Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 question regarding a stent which was put in 10 years ago. What is the best way to detect if the stent is still working properly. My doctor has ordered a Stress Test, but said the large medical centers might have a better way of detecting this. My blood pressure is normal, but I have felt a little pressure in my chest. Of course, this pressure could be the result of a pulled muscle, but I don t know how to know the exact cause. The pressure is not a problem at this moment. Thanks so much for your help! HGE ### REPLY: Hi, Coronary angiography would be the gold standard. However, by angiography, the incidence of restenosis is significantly higher than clinical restenosis because many patients have mild restenosis that does not result in a recurrence of symptoms. Coronary CT angiography (CTA) with dose modulation is a non-invasive alternative. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I ve had this problem before, but getting two crowns that I needed and a round of antibiotics made it go away. However, it is back and I have no dental issues. I just had a dental CT to rule out any dental issues. I have a discolored tongue (yellowish in color). I don t have bad breath, but my mouth is dry and water, in particular, tastes metalic to me. I don t like how it looks, and the metallic taste is recent (last few days), but the discolored tongue started a couple weeks ago. ### REPLY: Hellman of the problems of the mouth may be really irritating to the patient with no conclusion received from many examinations. There are many causes for bad taste as well as discoloration which can only be certain after a thorough examination and tests. Certain problems in other parts of the body may show symptoms in the mouth as well. So please visit a specialist in Oral Medicine to rule out the cause of your problem and to get prompt treatment. Hope you get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir / Madam, My self Ms. Saiee age: 25yrs & in my expecting, 21 weeks now. all of a sudden it is been detected that i have a problem of Kidney stone on the right kidney & it is realy very painfull & unbearable. i m thinking of abortion, through normal delivery, is it possible?? Plz guide ### REPLY: Hello and welcome to .  As a Urologist, i can understand your anxiety. A kidney stone causes pain, but at 21 weeks, it can be treated without tension. Anesthesia isn't a risk, if there's no medical problems. Abortion is out of question, if you want to continue with the pregnancy. You haven't written details of stone size, number or severity of kidney damage. You should give reports of urine culture, creatinine,uric acid, etc. It may be possible, to just stent the right kidney and treat the stone later. If you've any doubts, send all the reports to me, as a direct question to me. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 childs face hurt why and she has a slight fever ### REPLY: Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days.  So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F.  I suggest not using combination medicines for fever, especially with Paracetamol. 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 was bending down slightly today and something happened to my back and now i cant bear any weight on it at all.  no pain while seated,  no pain lying down.  cannot bear any weight to get out fo bed and walk a few feet.  no pain shooting down leg.  now using heat and ice till i can call doctor in the morning.  what is this and what do i do?  thanks. ### REPLY: Hallo dear friend i he studied your case there might be muscle spasm due to sudden flexion of spine this is you first episode or repeatedly having same problem you need methylcobalamine, muscle relaxant with analgesic[moral plus]take rest, , hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exercises physiotherapy - SD, IF TWILL HELP you may need MRI SPINE if pain doesn't get relived for further query contact . Com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 son just told me he is bipolar and is taking 3 medications for it. I don t know how long he has had it. He has been in therapy with his girlfriend for 2 years. they have a 11/2 year old little boy. How important is family therapy if he hasn t told me about his disorder until now. Is this something that I totally wait for him to share what he may need/want from me. We live in the same town. I looked over the few articles online here and have found out he is taking two of the first two meds talked about in the articles. He sees his psychiatrist once a week. His girlfriend sees someone else, but just as often. I guess I m just looking for any- you should do this now, or you should ask this now, or just wait for him to share more. He s 34 and in AA for 3 years, but now I m not sure the drinking was on hold for the full 3 years. He was a Marine for 5 years from 21-26. He has worked for the USFS maintaining back country roads with a crew of 6 for 6 years. With the baby he stopped that and is going to school in Aug. using the GI bill. Thanks for any insight you might give me. Janell ### REPLY: Dear serve understand your concerns went through your details. Bipolar disorder usually requires long term treatment, and therefore you should encourage your son to undergo treatment from the same psychiatrist to make sure there is always a pattern in the treatment. The psychiatrist may be needed to use the trial and error method according to the severity of the symptoms. Along with the psychiatry medicines, psychotherapy is also essential. 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: After intercourse,I noticed some blood and clots in my husbands semen and in my urine,too. The blood is only a little but it has been for a month now.  i just have it after intercourse, though. without intercourse,everything seems to be fine.  my ob-gyne said,nothing is wrong with my cervix.but i had a test for abnormal cancer cells and will come out next week.im very worried because last night the blood was a bit more than usual. is it possible that i got it from the contraceptive injection which i have for about a year and a half? my baby is a year and 7 months. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have postcoital bleeding. You should go for Pap smear test which you have already gone through. So wait for the result of that cervical cytology report. Don't worry most of the time its not serious condition. Your contraceptive injection doesn't cause post-coital bleeding. Moreover also check your husbands' semen for blood. If blood is present in semen then you may feel that it's come from your cervix. Blood in semen is due to injury or trauma to urogenital tract, tuberculosis or malignancy. But most of the time it is self limited. If it remains persistent then further examination needed. Hope I have answered your question. If you have any 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 met a CSW and received a fellatio. I have ejaculated in her mouth. After 10 days we met again and performed the same activity. On the evening when I met her the second time..I started to have a burning sensation when I urinate and it still persists ( been about 5 days). Please help. ### REPLY: HelloThanks for query. You have burning sensation of urination after you had unprotected oral sex with an unknown female partner. Oral cavity is full of bacterial flora hence it is likely that you have acquired infection through oral sex (Fellatio). Get your urine test and urine culture done to take appropriate antibiotic to combat infection. Wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it gets cured completely. 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: gud morning doctor. m from bangalore n  suffering from sinusitis for many yrs....been to many ent specialist, but i get only temporary relief..n m allegic to dust , coz sometime i sneeze a lot...though i avoid cold drinks. n ice cream...i think m allergic to dust n damp..not sure. i want to find out wat m allergic to also..plz help me... ### REPLY: HelloWelcome to ChatDoctorYour history and symptoms suggest me that you are having some allergic manifestation which should be treated properly. I would suggest you to undergo lab investigation like Absolute eosinophil count to confirm the presence of allergic reaction. I would suggest you to undergo skin prick test with allergens like dust, food, mite and pollen. This will help to identify the allergen so that we can plan proper treatment. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have shooting pain in my lower buttocks right side..also moves to the top side of my right leg and down to feet at times and mostly to my knee caps..what to do to stop this pain i am a CNA and need to relieve this pain everyday constantily Thank You Dee Dee ### REPLY: Hello, As this sounds like a degenerative disc disease. Needs an MRI of the lumbar spine to check the soft tissue changes. Take up the McKenzie maneuver position and centralize the pain. Find this McKenzie maneuver online. Post which use hot water fermentation to reduce the muscle spasm. As the pain reduces with days to come do exercise which includes - core stability exercises, spinal muscle strengthening exercises, hip muscle strengthening exercises, lower limb as a whole strengthening exercise. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im a 46 year old Female, went to doc after lower back pain and tirdness and feeling queasey now and again. He found blood, protein and some white blood cells in urine sample.  So put me on Cipflox for 7 days.  Been on that for 4 days now but still not feeling great.  I do get IBs and have dull pains in colon. ### REPLY: Hi, thanks for posting your concern in the . You were under treatment for urinary tract infection. The low back pain along with fatigue may appear from that. However, a more complicated UTI, pelvic inflammatory disease, adnexal pathology, renal abnormality should also be ruled out. Even IBS can present with similar symptoms. Colonic pain often radiates to the lower back. A repeat urine examination, complete blood count, stool for routine examination may be needed. A detailed clinical examination with the history and relevant investigations will elicit the reason. Please consult your local doctor for further evaluation. For any further questions please write back to us. 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 very sharp burning pain across the top of both feet from the top of the ankle bend down thru my third toe. Started in my right foot last winter when i got a cramp while snowblowing and could not get my boot to rub out the cramp. The left one happened last month when i strecthed it to flip a tennis ball for my dog. ### REPLY: Hi, I had gone through your question and understand your concerns. Burning sensation in the both legs may be due vitamin deficiency due to b12 specially, take a multivitamin and a calcium tablet. I f you have diabetes get a sensory nerves' examination by neurologist. It can be due to simple . Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 david. ive been experincing neck and shoulder pain mainly on left side of body!! i have been getting headaches mainly at the back of the head and eyes feel heavy. ive been sleeping ok, im a decorater and i think i hurt my neck doing a ceiling a month ago. the other symptoms im getting are my left ear canal and glands seem swollen. im not in alot of pain but getting abit tired of it!! some days are better than others but it just grinds me down, its just the balance and wobbly feeling i dont like the most!! im on beta blockers for HB. and have had problems with glue ear where i had a t tube fitted in my left ear drum but came out last month after four years, can you give me any insight ? thankyou ### REPLY: Hello, Cannot say in your particular case, but generally, the location and movement of pain give clues as to what is going on. And pinched nerves at the top of the neck go to the back of the head. Of course, ear infection also can cause headache and is a more acute problem needing fairly immediate attention. 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: Hi All my joints have been sore and one of my fingers near my thumb is swollen with the swelling going up on the top of the hand My friend just told me that she has shingles Just wondering could there be s chance that I have it to I even feel like the top of my hand near the thumb is brushing ?? ### REPLY: Hi, This is possible it may be gouty arthritis or infectious arthritis or rheumatoid arthritis. Until examination is done it is difficult to say what it is. Get it done serum uric acid, RA factor, ESR, CRP, and X-ray of joint. Use cold and warm compression, use tablet. Indomethacin twice a day for five days. If symptoms not improved please consult your doctor he will examine and treat you accordingly. 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: In March 2012 I was diagnosed with breast cancer. Prior to that I went tanning all the time but when I was diagnosed I stopped. I went tanning for the first time today. The majority of my body is FRIED but then other areas had no problem even though i used the same lotion everywhere. I dont know if its connected to the cancer or not but im freezing, extremely nautious and parts of my body feel like they are on fire. Should I be concerned? ### REPLY: Thanks for your question on . I want to ask you few questions s.1. Have to taken radiotherapy. 2. Have you taken injectable chemotherapy? 3. Are you on tamoxifen or other breast cancer ? If you had chemotherapy and radiotherapy for breast cancer than due to skin damage tanning is very common. And nausea is very well known complication of chemo and radiotherapy. If you are on tamoxifen than this can be a side effect of this  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had knee surgery about six weeks ago after the surgery the first couple weeks were great as soon as i started physical theropy it was starting to get sore now i have alot of swelling above my knee and around it going down into my calf and ankle my calf is real tight and hurts to push on it in areas and i have numbness and tingle sensation in foot and toes ### REPLY: Hi. The pain and soreness what you have post surgery while rehabilitation is normal to some extent because of soreness there could be mild swelling around knee. Numbness and tingling sensation what you experience in your foot is due to swelling in the leg that could be compressing the neural structures which in turn tightens up your calf muscle... Now... Don't worry about your current symptoms as they could easily solve by simple care... I suggest you the following... Take a bit easy in your rehab...start with mild strengthening exercises without exerting too much.keep icing your knee frequently... Keep it compressed witChatDoctorpression bandage...keep it elevated and keep moving your ankle to and fro to facilitate the reduction in swelling.thus solves your tingling and numbness sensation in footed mildly over your calf muscles and relax it...keep working on your gluteus strengthening like bridging...pressing a pillow with heel etc...once everything get back to normal gradually progress with rehab wish you a speedy recovery Hope this is helpfulRevert back in case you need further clarification... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sex on tuesday, evening period and i used postinor first pill and waited for the next 12 hours to use the other... well i couldn t find and i waited till wednesday afternoon to get a new pack. i got a new pack Wednesday afternoon and i used the two pills at once. i had sex Wednesday night .. is there a chance that i might get pregnant and how effective are the pills i used. ### REPLY: Hello dairy understand your concerned have used posting 2 before the sexual intercourse. It will not protect against the sexual intercourse done after taking posting pill. If you have sexual intercourse during the fertile phase of the cycle then there is chance of the pregnancy. But there is chance of the hormonal imbalance and cause delay in the period by 8-12 days. If your period will delay by more than 12 days then go for urine pregnancy test and or blood  to confirm the pregnancy.Meanwhile, avoid stress, take healthy diet, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend is getting pains in his testicle before ejaculation.  Sometimes its bearable though he can feel it before & after, other times he finds it unbearable as the pains are so sharp & uncomfortable, & therefore interupst proceedings & upsets him incredibly.  He had it before a number of years ago which lasted for about 18 months, and i think he also had blood in his semen.  He had lots of tests etc but they never came to any conclusions.  Its been back now for about 6/7 months (after having stopped for over a year).  Im worried, as is he, as to what it is.  Is it something we just need to learn to live with or should we look further into it?  What could it be? ### REPLY: Hello, Blue balls, known medically as epididymis hypertension (EH), is a condition that can affect people with male genitals. It's not serious, but causes pain and aching in the testicles after having an erection without an orgasm.  It's often accompanied by a blueish hue in the testicles. Most men do not get EH frequently.  There are some other health conditions where pain can be experienced on testicles before or while having ejaculation. I suggest you to consult a urologist for physical examination. Hope I have answered your query. Let me know if I can assist you further. Take care .  V. Anand, Psychologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from fever for around one month, thyroid problem also diagnosed in me at that time, its around 2 months now that i m fine as far as fever is concerned but i m suffering from heavy hair loss and i have lost around 50 % of the hairs within one month, please help me to stop and regrow the hairs i lost. Thanks ### REPLY: Hi, it seems that most probably you may be having halogen effluvium. There may be early hair fall in halogen stage of hair cycle. There may be some cause. Thyroid dysfunction is one of the causes. You may be taking treatment of thyroid disease. Take regular treatment. And consult dermatologist. I would recommend mild steroid lotion to apply on scalp at night daily. And biotin 10 mg along with vitamin E 400 mg may be taken daily. Mild herbal shampoo and salmon oil may be considered. Take long term treatment and have patience. I hope this would help you. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a small burning spot on my back lung or rib at present i have brochortis and allergies taken medicine for both when i breahe very that is when the burning spot starts doent seem larger than a dime to quaeter size it just started this evening did not know if it heart related or my condition to the brochortis abd allergies ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of bronchitis and allergy related symptom is more rather than heart related. Bronchitis and allergies when uncontrolled can cause worsening inflammation in lungs. And this can cause burning type of sensation. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will tell you about severity of inflammation. On the basis of PFT values, treatment is advised. Inhaled bronchodilators and inhaled corticosteroid (ICS) are treatment of choice. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,My wife was detected TB and as per doctors prescription she is using AKT 4 and the course was just started before 10 days. so can we participate in sex while using AKT 4 course.And please let us know how to use AKT 4 tablets and timings when it should be used for one strip ### REPLY: YES YOU CAN HAVE SEX. TAKE ONE KIT (ALL THE TABLETS) AT A TIME BEFORE BREAKFAST DAILY WITHOUT BREAK FOR 2 MONTHS. YOUR DOCTOR WILL REDUCE MEDICINE AFTER TWO MONTHS.URINE WILL BE YELLOW, DO NOT WORRY. SOME PERSONS FEEL VOMIT, YOU CAN TAKE ANTI-EMETIC TABLET COASTAL BEFORE TAKING MEDICINES.IF it DOES NOT Suit, CAN TAKE ONE BY ONE TABLET, EVEN AFTER FOOD.IF YOUR EYES BECOME YELLOW (JAUNDICE), DO NOT WORRY, GET LIVER ENZYME TESTED, DISCUSS WITH YOUR 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: Hello i am on logynon but had diarrehia 2 days ago do i take an extra pill for the day that i was ill from my other packet and then carry on as normal? i havent had sex yet as was on my period so im not to worried but just dont know weather i have to replace the pill from sataday as thats when i had diarrehia :( ### REPLY: Hello and I hope I can help you today. You do not need to take an additional birth control pill because of diarrhea.  Diarrhea may make you lose water, but it does not wash out medication you have taken.  The only situation where you need to replace a pill is if you vomited within a few hours of taking it. So you can go about your routine as usual and start the next pack at the normal time.  I would advise you also to .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I m am 29yrs old male . Since last 3 months I m having excessive gas in my stomach .occasionally I have a cooling sensation or pain  around my chest and back. I also have my pain in my stomach near right rib cage.   Pain in my neck  and reddish windpipe, my mouth gets dry . Sometimes during bowel I have a thick white penile discharge but in small volume. Have met several doctors no reliefPlease explain Need help. ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of gaseous feeling in stomach, burning pain with stomach pain. So better to start following steps for symptomatic relief. 1.  Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Start proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in the bed to prevent reflux. 7. Avoid smoking and alcohol, if you are having these habits. 8. Lose weight if you are obese. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My  15 month old daughter has had a cold since thursday. today she has come out in a rash on her legs and arms, and blister like areas on the soles of her feet.  The rash has spread - dot like with some larger raised areas. She is afebrile at present? ### REPLY: Hello, Welcome to . The possibilities of blisters and rash in your daughter include hand - foot and mouth disease, chicken pox and viral exanthem like measles / rubella. All these are self limiting viral rashes which will settle down in 1-2 weeks. However, please consult a dermatologist/ GP for confirmation. The other possibility is a . You could apply a calamine based lotion for the rash twice a day for 5-10 days. Hope this helps 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: before 3 months i had sgot 80 sgpt120 , now i have stopped choletorol medicine and reduced drink from 3 peg per wk to 1 peg per wk..now my sgot is 36 sgpt is 63 .. what should i do .. further .. i also had marginal fatty liver .....age 47 height 177cm wt.75 kg ### REPLY: Hi thanks for contacting .... Let me know you previously your elevated Sept and got is because of fatty liver. That is indirectly caused by high cholesterol level.... Now with decrease cholesterol your enzyme level improving.... Just now maintain your BMI with taking low fat diet.... Regular one hour exercise done... Use very much less oil in diet. Sunflower like good oil taken... Best is avoided alcohol. Safe limit for . Refined food avoided. Avoid non veg, cheese, butter etc. like trans fat diet.... With proper lifestyle measures your elevated liver enzymes and fatty liver will resolve in few months. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor, my enquiry is regarding my son, he is 31 yrs old and has had juvenile diabetes since he was 23 years old. For a year now he is moody, very short tempered to the stage yelling and screaming at friends and family.Extremely prickly if questioned and gets very angry if plans have been made and then change, even if it is the slightlist change as in street direction or maybe lets go to the eatery next door instead.  Did this come from his relationship break up or is his diabetes developing into something else.  I feel he is depressed and hope it is not bipolar. He is very slim, and exercises a lot, probably not wholly following a good insulin plan.  After being very angry with me he will phone and ask he we want to go out for coffee or lunch the following day,  I see signs of the son I used to have.    Am I overreacting?  My plan if I can get him on the good day is to take him to a Diabetes specialist for a start and maybe some antidepressants for a kick start in the mornings, what do you think? Jacky ### REPLY: ! Jacky I really appreciate your efforts for the treatment for your son, and you are not overreacting at all. From what you have said in question I can say from my clinical experience that your son is having some autistic features (as he strictly follows the same routine and throws tantrums when routine is changed). His mood swings might be related to such events as I can guess otherwise he would talk to you normally. You have not mentioned so, but such people are also strict about their dietary habits and may go to extremes patterns to follow it. The point which is against autism is that he developed this pattern just a year back and not from childhood. Such features are also seen in a condition called OCD. You have said that he looks depressed, which can be seen in OCD (comorbid depression). You have mentioned mood fluctuations in which one side is that -- he gets angry and yells and screams, but the other side is not reflective of manic features, so, I donor think that he is bipolar. However, making a correct diagnosis the psychiatrist must interview the patient herself. One thing is definite that your son needs help and I'm sure that medicines will help him a lot, more than you may even think of. So, I would suggest that you must make a visit to a psychiatrist with him. When medicine will start showing effect his diet will also improve apart from his behavior, this will help in managing diabetes as well. You have asked if these symptoms are related to diabetes or not. Well, I have not gone across any such research work till now where diabetes itself is a cause for such symptoms in any patient. So, it looks unlikely to be so. As you have mentioned that he had a breakup, which can be taken as a stressor, I think it might be related to his current condition to some extent. Hope the reply is useful for feel free to ask more questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: After being asleep for a couple of hours, my heart started beating very fast. I could hear my heart beating in my ears. I was paralyzed. I tried to wake up my boyfriend, but couldn t move or make a sound. i managed to get movement in my fingers and tried to poke him, but to no avail (he s a very heavy sleeper). I finally got my eyes opened, and I lay awake for a little while and fell back asleep when i started to feel better. This is the second time that it s happened in a couple of months. what s wrong with me? ### REPLY: Hello, Symptoms seem to be related to a sleep disorder, possible sleep paralysis or a nightmare. For this reason, I would recommend consulting with a neurologist and performing a polysomnogram.  Other tests to consider would be thyroid hormone levels for thyroid gland dysfunction, cardiac ultrasound and an ambulatory 24-48 hours ECG monitoring for cardiac arrhythmia. You should discuss with your doctor on the above tests.  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: Hello Dr. I am 60 yr/old male and have been diagnosed with fatty liver disease approximately 30 years ago. my weight fluctuates between 220 lbs and 26% body fat to 325 lbs. and 48% body fat over a repeating 3 or 4 year cycle. I am Bi-Polar; and my weight fluctuates depending on what medications I am able to take and the amount of sleep I am receiving, due to severe sleep apnea ( I have a Bi- Pap unit but only within the past 9 months (new model) in the past 10 years have I been able to use it due to nasal and palate restriction in my airways complicated with central sleep apnea. I do not have any history of even moderate alcohol use and I have never done drugs. Should I be looking for a more aggressive treatment for protecting and or helping my liver to regain any potentially lost function. When I take Liv 52 4 caps per day my liver functions (ALT AST) come back normal; when I don t they are elevated. my weight is currently on the losing curve and I am down to 269 lbs and 36% body fat. I am fairly stable with 1 amitriptyline 25mg and 1 2mg klonopin a day. Is metadoxine a possibility. Thank You ### REPLY: HelloWelcome to  Dear patient, since you have never consumed much alcohol, so your fatty liver is least likely to be related to alcohol consumption, however it may be related to your weight as your body fat ranges from 35% to 48% and more over you are having OSA for which you are using BiPAP, which is again related to your obesity. So in your case metabolize which is given for fatty liver due to alcoholism will not be of much benefit, you better concentrate on losing weight by avoiding high fat and high Carrie diet, doing regular exercise especially aerobic exercises and avoiding any alcohol and smoking and hopefully when you lose weight your fatty liver as well as OSA will improve wish you good luck thanks .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an irregular heartbeat and blood pressure readings differ widely.  On some occassions when resting, I experience a thudding of my heart just below my left breast.  Most nights when I lay down I can hear my heart thudding in my ears.  I am 50 years old.  My sister who is 53 was diagnosed with angina last year and my dad with right bundle branch block last month.  My ECG showed non-specific abnormal T- Waves.  Should I be concerned given my recent family history of cardiac events? ### REPLY: Hello, The symptoms you have mentioned are suggestive of anxiety rather than heart illness. Since have family history, also age, you should get BP checked, sugars and lipid profile tested. Stress thallium or TMT test for detecting unmasked blockages.  Also, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat its of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 29 yrs old at 58 and 202 lbs. Im pretty healthy with no medical problems. My allergie is latex. Im having pain in my chest area when I swollow liquids or food. The pain is severe to the point I dont want to eat. This has been going on for two consecutive days so far. What could be wrong and is it necessary to see the doctor? ### REPLY: Thanks for your question on . I can understand your concern. You are having dysphagia (chest pain in swallowing). Common causes for dysphagia are HERD (gastroesophageal reflux disease), esophageal mass, esophagitis, Andalusia cardiac etc. So better to consult gastroenterologist and get done upper GI (gastrointestinal) copy for the diagnosis of your symptoms. Better to avoid hot and spicy food. Take pantoprazole tablet on empty stomach. Further treatment will be directed on the diagnosis. So consult gastroenterologist a. D first diagnose yourself and then start appropriate treatment. 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 Doctor,My 19 yr old son has a really bad rash on his groin,he has not been sexually active in a yr and a half,it may be a heat rash but red spots dont look like a heat rash.It is only around the groin area,can you suggest some type of cream to use?? ### REPLY: Hello and welcome to  I would like to keep a possibility of fungal infection/Tina courts. In order to confirm my diagnosis, I would suggest a KOH scraping test. In case it is found out to be fungal in origin, I would have advised a topical antifungal cream e.g. clotrimazole or fluconazole cream twice daily to be applied locally. An OTC antihistamine e.g. cetirizine 10 mg once daily would help him symptomatically with the itch. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, last night when I was gettin ready for bed I laid down on my back, all of a sudden my chest tighten up, started to have shortness of breath and my upper stomache started giving me pain. So I decided to lay on my left to see the difference but it made it worst for me to breath. I laid my back again and I started to have lower back pain... Whats wrong with my body? ### REPLY: Thanks for your question on . I can understand your concern. Sudden onset chest tightness, shortness of breath at night while lying down (orthopnea) is commonly seen with heart diseases. So better to consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). You may need antihypertensive and other cardiac supportive .  Avoid stress and tension, be relaxed and calm. 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, my name is meghana,. iam 33yrs old. my problem is that i got my last lmp on 10th may 2010. but till now i did not get my periods. i am in doubt of pregnant. i have already undergone two abortions previously. one is in the second month and the other one in the 5th week of pregnancy. if i will be a pregnent then i dont want to continue it. is there any oral pill which can abort one month pregnancy. and i am using dernis 250 pills as contraceptive pills. please suggest me some pills so that i can be aborted ### REPLY: Hallow Dear, Tab. Mifepristone followed by Tab. Bisoprolol is the medicines which can terminate the pregnancy successfully up to 9 weeks of gestation. However, these medicines should be taken only with Obstetricians advice and under supervision to avoid the complications. These medicines are known to cause developmental abnormalities in the baby and hence if they fail, the pregnancy should not be continued and termination should be competed by surgical evacuation of the uterus. I would advise you to practice a reliable method of contraception instead of going for termination of pregnancy so repeatedly. Condom, oral birth control pills and intrauterine devices are very good, reliable and safe methods of birth control. I hope you got the information and the message also.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 experiencing lower back pain, right above my buttocks on both sides, left is worse. Blood work just came back normal kidney function etc. I do have cervical, thoracic and lumbmar disc herniations but this has been killing me for the past few days. ### REPLY: Hi, I am .  I have read your question and understand your concerns. Let me try to help you Question : What causes back pain in a person with disc herniation? Answer : The Herniated discs impinge on the nerve roots and this causes pain Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im a 29 year old male and I have some kinda white and red small hard bumps on my scrotum.Some of them are soft and some are hard some you can pop like a zit and white / yellow stuff comes out. I have had them for years and Im not sure what they are or what I can try to get rid of them. Any help??? ### REPLY: HelloThanks for query, Based on the facts that you have posted I would state that you have multiple Sebaceous cysts over scrotal sac, The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). Maintaining a proper personal hygiene by washing the entire genitals and private parts twice daily with soap water will prevent recurrence of these cysts. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 submitted a request to another dr on this site -but concerned about answer-I am a 55 year old male who has had constant abdominal spasm for 30 years with little relief but moreso worse or less worse-this initiall occurred when I used some cannabis when younger and I experienced tunnel vision serious diarrhea, stomach spasms rapid heartbeat- teh spasms have continued and I think I may have just adapted to other symptoms-had all types of testing-MRI of brain etc-MRI of lumbar and thoracisc back-shows degenerative process in back etc-I swim daily despite the spasms increasing-also am obese after the event and battle this -have hypertensin managed by meds--had my gall bladder removed- questionable--In past dx with GERD IBS but meds did not help-Whenever I take new meds it gets worse stress does to -HELP!!!!!! ### REPLY: Hi. Thanks for your query and an elucidated history. 30 years is a long time to suffer from intestinal spasm. This has to be IBS as all your tests are normal, and you have a problem with the stress as you have mentioned. I would suggest you the following:If a road to the destination has a problem, change the roué. The meaning here is just change the daily situations you are in. Go for a long vacation and change the life-style, in fact change everything which you must have noticed that gives you stress, and probably you will be alright for lifetime. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hai doctor i had unprotected sex on my last day of period but he pulled out before coming in me, and my period lasted for six days and dat to i had a very nominal bleeding in the evening once, on last day of my period. i am really really woried what are the chances of me getting pregnant, i took unwanted 72 immediately after 56 hours of intercourse. i have bad taste in ma mouth, and cramping, kindly suggest my chances of being pragnant. i don know my cycle days. how early shall i go for pragnancy test in lab and at home. also i don know the my exact period cycle. but i just dont wanna get pregnent at all. i dont know my fertility days also. and also i am also thinking too much on it pls tell me can i be pregnent and how do i avoid it, cant even visit a doctor. what are the chances of getting pregnent on last period without pre ejucalation and having unwanted 72 after 56 hours. ### REPLY: Hi, Your chances of getting pregnant in the current scenario are almost nil. Firstly, you had intercourse at the end of a period which is a relatively safe period even with irregular cycles. Secondly, you took the emergency pill which offers additional protection. Your next period may get delayed, and you may see some with .  Please see a specialist for help if you do not see a period even after three weeks after the intercourse. 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: I have a protruding abdomen which has been getting bigger with the passing years. I am a 63 year old female and moderately active, I dont drink but I do look like I am 9 months pregnant. My weight has not increased but the size of my abdomen has. I have had several abdominal surgeries and have had a mesh inserted under my navel. I would really like to know what is causing this. There is a history of colon cancer in my family. Would this cause this increase in size? ### REPLY: HI, Thank for choosing ChatDoctorFor sure this not a colon cancer even if you have colon cancer family history, the protuberance of belly is kind of obesity and this is due to genetic defect (Mutation of specific gene), only thing you can do right now just to control it, reduce the high calorie diet do regular exercise under guidance of physiotherapist or instructor, this may help you a little, Have 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: hello.. i realized the past few days that i got 3 little lumps on the back of my neck behind my right ear and 2 at the base of my neck on the left... im 15 and im afraid it could be cancer.. is it just because im undergoing puberty changes or its serious.. by the way.. i recently had 3 teeth taken out ### REPLY: Welcome to  .1. The way you have described, it seems like lymph nodal enlargement.2. In a case like you, I would ask for an ultrasound neck to find out where the lumps are arising from and what they contain.3. Lymph nodal enlargement generally seen after any infection / inflammation and any underlying systemic causes.4. So if you are suffering from anything get treated.5.Don't be scared, i don't think its cancer. First get the needful things. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. 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 have a skin tag on the corner of my upper lip. Ive had it for years but just recently close friends and family have noticed it. It seems to be getting buyer and occasionally hurts. Is this something I should be concerned about? Are there any home remedies I can use to remove it on my own safely? ### REPLY: Welcome, There r multiple varieties of skin tags.it should be better if u have told about time of your first notice. Whether painless or painful??whether static or increasing?whether bleeds or not? Anyway most of the time it's just a simple scaly growth, but in rare cases it may be a serious one. U can have it to be surgically removed, but do not try your self, it may cause bleeding. Better to consult your the nearest 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: Hello Doctor,This morning, when I got up and I did a little bit morning exercise, then I have practice meditation for 45 after 1h I went to market by foot then suddenly I felt my whole body was aching I could stand and now after 2h I feel the same and  feel chilly along my spinal. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of body ache and chills which seems to be viral fever or flu. It occurs due to poor and compromised immunity of body and increased susceptibility of getting infected. Need not worry. I would suggest you to do warm saline gargles.  .  Your symptoms will resolve in 3-4 days. Take analgesic such as Flexion and take light diet. You should take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache. If symptoms keeps on persisting visit general physician once and get it examined and start treatment after proper examination and prescription. Go for blood tests such as W.B.C count as well as increased count will indicate infection in body. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 47 year old heterosexual white male in fourth stage kidney failure due to IGA Nephropathy. For around 3 weeks now, I have had an irritation in my butt crack from my anus upward. It has begun to bleed just a little bit and I was wondering what I can do to alleviate this problem. ### REPLY: HIT hank for asking to ChatDoctorI appreciate your concern the problem that you have could be edematous lesion and nothing to take anything with your kidney failure, in my opinion it would be good to see the dermatologist for the conformation of diagnosis, as such you have renal problem suggesting any medicine without clinical examination is not advisable, hope this information helps you, have a 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 am always horny. I masturbate almost every day, sometimes more than once. Can this have a detrimental effect on my mental, physical, and sexual health? I normally feel fatigued and have trouble concentrating but I think that is due to the fact that I have not been working out like I normally am due to some injuries. Some studies online said that chronic masturbation can lead to chemical changed in the brain and physical effects such as the ones that I described above, but I don t know the validity of those studies. Enlighten me docs! ### REPLY: HelloThanks for query. You had been indulged in masturbation since many years and now facing problems related to general health.First there is myth in a mind of common man that excessive masturbation is the reason of all problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed as Bipolar type 1, and GAD , ADD/ADHD(since childhood on the ADD). I have been off my abilify and buspar and ritalin for up to three months now. I feel better and more stable WITHOUT the drugs, the only issue I seem to be having is some anxiety . ON the meds I was moody and occasionally unemotional, cutting and suicidal. My question is, is it possible to learn simple (or complex for that matter) coping skills that could help me IF I ever do have another episode? I have minor bouts of depression , but nothing I can t cope with now. I have more self control off the medication seems like I don t WANT to hurt myself anymore. What do I need to do? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. It would not be wise to wait for problems to occur. Long-standing depression can damage the brain as well. Medicines are protective in this context. Ones you are diagnosed bipolar mood disorder and still have persistent depression then you certainly should take medicine. You can always try cognitive behavioral therapy along with the meds. These are weekly session focussing on the thought process. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link: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: Hello Doctor, My grand daughter is four and half year old.  She is very hyperactive.  She hits the children in her school.  We keep getting lot of complains from the school.  Other children do not want to play with her as she get angry very quickly.  I would like to know if I give her home made ghee from butter, will this help her to calm down? ### REPLY: Hello, Your granddaughter needs behavioral change. She needs psychotherapy so that she can learn to control her anger and behave appropriately in social situations. Do not encourage this kind of behavior. Is she prone to temper tantrums also? Talk to her in a gentle but firm manner when she is angry, disruptive or abusive. Do not pamper her or give in to her demands. Make sure the home environment is peaceful. Is there anyone in your family who is aggressive or controlling by nature? Child .  The entire family must try to discipline her. It will be better if you consult a psychotherapist who will guide you how to deal with difficult child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 get lightheaded when i drink water and it doesn t happen with any other drink. It is only momentary while I m drinking/ swallowing and not breathing . As soon as I take a breath it goes away. I m just curious because I can drink any other liquid the same way and it doesn t have this effect. It s always happened to me. ### REPLY: Thanks for your query, Lightheadedness usually is not a cause for concern unless it is severe, does not go away, or occurs with other symptoms such as an irregular heartbeat or fainting. Lightheadedness can lead to falls and other injuries. Protect yourself from injury if you feel lightheaded: Lie down for a minute or two. This will allow more blood to flow to your brain. After lying down, sit up slowly and remain sitting for 1 to 2 minutes before slowly standing up. Rest. It is not unusual to develop lightheadedness during some viral illnesses, such as a cold or the flu. Resting will help prevent attacks of lightheadedness. Do not . Do not use substances that can affect your circulation, including caffeine, tobacco, alcohol, and illegal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been on mycrogynan 30 for a year and a half. I usually take my pill around 5-6pm every evening but on thursday I didnt take it until 2am friday morning so I was 8hours late, I forgot to take my pill on friday but took it at 1pm on saturday which means it was 11hours late since my last pill. am I still protected? ### REPLY: Hi, Thanks for posting your question here, I will try to answer it to the best of my abilities. When you miss a pill, you have to take 2 pills in order to cover up for the one you've missed. If you have intercourse before taking two pills, yes you can get pregnant. Contraceptives are an easy form of protection, but they only work if you take them regularly. As such I would say it is better to avoid intercourse until you're taking the pill regularly again, for at least two days in a row. I hope this answered your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have no foreskin but keep getting under the base of the head like little cuts and splitting. It is red and sore. I have been to docs and he gave me canastan hc cream. We both have taken oral thrush tablets and still I have the problem. What else can it be I. I am 40, male ### REPLY: Helots could be related to . In my opinion you should wash it with antiseptic solution or soap and keep it clean and moist You can apply antibacterial ointment like mupirocin or tobramycin. If it doesn't improve in a week than you must visit doctor for physical examination and a series of investigations to establish a diagnosis. Hope this answers your questionPlease feel free to ask for follow-up questions I will gladly answer you wishing you good health and speedy recoveryREGARDS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...I am abt 3 mths pregnant since LMP. I did a urine tests which shows albumin +, occult blood trace, 3-4 RBCs, 20-25 pus cells, 1-2 epithelial cells and bacteia + which point to a urine infection. Also it hos albumin  +. Is this a kidney problem too ### REPLY: HelloThanks for query. Based on the urine report that you have posted showing 20-25 pus cells, bacteria and 3-4 RB strongly suggest that you have acute UTI. The presence of one + albumin has no significance and does not suggest kidney problem. One + albumin is common to occur in UTI .your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Cefuroxime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to . To keep your urine dilute This will help to control dysuria. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an inflamed vein in my glande,on the base of it,the size of an orange seed,what can this be? it looks like a strangled vein,round shape,like a grain,dark blue...i is painless,but looks very bad...i have already attended physicians,they agree that it is not a venereal disease...what can this be?...i have no circuncision. ### REPLY: Hi, your question does NT clarity the location of the lump. But by the story it appears that You have some obsession and fear-of the inflamed vein at the base of the penile-shaft mostly due to the suspected general infection. In my view a physical examination by the surgeon would resolve your issue. But by the details of the query, in my opinion-it is engorged penile vein- and not an inflamed lump-as it is painless, which clarifies that it is not inflamed lump. Still you get checked by the local surgeon. Hope You are satisfied with the advice given. Wellcome again if any query to the . Thks for the query to the  forum. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 nose was cultured recently and it came back positive with heavy pseudomonas putida.  Months before, my face was tested positive for staff a and mild psedomonas.  On clindomyicin and have tried leviquin, doxyclince, etc.  Also, have reoccuring (highly suspcious impentigo).  I am a healthy 35 yr old female who works quite a bit in hospitals and believe I picked this up in a neonatal ward.  I do have an infectious disease doc appt this week and have seen him once.  Other than "rare in adults, atypical, interesting, uncommon" comments by my GP, allergistm, and infection disease doc-it is very puzzling.  What perspective can you offer? ### REPLY: Thanks for posting your query to . As I understand you had repeated infection on face. Staphylococcus and Pseudocodes both are common organism found in hospital environment, so may be possible to get t infection from there. As your nose shows Staphylococcus indicate that you are a carrier of this organism .but it doesn't indicate infection by this organism.second thing the effective . So you can use this to get rid of carrier state . For pseudomonas, you need to investigated culture and sensitivity and on the basis of that take treatment under guidance of surgeon. One more important thing to investigate your blood sugar level to rule out Diabetes as it is favorable for such kind infection.thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I m Michael, my question is I work at a powder coating plant, here in the past few weeks I have broken out really bad all over my face and body.and with that I also swell on my face, arms and legs.and my throat. And itch really bad all over what can this be. ### REPLY: Hi sir/madam, Thanks for your question on . Home Remedies for Rashes:-1. Apple Cider Vinegar:-Raw and organic apple cider vinegar is another excellent home remedy to treat skin rashes and calm the itching. Moreover, its acetic acid content helps fight skin infections that could be causing or aggravating the problem. Dip a cotton ball in apple cider vinegar and place it on the affected area. Leave it on for a few minutes, and then remove the cotton ball. Do this several times a day for a few days or until your rash clears. Note: If apple cider vinegar causes irritation, try diluting it with water before applying it. If the irritation persists, then try another remedy.2.  Cold Compress:-A cold compress can be beneficial in reducing rashes, especially those caused by heat, insect bites, poison ivy and shingles. It helps ease itching, swelling and inflammation, and can be particularly useful if a rash begins to develop into blisters. Put ice cubes in a sealed plastic bag and place it on the affected area for a few minutes. Repeat a few times daily for a few days. Alternatively, you can simply soak a clean washcloth in ice-cold water and place it on the rash for about 10 minutes.(Do not put ice cubes directly on the skin)3. Aloe Vera:-Due to its anti-inflammatory, emollient, antibacterial and antifungal properties, aloe vera is excellent for treating a number of skin ailments including rashes. Apart from healing, it also soothes the skin, relieves itching and reduces redness. Extract fresh aloe vera gel from an aloe leaf. Apply it on the affected area. Leave it on for at least 20 minutes, and then rinse it off. Do this at least three times a day until the rash clears.4.  Oatmeal:-Oatmeal is great for alleviating skin irritation and inflammation due to its soothing and anti-inflammatory properties. It is excellent for rashes caused by poison ivy, eczema, sunburn, chicken pox and allergies. Grind oatmeal in a blender, food processor or coffee grinder. Mix one cup of finely ground oatmeal in warm bath water. Soak in it for at least 15 or 20 minutes. Do this daily until the rash is gone. Alternatively, combine one-half cup of oatmeal, one-quarter cup of milk powder and two teaspoons of honey. Put this mixture in a muslin cloth, tie it strongly with a string, ribbon or rubber band, and place it in a bath tub filled with warm water. Soak in the milky bath water for at least 15 minutes. Finally, pat .  Repeat daily for a few days. For rashes on your face, apply a thick paste of equal amounts of oatmeal and plain yogurt mixed with a little honey. Leave it on for about half an hour before washing it off. Do this daily until you see improvement.5.  Baking Soda:-Baking soda helps  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is a patient of Chronic Lymphocytic lukemia.After her 5th cycle of Chemotherapy which is Bendamustine & Retuximab regimn she is suffering from fever & lungs infection.As the oral antibiotics were not working doctor advised her to get admitted in hospital.As the WBC & RBC were low,she was given 20 colstim injection & 2 packed cells.Now she is still in the hospital & she is suffering from night swelling.Can u please tell me the reason of this?? ### REPLY: Bendamustine is notorious in causing bone marrow suppression and low counts. Low counts in turn make her prone to infections. Her present state is due to infectious complications. Since bendamustine and rituximab is now an approved therapy for CLL, patients are given this treatment and risk of infection is always present when the counts .  Treatment for this present condition is with appropriate antibiotics and other supportive medication. Colitis helps in hastening blood counts by one or two days but understand that colitis doesn't do miracles. Counts need to improve on their own. Her condition would be reverted to normal only after improvement in blood counts. She needs to be supported with antibiotics till then ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Two weeks ago I was unwell breathless & dizzy I had had a gastroscapy two days earlier & so medical staff where I was on a day out called an ambulance. At the hospital they said I had an infection bloods showed white cells were raised, they treated me with strong antibiotics. They also did chest & stomach X-rays & abdominal scan, & ECG all were normal. When I came home three days later I was still feeling very unwell mainly due to weird episodes my GP said could be post infection/viral anxiety attacks. I have had another ECG & the t trace was showed abnormalities which they said could be due to thyroid. I had blood test for that but it was negative. At the moment my main symptom is irregular heart beat it doesnt appear to be over 100 beats per min but is defiantly not right. It is like that most if not all the time but I notice it more when trying to sleep. If the t trace on ECG showed this abnormality & its not thyroid what else could it be?? ### REPLY: Hi, I do care for your concern. The changes in the T waves in ECG are produced by altered levels of potassium in the serum in most of the time but not always. Hence I would recommend checking your potassium level in blood. Consult with your physician and get treated if there is alteration in potassium level. Doing an echocardiogram will also help to diagnosis. If everything normal, then need not worry a lot as this may be the cause for your concern. Hope I have answered your question. If you have any further questions I will be happy to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 amber I m 23 yeas old,the past yr I have been experiencing bad mod swings they happen like clock work almost like I m able to predict what s about to happen. I m afraid to get the help I need actually more afraid of treatment, I get worried because it seems like I got few loved ones who judge me for being treated if it came to it. I was curious to know of other options I can have to take care of my swings,they sometimes tend to get out of hand and my partner can t calm me down. Please let me know your suggestions, thank you ### REPLY: HI, There is a say- If you are comfortable with your self, you will be comfortable with others. Your problem is basically this satisfaction/ frustration/lac of confidence.  Though psychoanalysis & psychotherapy are best resorts to solve your problem (today psychological problems are common/varied. & need not be termed as insanity. So there is no need to be scared of treatment/hide the thing)Still, if you insist on avoiding professional help you need to- - self asses your mind/try to find what is pinching & try to overcome it by- - self-control/concentration exercises like meditation to raise level of mind control/positive attitude/self-control.  - be frank with your partner & take her help.  Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have pain in my lower right abdoman. When i sit and stand it is worse and hurts when i walk afterwards. Age 34 weights 80kg and i have had a recent infection in my body which i was put on a drip of antibotics at the hospital and given two weeks of antibiotics to take. ### REPLY: Welcome to  .1. Similar symptoms are seen in the renal stones / gallbladder stones / gall bladder infections / appendicitis (you are not giving many symptoms toward it).2. If you are my patient I would have examined first and then ask for an ultrasound abdomen pelvis which will rule out many causes.3. So if the pain is less than 5 on the scale of 10. Then get an appointment and let the doctor do examine and ask for needful investigations if needed.4. It can be the infection again, but you are not having any other symptoms to suggest it's an infection.5. Hope it helps you. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a high gt gammer levels it was 138 its now 70 i am taking xzenacal, since2010, autostatin 40 mg daily since 2007, tramadol 4 times a day for spinal pain 4 times a day since early 2010, i very rarely drink. are these drugs accountable for my liver emzymes being high, i recently had my gall bladder removed but the tail was left in resulting in me still getting gall stone problems ### REPLY: Hello Stephen;welcome to  The main medication which may be responsible for the high liver enzymes will be Autostatin-40. Commonly it is found that the statins which are medicines to reduce the blood cholesterol disturb the liver function and so the liver enzymes are high in some people who are taking such medicines. Consult your doctor with your report and even control your dose of medicines if he advises. 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: Why do I feel tired, over heated, light headed with a headache? It s been at least 3 weeks now that I have felt this way. NSAIDS are not helping my headache and sleep doesn t relieve my fatigue. I get sweaty and clammy in temperatures over 78 degrees. I have had some actual dizziness but mainly lightheaded. I don t have a cold. I am in my mid 30 s, female and not pregnant. My thyroid test came back normal last year. Plus I have some anxiety but I don t know if that is a symptom or a result. Oh, and I am having trouble with one of my ears, it is actually wet inside my ear canal, which I thought might be causing the dizziness.. ### REPLY: Hello ! I understand your concern. I think that it may be related to your inner ear. Furthermore, I would like to know more about your ear. Have you noticed noise in your ear, or loss of hearing into the sear? Have you measured your temperature lately ? I would recommend you go to the doctor and have to examine your ear and have a routine blood test. Dizziness, fatigue, headache and fever can be caused by an infection to your ear. It may be just stress, but I recommend you to rule out ear problems first. Hope to have been helpful! Thank you for using ! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 2-year old son has loose discharge,and it is often diarrhea-like. Today, for instance, it was soupy loose and orange. He has not eaten foods that typically result in this color. His doctor believes he is allergic to milk, so we have avoided all milk products. The poor little guy tries to go to the bathroom on the toilet, but has released his load before getting there! Any ideas? ### REPLY: Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better.  Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry.  There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pain down my left shoulder blade and on the left side of my chest. Also constant pain under my lower ribs on the right side. I have had heart conditions ruled out, x ray showed my lungs clear and hyda scan showed by gall bladder working fine. I am frustrated and hate to continue to return to the doc for the same issues. ### REPLY: Hi, thank you for providing the brief history of you. As you have Shoulder blade pain it could be related to cervical spine issue or inflammation of the trapezius muscle.Also, for thoracic pain and below the ribs pain I feel this could be related to the muscle weakness and can be corrected as well. For both of your issues I will advise you to undergo Physical therapy as it will help you to reduce the pain and get optimum strength in the muscles.in my clinical practice most cases recover well to physical therapy and get the best outcome score. I wish the same from you. For any in particular understanding about the exercises I can surely help you. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is already 2 and  8 months old. while the dog was eating my child went through the dog and she was bitten. but she has only scratches no bites or marks of the tooth.while my child was saying she was bitten by the dog..so i decided to have  injection. and she was given 2 shots of injection,,,How many times she will take a shot for anti rabbies..can she take the shots at her young age ### REPLY: Thanks for asking I have gone through your question, and understand your concern You said that she has been received 2 shots, (mean She received shot on day of bite and other on three day after bit) . The third shot to be given 7 day after bite.  Then you check the health of dog on 10th day of bite.  If dog shown symptoms of rabid /or died then two more shot 14 day and 28 day after bite is to be given.  If dog is healthy on 10th day bite.  You have two options. First you can safely stop the injections.  Second option (more advised) is that you take one more shot on 30 day of bite. The advantage of this extra shot that if she is bitten next time she will require only to shot of vaccine and not require immunoglobulin (which is give in deep wound) As there is no available treatment for rabies and rabies is 100 % fatal disease. Rabies vaccine is to be given in all age group. .  Hope I answer your question ### END