Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Just recovered from a virus that caused extreme fatigue and mostly affected my lungs (breathing, coughing). Now over that I have a dry, hacky cough that makes it extremely hard to sleep. I even wake up wanting to vomit and am experiencing some mild incontinence for the last 5 days. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after viral upper respiratory tract infection. Bronchitis causes worsening office cough, breathlessness especially at night. And due to this, abdominal pressure rises and this causes incontinence. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a tooth extracted a year ago. It has never been right. Been to oral surgeon, dentist , periodontist, ENT, ER, neurologist , even oral and maxifacial at Mayo clinic. they think trigenial nerve/atypical face pain etc. I am not sure if that is right. it feels like all the oozing (but nothing is there) is coming out of 2 teeth located next to extracted tooth area. It is like Zootz candy..it is an explosion of something coming out of my teeth...it burns. my lips tingle and are numb. my teeth feel like they have holes in them. they ache all the time. the taste is like alum foil, metal, blood combined. It feels like there is something stuck in my gum where i had tooth taken out. Any ideas? would a oral pathologist be able to help? can teeth get diseased? all my tests have come back negative. the gabapentin made no difference, and now i am on tegretol which makes no difference at all. ### REPLY: HelloThanks for posting your query....the symptoms you are mentioning is absolutely normal....this king of tingling sensation would remain for 12-15 days or even more and would come down gradually....when you have the nerve supplying your gums and tooth very close to the tooth of removal, some amount of pressure is exerted and causes altered sensation that manifests in the form of tingling sensation. An orthopantomograph [OPG] X-ray will help you to know the extent of the lesion and the possible consequences. If the numbness is due to an abscess, it should be relieved after a course of antibiotics. If it is secondary to an existing lesion, then it has to be treated accordingly. I would suggest that you consult your dentist for the same. 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 keep have these episodes where I black-out and fall. I stay conscience the whole time but can t see anything and my equilibrium is off. It feels like the world is trying to shake me off of it . I fall to the floor, usually hitting my head on something pretty bad. These have never happened growing up. But, have started a couple weeks ago. It has happened twice in one month and I m getting worried. Please help me understand what is happening. ### REPLY: Hello, You require a consultation with a primary doctor who can run the appropriate blood work checking for metabolic disturbances such as status of HY .  Next step (which the primary can also do) is to screen you for what we refer to as ORTHOSTATIC problems meaning that your blood pressure may be suddenly be going down when you stand, get out of bed, or otherwise become active.  If that's clear then, he will decide to send you either to a cardiologist or a neurologist looking for cardiac rhythm or valvular sorts of problems while the neurologist will likely be checking you over for what to be SEIZURE EPISODES.  Those are pretty much the MAJOR possibilities.  I encourage you to see someone RIGHT AWAY and not let any more time go by as these will simply get worse before they get better.  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am currently on Aleese birth control pills, this is my 4th month taking them. i take them properly everyday at the exact same time. this month my partner and i had unprotected sex. he used the pull-out method and again i was taking my pills on time and never missed a day. i havent had any symptoms of being pregnant but i am late. Is there a good chance that i am pregnant? ### REPLY: Hello mam in my opinion there are negligible chances of pregnancy because if taken daily on same time pills have very low pregnancy rate. Together with protection and pull out method it declines further. And delay of periods can be due to several reasons like stress, new exercise schedule or altered eating habits. But still do a urine pregnancy test which is negative wait for periods and if you don't get them in another week Visit your gynecologist. Wish you all the best and 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: Had these cough for 11 days can be quite violent.very tired. No fever saw me on Friday says lungs are clear felt I was turning corner. Long corner gave me cough syrup with codeine 2 teaspoons at night still have not slept thru night. Revered to them as pearls to take during day. Any idea on long this wil last. Thank you ### REPLY: Thanks for your question you need to consult a pulmonologist who can request for a chest X-ray and sputum culture for myogenic organisms and some allergy workup.allergic cough will go once you start antihistamines like fexofenadine and infective cough will need broad spectrum antibiotics for all these you need to discuss the points with your pulmonologist so that your cough goes awaythanksfeel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Was told I had bulging disks at L4 and L5/S1 with calcification. I have had been in constant, moderate pain now for 3 yrs. I am not sleeping well due to the pain waking me up at night. First thing in the morning, I can barely move and again in the evening the pain increases. I have been to physio and the exercises I was instructed to do are making the pain worse. Should I stop or push through the pain? ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely due to nerve compression syn . A physical examination and an X-ray followed by an MRI if needed of Lumbosacral spine will be needed to find the extent and severity of condition. For mild to moderate cases I advise muscle relaxants like cyclobenzaprine NSAIDs like aceclofeanac, or tramadol. I send them to physiotherapy and exercise along with this. If no improvement in this or the condition is severe then I recommend surgical correction like microdiscectomy, laminectomy or chemonucleosis according to the requirement. 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: hi my name is PATTY and i have had neck and back surgery my neck was in june 2013 and my back in oct. 2013 i have not felt any better in fact things are getting worse my newest systom is when i lay down its very hard to swallow and im up all night and its really scary and besides that the pain in my neck and back gets worse every day i tell the doctor something is wrong they take xray and say everything looks fine and i say is not is there any advice you can give me please and thank you ### REPLY: Hello, I have studied your case with diligence. As per your history and reports there is possibility of mass pushing esophagus post surgery may be due to hematoma collection. I will advise doing MRI and if required upper GI endoscopy. Till time . 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: im a few weeks pregant i think i concieved around the 17th october i have recently been on antibiotics to try and get rid of a sist i had on my left tube and also it has been inflamed when will i be out the danger area of having eptopic and how likely am i to have one ### REPLY: Hallow Dear, If you are already pregnant for more than 5 weeks, and currently there is no ectopic pregnancy, now it cannot form it. You are out of danger of ectopic pregnancy. The ectopic pregnancy happens at the time of baby getting implanted; i.e. around 7 days before you miss your period. Regarding the antibiotics you have to take for the cyst in the fallopian tube: First confirm that it is a infective cyst and not the ectopic. If it is infection, you any take only the antibiotics that would not harm the baby. Tetracycline or its derivatives are to be avoided during any stage of pregnancy and breastfeeding. Your Obstetrician will choose only those antibiotics which are safe during the pregnancy. I hope this clears your dilemma. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i want to know how i can be cleared to see a cancer patient after having mrsa 2 months ago. I have never been tested for mrsa, but family members that have lived in close proximity to me have been positive for mrsa and I have had sores that have presented symptoms of having an active mrsa wound. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. If you have no wound and no infection right now then no need to worry.  If you have infection then you should go for culture and sensitivity test. Then you should take antibiotics 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: Hi, today I had to go to ER for blood pressure of 236/94...  It kept going down then back up again.    I do not have high blood pressure but this happened.   /when they couldnt find any answer (blood tests, etc) they gave me a lose dose of blood pressure medicine and sent me home and back  to my primary,  My blood pressure is still  going up and down between 227/91 and 210/93.  I have pills to take til I see the doctor.  Am I in any danger? ### REPLY: HI, thanks for using  Hypertension can be primary or secondary. Primary hypertension, where there is no obvious cause is more common. In secondary hypertension, there is something causing the increase in blood pressure such as a hormonal problem or kidney disease, among others. If the investigations rule out a secondary cause then it is likely that you have primary hypertension. If the blood pressure medication that you were given, reduce your blood pressure then the risk associated with uncontrolled hypertension would be decreased. It would be best to visit your doctor as soon as possible for a follow-up in case additional medication is needed. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, My Name is Sakhawat,My wg -65kg,Age-32,My SGPT Level is 210 & SGOT Level is 156,Bilirubin is 2.38,But HBs Ag, Anti HCV, Anti HAV-1gM, Anti HEV-1gM, all are negative found.And ESR (Auto Analyzer Method) 13 mm in 1st hr.and S. Cholesterol level is 239 mg/dl, LDL. Cholesterol level is 173 mg/dl please advise me how to reduce my all level quickly. Sakhawat YYYY@YYYY ### REPLY: If you take alcohol, please stop taking it. Alcoholic hepatitis can present with such enzymes. If you don't take alcohol, NASH or non-alcoholic steatohepatitis related to bad lipid profile and metabolic syn .  The diagnosis is made by biopsy. I suggest you stop your sugar intake altogether and repeat liver enzymes after 2 months. If no sign of improvement, we must look into rarer causes of chronic hepatitis like Wilson s disease and hemochromatosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 17 and every morning I wake up with gas and nausea. I can never eat anything early due to the nausea which interferes with my hypoglycemia. Ive always had constipation promblems since i was little but this is a new problem occuring first a few months ago. Why is this happening to me? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have nausea and gas problem due to hyperacidity. You may have some gastritis. It leads to this kind of problem. You should take .  It will give you some relief. Avoid spicy food. Hypoglycemia may not be related to your gas. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is Susan.  Ive had chronic neck & back pain for 10 yrs now.  Ive tried everything from trigger pt. therapy, acupuncture, prolo injections, botox injections, massage therapy, chiropractic adjustments, and so on.  I met a lady today and she told me that diclofenac (10 percent) cream helped her recover.  Would I be able to use this product since I had an anaphalactic reaction to Advil 10 yrs. ago.  after having dental work.  Doctors have told me to avoid NSAIDS and aspirin.  This seems like my last hope.Im worried because I put my Visa infromation down and it went through as unlimited questions each month which I dont want to do.  Will I be charged a fee? ### REPLY: Hi, To pain you case may be due to problem with bones, vertebrae, joints, muscles, ligaments or deficiencies of calcium, vitamin D. To find the basic cause should be first step towards healing.  * A range of blood, urine investigations ray, CT Scan/MRI should be done by an orthopedic doctors advice. He will suggest suitable medicines after examining you.  *A slow start to reach optimum level of exercises under expert guidance should be learned & followed regularly. This becomes a better choice many a time.  * Calcium & vitamin D supplement helps.  * Adapt new lifestyle, especially movements to avoid spinal stress.  * Fomentation. Application of muscle relaxant ointments, Reiki are some Parallel methods for relief.  * Ayurvedic medications are reported well for chronic pains.  I hope this helps you.  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: Sir i have lost my one kidney last two month back & now i have only a one kidney & rest i have get the stone very earlier pls advc  can we have get red off this stone. pls note i have get the 10 stone in only two month.. pls help me out of this problem.soon. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern it all depend upon the location stone, like whether it is in kidney (pelvic area) ureter, urethra, bladder, and of course the size of the stone also matter small stone comes out without any treatment but for the big stone some time surgical procedure required this again depend upon the position of stone, hope this information helps you, take care and 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: I had a manila colored stool about two weeks ago. After that I had knife-like shooting pain in the base of my stomach for several days and now diareha for two weeks. (About three years ago this same thing happened and they did a scan. Couldn t figure out what it was. Said my intestines just seemed a bit full and sent me home. About 6 months later I ended up with Chronic appendicitis and had my appendix and part of my small and large intestine removed. Was in the hospital for a week, got a secondary infection that almost killed me and was never able to run again - former half marathon runner.) I am a 49 year old female. ### REPLY: Hi thanks for posting your query on  .the sequence of symptoms which you underwent suggest localized myogenic infection most notably "acute appendicitis" which went on to produce chronic appendicitis on delaying the surgical attention for some reasons for 6 months as in your case.appendicitis is known to occur following sudden occlusion of its lumen. As it's a vestigial organ, its always removed by surgery. Its produces symptoms like vomiting, pain initially on the left side of the lower abdomen and later pain migration to right side of stomach. Chronic appendicitis is more dangerous in terms of complication as its more prone to produce spreading infection at the time of surgery...it can also be prone to rupture further complicating surgery, affecting nearby bowel loops causing "gangrenous appendicitis" as in your case. You underwent your surgery at this stage of the disease.a more comprehensive approach is needed at the earliest, would have saved some of those bowel loops and prevented serious peritoneal infection in your case, anyhow now you are operated and the infective focus removed, you are out of danger, and you will soon be normal, of course you need to curtail your athletic activity to a large extent post surgery. Follow a healthy dietary regimen post surgery to improve your general health. Thank you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has a 13 mm upper uretric calculus located at and just distal to the PU junction of the right kidney and a 15 mm upper polar calculus in the left kidney.Doctor performed DJ stent on the right side.Currently she is going thru lithotripsy sessions.We are in much trauma.Please suggest if stenting ws required and how many sessions wl be required?Thanx ### REPLY: Hello and welcome to . As a Urologist, i can understand your concern. As the stone was blocking the R.kidney, infection develops in kidney. So, lithotripsy treatment, causes infected urine with stone pieces to flush out. A DJ stent is routinely placed, after lithography, as it helps . Number of lithography sessions depends on the size and density of the stone. The left kidney stone will need similar treatment, as it's also a large stone. If you've any doubts, send the reports to me, as a direct 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: I ve been taking Loette for two months, and skipped my period inbetween the two packets. I ve now gotten breakthrough bleeding for about 10 days, it s really heavy, just like a normal period and i ve had really bad cramps. is this my period? or is it BTB? is there a chance i m pregnant? when can i expect this to stop? also, i feel a constant need to urinate and when i do, my clitoris burns. I m really worried ): ### REPLY: HiT his is more likely to be a breakthrough bleeding. Sometimes breakthrough bleeding can occur, even though you are taking the Pill continuously. If the bleeding is light or just spotting that lasts for two or three days, keep taking the hormone pills daily as you have been. If the light bleeding continues for more than three or four days, or is more like a moderate or heavy period that lasts for more than a day, a four-day break from the Pill is recommended. During this time, you should experience a proper period. Start taking the active pills again after four days. Do not use this technique more than once in any four-week cycle. If you miss two or more active tablets, the pill is much less effective as a contraceptive. Rule out any urinary tract infection and adequate HY . Hope I have answered your query. Let me know if I can assist you further. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 26 year old male. I have been experience these symptoms for more than a month now:Dizzy and fatigue spells.Shortness of Breath (sometimes I also have a gag-like feeling) sometimes accompanied by vertigoEye muscles sometimes feel too strained and cant focusFeel full after eating few bite and more gas (sometimes feel like I need but unable to either burp or release wind)Shifting pain in chest (mainly under my right breast but sometimes moves to the centre or slightly to the left)Ears feel closed and sometimes this causes shortness of breath tooand I also experience something like heart palpitations except that this is only one single very strong heartbeat and if feels like my heart contracted too much (I have checked my heart before and was told it is 100 percent but this continues to happen)Can you please advise me of what might be wrong with me, is it one thing or many things? Thank you ### REPLY: Hi thanks for asking question. Your main complaint is dyspnea. Here are few possibilities.1.you might have generalized viral infection. That can involve bronchi or lung and cause common cold also leading to blockage of nose. It can also lead to muscular pain. Treatment is symptomatic.2. Second possibility of bacterial pneumonia if associated fever and cough with chest pain. Chest x-ray done for it.3.your gas problem might be because of sedentary lifestyle, . 4. If palpitation more with progressive chest pain electrocardiography or echo may be needed to rule out cardiac cause. Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor..i just had my wisdom tooth removed 3 days back.....as common i am having swollen cheeks...but apart from this im also having some bleeding from my throat (i suppose tonseils)... when i cough and spit the flum out...7/10 times i have some stint of blood mixed with it...also while swallowing food it is paining in my throat. Is it normal after tooth extraction ?..how to get the throat healed asap ? ### REPLY: Hello there... Pain radiating to throat is very common following third molar removal...Don't worry the pain would subside in the next couple of days...keep gargling salt water 4-5 times a day. Don't forcefully cough and spit that would cause blood from the socket to come out... Little blood with more saliva would make you psychologically feel that you are spitting more blood...swelling is a part of the surgical procedure that would come down in weeks time... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had the mirena coil fitted over 3 weeks ago, also a polyp was removed at the same time, i have had bleeding and pain ever since, i went to my gp 6 days ago who put me on a period delay table for 3 weeks, i am still bleeding, but it seems as if it is not fresh blood, i am still getting very painful sharp stabbing pains very low down in my stomach, i am worse off now than i was before i had the mirena fitted .... can you help ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You are having pain lower abdomen, and bleeding since 3 weeks, when a polyp is removed, and marina is fitted. G.P.prescribed period delay tablets for three weeks. Still no use. It is not fresh blood.  It appears to be the infection, and bleeding made it still worst. Marina is expected to control bleeding, still you have its means it is something.  I advise you to consult a cynic for diagnosis and treatment. First you get the marina removed, then the doctor may give you some antibiotic.  Don't worry you will be fine with this.  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 had skin cancer before, about 2 years ago, I had some removed from my neck.  A few weeks ago, I am finding red spots above my breast, and between my brest.  The one above my breast got bigger, I am 72 years, 115lbs,5ft 2 inches, I work out every day, I also have white spot all over my legs, and thighs, and I dont know what to do. ### REPLY: Hello dear, thanks for your question on . In my opinion you should consult dermatologist and get done clinical examination of red lesions and if needed biopsy from the lesion to rule out relapse of skin cancer. Your skin lesion can be due to skin cancer. Other possible causes are1. Viral infection2. Irritation from the clothes.3. Cutaneous bleeding and rashes 4. Insect bite etc. So clinical examination and biopsy is needed to establish the diagnosis and rule out or confirm skin cancer. Consult dermatologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: about a week and a half back i had a fracture to my fifth metacarpal and a cast back slab was installed. yesterday had if remove for cleaning and found that their is a huge lump feel like bone and it still swollen and very painful when touching it. is the bone set right and hear noise grinding moving my small finger back and fort. ### REPLY: Hi ! Good evening. I am  answering your query. Usually this kind of metacarpal fractures heal well with splint ages. However, in case you are getting pain along with a swelling, it could be a major displaced fracture, and might need an expert opinion and management by an orthopedic surgeon with whom you should take an appointment to get it fixed. Till then, you could go for an anti-inflammatory . 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: My UA report and I have severe back pain. I ve already gone through 1 round of antibiotics. My current UA: sg:1.020 Ph:6 LEU:25/ul NIT:neg Pro: neg Glu:norm KET: neg UBG: norm BIL: neg BLD: 150/ul WBC:3-10 RBC:3:10 Bact: Moderate Epithilial Cells: Moderate Color Yellow/Hazy I have no clue what to do at this point.. So much lower right/middle back pain ### REPLY: Hi, Welcome to  forum.  It appears to be due to the urinary tract infection, or a stone in the ureter.  I advise you to consult a urologist for diagnosis and treatment.  I usually prescribe to my patient with such symptoms lifetime, fanatic acid, dicyclomine HY . S.scaling.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods for early recovery.  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: Hi, I was in car accident in 2001. I had a large bruise and lump form on my outer left thigh. I had an MRI after the bruising healed to see why there was still a large lump. The doctor told me that it was not tissue damage and appeared to just be fatty tissue. But how can that be since it wasnt there before the accident and immediately formed after the accident? ### REPLY: Hi.lipoma (or fatty tissue deposit) can occur anywhere in the body, even if there's no triggering factor. It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. If the lesion causes you discomfort and starts to bother you, it is best if you have it removed. Definitive management is excision biopsy of the lesion, along with antibiotic treatment. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was brushing my teeth the other day and felt a pain when I brushed my gums above my Left Canine. I floss every day, and haven t had a cavity since I had baby teeth. It has been about four days since I first noticed and felt any pain (pain is not constant or searing, I can rub my tongue over the spot and only feel some pain). When I look in the mirror, their is inflammation around a tiny white spot. The spot s size is maybe a sixteenth of an inch in length. I first thought it was a pimple , but now I think It could be part of the tooth . Also this area and inflammation doesn t start until it is about an eight of an inch about the gum line. When I was brushing I could have nicked my gums with the plastic of the tooth brush. What I am worried about is if it is the tooth will my gums grow back and cover this spot. ### REPLY: Hi, Thanks for asking the query, Pain in the gums can be due to inflammation of the gingival , trauma at the time of brushing had caused a local injury around the tooth leading to exposed tooth surface , or it can be due to infection in the tooth that had spread to the adjacent gingival. I would suggest you to get a checkup done . Take an x-ray of the tooth. Get complete mouth scaling and polishing done . Apply colonel oral ointment topically over the affected area. Use chlorhexidine mouthwash gargles twice daily. Hope this helps out. Regards..... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear dr, iwant to take yur suggestion about my sisters health. she is working lady, her recent tests indicates her heomoglobin level is5.8 she used to eat chalk pieces,once before and even betelnuts very ofen, and now present situation of heo level is still fallen down shes under drs precription.pls suggest regards lakshmi ### REPLY: Hi, You have very low He level. Anything can happen with this hemoglobin level. Even congestive cardiac failure may occur. So go to the hospital urgently and go for blood transfusion. Then go for complete blood count, peripheral smear examination and ultrasound abdomen to search for the cause of severe anemia. If needed go for Serum iron or it B12 level. Then take treatment accordingly. Hope I have answer your question. If you have doubts then feel free to ask me. 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: HI i am having bleeding in my front two teeths from last year,upon investigation it was found that the one of the teeth is facture due to some trauma in child hood,the doctor suggested to remov the teeth and to implant new artifical as the bone loss is there.Please advice that the problem may be solved without removing the original teeth .A gap is formed between two teeths. ### REPLY: Hi A very good morning..... I think it will the best solution to get this front tooth replaced by artificial implant. As per my experience dental implants are the safest alternative(success rate 98%) to such young age injuries of front teeth. If you don't want this alternative then you will have to go for another surgery in which your specialist dentist will cut the tip of the root of your involved tooth(vasectomy). Success rate in vasectomy are around 70-90%. So this way or that way you will have to face a surgery and dental implant placement will be a better and safe one. God Bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been in treatment for pain resulting from degenerative disc desease, arthritis, raynauds desease, myofacia pain syndrome and fibromyalgia. I have been going through a lot of UA s and accusations of being an alcoholic and using methadone (unprescribed). I am a 60 year old woman and have been on social securtity for 9 yrs due to these and emotional difficulty that prevent sleep (diagnosed with PTSD and anxiety disorder). I worked for 40 yrs as an accountant. My physical illness for the most part and my emotional illness is from physical and emotional abuse endured as a child and a marriage of 15 years. I took clonazepam for the anxiety, but it was withdrawn a year ago. I take 30mg oxycodone three times a day,but they are now threatening me with dismissal due to the methadone reading in my UA. what are the FDA rules on pain medicines like mine. I cannot endure this stress for long and cannot deal with the thought of no way to reduce the pain. I am not an addict,nor have I ever been on unprescribed medicines. ### REPLY: His had gone through your query. You seem to have multiple medical problem. Psychiatric co-morbidity is common in long physical illness. Yes clonazepam can be used to reduce stress and anxiety. Clonazepam is anxiolytic medicines. It is also useful in sleep problem. SSRI is advisable in PTSD. In SSRI paroxetine and Escitalopram can be useful. Avoid alcohol and methadone for better health. Both can worsen anxiety and precipitate psychological illness. Need to consult psychiatrist and discuss your illness for further evaluation. I hope I have answered your query. 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: My jaw bone is degenerated. Therefore, it hurts. will it grow back? I m 14 years old taking one aleve in the morning with vitamins (even B-100). Then at night I take tylenol 3 with codeine . is it possible to grow back at such a young age? ### REPLY: Hello, in your problem you did not tell about the reason of this bone degeneration......... there are so many reasons of degeneration like genetic, trauma, tooth extraction, developmental deformities, osteomyelitis,dentures, periodontal diseases etc............it is very important to have a healthy bone for tooth development........I will suggest u to go to dentist get the whole mouth examination.........after examination only we can find the exact diagnosis, and accordingly you should go for proper treatment........take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son 5 yrs old weight 17 kg. He was suffering from fever and cold and have a small swelling in the neck region.Doctor prescribed CLAVUM 375  one tablet thrice in a day. After followed his advised my son become ill and huge rash was followed in his body. my question is was this advise was good or not ### REPLY: Although most of the fevers are due to viral causes, often antibiotics are given to control super added infections if any. CAVAM contains amoxicillin+clavulinic acid both of which are safe to be given to a child. A dose of 375 mg is ok to be given to a child of 17 kg, and you need not worry about that. In some cases like infectious mononucleosis, a viral condition, dose of amoxicillin may give rise to rashes. Although the doctor had given it in good judgement, the antibiotic needs to be discontinued and the rashes would soon improve on its own. You may apply some emollient/moisturizer in the meantime. You may also give levocetirizine 5 mg tablet once daily for 3-4 days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 itching in my body it becomes red. Earlier i was using cetrizet tab but now totally stopped. I am applying proppy genta nf cream for more than 8 years. But itching is not totally stopped. When I,apply proppy genta on the irritating skin , itching is getting stopped. Kindly advice for permanent solution for it. ### REPLY: Hi, You suffer from generalized pruritic of unknown origin. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. After thorough examination and investigations, some clue to the diagnosis may be found. Accordingly, you may be treated. I would suggest....- tab desloratidine 5 mg thrice a day-cap domain 10 mg at night-tab defamatory 6 mg in tapering dose-apply mild steroid cream-avoid soap - avoid contact with suspected irritant or allergen-treat systemic cause if found hope you might get relief after few months' treatment. 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: Good Morning my daughter is 6 months teething and weaning. I am breast feeding as well as given her formula. In the last two days her poop has been very bright yellow almost like scramble runney egg. She apperars to be slightly off her food except the breast. yesturday i changed her nappy 5 times with poop and it appears to be heading the same way today. ### REPLY: Hello, While you start weaning in a child, sometimes the bowel habits of the child may alter. Bright yellow color of stool is normal in a child.*As far as number of stools is concerned five times is normal till she passes urine normally and take feed properly. If she passes less urine and refused to take food again and again then it is a matter of concern, and then you can consult a nearby pediatrician.*You can add foods like curd, banana, apple etc. in her diet as all will be digested easily. Curd is a good source of intestinal friendly bacteria and will also help in maintaining intestinal motility.*I hope you find my answer helpful. 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: hey, im 17, underweight, and diagnosed with ibs, this came around when i thought i was having biliary colic, this was in february, ever since then i have got hypochondria and talk to a therapist every week. i also have gilberts disease.these last few days i havin started diverting my attention back to my gallbladder and im worried to eat incase i have gallstones or chronic cholecystitis. i dont know whether im aching because theres something wrong with me, or whether ive been poking and performing murphys sign on myself that much i have hurt myself.i have one or two questions, is it possible that someone like me has any gallbladder problems such as stones of cholecystitis? and is biliary colic sort of pain ever noticed in ibs?please, i need this to end my suffering.. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. Yes it may be seen in young people as well. So you should do at least ultrasound or CT scan to evaluate it more accurately. You need to change your dietary habits first.  Need to avoid fried food, carbonated .  You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 24 years male affected by Small muscular VSD and It shows Severe PAH I done angiogram testing for 6 months back. The whole size like 3.mm and I have severe breething trouble . should i take surgery or not ? and my body weight is 48kg Height 178cm ### REPLY: Hi There I understand your concern for your health and I would like to tell you that as you are 24 years old so VSD is not going to close by itself now. I would like to advise you to go for an Echocardiography review once more to see if there is any shunt reversal in VSD. If still there is left to right shunt then It's advisable to go for VSD closure either by surgery or by device which ever is suitable in your case. Its also advisable that you should consult your cardiologist personally to discuss your treatment options.  I wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 70 year old mother hit her head last night on the marble floor and was out for few seconds. When she awoke she knew her name, date of birth, social security number... so we thougth she was okay. She did not want to go to the hospital.She had a bump on her left side of her head, not big. She went into the bathroom and had diarrhea . We checked her eyes about 1/2 hour later and they were not dialated (we used a flashlight) - now this morning I m concerned should she have seen someone? ### REPLY: Hi, Thank you for posting your query. Based on your description, your mother seems to have suffered only a mild head injury, and as such there is no cause for concern now. Please watch for the following warning symptoms, which could suggest a severe head injury-severe headache, vomiting, double vision, fits, decreased alertness, etc. If she develops anyone or more of them, take her to a doctor. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had white sores in my throat about. 2 wks ago and they tested me for herpes along with all other stds but they all came back neg now the sores in throat are going away but its left me with sever heartburn umcomfortable feeling in my chest it feels like i swallowed cough drops and they r stuck in my throat and chest this is going on about a week ### REPLY: Dear Patient, I totally understand your concerns about your health and the fact that you cannot tell what is going on.However, your case is easy to treat. All your symptoms together are signs of reflux disease. The sore throat is due to the acid burning your tonsils, and the white spots is due to the food that accumulates within small pores in the burnt tonsils, fermenting this tiny food particles making them white, and causing a bad breath smell. The feeling of a bulge in your throat is typical for reflux, and of course the heartburn is known to be due to reflux. In your case you must be treated with a PPI like omeprazole 40 mg one tablet orally every morning before breakfast by 30 minutes. Within a week you must start feeling a lot better. 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 got hit with a ball on my inner knee.I went to the hospital and they said it was sprained..a month later Ihad to get physical therapy ... my knee is very larger then the other.. I have a little ball on my knee that I can move and it seems to grow...what can it be? ### REPLY: Hello It is difficult to diagnose accurately without physical examination. Sometimes such condition arises after physical trauma. Muscle of affected area becomes hard. I would suggest you to consult any physician for proper diagnosis. Meanwhile, you can start with Homeopathic treatment. Medicine helps to treat muscle injury. You can start with Arica 30 6 pills twice in Darius to 30 6 pills twice in day This will help to solve your problem Take medicine for 15 days Thanks .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my brother is ill at the moment and i am a bit concerned, his symptoms have been vomiting, chills and sweating, he has been lethargic and has been in bed most of the day. He isnt hungry and has only been drinking water and sustagen all day, he said he is vomiting clear liquid (most likely water). He is 30, 84kg and has recently come out of hospital from a sinus operation (polyps) as he suffers from Cystic Fibrosis. Any help would be much appreciated. ### REPLY: Sellotaped on the symptoms that your brother has he is likely to have post-operative septicemia which does occur due to infection following surgery. He needs to be hospitalized and take 1) Appropriate antibiotics .2) I. V fluids to maintain water and electrolyte balance 3) Multivitamins and other medication like anti emetics and H₂ receptor antagonist like Sanitizing. This will help him to stop vomiting. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes i m having bad bleeding problems from my gums i also noticed that they are now clotting around the teeth well between them but are still bleeding it hasent been this bad i also noticed that the gums are looking as they are being ate off from my teeth i have been proper brushing and using genavitus toothpaste but nothings working or helping but they have been bleeding for 3 weeks straight but never this bad or have got this bad and now there eating away any idea of what this is or if this is something i need to go see a doc asap about cause it seems like so ### REPLY: Bleeding gums can be caused by various conditions. Nutritional deficiency, especially deficiency of vitamin K can manifest in bleeding gums. It is the vitamin that is required for blood clotting. Deficiency of this vitamin can cause delay in blood clotting. Deficiency of vitamin C can also cause gum problems.Ill-fitting dentures, smoking and use of tobacco, improper flossing, infection of the teeth or the gums and use of certain medications like, anticoagulants, calcium channel blockers, nasal sprays, oral contraceptives and antidepressants are some other possible causes. Apart from these, frequent gum bleeding could be a sign of bleeding disorder, scurvy and leukemia. Chemotherapy .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Having sharp pains all night in my left chest area. above my breast. Ive had a stress test 6 months ago and Doc, saw no blockages. What could this be? This time it kept me up most of the night. Could it be gas build up etc? Maybe stress or anxiety? I have been under a lot of stress since Sept. Husband has been very ill. ### REPLY: Thanks for your question on . I can understand your concern. Yes, stress and anxiety related chest pain is more likely in your case. But better to rule out cardiac chest pain first. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Once your stress is controlled, your gaseous bloating will also be controlled.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have a problem with my lower left side back pain. I actually masturbate for few years already. From age 16. Im now 18. The pain just have been for few month and its worsen because i didnt care about it and continued to masturbate about once a day or more. How to reduce the pain? Do i need some exercise or i have to meet with doctor? I also take some supplement. Glucosamine sulphate and chondroitin sulphate. thank you ### REPLY: I do not think that the back pain has any relation to your masturbation. At this age, the back pain is rather likely to be caused due to improper posture during sitting or lying down. Certain back exercises would give you relief. Please visit a physical therapist for the same. You may try taking some muscle relaxant tablet twice daily for a couple of days and see if you get relief as it is usually caused due to muscle spasm in lower back. Hot compress will also give you relief. No supplements required. Glucosamine or Chen .  Please do not self-medicate and visit a doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having vitiligo disease in my body parts. I am 55 years old man had under gone operation for pitutiory macro adenoma during 2002 and taking madecins like Eletroxin 1.5 mg daily and wyslone 5 mg on altranate days. I want treatment for my vitiligo disease. ### REPLY: Hi, Vitiligo is an autoimmune and partly genetic skin disease. It is a harmless condition. Patient does not have any debility except cosmetic look. If you do not feel bad with this pigmentation, you may avoid treatment. If you want to take treatment, you consult dermatologist. He may examine you thoroughly, and then he might decide the strategy of treatment according to the severity of the disease. Trimethoxsalen, levamisole, bavchi.etc. may be given to you by your doctor in proper dose. Psoralenoint or lotion, decapeptidelotion, tacrolimus point or pimecrolimus cream...etc. may be applied on the patches. Recovery takes long duration, so you should keep patience. I hope you got my answer. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi About a week ago I had extreme pain in my center upper stomach. It eased off. But now has come back and it is a 9 out of ten. It is going into my back and will hurt constant and pain will hurt more I waves of 30 secs. Or so. It has been hurting for about 2 and a half hours. ### REPLY: Hi, The most probable causes I can think about are:Gastric ulcer on the posterior wall. Pancreatitis with or without gall bladder colic or due to pancreatic stone causing spasmodic pains. Rare cause about the conditions of the retro-peritoneal structures should also be kept in mind. The best possible ways are as follows:Rush to ER.CT scan of the abdomen can help a lot. Relevant tests of blood and urine. Upper GI Endoscopy is feasible. All these will lead to a proper diagnosis and a plan of management. 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: The other day out of no where in my right inner elbow I found these two separate little circles of raised non itchy bumps, a little while later I started noticing these little bumps traveling up my arm,and then anotherNon itchy group appeared then theres a line of three red bumps on my shoulder. On my chest there is a group of more bumps that are close together but do not gotten a circle like the other spots. On my legs I have like this red rash that is not bumpy or raised traveling from my ankle all the way up to my thigh. I woke up Monday with a sore throat, then I developed a horrible cough and terrible naseousnes. I have had shingles, I have also have tinea versicolor I think Is what its called my skin is always really dry and my skin just peels of taking my pigment with it... I am very concerned because in 2008 I had necrotizing fasciitis... ### REPLY: Hi I understood your query and concern Circular bumps u explained can be Tina corporal .yes sometimes it is associated with Tina tricolor.both are fungal infections .they should be treated with oral fluconazole 150 mg weekly once for 4-6weeks and application of neural ointment over the both the lesions can treat the condition. Regarding shingles use antiviral treatment. As these are coming together rule out immunocompromised disease like bag or HIV ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is four and a half and very fair skin. She often gets red patches of skin after a tub. Usually concentrated at the back of her knee and thigh. I dont use very hot water in the tub. Just concerned it may be psoriasis because there is a bad family history. But, its just red not bumpy or pussy and goes away in a few hours ### REPLY: Hello Welcome to  forum Thank you for your question. I am . I understand your concern regarding your daughters skin problem It look like atomic or allergic dermatitis. Psoriasis presentation is different and does not fade in this manner. Still clinical examination is must before reaching final diagnosis. You can apply good moisturizer cream on her skin before and after bath. Avoid hot water for bath use warm water. Use glycerin base soap only. Better to consult dermatologist for proper treatment plan. I hope I answered your question. Wish her speedy recovery. 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 some symptoms of stiff neck and back, chronic fatigue, dense headache, dizziness, and nausea, I just read online these are some symptoms of menengitis. I have also been pool swimming, I dont have a fever or feel like I should go to the emergency room. ### REPLY: Please keep in mind that the constellation of symptoms you mentioned are certainly present to some extent in nearly all patients who have meningitis. However, we have all had the experience of having any of those symptoms together or separately and know that we do not have meningitis. You point to an extremely important piece of information which is that you have no fever. Not only that but you are lucid enough to write this note and send it on your computer. You would not likely be able to do such a thing if you had meningitis. Certainly, if things were to change, and you did develop a fever, nausea, vomiting, severe sensitivity to light or sound with terrible headaches, then, a trip to the emergency room may be recommended. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 have noticed a white raised bump -- feels hardish on the floor of my mouth on the side.  I can feel it when i move my tongue towards the side of my mouth.  I have looed at in the mirror and it looks like a ulcer or open sore -- the top that was white had fallen open and the spot feels a bit raw ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query, AA you feel white raised bump in floor of the mouth this can be ulcer or inflammation of submandibular gland situated at the floor of the mouth, so there is nothing to be worried, but I will suggest you to consult dentist for oral examination of floor of the mouth. In mean time do warm saline rinses, you can apply ointment like McCoppin or Mugel on ulcer, take vitamin B supplements. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I had an accident last year nd got spinal cord injury.remained in paralysis like condition for two months then started recovering.Right side of body which was severely affected recovered almost to normal but problems started developing in left leg which had minimal problem of altered sensation. Now there is severe burning sensation, sensory loss, severe nerve pain in left leg nd its increasing upside. Initial MRIs showed problem in c4 c5 but very old and experienced family doctor of mine( a physician ) says that he is quite confident that this problem is due to l4-l5 region. Seeing my fresh MRI my neurophysician says that C4-C5 has recovered nd he cannot see any problem elsewhere.the pain will go in natural course. I can feel the problem is increasing day by day. Now I have two questions 1st- Except MRI what are the other tests to exactly diagnose where the problem lies? 2nd- Can ozone therapy be useful in spinal enquiry? ### REPLY: Hi, Thank you for posting your query. There are three methods to diagnose your problem:1. Good clinical examination and analysis-can be done by a good neurologist,2. Nerve conduction studies, including F waves and needle EMG- can be done under the supervision of a neurologist,3. MRI scan of the whole spine. Regarding ozone therapy, it is unlikely to be helpful in your case. I hope it helps. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I received an injection in my knee four weeks ago for my OA. It still hurts where the needle was pocked and my knee pain is still there. I am not able to sit for more than 5 hours (work requirement is 8), walk for more than a block, and sleep without pain. What should I do/ ### REPLY: Hi, As per your case you seem to be having grade 4 osteoarthritis of knee joint. Night sleep disturbance occurs in the advanced stages of osteoarthritis. Intra-articular injection of disco supplements such as Hyaluronic Acid helps in the early stages of osteoarthritis. If your disease is in advance stage injection will not benefit. 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 was put in a hospital for a nervous breakdown they put me on a antiphsychotic and it made my mind weird and I still wasnt relaxed, is that possible? why would they make you take a category of medicine that isnt related to my anxiousness and insomnia? They classified me as schitzophrenic and I dont understand why I am stuck with that and they insisted so much on me taking a drug that was making more problems for me. I was discouraged already from having a faulty nervous system and hyperness and now Im more frustrated and discouraged because It has turned into a phscycotic disease. I never heard voices i never saw things that werent there I never wished any harm on anyone or myself. they asked me those questions over and over, I had just had some real bad dreams and was under alot of financial pressure and wasnt fully sleeping. Can you explain this? ### REPLY: Hello........ Thanks for your query. Delusions and hallucinations are only two of the symptoms of schizophrenia. There are other symptoms like apathy, emotional indifference and disorganized behavior. A patient usually does not have full insight into his symptoms in a psychotic illness like schizophrenia. If you are insistent, I would suggest a second opinion from a second psychiatrist after a detailed evaluation. Wish you good health. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have some very small unexplained bruising on my forearm, upper arm and near my knees. I have an autoimmune condition and take presdisnolone. I have recently had an inflamed liver which is now ok but wondering if this is related to my kidney function? I ve not had any function tests for approx 8weeks ### REPLY: Hi, Thanks for consulting  ! Bruising on forearm can be due to a lot of causes. But as you have a history of an autoimmune condition, it may also be due to altered blood cell count. I suggest undergoing a complete blood picture. However, a Physical examination is mandatory to assess this since there are a variety of other causes that needs to be ruled out. Hope I have answered your query. Let me know if you have any clarifications. If you like my answers and wish me to answer in the future, bring it to my attention: .  URL link is as follows:http://doctor.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What do you if my daughter run and fell on her chin during gym? She is alomost 5 years old. I was told that she was upset and cried. She fell fine afterwards. When I picked her, she was fine. She ate her dinner and played as usual? Please your suggestions. PG ### REPLY: Hi, Thanks for writing your query. After reading your post, I would advise that she should be clinically examined and investigated for any swelling or tenderness. If clinically she is normal and if she is behaving normally, you should not feel much concerned. Pain, if present will subside by applying cold compress. If severe,, painkiller can be given under medical supervision only. I hope this is helpful to you. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, so my husbands teeth are falling out and he has a puss ball in his gums were he has just lost a part of another tooth. two teeth broke apart and started falling to pieces after he had root canals and he had two more break and fall out while he was eating he also has strange lumps on the top right side. we have no insurance and at the moment can not afford to go to the dentist but i am very worried and need to know what is happening to him... could he have gum or mouth cancer. He has recently just quit smoking after about 13 year of heavily doing so. And has also been sober off meth for almost a year which he also was a long time user. ### REPLY: Hiii after going through your query of presence of lumps, pus in the gums.Also, teeth being fall out of the socket, and habit of smoking for 13 years. It seems your husband would be having chronic periodontists i.e. the periodontal ligament that attaches the tooth with the bone is inflamed and damaged. The major symptoms of which is mobility of tooth final leading to its exfoliation.Also, the presence of lump indicates accumulation of pus i.e. access which is also a result of periodontists.  The cause of periodontitis is improper cleaning as a result the bacterial count increases over the years leading to ligament break down. Since your husband had been smoking since 13 yrs and has suddenly quitted it is most likely that the symptoms will aggravate.  Whether or not it's a mouth cancer will be diagnosed if you consult an oral medicine diagnosis and radiology specialist as physical examination is very necessary for the same. Even if you cannot afford a treatment you can at least consult a dentist for the final diagnosis.  Hope you satisfied by the ans.take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend was in a crash May 3rd. He broke his neck (actually an internal capitation). Broke his lower left leg and upper right arm. No paralysis, miraculously! He left the re hab Tuesday and is having pain on his tailbone and said it feels like its is calloused? Most uncomfortable. Any advice? ### REPLY: Hello again, For this tail bone pain you need clinical examination and further investigation. Coccyx bone can be better seen on CT scan. I will advise you MRI spine and sacrum, CT scan. Study may be required after clinical examination.X-ray may not show details. 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: Hello, I had brain surgery to remove a tumor through my nose on Jan. 23, 2017. I just finished antibiotics Biaxin just this past Wednesday for a sinus infection. Stupid and I do mean stupid me used comet with bleach and scrub free spray with bleach together to clean. I have no sense of smell or taste because the nerve was damaged. I feel a burning in my nose. Not at the back of the nose, the beginning of it, I believe. My lungs and chest feel fine. ### REPLY: Hello! Welcome on  ! I understand your concern, and would explain that it seems that your olfactory nerve has been damaged during surgery or the tumor. I don't think that the damage is related to the spray. Anyway, there is no .  I would just recommend you to be patient and wait for a spontaneous regeneration of the nerve. Consulting with an ENT specialist would help exclude other possible causes of the burning sensation. An antiepileptic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Im a 26 year old male with a lot of issue down in my left testicul, lower left abdomen and occasionally, inside of my left foot aches sometimes; when my left testical and abdomen aches. History; 18 (years of age); I caught syphillis it was my first STD. at 19 I caught it again in College and was treat. at 23 I caught gonnerhea twice within the same year. I did not wait the full sevens days both time before ejection, and back to sex. Lastly, at 24 i caught Tric.. and thats when things started to change, i didnt wait the 7 days again, and started back having sex with my girlfriend not knowing if we were giving it to each other back and forth. from 23-26 i have properly either masturbating or had sex, twice a day every single day, at one point i went 8 months straight ejectulating. Then one drunken night at 25, i took one of those sex pills u can get at a store, and smoked weed and drunk Hennessy (Cognac), that day. I didnt know what i was doing, and panic, because of performances reason. After that, the aches in the left side of my testicles, and left side of my Permia ( i think thats what its called), the muscle part of your penis that you can feel tighten, when u move ur penis, push urine out faster, and ejaculate. Extreme pain in that area and left testicules started a couple months later, I also started smoking cigarettes shortly during this period, and marijuana ( all which are bad, and may have caused worsen issues). in November 2012, i went to the hospital after walking down the street and had so much pain in my left testicul that i could not walk, and cab to the hospital..(They did an ultrasound, did see anything) They said it could be hydoceles and epdytimitis,.. took some anti-botics, muscle relaxer and told to see urologist,.. went to a urologist, he did an test for hydroceles, and said it wasnt that or epdytimitis, and told me to come back if pain consisted... I seen another doctor for test work. Everything came up negative... I seldom smoked cigarettes when im stressed, and thats when i can predict the pain in my left test,abdomen, and sometimes the inside of my left foot.... My testiculs,penis, and reproductive system just hasnt been the same. My testiculs rarely tighten up to my body like they use to, even during erection, they just hang and hang. My pain continue everything other day, i almost have to live with it, but dont want to.... My health insurance in over, Im waiting now on my universal health-care to start up, to see anybody... The tip of my penis is everything sensitive, and during sex can cause very quick ejaculation.... I dont know what else to do, i dont know if its nerve damage, cancer, or something new that havent been researched. All the research i do leads to options that doctors has already ruled out... so now im confused. I apologize if its to much information; i was trying to be as thorough as possible as Im trying to get over these issues and function properly. Its difficult to work when the pain araises, it can go from 5 to 10 in mere seconds, and my testis just sagging all the time, is scary and im afraid that I am becoming impoted at 26. I need some help? ### REPLY: Degree understand your concerns went through your details. In most of the circumstances premature ejaculation is due to performance anxiety. With all those prior problems and stress you had, with a lot of sexual information, for you, it is very easy to have performance anxiety. You need to understand sex. Sex is not essential for living. Sex is not just your pleasure. Daily sex is stress. You should add .  You should get a psychological sex counseling and should alter thinking about sex. Furthermore, you will be alright. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, writing on behalf of my boyfriend, aged 42, 13 stone 7lbs approx.  Generally fit and healthy but does smoke 5 cigarettes per day on average and alcohol consumption slightly above average (approx 2-3 pints beer daily).  Hes found an olive sized lump in his throat and has now found some blood in his saliva.  Any ideas? ### REPLY: Hi, Dear,Good noon from INDIA. I studied and reviewed all the details put forth by you and understood your health concerns. REMEDY for your boyfriends throat-a-Being a chronic smoker and alchoholic-the throat lump-mostly is of the chronic tonsillitis.b-The cause of the blood in saliva-could be bleeding gums -being alcoholic and smoker c-or could be from chronic tonsillitis with acute infection attack. Treatement-a-Check the hepatic profile tests.b-Gargles with Listerine mouth garglesc-Tb NSAIDs x 5 daysd-Antibiotics x 5 days e-Stop smoking and restrict alchoholf-Bland diet / mostly liquids for x 1 still the ER physician clears him. Wishing you fast recovery....and have a Good Day. Well-come for any further query in this regard. I would love to help you till you get relieved from the current fiasco. If you get relief, write strong review to help your friends and foes and those visiting-my  clinic. Revert your info Sopwith Regards . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, sorry, I, have so manny. I have been not well mentally for almost 12 years, seeing the same psychiatrist for 11 or them. After all that time I was finally diagnosed with bipolar diorder, great right, maybe I ll get some help and feel better... Well nothing s helping, I m tired & scared. There s no where else to turn here:( ### REPLY: Degree understand your concerns went through your details. I can understand your feelings and emotions. But you should realize the reality with the mental disorder concept. The more you worry about your mental disorder (whatever it is) the more it will trouble you. I also understand, how troublesome the problem is. But, there is no alternative to manage it. You were consulting a psychiatrist for 12 years and just last year you were diagnosed bipolar. That seems to be peculiar. But naming a mental disorder is just for prescribing medicines. Psychologists and therapists approach the mental disorder in a different angle, and they provide you with psychotherapy methods to manage your disorder. Awareness is the first step to manage your disorder. You should be aware of your symptoms, frequency, type, how it disturbs you, whole pattern of the symptoms etc. once you how and when the symptoms come, you can easily put diversions. Therefore, as the first step of therapy process, I suggest you to maintain a diary about everything from your thoughts and emotions and behaviors and symptoms. Be systematic. Continue writing this cognitive diary for a month and then with the diary visit a psychologist and rest of the therapy will be provided by the therapist. Don't worry. Management will be as effective as cure. Smile now. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. 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: Thanks for give this chance to ask my concerns. The other day i was very sad and stress talking with my husband and suddently i start to feel my heart beating very fast and my body shaking very fast as i was freezing..since that i have experience oain on my left side and i think there are the muscles ache...should i do something? ### REPLY: Hello, It is most likely due to the stress and so, need not worry so much. For your doubts of having some heart ailment, you may get an ECG, this will rule out any related heart condition. And if this is fine the cardiac doubts are unnecessary. Next time try to avoid such conversation and practice deep relaxed breathing technique. You can practice it twice daily and then do it under any stressful situation. This will help you a lot, and you will not need meds. Hope this helps you good luck!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my 8 month old baby has had diareah for the last couple of days. His poo bas been  yellow  stringy aand  slimy. Today I noticed it was very airy had small 3 -4 mm white looking lumps in his poo. Almost  looked like rice bubbles. What could this be. Should I be concerned? Im still breastfeeding him and he has been eating mashed veggies and bananas for about 2 months now. ### REPLY: Welcome to the ChatDoctorIn my opinion your child seems to be suffering from an episode of viral gastroenteritis. In cases of diarrhea, body of an infant may temporarily have trouble producing lactase, and he may have symptoms of lactose intolerance for a week or two. This seems to be the likely cause of your babies poop change. Don't worry. You can take the following measures to help him:1. Hold milk and dairy products containing lactose for 1-2weeks. You can give him lactose free milk formulas for the time being.2. Keep him well HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Woke up in the middle of the night ill. I had sweated thru the sheets & pillow case. No fever but chest congestion & sore throat. 3 hours later I was awakened with a very bad headache & 103 degree fever added to my symptoms. I was fine when I went to bed. ### REPLY: Thanks for your question on . I can understand your concern. Your all symptoms are of sudden origin and at middle of night. So we should first rule out heart diseases like heart failure or angina first. So get done ECG and 2d echo. If both are normal then no need to worry much for heart diseases. Lung infection like pneumonia can also cause sweating, chest congestion etc. So also get done chest x-ray to rule out pneumonia. So better to first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END