Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 13 year old daughter has recently informed me that her breasts are slightly lumpy. She said it hurts around the nipple area and it feels like there are small pebbles when she moves her finger around the breast in a circular motion. She has gotten her period (March of this year), and she is a perfectly healthy child, but should I be worried about the lumps she claims to feel? Thank You, Katy ### REPLY: Hi. I've gone through your query. I can understand your anxiety. Breast lumps in case of your daughter could be a BREAST BUD as she is growing up or focal modularity (area of thickened breast tissue) which is evident before her periods, or it could be fibroadenoma advice you consult your doctor for breast examination, for a chest USG & a mammogram if needed 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: Sir my brother is mentally weak by birth and few days before he experience a mental problem in which he acts very violently at that time he is admitted in meerut hospital "MIMHANS" under the observation of an specialist neurologistand now he is discharged from the hospital but he is not well at present;the time he is given a medicine (Medicine name -Zostum,Encorate, Olimelt,Lonazep, Glycolate,Protonil & Frisium) he sleep and after few hours when he is consious he is wipping , suffering from headache . plz help me ### REPLY: Hi, I would like to know the dosages of these meds, also whether he has seizure disorder. Many of the intellectually deficient patients do suffer from behavioral disorders, for which medications are necessary to prevent harm to self or other. Now adjusting these meds is a difficult process for the patient as well as the family, as these individuals find it difficult to verbalize their symptoms. In such case it is best to admit and adjust the dosages under psychiatric care. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m a 19 year old boy and there is a lump under my right nipple and it is very tender to the touch. It s aldo started to swell since I ve been messing with it. What is it? Should I be worried. This happened once when I was 15 and it went away and it wasejt as painful. ### REPLY: Hi. Thanks for your query and an elucidated history. Your age of 19 and twice the appearance of the painful lump under right nipple indicate that you may have one of the following problems:-This can be due a sebaceous cyst and you're fiddling with it caused it to grow and cause pain. -Gynecomastia is another possibility. I would advise you the following:Get examined by the General Surgeon and get this removed for 2 reasons:1. You get rid of the problem.2 you get a certain diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,Age : 35Weight: 65My eosinophils count was 28 and I was advised hetrazan 100 (3times a day for 3 weeks). Post this my eosinophils count was around 23. All other components of the CBC are normal. I have no cough or any other symptoms of illness. My GP says there is nothing to worry about, but Ive heard that a high eosinophil count could lead to organ (heart/lung and other) damage.Should I be worried? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You have eosinophilic.  There are many causes of high eosinophil count like asthma, parasitic infection, hypersensitivity, allergy, pulmonary eosinophilic etc. You should search for the cause and take treatment accordingly.  High eosinophil count can damage heart and lung, so you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Antibiotic is not helping my tooth infection. My jaw is swollen and I cant open my mouth very far. The dentist pulled teeth before clearing up my infection and now it is worse. What can I do? I was on penicillin VK for 10 days, now on augmentin 875 for the last 4 days and still no help. Swelling and pain is increasing and cant open mouth or eat without pain.thanks, Cheryl YYYY@YYYY ### REPLY: Hi. Thanks for the query. It looks like due to tooth infection there has been spread of infection to the soft tissues leading to Cellulitis and space infection. It is the cause for swelling and difficulty in mouth opening. You will have to continue taking Augmenting and along with it anti-inflammatory painkillers like Ibuprofen and serratiopeptidases can be advised. If the swelling is severe injectable or intravenous antibiotics and a steroid shot can be given. If there is pus accumulation then Incision and .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, one of my friend s wife got short temper and so daily quarrel is taking place in their home . She is about 48 or so and little fatty. She does not go out of their home for any mingling with neibours or like that. As a friend am requesting you to advise if anything can be done for this. Thanks ### REPLY: Degree understand your concerns went through your details. Usually anger is due to irritation. Irritation can be due to frustration or disturbance from others. Stress is another factor with which people do become short-tempered. Over and above, a sort of low self-esteem and low self-confidence also triggers anger and aggression. Before advising the method to deal with the client, we would like to know more information about the client. We need to assess the dept of the clients anger. Is it just anger as an emotion is anger disorder? Proper assessment of the client would provide the necessary insight. Emotional anger and aggression can be approached with the help of anger management therapy and slight lifestyle changes with awareness. Anger disorder, most probably, could require treatment with the help of a psychiatrist and psychotherapy. I strongly suggest you to advise your friend to consult a psychologist personal or online. The problem can be cured, for sure. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am only trying to link my developing epilepsy after spending my growing up years with various anxiety disorders, the worst one being Avoidant Personality Disorder.  I am only interested in finding an answer.  I am now on disability pension with the RCMP, after developing epilepsy. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Avoidant personality disorder is a disorder and not a disease. Please understand that disease and disorders are two different aspects of euro psychology. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I workout with heavy weights and also smoke marijuana. Lately, I ve had a tingling pain in my left arm that s worse when I workout or smoke? The pain is now everyday all the time and starts in my upper left shoulder/armpit/lung? and goes thru the painful elbow and tingles all the way to my left hand.Any ideas? I have an apt with my doc next Wed., but the pain is getting worse and all of a sudden today I have all day diarrhea, can t really eat and body aches (along with the left side tingles/pain). Also - sometimes when I breath in deep - it hurts or I hear cracking/popping in my back/chest?? I m getting worried.... ### REPLY: Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned in your symptoms about the tingling and pain from the shoulder till the hand I suspect it to be a soft tissue injury @ the cervical spine. As this is the classical symptoms as per the clinical assessment for nerve impingement. Also, undergoing and MRI of the cervical spine will help reveal more about the soft tissues. Treatment is simple - undergoing physical therapy will help reduce the pain by the use of therapeutic ultrasound therapy and TENS therapy. Later stages exercises will be taught to strengthen the muscles. In my clinical practice I see this cases most often, and they respond to physical therapy well. In 2-3 weeks of physical therapy 99% progress is seen. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had the chemo drug cisplaten 11 years ago....it effected my feet and my cancer doctor told me that I have cisplatin feet.....it has effected the nerves in my feel. Of late they have started to bother me again and I started to take Gamapentin .....my question to you is is there any thing else I could do to relieve the pain???? ### REPLY: Thanks for your question on . Cisplatin can cause neuritis and damage the nerves. It affects the myelin sheath of the nerve and cause declination. Due to this neuritic pain occur.  Gabapentin is .  But declination needs it B 12. As it B 12 helps in myelin formation on nerve. So better to take it B 12 supplements for better symptomatic relief. You can also take tramadol Transdermal patch for sustained pain relief. Its action lasts for 72 hours. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 experiencing serious stomach pains and my breasts are leakng a large amount of milk and my twin boys are now four years old and quite sure im not pregnant as i have had a period recently and have just done a negative pregnancy test. im really starting to worry. i have a cyst on my ovaries which i was diagnosed with in september last year, please help. ### REPLY: HIT hanks for posting your query to . Two issues :1. Stomach Pain : It could be due to many causes like Gastritis, Stones in gallbladder or kidney, Inflammation of Pancreas, Infection of the gut, Appendicitis, Urine or kidney infection.  I need to know the exact site of pain and the nature of pain, that is, whether the pain is burning or pricking or squeezing. Also let me know if there are any problems passing motions or urine. 2. Secretion of breast Milk : is due to hormonal problems. I advise you to get Serum Prolactin and Serum TSH test done and revert with reports. Hope this information was useful to you. Any clarifications feel free to 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 suffering with my kidneys the last week, i was getting dull aches on and off, sometime i feel the urinate but dont need to go. the pain has become more persistent and has been with me all day now i also feel quite fatigue. anyone have any advice. it would be much appreciated. ### REPLY: Thank you for choosing ChatDoctorI understand the pain you must be in. I think that you have a Urinary Tract infection, or you have a kidney infection. I think that you need to see a Doctor to get to the cause. There are several causes for this. To diagnose a UTI, you will need to check your Urine for the levels of white blood cells in the body. This will help you get to the cause. On microscopy, you can discover bacteria and the white blood cells. If these are raised, you will be able to know that you have UTI. To treat the UTI, you will need to start on antibiotics. These antibiotics will help you recover from it. Follow up after 4 days. All the best. Hope this helps you. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A mass appeared at my clavicle in May or June of 2013  in conjuction with an inflammatory breast cancer scare.My breast was pretty-much back to normal when I noticed this mass except that I was told the next day by a doctor that I could have this cancer (inflammatory breast cancer).   I went to specialists in June and had tests (mris, a ct scan, and an ultrasound).  One thoracic doctor wanted to remove part of my bone and replace it with a metal piece.  (He  did not have the ultrasound results which showed no place to biopsy on my breast and was not sure  I didnt have breast cancer.)    He gave me a recomended specialist when I asked for a second opinion;  I havent gone to him yet.  I  called back the breast surgeon.  More tests pursued in September (mris and a needle-guided biopsy).    Mayo Clinic was even involved.  No cancer was detected.  The bump had seemed to be getting smaller at the time of the tests and was not even bothering me in part of  October 2013.  In October I helped to paint a fence and was close to/or on the ground where the ground was muddy with water on top.  I had noticed just before that time that overdoing and stress seemed to bother me there.  I wondered if moist soil in Texas had anything to do with my problem as in May/June I had a respiratory illness before I went out and painted a fence and worked a little bit around turkey mulch.  Christmas Day I came home with a cold.  My clavicle bothers me now---more at night and if I have overdone.  I went to th primary care physician onTuesday and I had almost a 102 degree temperature.  My temperature was lower when I took it at home with a mercury thermometer.  I am now takinf cephalexin(500mg.) 4 times a day for 10 days.  If that doesnt do it, I will be going to the thoracic specialist I didnt go to earlier for a second opinion.  Wht do you think I should do?  Could I have a bone infection?  Test(s) seemed to show messed up bone.  E-mail address:   YYYY@YYYY ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion, with the history of inflammatory breast cancer in the past, your current curricular bone swelling should be investigated thoroughly for bone metastasis (spread of breast cancer in bone). So better to get done fine needle aspiration cytology (FNAC) from the bone swelling to diagnose it.FNAC will also be useful If it is bone infection. So better to get done FNAC and first diagnose the swelling and then start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My five month old daughter has a lot of little black specks in her stool. She is a mix of formula and breast fed. She has begun eating a little banana, but I don t think it s enough to account for all the black spots. She has perhaps a teaspoon or two of a little mashed up banana, yet her diaper this morning had probably 100 black spots. ### REPLY: Hi, Welcome to this forum. Can understand your concerns. Black colored specs in stool of 5-month-old baby is a matter of concern and most likely it suggests infection of intestine, probably Salmonella or shell infection, we have to also look for any bleeding due to low platelet count. Eating of small amount of banana does not lead to black colored specs in stools. If there is bleeding in stools, there is also Rash on the body, so you should also look and check the body of child for any Rash. In my opinion, a stool routine microscopic test should be done to look for the cause of this. An examination by a pediatrician is a must so that we do not miss any important finding. 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: Hi Doctor. My first sperm analysis report was: Volume - 4ml, colour -total sperm count- 36million/ml, active mortile- 10%, sluggish - 10%, non mortile-80%. After treatment under an urologist for 3 months report came : volume- 3ml, total count -81million/ml, active mortile - 40%, sluggish - 10%, non mortile - 50%. The doctor adviced testotseron capsule, vitamin supliment and chlomiflame citrate. But again I am feeling that the things are getting like previous result. Low sperm volume and liquid in nature. I am continuing vitamin and chlomiflame, but stopped testosteron. What is the reason? can it be go up again?S. haldar, Kolkata ### REPLY: Hello, Your semen analysis report after treatment is showing improvement in sperm parameters. The count as well as motility both increased after treatment. The active motile sperm should be at least 32%, which is within range for you. So I suggest you don't stop medication by your own and complete course of all .  Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hii doctor i  am 22 yr old.And i m having hairfall problems ,everyday m losing 100 of hairs .i hv started using xgain shampoo n manexil 5% gel.its been 15days m using dese products but m nt finding any difference.i m tensed n m losing my confidence wt shall i do m getting married aftr 6months .Plz doctor help .. ### REPLY: Hi. Well if you have Hairball then 15 days is not a considerable time for Hairball to stop. So you should wait and watch for at least another 15 days and see if the symptoms improve. For now continue the treatment and along with it massage the scalp with warm coconut oil or olive oil. You can take Indian gooseberry powder daily with water. Take a nutritious diet and .  You can also avoid combing the hairs when wet. Do not rub the hairs when hairs a wet. Hope I have answered your query. Please let me know if I can assist you further. Regards.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My question is can I get pregnant if me and my boyfriend had sex several times then in the middle of it my period came. We are currently trying to get pregnant. We started having sex Saturday and I started bleeding when he hit too hard. Then my period came yesterday. Is there a chance at all? Or will we have to try again after my period is over? ### REPLY: Hello dear! I am happy to hear such people want to be parents, and it is a pleasure to help them. First, I would say that menstruation days are not the days when you have to search for a pregnancy because the chances are really low. In a regular cycle you have to search almost in the middle of the cycle, which means especially in the 14th, 15th, 16th days of the cycle, because it is supposed that an egg is available. If you have more 1 year that are looking for a baby regularly, you have to do a consult with your gynecologist. Otherwise, try to have sexual contact during the days that I mentioned. 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 fell from a chair a little I over 2 months ago. The chair fell over on my leg and it ended up bruising way down deep under the skin. The bruise was barely visible but was super tender to touch. Sense the fall a hard numb knot is on my leg that will not go away. It itches often and it sometimes hurts to walk. ### REPLY: When a chair fell over your leg the force of the chair wasn't enough to break your bones or injure your ligaments however it caused a localized contusion to your skin and tissues under the skin, this can be associated with some bleeding under the skin and a clot can form. It can take a while to go away, but it will surely get better over time. Simple pain tablets should help, and the itching should get better. If you think that it is rather getting worse the best thing to do would be seeing a local doctor for examination since there is a possibility that what you are having now isn't related to the chair incident ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. grief I am at wits end dont no what to do I have been checked periodically for dizziness I have had many heart test the only thing they have said was PAC lately I actually feel the premature beat all day long and it causes me to feel very dizzy dont know what to do or where to go anymore one Dr told me to live with it is now affected my life ### REPLY: Hi, Welcome to  .com I am .  I have read your question with care and understand your concerns. Let me try to help you.  If you actually feel the premature beat all day long, that is most likely the cause of your dizziness. You need to fix that first before evaluating your neurological status 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. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir, Am a software Employee, working from 2 and half years, I think am suffering with memory loss ..I Observed myself manytimes, yesterday in my office, someone from the other cabin asked me, who is setting back of your row..I forgot his name and his Identity, but later after sometime, i realized he is my friend and my team member who will be sitting there..I was shocked. Not only this, am forgeting the Issues which I did in my Office, and evry thing seems to be NEW Please help me, what should I do now? Thanks and regards. AAAA. ### REPLY: Hello.... Thanks for your query. What you are describing is a common set of complaints presented by a stressed white-collar professional. I guess you are in your early career and this is usually not the age of onset for dementias/ illnesses of forgetfulness.  Effective stress management strategies can help which you can learn from a psychological counselor (hope your company has one). Breathing relaxation exercises can also help. If these do not help, you can consider an evaluation by a professional psychiatrist. Hope you found the information useful. 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 m waking up sometimes with numb hands on my pinky side and during the day my heart rate can reach up to 120 bpm, this has been happening for over a month, I don t sleep very well, i also have nerve damage in my right hand with my median and ulnar nerve causing restricted movement with my index finger specifically, could this be a nerve disease? ### REPLY: Hello! Thank you for asking on ! I understand your concern, and would like to explain that it is normal for the heart rate the reach up to 120bpm during physical activity or anxiety in healthy individuals. So it doesn't seem to be anything wrong with your heart. Regarding the numbness in your hands, it seems to be caused by a pinched nerve in your arms. I would recommend consulting with the neurologist and perform a nerve conduction study (electroneurography) to establish the diagnosis. In case of a pinched nerve, you may need to hold a special wrist splint at night, or even make an undergo a small intervention in case of a severe compression of the nerve. Hope to have been of help! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been scheduled for a chest ct scan due to elevated a d-dimer level of 512.  I am a 51 yr old white male with no health concerns.  No difficulty breathing.  No chest pain.  In fact I exercise regularly.  My weight is high.  I am 240 lbs at 6 ft tall.  I know I need to lose weight and I am trying.  My Dr says he is not overly concerned he just want to rule out DVT or susceptibility of a PE.  I am an airline pilot and he wants to make sure that I am not at a higher risk of anything.  My wife is a nurse and I can tell she is concerned about my elevated d-dimer level.  What do you think? ### REPLY: Hello, So far your question is concerned a bit more knowledge about history and examination may be needed to reach a conclusive diagnosis. Keeping in view the provided information (age factor, pilot by occupation, overweight), it seems that you probably are at an increased risk of developing deep vein thrombosis and consequent pulmonary embolism. Sometimes, small and transient episodes of pulmonary embolism may go unnoticed. Still it may be there and can be evidenced by elevated D-dimer levels. So my suggestion at the moment is not to ignore these lab findings and consult a coagulation specialist/hematologist near you and get yourself thoroughly evaluated and examined to exclude the chance of any serious pathology and to manage it as early as possible if something turns out to be there. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have high blood pressure and am just getting over bacterial colitis. currently my heart is beating heavy and every time my heart beats my eyes pump and blur a bit.. its hard to explain almost see a tic tac toe in white in my vision every time my heart pumps. Not sure of this is normal. ### REPLY: Hello Sir / Madam, Thanks for writing in to . Your symptoms suggest that you must be having very high blood pressure which needs attention. Kindly consult a physician and a cardiologist for antihypertensive medication dose to be altered.Also, an ECG and an echocardiogram is necessary for further evaluation.Also, kindly consult an ophthalmologist to screen for malignant hypertension. Relax donor take tension. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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.I am 58  years old, hieght 163 centemeter, 85 kilos weight. recently diognized with fatty liver stage one. my sgot and sgpt a bit higher than normal. my liver is not large. but the echo of parantial is higher than normal am I at risk of liver disease. thanks ### REPLY: Hi thanks for contacting .... Noted you have fatty liver ... Because of that liver enzymes are high.... If care not taken then From grade 1 fatty liver it can be converted into grade 2 or 3. ...and finally hepatitis can occur.... But progression into complication from fatty liver are slow.... Still care taken to revert fatty liver as soon as possible.... Take low fried and fatty food... Transfer food like baked pastry, junk food, pizza, meat avoided.... Green leafy veg and fruits more.... Avoid alcohol as it is toxic to hepatocytes.... Refined food kept minimum.... Papaiya, apple, mango taken more.... 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 history of bile duct stenosis with elevated LFTs and pain as is typical with gallstones. I do not have gallstones. Over the past four weeks, I have become very lightheaded, dizzy and nauseous at times, with tender swollen lymph glands and increased tiredness. The vice-like pain around my ribs is constant - unaffected by eating - and causes me to have a cough when lying flat. I now also have shoulder tip pain and a dull ache over my left kidney region. Any advice? ### REPLY: Hola. Liver pathology , gallbladder pathology and kidney pathology are the diagnoses to consider. The sensitive test to detect pathologies of these three organs is the ultrasound. As you also feel tired and have pain, is necessary to be examined and make the ultrasound as soon as possible to establish diagnosis and right treatment. I wish you good health.(In case the answer would have been useful please indicate this) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi imsuffering a lump like thing on top ryt side of my chest near by shoulder wich gives pain , its frm 6months and  15 days it bursted out n puss keeps floeing with immense pain im even getting fever and lost 15kgs weight in 5monts and wen tested found ESR RATE 95MM, SUGGEST WHAT IT IS ### REPLY: HI. This is more suggestive of tuberculosis. Please request your Doctor to get the biopsy done as also to do AFB staining of the pus and the tissues. I think it would also be helpful to do MRI to decide that there is no affection of the joint. Empirical treatment with anti-tubercular medicines can be started. And should help cure this. If this is diagnosed as TB, please see that you do not miss a single dose, you need to have a high protein diet. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, all of a sudden, out of nowhere theres swelling on top of my hand right where the vein is and its all blue. Its tender when I touch it. I did not injure myself. Could this be dangerous? I do have a blood clotting disorder, factor Leiden V. Im just wondering if its ok to see a dr. tomorrow, I took 2 nyquil before and am in no state to drive:( Thank you so much. I do not take any bloodthinners ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about bluish swelling that you noticed. I understand how disturbing it is to deal with something new. If this is the first and not increasing in size, I will not strongly recommend that you go in to see a doctor for his. It should slowly get resolved without the need of any specific treatment.  The truth is that minor traumas totally unaware to us can cause this. This in itself is not enough to say you have a clotting disorder. Besides, it is not a typical finding and would most likely not be related to a clotting disorder. I hope this ad .  Thank you so much for using our services, and please feel free to ask for clarifications if need be. I wish you the best of health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had surgery on my sciatic nerve and a fibroma was removed from inside the nerve. I had severe pain in the nerve before the surgery that was done in October 2013, however I still have the same severe pain and I am wondering if this will be permanent. ### 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. History : I have had surgery on my sciatic nerve and a fibrous was removed from inside the nerve. I had severe pain in the nerve before the surgery that was done in October 2013, however I still have the same severe pain, and I am wondering if this will be permanent. Question : What could severe pain in sciatic nerve even after surgery and removal of fibrous from inside the nerve indicate? Opinion : Pain can persist for up to six months during the recovery periodic the pain persists beyond that, we need to rule out formation of another lesion. You need to undergo Nerve Conduction Studies and MRI 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: HiMy son is 8years old and he complained of headache on the forehead and both sides especialy in the moning Most of the times it is indurable ,the doctor said that he hadA slight astigmatism Do you think that this is the cause of this annoying headache ??Thank you ### REPLY: Hi, Thanks for your question I can understand your concern. Astigmatism can cause headache, but it will also have symptoms of blurring. If you have already consulted your physician I will recommend you to visit an Ophthalmologist for further evaluation. Now headache in this age group should be evaluated thoroughly. Once you are rule out with ophthalmologist then have to rule out other causes of headache.Furthermore, I will say here few things, Migraine is one of them, and it is quite common when mother also have same problem. Next headache duration, associated symptoms like nausea and vomiting or twinkling of stars preceded by complains of headache. Also, frequent history of common cold leading to sinusitis can give headache which will have feature as pain increasing on bending head down and is of pulsating in nature. So once you are done with your Ophthalmologist you should consult a Neurologist also. 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 had my hip replaced 7 yrs ago, now I m having hip pain that starts in my hip sometimes the pain encircles my entire thigh high up then it travels down the outside of my whole leg, the pain is very uncomfortable and is relieved by sitting down or laying down, having to take more and more pain medication to get the initial results, I don t like to take drugs cause I don t like that dopy sleepy feeling so sometimes I will take extra strength Tylenol then go back to the pain pills. I will never get hooked on pain meds as I hate the dopey feeling it gives me but it helps the pain some what. My e-mail address is YYYY@YYYY . ### REPLY: Hi! I have understood your query, the pain which is coming to your thigh and radiating to your leg, might be because of previous hip problem as well as some new problem which you might have developed over seven years of time, may be lumbar spondylosis with some nerve entrapment at lower level.to differentiate get an x-ray of your back done. Kindly visit your doctor for clinical examination. In the meanwhile take hot fomentation at home and rest. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Cliff. i am currently having this problem. my vein on the left side of my head is pumping very hard and fast, when i put my fingers there i could feel the thick and big veins there. very painful and it is only on the left, it happens to me on and off, which i have reasons to believe it could be due to lack of sleep? or stress? please help! ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about this pain on the left side of your head. It is true that we have big vessels there that pump hard but rarely can they contract to cause significant pains as you have mentioned. However, muscles in this area can exhibit spasms which explain most of the symptoms that you are having. This can be aggravated by stress, lack of sleep, poor head positioning, etc. You should get these conditions' ad . I hope you find this helpful. Thank you so much for using our services, and please do feel free to ask for clarifications if need be. I wish you the best of 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: Last week Tuesday I had a dark brown stain on my underwear, it went away, this Monday I had a pink tinge on the toilet paper when I wiped, it only happened once through out the day, yesterday it happened again but a little more red than pink, it happened twice during the day, today it happened again, I am having a little pain on my lower abdomen and I woke up with really bad heartburn, all pg tests are negative. What could this be? ### REPLY: Hi! Good evening. I am  answering your query. If you are sexually active, this could be a missed pregnancy or could be a manifestation of PID (pelvic inflammatory disease). If I were your doctor, I would advise a serum  test and an ultrasound abdomen if need be to rule out a missed pregnancy or any pelvic pathology, a urine test (routine/microscopic/culture sensitivity test), a complete blood count, and a vaginal swab for culture and sensitivity test. Management would depend on the result of a physical examination, and related investigations. 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 had a prostatectomy 4 years ago due to cancer. I am 63 years old. My psa is now running .02.  However my bilirubin level has been fluctuating from 0.8 to 1.5 to 0.6 to 1.5 to 1.0 to 1.9 over the last 12 months.  What would be the reason for that. My dr is a VA dr and its hard to get any concrete answers from him. I worry about my cancer returning, and turning up in the liver. ### REPLY: Hi, Welcome to  forum.  You had prostate cancer and got operated, now you have no problem with the urination.  Now you liver function tests started abnormal, you are fearing of the recurrence. It may not be a recurrence or metastasis.  It may be due to the alcoholism, .  I advise you to consult a gastroenterologist for diagnosis and treatment.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I went to the doctor after some abdominal pain I had. The first day it was for 12 hrs aprox. And the second time was for a few hours only. After that, I havent had anymore pain. However, when doctor did my examination I could feel some pain in the abdomen, near to the umbilical cord. Now, the  doctor said I need a CAT scan and/or a colonoscopy to determine if the pain is related to the colon. It is ok to perform mentioned exams even that I havent feel pain anymore! What is your recommendation? ### REPLY: Hi thanks for using ChatDoctorSince your pain has reduced and only 2 episodes you had pain with no other significant history, I prefer no other investigations. But on examination IGF your doctor has found any important findings then you may require investigations. But I don't prefer CT scan and colonoscopy as initial investigation. Better you can get simple test like ultrasound abdomen first than going for CT or Colonoscopy, which are expensive. Discuss with your doctor indication for colonoscopy and CT. If you require then you can proceed. Hope this answered your query. Wish you a good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I seem to have a strange non itchy rash on my hands, arms and neck .. Have used Benadryl at night and reactin during the day but seem to be the same.. No improvement.  I did stay in a hotel the night before noticing these odd bumps. A little paranoid that I have now possibly brought home bed bugs??? ### REPLY: HiT hank you for asking ChatDoctorAs you have the rash on sunlight exposing parts like hands arms and neck, it is most likely a Photodermatitis. Anyhow, it's better to show a dermatologist and confirm it. For photodermatitis I usually treat with steroid creams, short course oral steroid tablets and advise patient to avoid direct sun exposure. Do limit the amount of limes, celery, carrots, and figs in your diet, because these contain natural Morales (sun sensitizers). Hope this may help you. Let me know if you have any further query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear doctor good morning,yestrday i has gone for a scaning and i came to know that i have got anteverted bulky uterus...and cyst in both sides..do i face  problems for getting conceived?wat is the remedy doctor?iam aged 34,height 5feet ,weight around 63 kgs,i have severe pain during periods...i have proper periods.... ### REPLY: Hello...thanks for trusting the  doctors for your health related queries. I guess your concern is about.will u conceive while having cyst in the ovaries...right.well...YES. U can get pregnancy while having cyst in your ovaries. As u told that u r 34 years old that means u r come under the reproductive age group(women from 15-45 years came under this group), in this group chances of getting pregnancy is high.u also told that you are having regular menses. So there are DOUBLE CHANCES of getting pregnancy. So RELAX.DON'T WORRY. U can get pregnancy. As u told that you are having bulky uterus with cyst in the ovaries. they may be due to infections or some other pathology. So it is better to visit nearby gynecologist. He /she can help u. u r 5 feet but your weight is 63 kg which is more than normal according to your height. So try to lose weight, it will also help you to getting pregnancy. Because excessive weight causes hormonal imbalance which posing difficulty in getting pregnancy. So try hard to lose weight. With above discussion u can try out my suggestions-1. RELAX.KEEP PATIENCE. U can get pregnancy while having cyst in ovaries.2. Feel free to ask your treating doctor regarding this matter. He/she can help u.3. If u r in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- .  I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Age: 37 Gender: Male CECT Neck report: Enlarged Rt lobe of thyroid with heterogeneous CT attenuation and post contrast enhancement of the core. The imaging findings are corroborative with Possiblity Of Large Thyroid Nodular Goitre with Colloid Degeneration Affecting The RT Lobe of the Thyroid. Ancillairy findlings are: Multiple subcentimetre cervical Lymphnodes along the posterior triangle of neck on either side. The lymphnodes are discrete with no perinodal stranding. What is the treatment is Ayurveda? ### REPLY: 1. Thyroid nodules are commonly benign and rarely cancerous, unless your Physician thinks differently.2. You haven't mentioned any symptoms related to the pathology??3. Are there any symptoms of weight loss, insomnia,palpitations, anxiety, tremors,fatigue. Or depression? TFT reports4. Is the pathology causing any pain or pressure in the neck, hoarseness of voice or neck tenderness?5. Possibly goiter in question is non-toxic so iodine containing . 6. Ayurveda herbs shirt and jalkumbhi can be given/advised ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 , my wife is 26 weeks pregnant and is having IUGR, ultrasound diagnosis showed GA of 23 weeks. We had a color doppler ultrasound done which states that the umbical artery flow velocity waveform shows an absent end diastolic flow and the AFI 2.She is on bedrest , fetal heart rate is monitored twice a day and is coming out normal till date but her BP is variating alot which is also monitored daily.Also she is taking suppliment medicines ( Ecosprin 75mg , Alphadopa , depin R20, guardian, Argin, Cal 40 and Iron..) once a day and she was on Aminovein 10% intra venous for three days and on fragmin(5000 IU) injection S/C. We are a liitle worried regarding the treatment if its in right direction ? or something else we can quickly opt. Kindly help. ### REPLY: Hello dear, I understand your concern. Iam sorry for your condition. In my opinion as per your history there is less liquor and high BP. As the Doppler study showing absent end diastolic flow it needs regular fetal surveillance to check for any fetal deterioration. As AFI is 2 the cause of low liquor like any kidney and urinary tract abnormalities in fetus need to be ruled out. Yes you are on correct line of treatment. High protein diet and bed rest is advisable. Avoid stress. Adequate fluids up to 3 liters per day is good. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been having really bad under arm pains that come and go. they have moved into my chest area but mainly stay around the side breast/armpit area.  when i start to have the feeling it gets difficult to breathe and sometimes is so bad i think im going to pass out.... any explanation? i have anxiety and it was thought that that was the cause, but im not having any anxiety symptoms, and this is constantly a problem for me now, and its getting worse and worse ### REPLY: Dear patient thank you for that question. The problem I have with answering the question is that there are so many reasons that I could never get through the entire list. So I shall try and explain the most likely and most dangerous ones and the rest I shall list under a broad heading while telling you what to do about those too.1) Angina: It results in a squeezing sort of a pain. My reason for mentioning it first is that is dangerous and easy to rule out. Just get an extra done and a troponin level done2) Breast cancer: Swollen lymph nodes can result in such pain which could either be due to an infection or the tumor has spread to your lymph nodes. Get a mammogram specially if there is a family history of Breast cancer3) Pleural pain or pleurisy: Inflammation of the membrane covering the lungs can result in such a type of pain. Get an x-ray and see if taking Ibuprofen 800 mg helps. A Charleston of Pleural pain is increase in inspiration4) Neuropathy: Classically a shooting sort of pain which runs down the arm. It is due to the involvement of the brachial plexus and a nerve conduction test may rule it out5)Anxiety is often associated with underarm pain since it results to rapid heart rate, shaking, sweating and irritation; all which might cause underarm pain in some way i.e. rapid heart rate and shaking strain chest muscles and making them feel achy while sweating will cause irritation which can cause burning and itching (burning and itching can make your underarm painful.6)Local glandular infection: Stand in front of a mirror. Raise your arm and touch the armpit to look for any increase in temperature or any local tendernessDiscuss these with your GP and come to a diagnosis, and again I cannot stress enough that please rule out Angina and Breast cancer 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: Two weeks ago, i had the last of my bottom teeth pulled for dentures. Now there is a bone looks like sticking out on the soft gum tissue on the inside, and and possibly another at the gum line on the other side. have you heard of anything like this before? ### REPLY: Hi! Gone through your query. It is the hard tissue of the oral cavity. It is common and this will disappear soon.  Your body takes time to remodel the extraction site, bone and adjacent tissues. It will be healed and repaired. You must be worried if you experience pain or burning sensation in the extraction socket. Make sure It's not significantly large chunk of bone. Maintain good oral hygiene.regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Mothers Thalassemia problemsHello Doctors,I would like to check the abovementioned.My family are asian, Singaporean. My Mother is aged 75, many years ago, she was diagnosed that she has thalassemia, then doctor asked her not to intake iron.My mother has Depression and Insomnia illness, and taking Valium 10mg, Lexotan 20mg on night.Lately, she often feel cold even in tropical hot weather like in Singapore. Beside, she often feel bodyache, headache and giddy.We brought her for detailed blood test check again, and the adnormal results are as followed:1) Haemoglobin - 10.70 g/dL (Low),2) Haematocrit - 34.30 % (Low),3) MCV - 69.30 fl (Low),4) MCH - 21.70 pg (Low),5) MCHC - 31.30 g/dl (Low),6) RDW - 15.40 % (High),This time, doctor said her thalassemia is worse then last time. Doctor prescribed her the following vitamins and minerals tabs:1) Folic Acid tab - 5mg, OD2) Calcium Carbonate 450mg & Vit D 200iu tab, OD3) Vit B1 - 100mg, B6 - 200mcg, B12 - 200mcg. ODHowever, after taken for a week, she claimed that bodyache and headache getting worst, and not able to sleep at all, and also the same often feel cold. As the doctor said her thalassemia is getting worst, no matter how she must intake the vitamins and minerals tab, even if she has flu and fever.I would like to check is it a must to take those vitamins and minerals tab if she feel heaty, having flu and fever?What could be any others alternative issue?Thank you and look forward to hearing from you the soonest.Best Regards, ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your mother may have thalassemia minor. Multivitamins like folk acid and B12 and minerals are useful in thalassemia patients. Her body ache and headache has no relation with these tablets. She may have some infection or flu. Continue with vitamins and take treatment for your flu. 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: Hello.... tomorrow I am seeing an orthopaedic surgeon about back pain (L4-L5-SI), probably due to repetitive strain injury that got worse 5.5 years ago after a bad lift. I have nerve root damage, left leg/butt pain, muscle cramps in calve. On Lyrica almost a year, manage mostly with Advil. I can manage quite well, put up with a lot of chronic pain that varies from a 6-10 (10 being must take Advil and go to bed). I could probably just keep on living this way, but what really gets me down is that I have found it next to impossible to exercise consistently and regularly. Even Pilates!! Walking, cycling, yoga, pilates, Barr, ligth weight training, all cause flare ups to the point I end up having to completely stop exercising and get on NSAIDS (that don t really help). Basically I have less pain when I not active, once I get active I am experience a lot of soreness, pain which also interferes with my sleep. All this means I am not very active just to manage my chronic pain. So... I see a surgeon tomorrow... what are the top 5 questions I should ask him?? Thank you for your help. Chantal ### REPLY: I have gone through your question and appreciate Your concern. You're suffering chronic back pain. First if u want to consult surgeon u should consult neurosurgeon. U can ask for MRI of spine done. U can also be advised for blood test. Tha cause that is diagnosis of your back pain should be made. Then treatment becomes easy and effective. General measures to improve the back pain are Avoid bending forward and lifting heavy Weights. Hot fomentation thrice a day. Muscle relaxants and analgesics for pain relief. Lie on flat hard bed. Local Analgesic gel for local application. Muscle strengthening exercises will help you In long term. Thanks. U can write me back for any query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m 60 years old and my ALT test and result 100u/L 15 days before and today in 2nd test it decreased 59u/L , why this value high ?? my lungs are also so weak. i use different inhaller.. last month i have left smoking from 45 years. my blood pressure also increase upto 80/150, i have did other test of liver functioning. ALP and serum billirubin.. there value are 0.78 mg/dt and 69U/L respectively.. plz give me suggestion what will i do. ### REPLY: Hi The high values are due to liver damage because of alcohol, toxin, infection etc. I can suggest you some lifestyle changes to deal with the stress:1. Take a nutritious and hygienic diet.  .  Take fruits and vegetables up to 5 times a day2. Avoid alcohol and smoking3. Exercise daily for at least 20 min a day. The exercise can include walk, yoga, gym, swimming, cycling, etc.4. May take multivitamins 5. Stress reduction techniques like relaxation techniques, breathing techniques, meditation, etc. are useful to improve immunity. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. my name is Sue,I was diagnised with H. Pylori, apparently am on medication (ESO Kit- ESOMEPRAZOLE 20 MG+ CLARITHROMYCIN 500 MG+ AMOXYCILLIN 1000 MG) which am to use for 7 days. today is my fourth day on the drug and am having this heartburn like feeling what is likely to be the cause?Thanks ### REPLY: Hi thanks for contacting .... Noted you have H. Pylori infection.... Here as you can have chronic gastritis it can lead heart burn like feeling. If acid reflux present then also heart burn can occur. Just now complete the regimen . ...Meanwhile, take care following measures.......-Fruits taken more -Avoid excess spicy and fatty food-Avoid smoking-More water -Soft and bland diet taken-Avoid alcohol -Excess tea and coffee avoided Take care... Complete therapy for h.pylori, and you will gradually recover ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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... Actually i m preety worried these days.. . I had sex with my girlfriend one month ago .. but its 37 days now till the stoppage of her last menstrual cycle and till now she havent got periods... i also gave an i pill withing 12 hours .. How long should i wait now ... also i remember tht to prevent pregnancy ... i didnt secrete any sperms inside her and still gave an i pill bt its 37 days now and she havent got her periods... how long should i wait ... ### REPLY: Hello, Taking I-pill within first 24 hrs gives more than 95% protection against unwanted pregnancy. But it can cause period delayed by 1-2 weeks from due date. It occurs due to hormonal imbalance and mental stress. However, she needs to undergo one home pregnancy test at the earliest to check pregnancy status. Blood test for beta-ChatDoctor is more confirmatory. On negative test, she can wait another week to get period. Otherwise, you need to consult with doctor to proceed some tests and take suggestive medication accordingly. Practice safe sex in the future. 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 am on Norco 10-325mg as of 4/21/14 1 to 2 by mouth as needed for pain. I have scoliosis in my neck, I had surgery in 1973. I m now 43 years old, the disc in my neck and my lower back are gone. I have seen two surgeons and either one recommend sugery on me again due to my walking again being 20%. I hurt everyday but since taking pills when I brush my teeth they bleed and my nose icthes. Can you suggest something for a daily problem? ### REPLY: Hi, as you mentioned of the brief history of you with cervical and lumbar disc degenerative disease associated with scoliosis, I will recommend you to try physical therapy as it is non-invasive and the use of therapeutic ultrasound therapy and TENS therapy will help to control the symptoms. Along with it, you need to understand that the stability of the spine is more important even if you undergo surgery. As the stability of the spine helps avoid compression on the nerve roots and keep the normalcy of the spinal column. Also, the correction of the scoliosis is of due importance as with correction of the scoliosis the symptom also gets lower. For this a physical therapy will be of advice from me. My cases with similar cases have responded well as the implementation of the therapy was divided into short term and long term goals. It is of course time-consuming but if the patient indulges 100% then the results are excellent.Also, you should do regular breathing exercises and meditation. With the combination of these two an added feature of control of the mind and good oxygen in the body helps to heal most of the pains and aches. Oxygen is the primary fuel for the functioning of the cellular mechanism. For more details you can ask me a direct question. With the grace of God I wish you a good health. Regards. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A 54-year-old Type-A male business executive had been experiencing migrainelike headaches. One afternoon he also experienced light-headedness, slurred speech and mildly impaired motor function on his right side. One of his colleagues rushed him to the emergency room of a nearby hospital where blood pressure, blood gases, electrolytes, and an ECG were run. His blood pressure was 195/100 mm Hg, which he said was typical of what he had experienced during the past two years. Blood gases and electrolytes were normal. The ECG showed no arrhythmias but did demonstrate a left axis deviation. The gentleman was admitted to the hospital and a cerebral angiogram was performed which showed left cerebral hemorrhaging. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern for the patient, if the cerebral angiogram detected the hemorrhage then the symptoms that is being stated here is likely and the possible cause of hemorrhage would be undetected hypertension, hypercholesterolemia, stressful condition, now for the future management he has to be very careful in medicine and lifestyle that need to be changed, hope this information helps you, have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is 60 yrs ols and has been suffering from fatigue and being very cold all the time. He looks like he lost weight also. He coaches ice hockey(28) yrs. And can t tolerate the cold. I am wondering how concerned we should be. He is only on cholesterol medication. ### REPLY: Hello,,, at 60 yrs fatigue with loss of weight, is a point of concern. You need to have him tested for diabetes and thyroid straight away. Then a general health check for not so common problems. Also, let him stop the cholesterol tablets for a month and see how he feels. This tablet can cause muscle pains which may be interpreted as weakness. Also, consider adding It D, Vitamin B1B6B12 along with Zinc as tablets. A general health check up with an X-ray chest would be essential. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 right clavicle that never completely formed according to an xray my doctor took. Two pieces there are not connected. There is no scare tissue according to my doctor shown on the x ray. I can move my shoulder and make one of the pieces noticeable under the skin at a point. He suggest that it may have occurred before birth. Can you tell me if this may be caused by vitamin deficiency during a pregnancy? Can you tell me more information about why one of my clavicles may not have fully formed? ### REPLY: Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern.it's not due to vitamin deficiency but its due to genetic reasons that have occurred during embryonic stages of pregnancy.it will cause no harm though. Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind . .(MBBS, MS,MCH) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. we are planning for pregnancy last month april 2011 we tried  but this  month i got my period  but it was late, even  i had pregnancy symptoms..and i had  some urine infection.  last month we travelled about 600kms was it affected for my pregnancy pls answer me ### REPLY: Hi, Thanks for query. I understand your concern. Stress of travel purine infection or psychological stress out of anxiety to get pregnant, can cause delayed period. Pregnancy like symptoms can suggest possibility of loss of pregnancy.  Before planning for pregnancy- -The urinary infection must be completely treated.  -Assessment of normality of sperm count & ovulation would be ideal.  - Ovulation day can be known by LH surge test & unprotected sex from the day of +ve surge test for 5 consecutive days offers maximum conception rate.  -Home pregnancy test after 8 days delay in periods OR blood bets  testing of blood around expected date of period . Can confirm pregnancy.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am an African American women who has suffered with asthma, wide spread eczema and allergies all my life. I have learned to cope, but my food allergy list is very long: shell fish, coconut, sesame seeds, quinoa, flax and every nut created. My allergy is so severe, I carry an injectory pin in case of emergency. I don t eat out because of unlisted food ingredients, utensil cross-contamination. Because of my dark skin, the scars and large white skin patches from childhood body rash caused me not to wear a skirt going on forty years eve though the rash has been arrested for many years. With the onset of menopause, my food allergy list grow longer, it includes corn, soy and wheat according to my doctor. My question is what food can I substitute for the above mentioned prohibited ones? Also, is there a procedure for evening out my skin? Any advise will be appreciated. Thanks, B. ### REPLY: Hello have gone through your question and understand your concern. Food allergies can give hard time, but there is always a substitute. The imitation crab meat available in the market including other imitation meats are loaded with chemicals and at least 2% of real meat which can evoke allergic reaction. Try using hard-boiled egg white, king oyster mushroom, Shitake mushroom and Japanese eggplant instead of shell fish. There are various newer methods to treat the hypo-pigmented scars but if only for cosmetic purpose the easiest and cheapest way to deal with the scars is camouflage. Use cosmetics or artificial tan for the purpose or consult a dermatologist for further examination and treatment. 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: It seems every 4 - 6 months I am in the er with nausea, vomiting and bad abdominal pain. my lipase levels were 15,000 and I underwent many test for gallstones. I ended up having my gallbladder removed, however the nausea, burping and vomiting still occur along with the pain and I am sent running to the er to get relief. I have been told I have pancreatitis am I am seeing a GI doc about it. What are your thoughts? ### REPLY: Dear Fiend. Welcome to .I am here to HEL;p you. You probably had Acute Pancreatitis at the time when your Lipase levels were so high. Getting gall bladder removed, will not solve the problem of Pancreatitis if it is now chronic. I advise you to follow :1. Serum Amylase and Lipase.2. LFT3. USG Abdomen.4. CENT Abdomen5. Serum Creatinine. Review with us with the reports for a better helps Healthy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: have had a virus coughing headache  i think it was or is novia virus since christmas   of course it almost gone now but something has setteled in my left side    alot of pain to breath or cough   is it plurisy    i am alerget to all antibotic    what to do ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion you should consult pulmonologist and get done chest x-ray. Yes, this can be pleurisy (inflammation of pleura). Because chest pain on deep breathing and coughing is characteristic feature of pleurisy. So we need to rule out pleurisy first. Following are the possible causes for pleurisy. 1. Pneumonia2. Tuberculosis3. Pleural effusion4. Pulmonary contusions etc. So better to get done chest x-ray to rule out above possible causes for pleurisy. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Husband ahd quadruple bypass srgery in December has lost 65 pounds. Is taking bayer aspirin 1 x day low dose, Metroprolol Tara 50mg 2x day,Metformin HCL 1,000 mg 2x day, Lisinoprol-HCTZ 20-25 mg 1x day. Is having dizzy spells, bloodpressure 1 hour ago left arm 102/51 and right arm 119/54. Taking too much blood pressure meds.? Sugar was 139 before dinner. ### REPLY: Hell, and thank you for using . I carefully read your question and I understand your concern. Don't worry, it is nothing serious. According to your explanations your husband had a qua triple bypass and as I see he is all sow hypertensive and diabetic. I have to explain to you that in this category of a patient our goal is to maintain the heart pressure between 110-120 mmHg, because of ischemic heart disease and diabetes. So a heart pressure between 110 mmHg is quite normal, it is our goal. It is normal that if it's just the beginning of this values it will take a little time to adapt. He might feel dizziness but you should not worry. It will pass. Only if you catch lower blood pressure values, below 100/60 mmHg every day, we might consider reducing any antihypertensive agent. My opinion as a cardiologyes is that these values are quite normal for the moment and that your husband should continue this way. Hope I was helpful. Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have DM 2 for past 10years and essential hypertension for over 15 yrs. Both are by &large under control withoral medicines. S Cr is 1.2 ,24 hr urinary protien is 220, lipids quite low (total chlostrol only 98,triglyceride below 100). My problem is night frequency of urination say 5 times in 8 hrs with about 66% urine output (of total24 hrs output).Urologist had advised to take MINIRIN 1mg tablet(demossprin) before going to bed for 2 wks.Same did not work as I mightnot be suffering with Diabetic Inspedus.Urologist has diagonised my disease as Nocturnal Polyurea.Request advise treatment.treatment ### REPLY: HelloThanks for query. You have not mentioned following facts in your query 1) Your age 2) Whether you have done Ultrasound Scanning of abdomen and have ruled out/confirmed enlarged Prostate. Nocturnal poly urea may be most likely to be due to Enlarged Prostate associated with diabetes. Taking Tamsulosin once daily and proper control of Diabetes will help to reduce the nocturnal frequency to some extent. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feel like I am almost having a contnious panic attack. I had them for years but never all day and nigjt. My hands and feet wont stop sweating, short of breath, trembling, fear to go outside, muscle aching , feel tense all o, palpations, and im am scared. Please help. Ive never.hadd one last all day for sevral days ### REPLY: Welcome to ! I have read your question, and it says that you have constant severe anxiety symptoms, almost similar to panic attacks for some days now. You have not mentioned if you even underwent treatment for your anxiety? If not, then it is the result of untreated anxiety disorder which has now flared up. I can say from my clinical experience that with medicine these will become much better and finally stop, but you should continue the treatment for some time after that. When I have such a patient, I usually find good response with paroxetine/ venlafaxine, along with Mizoram. For sleep, as it is usually disturbed, I prefer collided. With this combination, there is improvement in few days only, and it continues till patients is almost completely at ease. I prefer to increase the medicine slowly, seeing the response. So, please meet a psychiatrist, as this is completely manageable. Hope the reply is useful for feel free to ask more questions or clarification if you need ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ED and associated with pitting edema of the lower extremities and neuropathic sxs of the feet.  i am 54 y/o and have htn, hlp, obesity.  take atenolol, zocor, rantidine, and minocycline.  i am confused by the evolving lower extremity sxs.  nonsmoker, no etoh, and no recreational substances. ### REPLY: Hello, As you underwent surgery of that foot, so may be the one of the cause of pedal edema. As you are hypertensive, so, pedal edema may be due to cardiac overload. I will suggest you to do color Doppler of affected feet, ECG and 2D ECHO after physician consultation. For that, now you can take tablet LAST 20 mg after physician consultation. As there are many causes of pedal edema like trauma, cardiac failure, Renal Failure, liver failure, sedentary lifestyles et cetera. 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 my wife in her inner left breast towards the center of her chest she ha s small soft lump that hurts when you touch it. also, it hurts when she breathes in. she is 26, 115 pounds and relatively healthy. it is a pain that comes on an off. we are worried but also wondering if it has to do with her cycle. always seems to come a few days before her period... ### REPLY: Thanks for your question on . I can understand your wives situation and problem. By your history and description, in my opinion, she is having benign breast lump due to hormonal imbalance during menstruation. Her breast lump and its association with periods is suggestive of hormonal lump only. So better to consult gynecologist and get done hormone levels to rule out hormonal imbalance. Hormone therapy is very effective in such cases. Also get done mammography to rule out other causes of breast lump like fibroadenoma or infection. 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: swollen right hand - 2 months. We ve ruled out clots, fractures, rheumatoid arthritis and metastatic disease (inflammatory breast carcinoma). Lymphedema therapy is not making much difference. Odd that lymphedema should creep up after 17 years. Arm not involved, just hand. Really interested in the CAUSE. ### REPLY: Hello, I have studied your case. I will advise you to MRI for better diagnosis. Most likely it can be lipoma/lymphoma, which are soft and with some mobility, may reoccur after excision. Do some blood investigation like CBC, CRP, and ESR to know reactivation of disease. Hope 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: I am a black 39 year old married male. I have a swollen small lump in front of my left ear near my jawbone and a knot has come up on the right side of the top of my forehead. I have had no injury and have not been in any accident. What could be causing this? ### REPLY: Hi, If I were your treating Doctor for this case of upper neck lump, I would come up with only two possibilities like is lymph nodes and sebaceous cysts! Please get routine TLC/DC of your blood and an FNAC test of the lump for confirmation and to relieve your concerns! Lymph nodes could be infective, tuberculosis or even lymphoma! The cysts are benign and not to worry about them but to take care not to get them infected! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor..i was diagnosed with single cyst in front parelitail lobe and was taking medication topirol .had jerking of leg attack only once before taking the medication.sfter starting the medixine never suffered any attack. Have stopped taking medicinesand have been off them since last four 6 months..i have strange feeling of pulse running in various parts of body like left leg right arm left arm.and sometimes my fingers move ### REPLY: Hi, I am .  I have read your question with care and understand your concerns. Let me try to help you Question : How to treat a cyst in front of parietal lobe? Answer : It depends on the nature and size of the cyst. If the Cyst is Benign and if it does not compress any vital structures, it can be left as such If the cyst is benign and if it compresses the nearby structures, it has to be removed If the cyst is malignant, it has to be removed 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. Let me know if I can assist you further. Take care. ### END