Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a root canal on my molar 5 days ago science then I have gotten migraines, dizziness, eye twitching and sinus pain.  I do not know if they are related.  However prior to the root canal my tooth only hurt if I chewed on it and before the filling and crown it had caused me no pain. Now it hurts if I bite the wrong way with just my teeth ### REPLY: Hellowelcome to  RCT or root canal treatment cannot be the cause of migraine, dizziness, eye twitching and sinus pain. Since you have gone through RCT of your molar and crown replacement has been done which is a preferred treatment of choice but still its hurts you while biting then again visit your dentist as soon as possible, sometime improper placement of crown can lead to pain while biting. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking Nortriptyline for almost a year now, and in that time I have developed what I call "smokers cough".   This cough lasts from 4 hours constantly and then will let up but leaves me weak.  I have never ever smoked but was around a lot of second hand smoke.   I do also have COPD.  Now my regular doctor wants me to see a lung specialist as he is not for certain what is going on with the lungs, but this is the only medication that has been added to my list of meds.  Could this be a cause? ### REPLY: Hello, No, I don't think your cough is due to Nortriptyline. Second-hand smoke is also a leading cause for COPD. And it is the likely cause for your smokers cough. So better to consult a pulmonologist, and get done a clinical examination of the respiratory system, and PFT (Pulmonary Function Test). PFT will tell you about the severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Once your COPD is controlled, your cough will also subside. Don't worry, you will be alright with all these. 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 m 14 and have been having visual disturbances and hot flashes along with some tingling in arms/legs. I also have swollen have 2 or 3 small pea-sized bumps under my skin on my neck. I also fart a lot I don t believe that s relative but thought I d mention it just in case. I m extremely worried I have something wrong with me. I have been to my doctor twice and I have been to the ER twice I had a CT scan on head and neck came up negative I don t know what to think plz help... I hope its just anxiety ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that your symptoms could be related to an inflammatory disorder, including a viral infection. The bumps in your neck could be inflammatory lymph nodes. Anyway, as your brain CT scan has resulted normal, there is nothing to worry about your visual disturbances. I would just recommend performing complete blood count and inflammation tests to exclude inflammation. Thyroid hormone levels should also be done to exclude possible thyroid dysfunction that may trigger these symptoms. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, my son son has just started taking vayrin at the request of his doctor who is trying to address his ocd adhd and lack of focus. he is also diagnosed with IDD and autism spectrum besides bipolar disorder. He is very sensitive to many meds and supplements in an adverse way. I am concerned this is making his OCD worse. Any feedback is appreciated. ### REPLY: Hello thanks for askingVayarin is a dietary therapy for treatment and management of ADHD. The therapy is supposed to help in controlling ADD symptoms. But I am afraid the therapy will not help in OCD. For OCD, he should be given proper treatment. Medicines like SSRIs like Fluoxetine or Paroxetine are used for treatment. Apart from medicines behavior therapy also has great rolled in OCD. Please consult his psychiatrist for the management of OCD. 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 recently had a MRI with contrast, it reads their is bilateral lower lobe atelectasis. The liver is low-attenuation consistent with fatty infiltration.their are multiple gallstones w/out gallbladder wall thickening or pericholecystic fluid. can you please tell me what this means in words and in a way I can understand? am I ok? I also just figured out and come back to my question that I had to pay to have this answered but i dont have a credit card, so if a doc really reads this and I am in danger please e-mail meand just say so ### REPLY: Hello Finding suggests presence of multiple gall bladder calculi and wall of gall bladder is normal. It shows absence of acute infection. Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy). Gall bladder calculus is prone to infection and obstruction, so it is advised to get rid of calculus early. Finding also suggests fat deposition in the liver cells and this is called as fatty liver. It is a reversible condition. You should avoid fatty food and go for brisk walk regularly. There is also atelectasis(loss of aeration)in both lower lobes of lungs. It may be due to many reasons like persistent infection, secretions etc. 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: Hello Sir, My age is 22. Few days earlier i found 2 lumps on my back part of skull (it was not there before that). It also has some pain on touching. I felt like part of the bone . I also have increase in hair fall since last few days . Also few months back i have noticed change in bone structure behind ear. Should i be concerned ? Or can this be brain tumor or cancer ? :O ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Treatment for the 2 lumps on back of head-In my opinion you should not be concerned much about it, but should investigate it with your ER Surgeon, who would treat it according to its cause. From your facts of the query-In my opinion-these 2 lumps appear to be just boils, as they are painful to touch. This is not a cancerous tumor by all means, hence don't worry at all. So take treatment from your ER Surgeon, who would treat it after due investigations and treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to . Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small rash fro shingles but my left arm is so weak and I cannot grip with my hand. I also (last week) slipped and feel on my elbow, but I really don t think that it affected my hand. Is there medication for shingles. I went to my doctor last Monday but he did not say I required any medication? ### REPLY: Hi there,,,welcome to - Shingles is a painful skin rash caused by reactivation of varicella zoster virus.- It is an infection of nerve and there can be loss of sensation or tingling or pain of the affected area due to nerve damage...it is transient and recover with in a couple of months with the regeneration of nerve...- Antivirals do have a role in shingles, but it should be taken within first 72 hrs... May be that's why your doc ask you not to take any antivirals...- If there is any pain then you may take gabapentin 75 mg twice a day... As shingles is an infection of sensory nerve, power remains intact i.e. loss of grip could not be because of shingles-Make sure you are not having any fracture and subsequent nerve damage,,,I recommend you to seek an orthopedics advice to rule out any fracture... 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: Hello,My daughter is 2 yrs 10 months old. She is suffering from fever 101 after giving her polio dose on 17th june 2012. First dose of fevago Ds i gave here at 4pm on 17th continued after each 4hrs till yesterday night 12 am. Now this morning again she is having fever 99 F. Should i continue giving same medicine? ### REPLY: Hello dear, I had gone through your question and understand your concerns. You should be worried but not too much. You may continue antipyretic-fevago till 3-5 days. In addition, antihistamine Cetirizine should be used for 3 days. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and baby 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 : My doctor tells me there is no problem with my husband or I that we have unexplained infertility, though I wonder why my ultrasound during follicular study shows PCOS sometimes. My thyroid levels are normal, so are my LSH, FSH etc.  How do I know if I am low on progesterone? ### REPLY: Hi, I think you can go for a follicular monitoring by repeated ultrasound and when ovulation happens, check your progesterone levels. It will tell you if progesterone is low or not. Also, you can take progesterone after ovulation for 2 weeks.  Be in contact with your husband every 2 to 3 days.  Do some pregnancy test after taking progesterone.  You can try like that for 6 months.  Hope I have answered your question. 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: Sir my father is for the past three days in ICU. For last 33 years he is sufferer of diabetes. Now the wbc count reads 37000 yesterday. And is creatinine is 1.3 and urea is normal. Fever has gone completely. Would you like me to tell about his condition becoz i do not know about medical terms ### REPLY: Hi, I have gone through your question. I understand your concern. Your WBC count is very high. Most common cause of high WBC is the infection. Moreover, you have diabetes so more chance of infection. But you should go for differential count and PS examination to find the exact cause. And then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend ate a nail in anger, now he is suffering from throat cancer. his glands secrete secretions that can effect his stomach, and the gap between his glands is closing day by day. His treatment is continued but dr.says that they are helpless now. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Treatment of throat cancer depends on type and stage of cancer.  In early stage surgery is possible.  In later stage surgery will not help and chemotherapy and radiotherapy is the treatment of choice. Consult your doctor and take treatment according to stage. 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 a woman and have just turned 70. I have been taking 5 mg Ramipril for  many years for high blood pressure; this has, more or less, kept it at a normal level. Because of side-effects, I asked my doctor to prescribe a lower dose, i.e., 2.5 mg, a week ago.  I find that my BP readings fluctuate.  For instance, half an hour after getting up this morning, it was 132/78; 3 hours later, I began to feel light-headed and BP was 102/73, then 109/73.  Can you tell me why this is. ### REPLY: Hello, madame! Welcome to . I understand your concern. Blood pressure is a variant component of examination. It varies in great figures throughout a day. I understand that this can come as a concern and a worrisome event to nonmedical community, but there are a myriad of reasons that cause the blood pressure to fluctuate from day to day, even from hour to hour. These blood pressure-fluctuating factors can be physical activity, psychological stress, extreme temperatures (when it is hot outside, arteries dilate, hence low blood pressure), physiological diurnal and nocturnal changes in hormone levels etc. Blood pressure is not a credible component if it is measured separately, after some activity, after caffeine-containing beverages, and in the doctor's office (white coat syn .  Also, blood pressure can be considered low when under 100/60 mmHg. Ramipril is a safe and effective  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had all my upper teeth pulled about 12 days ago and have immediate dentures. I take them out at night and this morning when I woke up a piece of my gum was torn. Now theres a flap of tissue hanging. I believe that it was from my lower teeth digging into my upper gums while I was asleep. I dont know if I should be worried or if there is anything I can do to help prevent this from happening again?  Also my mouth started itching today and I dont know if I should be worried or if there is anything I can do for it. Thanks ### REPLY: Hi. Thanks for the query... I have gone through your query and will try my level best to resolve it. As per your complaint it looks like some area of your upper jaw has not healed after extraction and the gum flap is left hanging, while other possibility is that you have got a gum tear during removal of your dentures. If your lower teeth touch your upper teeth then it can also traumatize your gums and cause tears. So you should consult your dentist and get evaluated so that the hanging portion of the gum can either be stitched back in position or can be removed to prevent further tear and discomfort.Also, your denture will be rechecked in your mouth to see if it is fitting properly or not to prevent damage to the delicate soft tissues inside the mouth. Itching inside the mouth can be due to some foods that might be causing allergies and for this you can take anti allergic like Ben . . In case if it does not get better, or you have recurring episodes of the same itching problem then you can consult an Allergist and get evaluated. Hope your query is resolved. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here..From time to time,I get a boil in the roof of my mouth. I can most of the time I can bust it and pus will come out of it and it will go away,This time pus came out but there is still a small boil that i cant bust any suggestion. Thanks. ### REPLY: Thanks for your query, I have gone through your query. The boil in the roof of the mouth could be because of the tooth infection like periapical abscess. Or the boil can also occur secondary to the herpes virus infection. If it is a periapical abscess then get the tooth treated with RCT or extraction.Meanwhile, you can take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). If it is a herpetic infection, you can take symptomatic treatment like topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food. 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 was diagnosed with subq sarcoid 4 years ago, after biopsy didn t reveal much. Put of a steroid cream, didn t really respond, have been going to tanning bed, short increments, will abate, but now new areas are forming. I also have joint pain, all labs have come back negative for connective tissue disease. I finally am getting a referral to a rheumatogist, but don t want steroids. I may not get in for a few months. ### REPLY: Hello, Anti-inflammatory medications are already in use by you. I will add-on some simple physiotherapy treatment which will help reduce the joint pains. As there is inflammation at the muscle and joint there will be pain and reduced strength. Doing simple exercises which helps maintains the joint range of motions and simple static exercise to help maintain the muscle property. Continue to use the anti-inflammatory medications prescribed and do regular exercise along with the lab test at regular intervals. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently noticed that my outer ankles have a puffy round mound on each side that does not hurt. It feels soft, like a pocket of fluid. This is only a recent issue and I have not noticed it ever before. I am in good health otherwise, except for a sinus infection I ve had recently, and have walked 3 miles at a time with no breathing or other problems. I do sit at the computer for long periods at a time. I am a 62 year old female and the only regular medication I take is synthroid. What could be the cause and how should I proceed? ### REPLY: Hi, Thanks for your query. There are numerous causes and conditions that produce swelling in the ankles. A few important causes are chronic venous insufficiency, Heart related issues, kidney disorders, liver problems, water retention etc. A thorough and detailed evaluation along with a few investigations are needed to establish the correct diagnosis. I suggest you to consult a General physician for further evaluation and management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor, i am 31 years old and i am facing hair loss problame. in my family my uncles  & also my father have no hair in front of their scalp. on the other hand my maternal uncles sre facing the same. if there any solution of my prob. ? or if there any cream or tab or oil to prevent my hail loss ? pleaseheight - 5.6weight - 78med. hist. - normal but some time mango hope be problamed me. ### REPLY: Hello and welcome to , First thing to consider is since you have a family history of hair loss, if there is male baldness in the family, you will be more prone to similar problems. You probably have an .  And medical treatment will help you to an extent. Other causes to consider are hormonal(thyroid etc.), any lifestyle or residence change, stress, any history of recent illness like typhoid, any chemical procedures, etc. These causes need to be considered and treated as they affect hair growth. For now, you may start a minoxidil solution to scalp, along with hair supplements daily like Collinear. This needs to be continued at least for 2-3 months to see results. Use Hair4U shampoo and conditioner. Do consult a dermatologist, to assess your type of hair loss and to give you treatment based on the results. Since it is genetic, treatment may not completely stop or reverse the problem. It may slow down hair loss and improve the growth. If medical methods do not work well for you, certain new surgical procedures can be considered such as PRP.hair transplant etc., as will be advised by your consulting doctor after observation, if they feel that it will be a good option for you. Also get a good nutritious diet, avoid stress, smoking, get good rest. Hope this guides you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was diagnosed with DCIS this past january and my doctors said its cancer. after 5 months i went for pet/ct scan and no evidence of spreading out, i bumped it last month and i have this big hard lump about 2 to 3 centimeters, for 3 days was so painful but today theres no pain but it swollen and its like a bone that it hurting my skin. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have history of DCI. You have high chance of metastatic breast cancer.  Furthermore, you should go for true cut biopsy of that lump.  It will give you exact diagnosis whether it is metastatic carcinoma or some other mass.  Then you should take treatment according to diagnosis. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, Myself Anuj Agrawal from Jagdalpur, Chhattisgarh! Sir i am suffering from severe acne problems! Sir there are a lot of pimples on my face and it is increasing day by day! Sir my age is 18! Sir i request you to help me as early as possible! ### REPLY: Getting pimples in the growing age, that too in teen years is common, due to hormonal changes. Maintain good hygiene.and do not pick on them.read up on how to avoid them and the facts about them. I read them here on this site in the health articles section about 2 months back. I have been following what they suggested.and now my pimples are so much in control. I was fed up when I came across the tips on once here and the facts that made me understand and follow what to do. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had pain above my belly button for 5 days now and it keeps getting worse... the sikin is pink in color warm to the touch and feels like there is a lump under the skin... I just bumped it and now there is clear drainage from it... what is wrong with me? ### REPLY: Dear Friend. Hi, I am , I have read your query in detail, I understand your concern. It seems you have got local infection of hat area, causing a pus formation there. You might require antibiotic therapy for the same. I advise you to see a doctor soon, and to get antibiotics prescribed after local examination. In case pain is severe, you may take Acetaminophen in moderated doses. I hope this would help you. This is my personal opinion based on details available here.  If you still have any query you may please ask me. Stay Healthy. , MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor,I am suffering from Premature ejaculation. I am a family person with a 3 years old kid. I am unable to perform more than 30 secs. I am using Climax Spray (lidocaine) which helps; however want to improve it with any medication or therapy. Could you please advise if any herbal medicines available in the market like Baidyanath Vita-ex gold is safe and effective or any other alternative.Thanks ### REPLY: HelloPremature is very common problem facing youngsters. When such type of patient visit I prescribe them to take FLUOXETINE 20 mg tablet two times in day for 3 months and thereafter 1/2 twice in day for another 6 months and after this 1/2 tablet in the night for another 6-12 months and complete cure. I also advise my patient to take MEMENTO ( an ayurvedic preparation) capsule (as an OTC product available at chemist shop) 2 -2 for 6-12 months. This is a complete course of premature ejaculation and I have tried on so many patients and without any side effects. 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: hello dr yesterday i taken HSG test in this test my right fallopian tube appeared to be normal bt my left fallpian tube is not visualised. after i show my report to my gynecologist  said next time we have take another test that test was my husband sparm collect and inject with me that system wast not satisfied with me ,my last 3 months i had take the pregnancy treatment my gynecologist every month give ova shield   taplet only without any scan.my blood report every thing is normal i have no thyroid problem also,i m worry about injection sparm not naturally  and this system mostly become operation also i dont want  what can i do next pls clear my doubt,my hsg report not satistied what can i do which one is correct pls tell me docter ### REPLY: Hi thanks for your question. Your one tube on HSG is blocked, so chance of pregnancy are reduced by 50%.since you have not conceived by natural method of injection sperms into uterus. You have to go for artificial method of injecting sperms into uterus, the method is called as GUI. It too has only 50% chances of success as you have only one tube patent, and chances are that sperms will travel through that tube to fertilize the egg. If 3 cycle of GUI fails then you have to go for IVF, that is in vitro fertilization. Hope this answers your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is Cheryl. I am 24 years old, single. I just would like to ask about my health. My mother told me that I was born with a blue baby syndrome. I noticed my being weak when I started my elementary years. It got worst when I reached high school. I usually collapse even when I didn t feel anything in me. No headaches, no pains, not even the feeling of dizziness. I also noticed that it almost always happened during menstruation especially on the first day and the dysmenorrhea. Also, whenever I got wounded even if it s just a small wounds, I usually can feel I m going to collapsed, is it just a psychological thing? Now, when I reached college I noticed that I easily get tired. I sometimes had hard time breathing even when I m not doing anything. There are also times that I can feel something squeezing and pinching my heart that I could really feel the pain. I wanna understand everything about this. Please help. Thanks ### REPLY: Thanks for your question on . I can understand your concern. Blue baby syn .  So in my opinion, we should first rule out heart diseases in your case. So get done ECG and 2d echo. If all these are normal then no need to worry about heart diseases. Sometimes, uncontrolled stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor. I am 20 year old boy. i am having a habit of hand practicing. I had married before  year. i am really week while having sex with my partner. i discharge in 3-5 min. I am really worried. since the age of 14 i am doing hand practicing. Please help me. I am staying n UAE. I want to quote hand practicing but cant do it as it had become my habit. please let me know what should i do. ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you are facing problems related to your sexual potency and think it to be due to masturbation that you have been doing since last 6 years.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.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.5) Get yourself involved in some activities like reading, listening to music or sports so that you will not get free time to masturbate. Do not worry with this treatment this issue will get resolved within 4-5 months. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son plays football, last week he hurt his hip during the game. It has been bothering him off and on usually after practice. He just played in another game and afterwards he said he thought he knew why his hip hurt. He now has a pretty prominent lump or knot above his left hip bone. It is hard and doesn t really hurt to touch. We have checked the area since he hurt it. Any ideas on what it could be? ### REPLY: Hi. Thanks for your query. Football is a rash game and your son must have got an injury or fall. The cause of such a hard lump above the hip bone is suggestive of a hematoma as this is hard, not much painful.  I would advise the following in such a situation:Stop playing till the lump is resolved, this is very important. Give him anti-inflammatory medicine like Ibuprofen round the clock. Get an opinion of an Orthopedic Surgeon and ultrasonography guided aspiration and compression bandage. This helps in early recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor Please help me out to knoe I have the test done of my self as well as the postitute we both are negative but on a very nest day when I have interation with her I got ulcer and then cold which made me confuse for ur referece I have done with protection da thing I have done wiyh out protection is liking her breast ### REPLY: Hello, Welcome to . Although your query is little difficult to understand, I assume you had sexual contact with a female sex worker. You had used condom during intercourse, and now you are concerned about possibility of HIV infection. You said that you have developed an ulcer but haunt written the site. I assume that you have developed it on penis. As you have developed it very next day, it must not be due to any sexually transmitted diseases as all STDs will take some time before any symptoms can develop. Most likely reason for this is abrasion due to forceful intercourse or wrong usage of condom. If it is the case, it should heal by itself in a few days. You told that you both has come HIV negative. And you had used condom during intercourse, so your chances of getting HIV is almost nil. Liking breast is also not a know way by which HIV can spread. But still I would advise you to repeat the test after 3 months. If still it is negative than you need not worry at all. Hope this will be helpful. Do ask if any further question is there. 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 was rubbing my head and noticed a sore spot. I then tried feeling for an infect or zit but realized a small bump on my head. It does move and feels like bone. The other side does not have the bump. I would say it s on the lower right side of the occipital bone. I have been reading it could be a cyst or an infected *lymph nod. It is sore when touched. ### REPLY: Hello. Thanks for asking from . I can understand your concern. You have already read about scalp swellings. As you have found that, this swelling is tender on pressing, firm, mobile on bone and present on right lower part occipital bone, most probably it could be a cyst like swelling in scalp layer. Mostly these cysts are benign (non-dangerous). Most common swellings are sebaceous cyst, Desmond cyst, reactive lymph node. It can only be confirmed by biopsy or fine needle aspiration (FNAC). You can differentiate between these swellings to some extent. Like in case of sebaceous cyst, if it is carefully observed, a dark spot (puncture) can be seen over it. It is painless, but may be tender on pressing. Treatment is complete surgical excision of swelling with capsule. Mostly it is down under local anesthesia if patient is co-operative. Dermoid cyst is similar to sebaceous cyst, but without puncture. If swelling is moved to one side, bony defect below it can be felt. Treatment is similar to Desmond cyst. Reactive lymph node is usually associated with some scalp disease like Dan .  Diagnosis can be confirmed by FNAC. Do not be scared. Thanks. Hope it 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,i m 26 years old i have been married for more den one year.i have B-negative blood group my hubby has A+ blood group,i am worried for future baby.Recently In November i had a early miscarriage,,,after dat i have tested,,, my blood,and  ICT test was negative.so suggest me..... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. If mother s blood group is negative and babies blood group is positive then there is a chance of hemolytic disease of newborn. For that anti D treatment can be given. Consult your gynecologist and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i feel prominent depressions in my skull in several areas in several times, it happens when i feel weak or take less nutrition as soon i take my diet better it diappears but it appears it make me uneasy and concious.please can you tell me the reason behind ... ### REPLY: Hello, Depressions in the skull (or ridges) are very hard and calcified regions of bone formed over long periods of time.  They are actually just like fingerprints.  No 2 skulls are identical.  They cannot be altered except by way of a hard blow to the head that could cause a fracture and then, scarring, or surgery where a piece of bone is actually taken out.  Your levels and stress over these changes is what's making you feel this way but be certain that your skull is perfectly normal and without such interrupted changes.  You may try focusing on doing some morning breathing or stretching exercises every morning when you awaken.  This will help you feel more energetic and stimulate your appetite.  It will always help you focus on the activities you need to accomplish during the day better and reduce the need to look for what is and always be there to be certain.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a huge lump behind my ear.  It is rubbery to the touch and it is almost unbearable with the pain.  The swelling is now half way down my neck.  I had sharp shooting pains behind my ear and this has been growing over a course of a month and a half ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have large sebaceous or Desmond cyst or some soft tissue tumor or skin adnexal tumor.  You should go for fine needle aspiration cytology or biopsy of that lump.  It will give you exact diagnosis. Then you should take treatment accordingly.  Surgical excision is the treatment of choice for most of the tumor.  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: The inside of my mouth, especially around my lips, is wrinkly feeling and really burns when I brush my teeth. The inside of my lower lip is easier to see, and there are white pinhead-size bumps under the skin that I can see and feel with my my tongue. This has been getting worse over the past few months. Thank you. ### REPLY: Hello, Thanks for consulting , Read your query, as you have white bumps in mouth and lips it can be Recurrent authors ulcer, oral Lichen plans, or presence of forces granules. Don't be worried so much for this you should consult dentist and go for examination of oral cavity, in meantime you can apply ointment like McCoppin or Mugel on lips, you can take vitamin B supplements by consulting with your doctor. Hope it will help you. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im 16 and i have really quick mood swings that go straight from happy to angry than sad ? i am losing a lot of weight quickly and i never lose weight and my hair is falling like rain and sometimes my vison is very burled ?? i dont have ant medical history and im around 5 8 weight 9.6 stone. whats wrong with me ? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  You are just 16 and worried and anxious. Your mood swings can easily be attributed to disappointments which happens in your life. That is normal for any teen aged person. Also, you have to identify yourself with your peers and society as well as family. Don't worry. These are developmental milestones. They take care of themselves. But don't get too anxious about them. Regarding your hair fall, please consult a cosmetologist. 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. 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: I have diarrhea one month; sometimes in 10 diarrhea/day.  I have Multiple Systems Atrophy, terminal disease.  I cannot talk now.  I had an appointment with Dr. John Schaer, gastrenologist, in Hillsboro, Oregon last week.   Stool sample and blood test.  I havent heard from Dr. Schaer.  Age 65.  Female.  I have two small stones in Gall Bladder.  I have kidney stones.  Nancy Schenk ### REPLY: For gallbladder stones if there is no symptoms you can be on observation. And where is the stone in kidney. Is it in upper pole, mid calyx or lower pole and wits the size. If its smaller size less than 8 mm. You can be on observation and if greater than that u can undergo PCNL, ESL etc. if its at ureter or PUB u can also undergo the URS. Regrading diarrhea. Do know about stool test report. If its regular better go for the colonoscopy . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i think that i have staph infection but hard to get diagnosed.  is there any specialist in la whom I can get tested and treated, please advise.  Im depressed after reading all on line writings.  it seems that the germ remains inside of body no matter what.  is this a curable illness? ### REPLY: Hello, Welcome to , Yes, staphylococcal infection can be cured by choosing proper antibiotics. Penicillin group of antibiotics definitely helps to prevent the multiplication of the cocci and helps to prevent symptoms caused by these bacteria. Antibiotics in combination like amoxicillin and clavulanate potassium as got very effective action against these bacteria. You can get the antibiotics by consulting your doctor and get a prescription for the treatment of the infection. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had knee replacement one yr ago, I stepped out of doorway at angle to shut a door, got a sharp pain to knee. Now can t put weight and stand up or sit down, but yet I can walk. Now have a soft medium itchy to rub knot behind left calf. Can this wait until Monday until I see my MD? ### REPLY: Welcome to  I have gone through your query and understand your concern. You can very well wait for Monday. It is not emergency situation unless you have fever. You are likely to be benefitted by rest and analgesic such as ibuprofen for pain relief. Qua .  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: Hello Doctor,i have 7 month old baby, right from his  birth he has colic problem, problem seems to worsen now as he gets up every hour in the night and starts crying with stretching his body, we are feeding him Lactogen2 along with cow milk, he hardly sleeps in the night, can please give some suggestions. ### REPLY: Hi... Thank you for consulting in . This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to .  Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, my name is alok. i am 19 year old. my problem is begin in year 2006. here my problem1-my mind is always generate fantasy and repeated thought when i wide awake and sleep.2-i have a problem with sleeping.3-i have a problem with social activity like talk to other people.4-sometimes i think very aggressive thought.5-when i go to public palace i am very disturb and self-defencive.sir please tell me how solve these problem.thank you. ### REPLY: Brief Answer: Consult a psychiatrist. Detailed Answer:Dear Alok, I understand you concern and problems. Social phobia can be managed with professional help in the form of medicines and psychotherapy. Medicines which include selective serotonin reuptake inhibitors (SSRIs) are given for this condition. Cognitive Behavioral therapy is a form of psychotherapy which is used to correct the thinking problems related to social phobias and anxiety. I hope you find this 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: hi doctors.. last dec.4 i had may medical examination the result of my sgpt was 132.. my doctor gave a godex 3x day, she said that i would lower my sgpt. after a week i had taken again my medical exam but the result of my sgpt goes higher it is now 489. should it be alarming the continues rise of my sgpt in spite of the medication and diet? is there any effect or symptoms if u have a higher sgpt and does it mean that i have a hepatitis because of my sgpt? ### REPLY: Dear sir, Elevated Sept can because by hepatitis of any kind, biliary diseases, diabetes, some medicines and other liver damage. 489 is pretty high and this definitely means something. You don't need to have symptoms during the early stage of disease. You can feel tired, have pain in right side of abdomen, nausea and other non-specific symptoms. Furthermore, you need to do liver US or CT to find is it just fatty liver or some more serious disorder. Also, you need to check viral markers and change you are lifestyle, avoid food and .  Besides repeat your enzymes tests constantly to see the dynamic of it. 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: Hi there I am on both 300g convulex in the morning & 500g at night as well as Lamitor 150g at night.  Can any of these medications cause weight gain? And I have tried a glass of wine or two and have not found this to affect me in any way, is this ok? ### REPLY: Hello, I have gone through your query and understand your concern. Convulex (Valerie acid) is known to cause weight gain. Lamotrigine have both effects weight gain in some people and weight loss in few peoples. Most of the people using hamstring do not have significant change in weight. As you are on Anti seizure medications, it is not advisable to stop or change the medication provided weight gain is not morbid. As you think of moderate conception of wine may help in reducing the weight. But it may take longer time to reduce your weight. My recommendation is to reduce the weight by changing the diet and regular exercise. Hope this helps. Please write back for further queries. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing lower back pain on my right side. Not bad while sitting or laying down but very painful when I walk. Extreme pain in lower back and right thigh. Don t know if it s a sore muscle or pinched nerve. Taking Ibuprofen 600mg and Diazepam 10 mg tablets every eight hours. Pain still persisting after three or four days. Didn t slip and fall or engage in any heavy lifting recently. This is a first for me. I m age 60 and in good health otherwise. Hope you can offer some insight. Dave F. ### REPLY: Hello, Thank you for using . I read your question and understood your concern. This may be pain referred from your back due to nerve impingement in the spine from spondyloarthritis or fiscal hernia. I would say to continue with Ibuprofen and you can add also Tylenol and some physiotherapy procedures such as Ultrasound, tens etc., to relieve your pain. If pain still persist after 3 months then you should do lower back MRI. I wish you quick recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Ive been taking jack3d its a pre workout supplement for energy and vascularity for about 6 months now and i have a problems getting an erection and have no drive or want to get an erection. do you think its because of the jak3d or is it just me? ### REPLY: Hello, I will advise abstaining from taking supplements. Try Keel exercise. Avoid smoking and alcohol. Have healthy balanced diet. If still the problem persists, we need some tests to find out the cause of erectile dysfunction.  The tests include physical examination of your private organs by the doctor, blood test for sugar and some hormones and sometimes ultrasound scan. Please do NOT take any over the counter medicines, as they can do more harm than good.  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had another ct scan, report say the liver show a punctate right lobe 5mm.ive also had a wedge removal of leuft lung in oct and it was stage 1 carcimoa at same time there was a 4mm mass in right lung.does this mean there is cancer in liver now.im also a big weight lose weight 100 pounds now. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. Ct scan may be nonspecific for lesions smaller than 5 mm and in this case, MRI scan should be done for better evaluation especially if there was history of other cancer. ALSO, PET scan would be better option. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I woke up at 2:45. I had fallen asleep in my arm and it was completely dead from the shoulder to my finger tips. I couldnt move it. Had to pick it up to shake the circulation back into it. For the past two weeks I have had excruciating pain in my finger joints and swelling When I try to twist the top off something, it feels as if I am ripping my fingers apart at the joints. I have djd of the spine and sarcoidosis. Could this be signs of one or both of my diagnoses ### REPLY: Hello, I read carefully your query and understand your concern. The pain in the fingers is not related to your actual diagnosis. It seems like rheumatoid arthritis. It should be evaluated by a rheumatoid factor level in the blood. Meanwhile, I suggest using anti-inflammatory medications such as Ibuprofen to relieve the pain and swelling in the fingers. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed a skin tag on the lining of my cheek on the left side. I only noticed it because I bit my jaw and decided to take a look at it. I have never seen anything like this before and I do not have a history of any type of oral abnormalities. Could you help by identifying what exactly this is? ### REPLY: Hi, Welcome to . Do not worry, since you do not have a history of any oral abnormalities, then it is probably just a line of edematous tissue, developed due to chronic physiological irritation of the Buccal Mucosa rubbing on the line of causal contact of the maxillary and mandibular teeth, called the "Line Alba", which is completely physiological, and no treatment is required for the same. However, if you have a chronic habit of biting on your cheek, then it is a lesion called "Fornication Fulcrum", (commonly known as "Chronic Cheek Biting"), which has, though very rarely, still been sometimes reported to be a pre-malignant lesion also, so you need to be careful. Consult a good dentist, who will tell yo the proper treatment. Surgical excision of the white tissue tag may be a good option, but in case there is less space between your cheeks and teeth, then there is still going to be more irritation of the wound by the teeth, which will delay healing and can still cause an oral Squamous Cell Carcinoma, so, not going for any surgical treatment, and just using a proper Oral screen would be a better idea. Also, in case you are over-weight with puffy cheeks, then shedding-off the extra pounds will also help, as when the "Buccal pad of fat" lessens, it will then increase the area between your teeth and buccal mucosa (cheek mucosa), eliminating the impingement of your buccal mucosa on to your teeth. Wish you 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 have Tarlovs Disease which was treat at Kansas City Medical Research Centre by the worlds leading surgeon working with this condition. I was expected to have a good recovery. Unfortunately workers compensation sent me to a therapy unit in Florida for intensive physical and rehabilitation therapy just 8 months following the surgery. This cause permanent nerve damage and caused further cysts to form. I now have severe nerve pain down both legs and upper body and neck. I am looklng for herbal treatments that may help because I am very allergic to most medications that would otherwise help me. ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. There is no herbal treatment for severe nerve pains in legs, upper body and neck Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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...I was just checking on the reactions to sugar.  It seems every time I have any type of sugar, I get chest pains.  I am not diabetic, I have been tested. Sugar counts are good. ### REPLY: Thanks for your question on . I can understand your concern. Sugar needs more acid for digestion. So when you take more sugar, there is hyper secretion of gastric acid. And this acid can because gastritis and related chest pain. So better to avoid high sugar foods. Or you can take pantoprazole (antacid) tablet before eating high sugar food. 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: The joints in my toes & fingers have enlarged, causing constant pain, sweeping with redness. I was diagnosed with osteoarthritis throughout my body, tho from what I ve described, could it be RA instead? One yr ago, it started on my fingers, and now it s affected much more than that- moving very quickly thru my body; neck, low back, hip & ankles. I m scared it s going to cause me to be in a wheel chair before too long because it s happening so quickly. *I apologize, but I cannot pay for this, as I ve been unable to work, thus afford extras, (my ins. Has had to cover my medical expenses). ### REPLY: Hello, I have studied your case with diligence. If not relieved then possibility of polyarthritis needs to be considered .  There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you 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, I received my BCG vaccination yesterday and I already have a large ulcer which is weeping. Most of the literature I have read has indicated that a red mark should appear within 1-2 weeks of the vaccination followed by the ulcer. Is my reaction abnormal? Also, am I able to use and antiseptic/disinfectant on the ulcer? If not, why not? ### REPLY: Thanks for posting your question on ! I can understand your problem, nothing to worry about it. You are right. Actually ulcer develops after 3-4 weeks of vaccination. The reaction in your case might have started within hours after vaccination and a large weeping ulcer is formed within few hours later. This is an exaggerated and accelerated reaction suggestive of previous infection with Mycobacterium tuberculosis. Size of the erythema, induration, nodule, pustule, ulcer and scar all are bigger than those in the uninfected. Ulcer will heal into the scar earlier. Application of antiseptic agents can lead to local irritation & hence to be avoided. However, if you develop infection or abscess you will have to take oral antibiotics. Kindly consult your doctor for the interpretation of the results with clinical correlation. I hope your doubts have been clarified. Take care of your 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 had my wisdom teeth removed 6 weeks ago and all of a sudden my jaw is extremely poofy and hurts so bad. I dont think there is a hole in the back of my mouth anymore. Do you think an infection is caught in there before it closed? What should I do?! ### REPLY: Hello, Thanks for consulting , Read your query, as you have pain after 6 weeks of wisdom tooth extraction don't worry this can be due to unhealed socket, infection present in socket, carious tooth present in same arch, or bony spicules is present. Don't be worried so much for this you should consult your dentist and go for visual examination of socket, if needed go for investigations Iowa X-ray of socket if pain is due to bony spicule then go for Alveoloplasty and if there is unhealed socket or infection is there then go for it treatment irrigation of socket. In meantime, you can do warm saline rinses, Betadine mouthwash, avoid chewing food from extraction side. Hope it will help you.  Wishing you good health.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a male 47 I have a strong chest pain almost like a pull from the inside on my left side above my chest inches from my nipple. so strong I need to stop what I am doing. it last about 15 seconds and goes away. this occurs several time a day. no change in diets, nothing different in everyday activities. no arm pain or shortness of breath. ### REPLY: Thanks for your question on . I can understand your concern. You are having intermittent, severe chest pain. This is common in heart related diseases. So we should first rule out cardiac diseases. So get done blood pressure monitoring, ECG and 2d echo. If all these are normal than no need to worry about heart diseases. Sometimes muscular spasm can cause similar type of chest pain. So take painkiller and muscle relaxant. Avoid movements causing pain. Don't worry, you will be alright. But first rule out cardiac cause for this. Hope I have solved your query. 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 have been having pain (dull pain) right side of my stomach. I have been drinking alcohol, however stopped drinking for last 4 months and have only had alcohol on 4 occasions in last 4 months. however the day I consume, the pain comes back the next day. Is there a problem with my liver? How many days of abstinence will heal it? I am 38, male, weigh 88 Kg and 7.7 hieght ### REPLY: Hi! Good evening. I am  answering your query. The pain in your stomach immediately after .  The dull pain on the right side of your abdomen could be due to anything ranging from inflammation of the liver to an infection in the gall bladder, and more so could be due to a developing inflammation in the pancreas which is very common in those who consume alcohol. The extent of damage to any of these organs could be judged by a clinical examination by a physician along with related investigations for liver and pancreas like LFT, serum amylase, serum lipase, and an ultrasound/CT scan of the abdomen. Management would depend on the reports of these investigations. However, it is not known why you indulge in alcohol inspire of knowing that it could damage your liver, and other organs as well. The main treatment of your condition is total abstinence from alcohol, and this only your strong determination could do, and no one else. I am sure, you could do this, as you have come out to discuss your problem with the doctor. When you know what is a poison for you, you have got all the reasons to leave it. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am suffering fever and cough from last one week and underwent CBP, CUE, WIDAL and MP all the tests are normal except for Pus Cell count in CUE which is 18-20 /hpf. I am adviced to take Oflomac 400 tablets once a day..... how many days it will take before I am normal - Thanks ### REPLY: Hello, I have gone through your reports as well as your question. I want to tell you that according to the reports, you seem to be having urinary tract infection.  If I were your treating doctor, I would prescribe you norfloxacin 400 mg tablet 2 times a day for 5 to 7 days with paracetamol as and when fever occurs. I would also suggest you to take plenty of liquid and keep your private parts clean regularly. You need not worry, it will be normal after 5 days of taking treatment, so be patient and relax, you will be alright.  Hope this will help you and feel free to ask any of your queries directly to me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My daughter 7months contracted a fever 3 days ago 37c to 38c observed mainly on the upper side of the head. second day she suffered from the same symptom but unrest in her stomach and gases started to formulate in her abdomen. third day (yesterday) we observed some involuntary shakes in her head that later in the day spread to her entire body (similar to parkinson decease) we took her to the doctor who advised we take her to the hospital for a CT scan and some blood tests. The CT showed no anomalies and the blood tests are good, calcium level is 9 and she was put on 2 antibiotics and 1 antiviral ceriums. she immediately positively reacted to the antiviral and the body shakes immediately improved and the head shakes are now at 10% of yesterday. Any suggestions or diagnostics? ### REPLY: Hello, Your baby has a fever for three days, history of body shaking, that is actually seizures. So my diagnosis is meningoencephalitis which could be viral or bacterial in origin (viral in your case as you described). I advise for cerebrospinal fluid (CSF) examination, sent blood culture and CSF culture, continue antiviral for seven days. Also, plan to work up for the metabolic condition, electrolyte study, lastly MRI brain and electroencephalogram (EEG). Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I was jogging it was wet outside slipped and land on my elbow which pushe on my run now my upper rib below my right breast is sore and swollen Im able to move in every direction and I can take deep breaths but at the very end of breathing inward I feel dull pain and pressure is it broken or bruised ### REPLY: Thanks for your question completely understand your question actually you got an injury while jogging. Pain in chest needs to be evaluated by a chest X-ray, to see if any of the ribs is broken or fractured.u need to consult a pulmonologist to request for a chest X-ray. Falling on ground can cause a muscle injury or a fractured rib both of the possibilities are there by t it is very difficult to say without viewing the chest X-ray. 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: My 2 and half year old son has encephalomalacia and gliosis in bilateral posterior parietal and parieto occipital lobe. What does that means. Does this has long lasting effects. what are the chances of leading normal life. what are things we should be careful about.he had seizures almost around every 2 months in which there is a jerking of his left hand. We walks normal but sometimes he appears tense on uneven surfaces. ### REPLY: I am so sorry to hear about your son having this. Let me try and explain it to you in simple words. In medical science, encephalomalacia means a softening of the brain matter. This is a form of damage to the brain which can be due to some or the other trauma. This may be an infection, a bleed from a blood vessel or a shortage of blood supply to that part of his brain (for reasons that I may not be able to explain as I have limited details about what exactly happened). There is no evidence at this point to really tell you why this happened: was it some trauma during the delivery or some infection that your child developed and was not treated or some genetic cause that happened before his birth. Truly encephalomalacia is a serious brain damage. Having such a kind of brain abnormality can have lasting effects in life. He has seizures (which is not surprising because the brain is the most complex and most important in our body). The softening of the brain as we are seeing in his case in the parietal and occipital lobes may be local as we see it but may also spread to other areas. When a particular part of the brain is softened like this it cannot function normally because those cells of the brain have died. This may affect multiple organs thus changing the normal function of the body and the overall health of your child. This could also lead to a series of other diseases and disorders. As he grows more signs and symptoms may become evident depending on the severity. Somnolence or extreme .  Please feel free to ask me any further questions I will be more than happy to respond. Meanwhile, I would definitely advise you to have regular follow-ups with the neurologist and gauge your sons progress. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, my husband has been having symptoms of uper left chest pressure, sweats and then cold. he is overweight and not very active, very thirsty last nite also. / blood pressure of 145/100  x 2 , taken by medical staff at his work. they tell him it is not abnormal. I disagree. i think he should seek medical attention, Am i correct? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you are right. You should definitely consult cardiologist for your husband. By his history and description, possibility of heart related diseases is more. Left sided chest pressure, sweating, obesity etc. are in favor of heart diseases more. So consult cardiologist and get done 1. Blood pressure monitoring. 2.  ECG. 3. 2d echo 4. Stress test (trade mill test). 5. Coronary angiography (if required). Don't worry, he will be alright but first consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. 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 got my CT Scan report today and its says as follow verbatim: There is a straightening of the lumbar lordosis. Severe L4/5 and moderate L5/S1 facet joint arthropathy is present. At the L5/S1 level, a moderate sized broad based disc bulge is present with a focal right paracentral disc protrusion that causes mild to moderate right paracentral thecal compression. Mild bi lateral neural exit foraminal narraowing is present. at the L4/5 level, a small right paracentral braod based disc bulge is present with facet joint arthropathy that cause mild right paracentral thecal compression. Mild bilateral neural exit foraminal narrowing is present. What does this mean in a nut shell? Thank you! ### REPLY: Hello MRI findings may suggest degenerative changes in lumbar spine. Degenerative changes are generally age related findings. It is due to chronic stress on annulus fibrosis. There is also straightening of lumbar spine, it may be due to muscular spasm. There are severe facet (bony joints in between two vertebra)arthropathy changes at L4-5 and moderate arthropathy at L5-S1 level. At L5-S1 level, there is moderate broad based disc bulge with focal right paracentral disc protrusion, and it is causing mild to moderate right paracentral compression on thecal sac. There is mild narrowing of bilateral lateral neural canal. At L4-5 level, there is a small right paracentral broad based disc bulge which is causing mild compression on right paracentral thecal sac. There are also mild narrowing of bilateral lateral neural canal. Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy, analgesics and muscle relaxants. Surgery is advised in non responding cases. Physiotherapy helps in strengthening of para spinal muscles, and it prevents further changes. You need proper evaluation by a neurologist. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a severely swollen parotid gland about 1.5 inches by 1.5 inches, which is painful, red and itchy on the surface of the skin. My family MD prescribed me antibiotics which did not help. I spoke with her yesterday on the phone and she said to call my ENT for an appointment on Monday. Im in quite a bit of pain and wonder if this can wait that long or not. Please advise. ### REPLY: HelloSign you were examined by your doctor, and she diagnosed it as enlargement of parotid gland. Swelling of parotid gland is an acute systemic viral infection whose most distinctive feature is swelling of one or both parotid glands. Symptoms are low-grade fever, malaise, myalgic, headache and anorexia. Now about the treatment :Swelling of parotid gland is benign, self resolving illness in which symptoms based and supportive therapies are most helpful. No specific treatment needed. So need not worry, it once occurred, resolve within 7-10 days. Take symptom based treatment. This swelling is called as mumps. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi DR sorry my English is not good my name is Kathy I am 48 yeats old I have MS for 16 years right now I am in a hospital I been talking to psocologist for 2 monts she told me I have a depression now she recommends to take medication .......my hospital DR he can pricribe Zolaft is thes my best choies ### REPLY: Dear serve understand your concerns went through your details. Depressive disorder is a chemical disorder. First you should differentiate between depression and disappointment. Disappointment also manifest symptoms which could mimic depression. Please provide more details for diagnosis. 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. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 18 month old son has cough and cold for a week. then he had fever and conjunctivitis. conjunctivitis got cured in three days but the high fever remained, hence he was put on Azithral antibiotics. it is his 2nd day, but slight fever is there. the cough is so worse that he is not able to sleep and more or less coughs throughout the day too. he was taking Ascoril syrup but that does not seem to help much ### REPLY: Hi, welcome to . Your 18-month child has cough, fever and is on azithromycin and Astoria, but the cough is not relieving. This could be due to development of wheezing episode in child or lower respiratory tract infection. If the child has wheezing episode then you have to nebulize the child for 2 days. Since its only two days on azithromycin so you should wait for 1 more day and if child don't respond then antibiotic needs to be changed. I hope this will help you. Take care. 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 question regarding my sister. Well she went into the hospital last night and this afternoon she was released back homewith us. My question to you is that weather or not it is legal/ legit to send someone with a kidney infection plus a state of unconsciousness, vometing, and as well an feeling incredibly weak back home. ### REPLY: Hello, Your main concern is regarding kidney infection of your sister. I cannot comment on legal aspect. But if your sister is unconscious and having compliant of vomiting then she should be kept under nephrologist observation at hospital. Blood culture can be done and antibiotic prescribed accordingly. Serum urea, creatinine estimation and serum bicarbonate estimation also advisable.  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 had a blood test performed and although I m anemic (I always am) all the cell counts are fine except my monocytes which was consistently 223 the last two years but decreased to 153. I m a little worried because this is a big drop. Do you think I have some kind of infection or what can I do to help increase it. Thank you ### REPLY: Hello, welcome to .  Firstly, you do not need to increase the monocyte count. Basically we find Monocyte as 1-3%. So, usually the level is very low. But, this report should be corroborated with the peripheral blood findings.  Secondly, decreased monocyte count does not indicate an infection. Rather its increased number indicates a chance of leukemia.  There is nothing that can help you to increase its number.  So, do not worry. ### END