I had gone through your question and understand your concerns. Your general weakness, feeling sore and down and ball like bumps under the skin around vagina lips and anus, all these problems can be because of Augmenting. Consult your treating doctor.  But what I felt is, It's nothing serious all the problems will come down slowly. And as you told you have chronic UTI, Macrodantin for few months is the treatment for it. Hope the information provided would be helpful. 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: my baby is 6 n 1/2 months old his gums are growing in 2 3 days he is suffering from lose motions is it connected before tht he was having digestion problm n stomach pain we were giving him nachni ch satva neopeptine n colimexdrops are his medicines YYYY@YYYY ### REPLY: While teething very sharp teeth push from inside causing inflammation of gums. This causes irritation and child tries to chew everything. This is a potential source of infection which may cause diarrhea. You can give him paracetamol safely. Ask the dose to his pediatrician. This will reduce pain and irritation due to swelling. But if he has diarrhea then show him to pediatrician. Nachani SATA is ok for weaning. This is the right stage where You can introduce other foods too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Doc, my baby is 8 months old. having some kind of intestinal infection. The physician has prescribed ofloxacin and metronidazole suspension and bifilac.. The problem still persists and the baby is throwing up all the time... is it because of any side effects of these medicines? ### REPLY: Hi....at this age kids keep everything in mouth and this might cause diarrhea. But this type of illness usually starts with vomiting only.... Later on diarrhea will start. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Antibiotics like ofloxacin and metronidazole might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements & ORS... For vomiting, you can use Comparison or Ondansetron as suggested by your pediatrician. Hope my answer was helpful for you. Happy to help anytime. Further clarifications and consultations on  are welcome. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m suffering from jaundice from 5 months, i took ayurvedic treatment but no use.I check up blood test (bilibruim total and direst ), i have 2.5 .. can u suugest me good solution please. ### REPLY: Hello. Welcome to . You need to tell us the complete test reports-bilirubin - both direct and indirect, along with liver enzymes, hepatic viral markers, history of medicine/ .  With all these findings, probably a USG abdomen would also be needed. Depending on age, there can be many causes for jaundice and the final diagnosis requires minimum basic of the above-mentioned investigations. An accurate diagnosis is the only thing by which a treatment can be suggested. So get these tests and visit a physician, who will also examine you for enlargement of liver and other signs of liver malfunction. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im having upper abdominal pain (reminds me of when I had developed pancreatitis as a result of gall stones - had to emergency surgery to remove my gall bladder in 2004).The pain Im having now has lasted for up to an hour and there appears to be little I can do to make it go away. This morning I noticed that my urine has a slightly green tint to it.  What is this? ### REPLY: Hi. Thanks for your query and an elucidated history. Since you already have a history of gall stone pancreatitis and removal of the gall bladder, we have to consider the possibility around these organs. I would advise in such a case the following:Get an urgent Ultrasonography and Blood:liver function tests, Doctrine: routine, microscopy and bile salts and pigments to see whether you are suffering from Jaundice. If required a confirmatory CT scan of the abdomen is to be done. Your treatment will depend upon the findings and a proper diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 getting horrible abdominal cramps off and on for a week and they last about 15 seconds. I always have to use the restroom after. My feces is a light brown color and thinner than usual. It has darkened up a little since yesterday. Is it my diet? Its kind of worrying me. ### REPLY: Hi. Thanks for your query. These can be due to intestinal infection or due to IBS, (Irritable Bowel Syn . A course of antibiotics should be taken. IF there is no relief after 5 days, you need further investigations like:Blood for CBP, Tidal, Sugar and CreatinineUrine: routine and microscopyStool: routine, microscopy, occult blood. Ultrasonography and colonoscopy if your treating Gastroenterologist feels so. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctors.actually i have one elder brother who is 33yrs old.he behaves normally but sometimes he behaves like an abnormal person.he starts shouting, counting numbers, use abusive languages and sometimes tell us that he ll die.this is since from 2-3yrs. what is it actually?please help the patients history is normal.his age is 33yrs,wt:70kg ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you are mentioning here are correct and your brother comes to this behavior pattern, often, then you need to consult a psychologist / psychiatrist soon. It is possible that he is dwelling himself into his own world of affairs and that is first sign of schizophrenia. Schizophrenia should be confirmed with the help of psychometric testing and personal evaluation. Please consult a psychologist / psychiatrist immediately. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a really bad toothache on a tooth that had a root canal about a year ago. The pain goes away for a minute if I swish with cold water but comes back just as bad after that. The pain feels the same as it did before I had the root canal and its stopping me from sleeping ### REPLY: Thanks for your query, I have gone through your query. The pain in the root canal treated tooth is because of the gum infection in the tooth, or it can be because of the improperly filled tooth. Nothing to be panic, consult an oral physician and get a radiograph done to confirm the diagnosis. If it is an improperly treated tooth, then it has to be retreated. If it is a gum infection, then get scaling and root planing done. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole combination. 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: hi ,im 41 years old female diagnose with prolactinoma,i take dostinex to shrink it half tables twice week and now half tablets week ,reduce due to good result ,months i started to feel heavy chest with heart palpitation ,and stomach pain burning and like the food is not digest full stomach ,belching ,my family has story of pancreatic cancer brother died at 40 years terminal stage and uncle died at27 years with heart attack ,but my gop said you have cold in the muscle brhind the chest ribbs i dont understand ### REPLY: Hello, It appears these are all gastritis and reflux problem. Still one ECG can be done. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Eat lots of green leafy vegetables, and fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks from local doctor. 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: My wife had a small bump behind her ear that first appeared to be a pimple. Several weeks have passed and it appears daek red in color. Unsure what it was we applied pressure to it which caused it to bleed bright red blood. It bled until we put constant pressure on it. The bump is still there and appears the same shape and size ( about the size of an eraser on a pencil ) ### REPLY: Hi, Welcome. Based on the facts of your query, the lump behind ear, seems to be Post-auricular Infective granuloma, with fresh blood bleeding. Such a lump, could be from Abscess in Post-auricular Lymphadenitis, or Desmond cyst/ or Cancer. Treatment would depend on- its cause and stage of the tissue of the lump-Hence I would suggest you to have an opinion from a ENT Surgeon, who would investigate the lump by FNAC Biopsy and would treat this lump according to the cause of the lump. Hope this would help you to plan further treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! . 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: The sight in my right eyes was blacking out & I lost the ability to speak for a brief period of time at work, while at theEmergency room the doctor asked how long I had a heart murmur. That was the first time I had heard that mentioned any relationship to the symtoms? ### REPLY: Heart murmurs are relatively prolonged series of auditory vibrations of variable intensity, quality and frequency. Heart murmurs result from vibrations set up in the bloodstream and the surrounding heart and great vessels (valve or wall) as a result of turbulent blood flow, the formation of eddies, and cavitation (bubble formation as result of sudden decrease in pressure). They are either caused by abnormal valve function or arise from an increased volume, or velocity, of blood flowing through a normal valve. This may occur in a healthy heart. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have pain and stiffness in my neck and shoulders especially after exercise. It feels heavy almost out of place. I have tennis elbow and numb tingling sensation in right arm. I sometimes experience shooting pain in left arm. I also have pain in shoulders and between shoulder blades ### REPLY: Hello, As the history directs towards the cervical spine nerve root entrapment. An MRI is suggested to be performed.  Using cervical collar, hot water fermentation, static neck exercises, shoulder stabilization exercise and upper limb exercises as a while will help reduce the symptoms. Also, postural correction is a must to avoid changes in the normal anatomy of the cervical spine.  Using tennis elbow brace and performing the exercise to improve the strength in the flexor and extensor group of muscles of the forearm is advised. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: after sexual intercourse about a month and a half ago I was expecting my period and it came about a week late and it was lighter and shorter than usual. My period was supposed to have came around the beginning of the month and still hasnt came. Could I be pregnant? ### REPLY: Yes, There is good chance that you are pregnant. Please do a blood  levels. Sometimes when a period is missed and there is just light bleeding it could be that the pregnancy is implanted on the tubes instead of the womb. Thus, it is very important to rule out pregnancy and also to identify the location of pregnancy if positive. Do a Blood test for  and if levels indicate pregnancy, repeat it after 48 hours. See a gynecologist if you develop any pain abdomen, loss of consciousness, giddiness, or bleeding. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad had undergone 6 months medication for tuberculosis 4 years ago and few weeks before he got severe cough and fever. I got worried so I send him to the hospital. He did chest x ray twice . The result says that there are fibrohazed densities in the right upper lobe and hazy densities in the right lower lobe. Impressions: minimal PTB right upper lobe and pneumonia right lower lobe. His doctor prescribed a medicine for 6 month medication same as what he prescribed before but what he said is it seems that the TB occurred again. To get a free medicines we went to a local health unit but when they test his saliva, he said that he was negative on TB? What was result means? Does his disease re occur? ### REPLY: Yes TB can reoccur.However, both the doctor who prescribed tuberculosis treatment without doing a sputum test and the health unit who ended up doing test of saliva are wrong. What your dad needs to do is to give a proper sputum sample and not saliva for the test. If he is bringing out some amount of sputum, then a better test to do will be INEXPERT/RIF test for tuberculosis. If he is not bringing any sputum then u need a HRCT to confirm the lesions seen on X-ray chest are new or old ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 on my second round of Keflex for enlarged lymph nodes under my left armpit and above my left collar bone. They are fairly large and could be related to a possible month old spider bite that has not gone away. It is on my left hand, hard, round, and red. It is small in diameter and only hurts when touched. Thanks ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint in case if you have a spider bite that has not yet resolved even after one month there is a possibility that there is infection in the area of the bite as well as there is allergic reaction due to the toxic chemical injected by the spider sting. As you are already taking antibiotics I would suggest you to also start taking anti allergic like Levocetrizine or Ben . . Apply steroid ointment over the bite along with Triple antibiotic ointment. Do warm compresses over it. You should also do warm compresses over the swollen lymph nodes. In case if the lymph nodes does not regress in size then you need to get a Biopsy of the lymph nodes done to rule out the exact cause of Lymphadenopathy and treatment can be planned accordingly. 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: i have a really sharp pain in my right side since this mornng.  it is not cramps. i had to come home from school because of the pain. it starts near my ribs and a shooting pain right down to my thigh. the school nurse said it might be my appendics or kidney stones. i am 13 years old and my name is leah. ### REPLY: For the diagnosis of acute appendicitis, you need to be examined clinically. In case of appendicitis, the pain is in the lower right abdomen and so there is indeed a possibility. It is common in young girls like you. There is probably less likelihood of a kidney stone, but ureteric stones are a possibility thought the location of the pain does not match. Please do not wait, rather rush to a hospital as if it is appendicitis, it needs to be managed urgently in order to avoid complications. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 kid had fits at the age of 4.5 months.she does not focus at one point.the eyes are normal.the mri scan said that every thing is normal. but eeg report said that there is a possibility of fits in the brain signals, more on the left part. she was kept in observation for a week during which no fits was noticed. now she is discharged and valparin prescribed with regular visit to the doc.what are her chances to get cured ### REPLY: Hello, I can understand your problem. At this age, most of the time, seizures are febrile seizures which goes generally after age of 4 to 5 yrs, which are because of fever. But in your case, as EEG shows some possibility, but MRI is normal, So continue consultation with regular visit. If there is no any focus area in brain, there are a lot of chances of complete cure of seizures and discontinuation of medicines after tapering the dose provided that there should not be any attack of seizures. I think this is helpful to you. Review back. 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 im 13 years old and more recently i feel like my heart can be quite sore i dont know what it is and what could be the cause of it , it is like shooting pains is going through it and it is like it is attached to something and it pulls away and it gets quite sore do you know what it could be? ### REPLY: HelloWelcome to ChatDoctorIt is very difficult to understand your case. You have not mentioned site of pain? Right sided pain or left sided pain or central pain? Since how many days or hours or minutes your suffering from these symptoms? Is there any association with breathlessness, fever, cough? Is there any history of trauma ? Sorry to say but you haven't given proper history. But at the age 13 it is rare possibility of heart related pain. Most common cause of chest pain in pediatric age group is Costco . Please take an appointment with your pediatrician or physician for detailed examination with history. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter has recently been diagnosed with celiac disease . her iron levels are very low. The doctors has recommended IV therapy. Unfortunately, she is refusing to get them because of the amount of time involved. She is a college freshman...go figure! Are injections an alternative? ### REPLY: Hello, Oral iron supplements are useless in presence of celiac disease. In celiac, disease intestine will become malfunction, and so iron won't be absorbed. To replenish iron stores IV route prefer. A gluten-free diet is indicated in celiac disease. After the prolonged gluten-free diet, your intestinal mucosa will be normalized, and you can take oral supplements at that time; but not now. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: is it safe for 2 yr old to take Benadryl and amoxicillin at the same time? and also Tylenol if fevered? she has a bad cough, tight chest and runny nose.I just gave her Tylenol and Benadryl which her doc said it was fine but have to start her on her amoxicillin tonight just need to know if its ok or should I wait a bit?.. ### REPLY: Thanks for putting your query up at . I understand the cause of concern. Let me mention that the tolerated but common side effect of anti-allergics like Ben .  Amoxicillin is an antibiotic and while killing the bad bugs it also eliminates the good bacteria that reside in our bowels. As a result sometimes mild diarrhea or signs of vitamin B deficiency may occur. It can be overcome by giving curd/yogurt which contain Lactobacillus. Prebiotics and probiotics (available in brand names like Vinyl, enterogermina) can also be give. Tylenol is a very safe  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29 year old female. From last 2 weeks I had pain in mony neck and shoulder region.I was applying moove and the pain subsided a bit. But from past 3 days I have developed swelling under my right jaw near the ear and its pretty painful. It is painful to touch also and I have difficulty in moving my neck too. I dont have trouble swallowing or pain in my throat. What could be this? ### REPLY: Dear patient You are showing signs of parotitis. This condition is characterized by inflammation of parotid gland.  This lies just anterior to ear and below the jaw.this condition is usually bilateral bit infective cases may have unilateral affection. I would like to advise ultrasound of local part asap. You need to consult expert ENT specialist nearby your area with report. Avoid solid foods and take tab diclofenac plus serratiopeptodase combination twice a day for pain relief.  Do hot water fomentation locally.  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: i am diagnosed with bronchial asthma for the first time last year and was prescribed to use seretide diskus 50 mcg/250mcg (60 doses).can i use it without experiencing an attack?or should stop it?and i also experience difficulty of breathing sometimes. ### REPLY: Thanks for your question on . I can understand your concern. Asthma is chronic allergic inflammatory disease of airways. So treatment of asthma should be taken regularly. Sere tide is having albuterol and fluticasone combination. Albuterol is long acting beta 2 agonists. Fluticasone is inhaled corticosteroid (ICS). Both are treatment of choice for asthma. So you should start sere tide inhaler regularly without any instruction. At present, you can take sere tide because you are having breathing difficulty. And continue this without stopping.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: i am 25 years old. now i am under pregnancy treatment. first folicular monitering is over but i am not concieving. this month second folicular monitering is going. today is 30th day..but till 24th day the egg is not released. when the egg will release for this situation.. if period come means when will come.. pls suggest me sir ### REPLY: Hi welcome to . I have gone through your question. I would advise that do hormonal study to rule out POD polycystic ovarian disease. In pod eggs donor mature up to size that can rupture. And period is not totally depends on ovulation. Period depends on hormonal level. If you are not getting your period regularly then consult gynecologist. Hope I answered your question. Would be happy to help you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 21 month old daughter has scaring on her kidney, her creatine level is 0.549 and the kidney specialist believe that her kidney is functioning at 50-65%. They also labeled her as being in 2nd Stage Kidney Disease, can you help me understand why this may be. She was just placed on 0.1 mL of Calcitriol. ### REPLY: Your description is rather incomplete. We need to have more details to really comment on was exactly is the condition that your daughter is suffering from. The way you describe may suggest chronic pyelonephritis(infection in kidneys) which have led to scarring. Further, for a stage two kidney disease, the GFR u say is appropriate, and the creatinine level may be absolutely normal.  She should get CKD management therapy like calcitriol and also avoid further episodes of infection. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 20 year old fit male did a headstand and immediately after both eyes were extremely swollen. That was about 6 hours ago and although the swelling has gone down some, his right eye in particular is still fairly swollen and the eye does not track as it should. some neck pain and slight headache thank you ### REPLY: Hi, thank you for providing the brief history of you. As you have swollen eyes and also neck pain post headstand these are common signs and symptoms which arise. You need to avoid for a day or two such position and then see if the pain is reduced if it doesn't than a neurological examination is advised. As post headstand, there is a physiological process of excess fluid rushing to head and lead to swelling of the eyes and it's a common effect which stays for a while and reduces as time passes by.Also, the neck pain can be due to compression of the body weight on the forehead leading to neck muscle spasms. As mentioned if the pain subsides in day or two its just activity induced but if the pain progresses than a neurological examination is advised. In my clinical practice we advise to wait for a day or two and if the symptoms aggregates than a neurological examination is performed. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my radiological report showed: There is hyperinflation of both lungs. Both hemidiaphragms are depressed. the heart is normal in size and shape. The trachea is deviated to the right. The osseous thoracic cage showed demineralization of the bones.I am 53 years old and have been smoking for the past 35 years.  Now I felt pain at the back portion of my left chest. The dull pain radiates towards my left arm. What medicines should I take to treat my ailment. Thanks Doc.BRIGIDO DIAO LIM ### REPLY: Thanks for your question completely understand your problems per my opinion you have COPD and symptoms of cough and breathlessness and the chest X-ray changes also support the diagnosis and cause for this disease is your smoking habit. First thing which needs to be done is quit smoking. You need to consult a pulmonologist regarding the treatment of COPD, inhaled . This is standard treatment for COPD. Next is about that chest pain, pain at the back of chest radiating to arms or shoulders can be due to ischemia, angina, by thus I mean to say this can be due to a cardiac disease. Consult a cardiologist and a pulmonologist regarding the above-mentioned conditions and medicines so that cause can be evaluated and medicines can be started. Thanks /regards feel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor Ive had these pimples on my penus for like 4 months now i went to see my doctor and he gave me something called neosprin he said if it didnt work to come back in a week. It never went away but i never went back. what can i do to make them go away please help ### REPLY: HelloThanks for query. You have lumps on the shaft of the penis since 4 months which you think it to be pimples. Pimples are due to bacterial infection of hair follicle which either subsides or gets into pus formation within a week and never last for such a long period of 4 months. The lumps that you have are mostly Sebaceous Cysts and needs to be confirmed by clinical examination by a qualified General surgeon. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Take antibiotics like Augmenting for a week.If it does not subside consult qualified general surgeon for evaluation and get it excised under local anesthesia. .  ### END