Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 there a problem if me and my partern have the same bloog group? We are trying to conceive and has not yet happened, this it the thrid month. I am 30 and my husband 32, not history of medical problems. I have previously used the injection contraception, the last one was in June 10. ### REPLY: Hello, The same blood group has no effect on conception. Don't worry regarding the same blood group.  Check your both thalassemia status before conception. Try to do intercourse from 12 to 18 days of menstrual cycle as during this period ovulation occurs, so conception chance is high. (LH kit can be used for presuming ovulation.) If after 1 year you can't conceive then detailed evaluation is needed with serum progesterone, estrogen, FSH, LH estimation, SG, serum TSH, free T4 estimation, husband semen analysis, etc., like investigations. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been recently diagnosed  (ultra sonogram)to have a mild enlargement of Prostate. I am 56 years old. I do not need to get up at night for frequent urination. However, I am slightly uncomfortable in my right testicles. Could you please describe a medicine ### REPLY: Hello, You are having a condition called BPH(benign prostatic hyperplasia). It is a disease of old age men and more than half of men above the age of fifty will suffer from this disease. You can take .  In severe cases which fails to respond with medical management, surgical removal of the prostate may be needed. Consult a urologist and he will direct you accordingly. 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, I just finished my period on Sunday- 2 days ago I had copper coil fitted  today and bleeding started again as if its my second day of period , I also feel  sick  i have cramps and have bedn taking paracetamol  i also feel as if something is moving inside my uterus. Is this all normal? Ps I had 2 pregnancies and 1 baby - he is now 7 months old- this was a forcep delivery. Please help, I look forward to your reply ### REPLY: Hi. Thanks for asking in . Copper T is generally inserted during on soon after menstruation. Spotting and increase in flow is common and experienced by 2 to 10% of women after insertion of copper T. It is felt as a foreign body by the uterus, and it increases the uterine contraction and that is the reason for your pain and bleeding. The acceptance rate of copper T in women varies and so do not worry.  Feel for the thread to be sure that it is in place. Paracetamol may help but if pain is very severe and unbearable and if bleeding is heavy, or if the thread is not in place, then you should consult your gynecologist. X-Ray or ultrasound will help to rule out complications like perforation or expulsion. I hope this is useful to 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 chronic allergy issues, I have been to serveral specialists who are unable to help me. I use nasal sprays regularly... but when I go to certain places it just sets me off - specifically my sinus. After about three days (and continual use of nasal sprays) I lose my voice. Any ideas as to what I can do to prevent this? ### REPLY: Nowadays chronic allergy is common to issue many people suffer from it. And the problem is manageable with certain precaution. Keep track on your activity and identify this culprit(you can also go for allergen test to identify allergen) which create problem then avoid that activity or particular thing which is responsible for allergy. This will help you a lot. Other thing that you should do is yoga(like anulombvilom and kapalbhati) which help to improve body immunity and hence will benefit you. There are certain regimes which block the allergen by using specific antibody and are very effective. You said that you use regular nasal spray but forgot to specify type of nasal spray but I would suggest not to use it on daily basis cause there are many side effects like rhinitis medicament, and it also worsens the condition once you discontinue the spray which again leads you use it again (cycling process). So avoid array as much as possible. Your history also suggest that you might suffer .  For that you should go for x-ray, ct scan or MRI head to confirm it. If it is chronic sinusitis then it can be treated by medication like antibiotics, anti histrionics and NSAIDs if it AO sever that it does not respond to above treatment then surgery can be done successfully.I hope this information will help to proper treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor,am 25 yrs old women married 1 year ago.i got more fat and irregular of mensuration also.Dr.padma ravi from hyderabad did the scan and she said that more follicles are formed to me..for that she suggested to use TARANA.by using this tablets i will get pregnant or not?..am in lots of confusion.. ### REPLY: Hello dairy understand containTarana is combined birth control pill. It will help to regularize period by correcting hormonal imbalance when you are on Tarawa, pregnancy is not possible. Once your period will become regular, you have to stop to take it to become pregnant. I would also suggest undergoing reproductive hormone analysis, USG scan and ovarian follicle study regularly for better management. . Avoid stress, take healthy diet with lots of fresh fruits and green leafy vegetables. Do regular exercise for 45-60 minutes in morning and reduce 10-12% body weight, avoid excessive sweet in diet, take small frequent meal rather than large meal Hope this may help noncontact further if follow up needed Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m 32 years old man i had a 2 year old son he came directly after my marriage then we are trying to conceive another one for a year now but nothing happens me and my wife are testing now my semen analysis is 43 milllion count abnormals are 20 % , motility of rapid progressive are 25% sluggish are 25 % if i have a problem what s the treatment to my case? and is there any hope esepicially that w have a baby on our own ### REPLY: Hai, your semen analysis is total sperm is normal (as per your quote).  Your motile forward progressive (Grade a and grade b)sperms should be more than 50 to 60 %.other parameter like fructose level, ph, wbc count, also to considered. As you already got a kid.no need to worry. I don't suggest any treatment at this moment. Take healthy and nutrient nourished food like dates, jaggery, pomogranate, black gram, diary products, fig etc. Try it for 6 months and still if are not able to make out kindly visit an infertility specialist for further advise. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im abit confused because im suppose to be 15 weeks pregnant today but when i went scan last week my sac was empty and only measured 28.7mm just wanted to know how many weeks should you be for that measurement... i have been given no information but have looked up what could be wrong... ### REPLY: Hi, If at more than 20 mm, the gestational sac is empty then you have a missed abortion, especially since It's also quite a while since your last period. Please get a repeat scan done and if the findings are same and no fetal pole is seen, then it is best that you go for a medical miscarriage under the guidance of gynecologist. You will also need to do a little blood test before taking the medication for miscarriage. Sorry about the bad news. 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, I have a spot like lump on the back of my head that appears to be infected. I also just found a lump on my neck at the base Of my hairline and there is considerable pain between these two points on the back left hand side of my head. I am 20 years old and an otherwise healthy, apart from being a bit more tired than usual lately. ### REPLY: Hi.based from your description, it could be a sebaceous or gelatinous cyst formation. If it is increasing in size, associated with pain and is bothering you, it is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. Other lesions must also be ruled-out. Diagnostics and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor my sis is 24 old and she is having habit of wasting much water like if anything to give for wash she use plenty of water so her hands become rough.we are taken her to sycologist he advice her that her mind set is like that so admit her in hospital for 5 days or 1 month and she is becoming very thin please advice what i have to do.i am not have intrest to admit her b coz in that hospital many different people i found and i feel that may be my sister will fee lthat we r admiting her in pagal hospital. ### REPLY: Thanks for choosing health care magic. She is in need of psychiatrist help. I can understand your concerns for admitting her in mental hospital. But speak to your doctor and ask him if you can try something initially at home.sometimes a trial can be taken. In mean time explain to her that this is not normal and why all of you are not doing this ? So this is not acceptable. Repeated counseling by counselor and relative support will really 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, a hard lump about the size of a broad bean suddenly appeared seemingly overnight on my forehead. It is just above my right eye. It is hard to touch and not particularly painful when touched but I feel a little bit of discomfort generally in the area. I am worried about its sudden appearance. It is not in the skin but underneath. What could this be? Thank you. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some cyst, soft tissue tumor or skin adnexal tumor. You should go for fine needle aspiration cytology or biopsy. It will give you exact idea. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have blackish raise veins under my tongue and to yhe side (but under). Is this normal?ive been rather anxious of late with stress and have had some abdominal discomfort (not much) whicChatDoctores and goes and more around. I saw a Chinese doc today and she said its gas moving around. She saw my tongue and said Im extremely stressed ### REPLY: Hi, Thanks for asking the query, The veins which you saw are normally present but become more visible when inflamed or congested nothing is abnormal or worrisome. Most of the time the infection should decrease symptomatically and resolve in ten days. If it persists beyond that or if there is worsening of the symptoms consult your Doctor for thorough evaluation and management.Meanwhile, you can go for thrice daily warm saline gargles for faster recovery. A daily B complex multivitamin supplements would be beneficial as per Doctors prescription only. Hope you find this answer as helpful. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife has lower back pain on the right side.  She says that it is a burning sensation.  It also causes her extreme pain when I gently stroke her skin.  There is no redness, swelling, or any other visible alterations.  What could it be and should she see a local doctor. (we dont have insurance) ### REPLY: Hi, welcome to our site. I am , MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query think you need to see a doctor. Backache with hyperaesthesia (increased pain on touching), means that there is some problem going on inside the back that may be affecting the nerves arising from the back. The compression of the nerves can cause severe pain, that often radiates to the lower limbs. Or may cause tingling or numbness. She may need an MRI and followed by physiotherapy hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just found out our 21mo son is missing his tailbone and the doctors here are stating that this is a quite serious issue. We have had x-rays and an ultrasound done and are now awaiting an MRI for further evaluation. We can t find any real information on this issue and can t get any legitimate answers on the subject. Help please ### REPLY: Missing or absent tail bone can be a serious issue depending on the type. Actually what happens in this is that there is developmental defect in the lower spine which is of several types like partial absence of tail bone, complete absence, absence associated with surrounding structures and bones. Symptoms can be absent in mild form to devastating in its severe form. Symptoms are like poor bowel and urinary control, incontinence and poor urinary control which can appear later than in this age group the control is not achieved. More severe symptoms are lower limbs deformities to various levels. First thing is to assess that how much structural defect is present, which can be best picked by MRI scan. Then only the prognosis will be clearly made to you. Do not lose hope first get the MRI report, there are various treatment options available for the condition physiotherapy medical and surgical. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 large painful pumps near my anus, very painful they usually last for 5 to 7 days before they open releasing a lot of puss and some blood and then the pain is releived until another one starts to form in the same area but not the exact place. what is this and how to prevent them ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some hemorrhoid (piles).  You should go for per rectal examination. It will give you exact diagnosis. Then you should take treatment accordingly. Take high fiber diet and .  Avoid constipation.  For pain relief local anesthetic gel like lignin can be used.  Permanent treatment is surgery.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a dark black brown spot on my face , neck and hands from last 5 to 6 yrs. i have shown my problem to my local dermatologist they said that it is a symptoms of lpp and they suggested me various types of vitamin capsules and ointments but there is no satisfactory result to me and the problem remains the same. its look very odd and shame to me to have a dark spots on the face . so pls. suggest me some advice about the disease ### REPLY: Hi, I can understand your concern. Lichen plans pigments is characterized by dark brown to slate gray pigmented skin lesions and unfortunately these do not resolve completely as pigmentation is deep. The treatment modalities supposedly giving desirable results abuse of sunscreen with SPF 50Oral vitamin C and antioxidant supplement intake dailyApplication of steroid cream or tacrolimus ointment along with HY .  Hope that helps. 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 dropped an 84 pound safe on my foot.... have been to ER, 3 X-rays determined no broken bones, just severe contusion. Today a blister has formed on top of my big toe where it bends & is very painful.... have punctured it to remove fluid.... is this normal? Just continue to remove fluid??? ### REPLY: Hello, These are blisters filled with yellow fluid or reddish when are hemorrhagic blisters. This is from big swelling and contusion of soft tissue envelope. I would suggest you to keep the leg up above the heart level and do not cover these blisters as they need to .  If the blisters show again, you can aspirate it with sterile syringe. You can take some broad spectrum antibiotics (Cephalic) to prevent any infection. I think the situation will be back to normal in 2 or 3 weeks. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 76 year old man.  I noticed that my bottom lip seemed to have a dark blue line near it outer edge.  As i looked further I noticed that my bottom gum was very dark blue/black about 1/4 inch below the bottom of my tooth.  Is this a serious situation I should be concerned about?  Thanks ### REPLY: I have gone through your query. The dark line in the gums can be a Bostonian line. It is due to the heavy metal lead. Check if any other symptoms like headache, abdominal pain and weakness are present. You did not mention your occupation if you were working with batteries, metals and paints. Check for any high lead levels in blood. It can also be dermatitis due to poor oral hygiene, old dentures and poor nutrition. 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: 10 year old twisted his ankle last night. Went to ER and doctor splinted it, gave my son crutches, told him no weight bearing, and told us to see an orthoped. She suspected an injury to growth plate but could not find any fracture on x-ray. This morning my son walked into the bathroom without his crutches, bearing weight on both legs? Could he damage his leg doing this? Might his leg be fine if we could walk on it with the split? Or is the splint really bearing the weight? ### REPLY: hi Hope this msg finds u in good health. I have gone through the complaints and understand your concern. He seems to have damaged his growth plate or a ligament around his ankle for which weight-bearing shut be avoided, or it may not heal properly and may cause problems in Hus future life. He should use crutches at any cost. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime.  Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY 20 WEEK OLD SON HAS A SMALL PUS FILLED SPOT ON HIS LEFT FOOT AND A FEW WEEKS AGO HAD ONE IN EXACTLY THE SAME PLACE ON HIS RIGHT FOOT - IT DOESNT SEEM TO CAUSE HIM ANY PAIN OR DISCOMFORT BUT I WOULD JUST LIKE TO KNOW WHAT THESE ARE AND WHAT IS CAUSING THEM. I WOULD LIKEN THEM TO A FACIAL SPOT ### REPLY: Hi, welcome to this forum. Can understand your concerns. * Pus filled spot on left foot can be most probably due to bacterial infection like pyoderma.* The child will need antibiotic like amoxyclav for the pus to settle. Local antibiotic cream containing antibiotic like mupirocin should also be applied.* An examination by doctor should be done so that we may not miss any important finding. * If there is no improvement in 24 hours, then get child examined by a doctor. I hope this will help you. Wishing your child good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend had end to end urtheral reconstructive surgery and it s been about five months and every time he ejaculates it hurt it s painful and the last time he threw up not to mention him the scrotum bruises I feel that the urthera is to tight now and he may need to repeat this procedure but using the grafting technique could I be right ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that your boyfriend who has undergone surgery of end to end anastomotic arthroplasty six months ago has painful ejaculation. This is most likely to due to recurrence of stricture urethra. Please consult qualified Urologist and retrograde Cystourthrogram done to rule out recurrence of stricture. He will be the best person to decide regarding any need for surgery like Buccal Mucosal Graft surgery. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 constantly have swollen legs i keep getting dizzy My heart flutters and i feel very fatigue all the time. I have had an EKG the doctor said i m having and extra heartbeat. I do have high blood pressure. Other symptoms are joint pain and stiffness (especially in arms) and for some reason my shoulders and top of back are burning like my skin is on fire. Can you tell me what could possibly be wrong with me? ### REPLY: Hi, 1. Irregular heartbeat are causing a poor circulation in your body. This explains why you always feel fatigue 2. Taking medicines for high blood pressure are causing swelling in your legs, especially if you are taking Amlodipine or Nifedipine. 3. Other possible causes to leg swelling could be related to your heart not pumping blood adequately, or kidney/liver issues. A good cardiac check up is recommended together with kidney/liver function test. 4. Blood electrolytes to measure to look for related deficiency together with Doppler ultrasound of the extremities to rule out problems with local blood circulation. So, discuss this with your caring doctor in order to start running the diagnostic tests as advised above. 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 m a 20-year-old female looking for some answers regarding marijuana and headaches . I ve been a casual smoker for about 5 years with very little use in the past couple of years until recently. I started smoking more regularly again because a little bit before bed helps me sleep. My doctor is aware that I smoke though I forgot to ask her about the headaches (which only started in the last couple of months) last time I saw her. It seems now that almost every time I smoke I get incredible headaches that last for hours, starting around the time my high starts to come down. I ve done everything I can to prevent them and treat them (food, lying down, fresh air, Advil/ Tylenol beforehand, lots of water, massage, reducing the amount i smoke overall as well as the amount I inhale each time) but nothing works . Do you know what could be causing the headaches and what could prevent/treat them? And yes, I m aware that quitting is the obvious answer. If that s the answer I was looking for I wouldn t be asking. Smoking really does help me sleep and calms my occasional anxiety so I m hoping I can find a way to stop the headaches without quitting. Thank you. ### REPLY: CHRONIC SMOKE IN THE NOSE AND SINUSES LEADS TO HYPERTROPHY OF MUCUS MEMBRANE OF SINUSES AND THIS LEADS TO HEADACHE AS THE REGULAR SMOKE THERE IS MORE BLOCKING OF SINUSES AND HEADACHES BETTER TO QUIT BUT THERE IS NO PERMANENT SOLUTION TO THESE WITHOUT QUITTING CAN ADD DAY NONALLERGIC IN YOUR ROUTINE AND APPLY AUREOMYCIN H OINTMENT IN NOSE BD PARACETAMOL IBUPROFEN CALCIUM VITAMIN IRON ADDICT SUPPLEMENTS INCREASES THE ALLERGIES CAN USE OTHER SALTS WITHOUT THESE FOR HEADACHES SOD AND LIQUID ANTACID TO COUNTER ACID ATTACK OF SMOKE ON STOMACH ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter has a sprained ankle (lateral) she did it 5days age. it is still quite swollen but i am concerned it is very cold to touch. We iced for 72 hours and elevation and crutches. Is the cold normal or should i get it checked by a doctor?thanks ### REPLY: Hi, If the swelling is severe and especially if the area is tender when you put pressure on it, she should be checked and take an x-ray to rule out any small fracture zone.  Also, please remember that ankle strains should be treated very good, otherwise they will recur sometimes because if we allow the strained or ruptured ligaments to be healed by themselves, they will become loose and cannot protect the ankle completely in the future.  So, I recommend that you refer to a doctor, ask for an x-ray. Also, an anti-inflammatory medication can help to reduce the swelling (such as Ibuprofen, diclofenac).  Another thing that you can do is to gently massage the ankle in warm water with a small amount of salt in it (1-2 times a day).  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 70 years old and in good health. I was diagnosed with an acute infarction left insular cortex as well as left frontal-parietal cortex (Ischemic Stroke) I was admitted to the emergency room difficulty forming a sentence.The speech corrected itself and was sent home with a aspirin.Weight, Blood Pressure, and Cholesterol are all normal Stopped smoking and exercise.I feel that I need to do more. Thank you ### REPLY: Hi rehabilitative exercises should be done.it is normal to feel angry, anxious or depressed after a stroke. Rehabilitation is about getting back to normal life and living as independent a life as possible. It involves taking an active approach to ensure that your life goes on. This can mean learning new skills or relearning old ones. It may involve adapting to new limitations and post-stroke conditions you would be on all particular medicine so I will talk about rehabilitation here-try to walk don't overexert, set small goals and try to fulfill them strict control of blood pressure less than 130/70 is the target, you are a go to a speech therapist and a physiotherapist. Keep a strict control over blood pressure diabetes, changed due to stroke takes time to recover cognitive enhancers like Gino Balboa and nootropic can be tried to 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 SIR,its my father having a liver problem saying theres a swelling in his lever causing eating lesser so getting weaker n weaker. he is almost 70 yrs old. so you are kindly requested to suggest something regarding it and it would be really nice if you suggest any doctor in varanasi. looking forward to hear you soon.thank you shiva k dubey ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  He may have liver problems.  First he needs to search the cause.  He should go for complete liver function test and ultrasound abdomen.  These will give you exact diagnosis. Then he needs to take treatment accordingly.  He should approach physician for this liver problem.  Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have severe tension so many thoughts are coming to my mind .my mind is always searching for some tensions .actually i was not like this . i dnt know what hapnd to my life after my 18 yrs old am not able to mingle with any persons .i want to mingle with everyone bt i cant what i have to do plz reply ### REPLY: Hello and welcome to . Thanks for your query. From the brief description of your symptoms, you seem to be suffering from an anxiety disorder, probably a generalized anxiety disorder. In addition, you may be having symptoms suggestive of social phobia. Since these symptoms seem to resulting in poor self-esteem and causing you significant social dysfunction, it is important that you seek professional help. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome these problems soon. So, I would advise you to consult a psychiatrist for a detailed psychological assessment and further treatment. Wish you all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,my father is 71 yrs of age,complication with uncontrollabe gm,having a mild stroke on his left side and now suspected of lung infection,he is very weak,just lying on the bed for 3 days,on drips n food administer through the nose,ct brain scan come out ok,lumbar puncture done also ok,but still very weak,lm confused ### REPLY: Hello Thank you for trusting  Dear stroke and bedridden patient more prone to develop 1.aspiration which leads to pneumonia :raise head end elevation above 30-45 degrees from ground, take chest X-ray and if signs of pneumonia treat as early as possible. 2.bed sore :change position frequently, add powder to dependent area, change water bed. 3.prone to deep vein thrombosis some time it may lead pulmonary embolism, so periodic calf compression, use low molecular weight heparin under doctor guidance. Take care good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is having joint pain. One day it is in the right shoulder. Next day it is in the left shoulder. Now it is in the right knee. The shoulder pain goes away, but the knee pain is getting worse. He also has a fever. He says nothing tastes good. In July he had a stroke which was in the very center of the brain and effected short term memory. His urine is a dark gold color. ### REPLY: Hello. I have been through your question and understand your concern. The transient intermittent joint pain can be related to stroke if he is being .  Otherwise, there is another condition called migrating arthralgias associated with some rheumatoid conditions. This is just an assumption, but it is worth having at least a blood test to evaluate the basic inflammatory proteins, like fibrinogen, RCP and either sedimentation rate. Hope this helps. Please feel free using MHC again ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having shortness of breath, chest pain, tingling in left hand and foot and very tired for a week.  I am a 46 year old female.  My blood pressure is 120-130/76 and my cholesterol is 4.2  I have had 2 EKGs, 1 xray and a blood test which all have come back negative for heart.  What else could be going on (My brother had a quad bipass when he was 46) ### REPLY: Thanks for your question on . I can understand your concern. Since your all cardiac reports are normal, we should definitely rule out lung diseases (bronchitis) for your symptoms. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. If PFT is showing obstructive defect then you will need inhaled bronchodilators (formoterol or albuterol). If PFT is normal then no need too much. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI,IM A 53 YR OLD MAN, IM experiencing erectile dysfunction problems,i tried various erection drugs, like Cialis,viagra,levitra, spedra, each were of no use,im a non smoker,light drinker,i take rosuva anti cholesterol drug plus coversyl arginine 5mg tablet-daily, I wonder can you help me solve my problem? im married 6 months and im so embarrassed with my non erections and soft erections,what is wrong? I get prostatitis maybe once yearly-is this part of my problem? or related in any way? so looking forward to some advice? my new doctor has recommended I go to a urologist very soon? yours sincerely- RAY ### REPLY: Degree understand your concerns went through your details. I, too, suggest you to consult urologist. You got married very late. That could spell out psychological erectile dysfunction. First meet a urologist and confirm there are no organic or physical causes. They could visit a psychologist for sex therapy and counseling. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi im 31, i have a constantly painful lump that has grown quickly in my left breast, brown watery discharge from the nipple when expressed, some itchiness around the lump but visibly my breast and nipple look fine. Lump was 2cm about 2months ago but now feels like a golf ball. I havent breastfed for 10months but always had problems with mastitis and blockages. ### REPLY: Welcome to  .1. The most possible cause is ductal Eurasia (blockage of the ducts). The greenish discharge is due to the bacterial infection coincide with the blockage.2. Post lactational ductal Eurasia also seen when sudden stoppage of breastfeeding.3. The above causes may cause inflammation of the breast / mastitis.4. If you are my patient, after examination sent for an ultrasound breast (to evaluate the nature of the lump, its source and extensions)5. Depending on findings' treatment may be simple antibiotic course to incision and . 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. Me and my husband is having long distance relation as we r posted in different place for job purpose nd married for 1.5 Years. We r trying for baby bt having very irregular sex life nd could manage 2-3 times hardly in a month. I m having PCOS Nd want to concieve. Please suggest what to do as m vry much anxious abt ths nd facing problems in married life. I m using metformin for last 4-5 months as per doctor. Bt nt getting pregnent. ### REPLY: Hello again. I agree with what doctor Purushottam has said. I think that we have told nearly the same. But what I do not agree with, is the fact that PCs is only a lifestyle related problem because the etiology is yet still not sure and many theories exist. But in a situation where a couple is trying for 1.5 years for a pregnancy, we are talking about infertility and I think that only lifestyle changes are not enough. I have mentioned trying to lose wight (exercise and vegetables/water included), ultrasound for the follicle growth track and intercourse around the ovulation, so we are saying the same thing. 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: Pectoral muscle ache - applied lloyds cream. creating redness which went away but ache comes back, should this treatment be continued for a couple of weeks before going to the doctor. (happened when moving furniture - got hamstring injury sorted out by the doctor but pecs ache started afterwards) ### REPLY: Hi, thank you for providing the brief history of you. As the mechanism of injury makes me understand that the muscle spasm is due to the strain applied while moving the furniture. This situation is called DOES - Delayed onset muscle soreness. Which usually takes about a week to get rid of the pain and other factors. Also, for hamstring injury, with proper rest and later stages the physical therapy training is recommended for long term muscle performance. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter says her stomach hurts and is dizzy when she stands up.  Shes fine as long as shes lying down but her tummy still hurts.  Shes only eaten only 2 pieces of dry toast, 1/2 c broth w/ crackers and water in the past 36 hours.    She threw up 36 hours ago in the middle of the night but hasnt thrown up since in the past 24 hrs.   It seems like its really her tummy that  hurts and shes sleeping more than usual. ### REPLY: Dear Sir/ Madam, Thank you for posting your query on .come advice you to consult physician as a stomach upset can resolve by 36 hours. She needs lots of fluids and oral rely .  If you are not able to consult a physician, visit the emergency room in hospital, they will be able to help you. If you need any further information, please revert to me, I will be happy to assist you. Your thank-you note is very much appreciated!!! With best wishesTehzib Sailed(PT) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter had a lesion removed from her ear and they termed it PEM or overlaps with animal type melanoma she went back in and had a wider margih removed.my question is will she need any other treatment and if so what would she need? ### REPLY: The list of treatments mentioned in various sources for Animal-type melanoma includes the following list. Always seek professional medical advice about any treatment or change in treatment plans. Surgery along with radiotherapySurgeryExcision of primary +/- regional lymph nodesExcision of metastasesChemotherapy - mainly used for metastatic diseaseBiological therapies - for metastatic diseaseRadiotherapy - may be used for treatment of symptomatic bony metastases, or cerebral metastases ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a male 43 years old, 5 6 in height and 73 kg in weight..i was suffering cough caused by phlegm in my chest for more than a week..i was taking ambroxol tablets for three days and cefalexin 500mg antobiotic for a week. But still nothing happened..please advise. ### REPLY: Thanks for your question on . In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test) Since you are taking antibiotic (3rd generation cephalosporin) and not improving even after 7 days, so we need to rule out lung infection and bronchitis. So chest x-ray is needed to rule out infection.PFT is needed to rule out bronchitis. So better to consult pulmonologist and first diagnose yourself and then start treatment accordingly. You will be alright. No need to worry much. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 19 year old Female, and Ive been having really bad pains in  abdominal area, and inside pains that switch from side to side, Ive been having sharp pains in the Vagina. And occasionally, discharging. I havent went to the doctor for it yet just wanna explore my opinions. ### REPLY: Hi. The pains which shift from side to side are usually due to irritable bowel syn .  Many girls of your age suffer from this as also the pains in the vagina and discharge. There is no specific because that can be allotted to this. A good food habit meaning avoiding all foods and beverages known to increase pains should be avoided. You may once consult the Gynecologist to rule out any other problem with vagina. Such problems are known to get solved with time. Try to have a stress-free life-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 wore a knee brace for about A day and 1/2 straight because my knee cap is killing me when I walk up and down stairs and bending motion. Now my ankle and calf are both really swollen. I took the brace off about 2 hours ago and it does not look any better. ### REPLY: Hi, I suggest you to keep your leg elevated with the help of pillow, and do minimum walking. Doing light massage from toes to knee (from distal to proximal) may help you in reducing swelling. Please check is your brace too tight. It should be snugly fitting brace instead of too tight. For meanwhile just avoid using brace for 24 hours. Hope you will find the answer useful. Let me know if I can assist you further. Harsh Sharp ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr,Self Yogi 30 years old married for 3 monthts & planing for baby but not sucessful, i got low volume of sperm ejaculation, we have daily intercource some time its very hard to sperm ejaculaction but the erection is fine. is the amount to sperm ejaculation is problem? can u sugesst any pill to improve. ### REPLY: Degree understand your concerns went through your details. Low semen volume is a relatively common issue for men of any age, although this problem does appear to become more prevalent as a man ages. Hormone problems such as low testosterone levels account for the majority of cases. Additional causes may include frequent sexual activity, nutritional deficiencies, or injury to the testicles. Tight clothing, heat, or infection may also affect the normal production of semen. Any questions or concerns about low semen volume on an individual basis should be discussed with a doctor or other medical professional. Please consult an infertility specialist face to face. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter was having back pain for a while. Now she has some nub ness in her left hand but mostly left foot. She does nos not have full range of motion in her ankle and it is hard for her to move her foot In an upward motion. She has a bad diet and does not take vitamins. Could she has b12 deficiency? ### REPLY: Yes, chronic back pain, nub less in her left hand, left foot and decrease range of motion at ankle might be due to vitamin b12 deficiency. But If I were your treating Doctor for this case I would suggest serum uric acid, fasting blood sugar and vitamin d3 level investigation along with it b12. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir,cardiologist prescribed-MYONIT SR 2.6 MG-INAPURE 5--TELSATAN 40 MG---LASILACTONE 50 MG.MAY I  KIDLY KNOW THE USAGE AND FUNCTION.18 YEARS BACK CABG WAS DONE TO ME .NOW IT IS FOUND THAT OUT OF 4 GRAFTINGS RT.SIDE IS COPLETELY BLOCKED AND LT.SIDE 3 GRAFTINGS ARE PATIALLY BLOCKED.DOCTOR NOT SUGGESTED ANY OPERATION EXCEPT MEDICAL MANAGEMENT.ALSO SUGGESTED-PROLOMIT XL100-ILDAMEN 8MG-INDUR30-RANOZEX-NIKORON.NOT ABLE TO WALK SHORT DISTNCE UPTO 100MTRS.HEAVY EXERTION,BELCHING AND BREATHLESS NESS.MAY KINDLY SUGGEST FURTHER.MY AGE IS 67  YYYY@YYYY (VARANASI SREERAMAMURTHY) ### REPLY: Hello sir, your symptoms fit in classic angina and the breathlessness is due to the heart.  Now your doctor wanted to optimize your medication to make sure that your heart gets enough blood supply and limit in symptoms occur.  Proposed, Nikolai, Reynolds, Imgur, Mont Sr and others, are to help relive the symptoms, telmisartan is for blood pressure, lacilactone to remove extra fluid maybe because your heart pumping has gone low.  Sir many meds are similar to each other and different brand names, so I would like that you review it with your doctor, so he can cut down on unnecessary ones, as so much pill burden will be bad for your stomach.  Lastly if symptoms persist think about revascularization that is either angioplasty or reoccurring do bypass. I would be able to help you better If you can send the angiogram and the complete prescription with the med list and when you take which medicine. Hoping I could help Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir im 22 year young male im suffering from unexpected weight loss i knew that it is symptoms of diabetes and my scortum has swollen and i think its hydrocele.what should i do now? i haven t gone through any blood test i need your advice.please kindly reply ### REPLY: Hello, In Diabetic patient, due to insulin absence or resistance the sugar level of blood is not controlled. So there is the rise of sugar level in blood, this high sugar containing abnormal blood flows in all organ & parts of the body. Everywhere there are some adverse reactions due to that abnormal blood. In spite of high sugar in the blood, tissues are not getting sugar for energy. So, the alternate process starts in our body to get energy from fats and protein mass like the muscles of our body. So, there are the decreasing amounts of fats and muscles, and so the weight loss. Where there is sugar, there is a chance of bacterial growth. So infections are common in diabetes. The HY . Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello dr m 26 n my wt is 62kg n ht is 5feet3in,i have pcod n my laproscopy was done for ovarian drilling 15days back n my gynecologist found rt tube abhesions n she started me akt4,n i also hav history of appendicitis.so do i have chances of getting pregnant. ### REPLY: Hi, you do have chance to get pregnant. You can try after completing the ATT course. You can take some medicines for growth of your follicles.  Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days.  Take progesterone for 2 weeks after that. Do a urine pregnancy test after that.  You can try like that for 3 to 6 months.  Hope I have answered your question.  If you have any other query I will be happy to help. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a chronic pain in my upper left teeth is not dental related. I have had a root canal and dental implants and still have steady throbbing pain. It gets worse sometimes when the weather changes. It always throbs though. I have had it for 35 years ### REPLY: Though the pain that you are having is not related to dental as per you but I suggest you to get that eliminated by your dentist once as such pain may be due to do an inadequately done root canal treatment and also if your dental implant has impinged the maxillary sinus. If the pain is not due to that and specially when it has been worsening by weather then sinusitis may be the cause for which a proper care by an ENT specialist along with regular use of nasal .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: So ever since I started getting my period at the age of 12 i have always been irregular. About 6 years ago me and my husband started ttc for the first time. After one year of no luck I went and talked with my ob.. we tried pretty much everything. As far as clomid. No luck..i wasnt even ovulating. my dr. Had me go get an ultra sound done and the radiologist pretty musc said everthing looked normal but you may have a bicornuate uterus but they couldnt tell for sure and recomended the mri and told me since i was 180 pounds it would probably help if you lose a lil wieght. So another few months went by with no success and we decided to just give it a break for now...so here we are 3 years later and about 5 months ago I was diagnosed with adhd and the dr. Put me on adderal. Which really helped with my cycle. I was getting it every 28 days. And not to mention ive lost about 50 pounds since last year. And now my period is aabout a week late, for the past 2 weeks ive had this wierd taste in my mouth, i smell everything, my breast hurt really bad, im very moody, i have white lotiony discharge, and constipated. Ive never had these symtops except sore breast a day before my period started. Yesterday i took a first early respons pg test and it was negative. I know it could all just be in my head and my period will probably start tommorrow, but im just worried that there could be some slight chance of pregnancy and ive been taking adderall. What do you think could be wrong with me? ### REPLY: HelloThanks for writing to us with your health concern. You should have a substitute / stoppage for Adderall while you are trying to conceive, as it is not recommended for intake during pregnancy. All the symptoms that you describe are not specific for pregnancy. The only proof of pregnancy is a positive pregnancy test. So if your test is negative, you are mostly not pregnant. However, please see a doctor as your history of irregular cycles and no ovulation with Closed is suggestive of POD (polycystic ovarian disease) or POR (poor ovarian reserve). So please get investigated for that.Also, biconcave uterus should be confirmed via laparoscopy along with fallopian tube status evaluationTake care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have very severe allergies snezing all the time with like hot water white from my nose tears so a doctor told me pills or short way injection 5minutes after the injection i throw the tissues and all symptoms goes but the only problem is age I m 50 years old and I m afraid of my bones ### REPLY: Hi, sneezing or runny nose could be due to rhinitis (allergic or infective), sinusitis,common cold or may be URI. If they are due to allergy then you need to find out the allergen and must avoid further contact with that rather than just taking anti-allergic . Runny nose is mostly due to viral infections of pharynx, sinus,larynx, epiglottis, bronchi etc.Sometimes it could be due to bacterial infection also. You may go for routine blood count with thoroughly ENT clinical examination to rule out infective pathology of Nose or throat. You will require antibiotics (quinolones or accolades) to prevent super-infection with analgesics and anti-inflammatories, antihistamines with other supportive treatment. Consult your ENT specialist for further advise. So, better to consult 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: Hi i have a swollen tender lymph node above my right collarbone about an inch in size it has become tender the last 2 weeks. I have had it for about 2 months now. I was ill 2 weeks ago but feel fine now i have no night sweats or fatigue or any symptoms like cancer. I also have had a sore shoulder whicChatDoctores and goes months at a time but it only hurts at night. ### REPLY: Hello welcome to  In the query you didn't mention your age. Cancerous lymph nodes be never tender.cancerous lymph nodes enlarge in size in due course, and they become matted that is they attach one another. Swollen lymph node above the right collar bone means it is infected.may be from oral cavity. You didn't mention other symptoms. But the presence since 2 months is the odd thing. Consult Pathologist and have FNAC(fine needle aspiration cytology) and the report will tell you the exact diagnosis.Don't worry about the cancer,it is not cancer hope you understand my suggestionThank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my baby is 4 months n 10 days old. from yesterday he is passing loose stools 8 to 10 times per day.his stool is of bad smelling n contain partical lik structure with yellow liquid. i hv started Rice paste once in a morning from last 5 days. suggest me some home remedies ### REPLY: Cellophane You for contacting . Avoid giving anything to baby other than milk for at least 5 months. Weaning is started after 5 months. I would suggest you following things:> Give Mediate solution frequently. Give as much as baby wants (frequent sips) specially after every motion.> Give sips of yogurt.> Give zinc suspension 1 tablespoon daily for 10 days> Impact pro-biotic hatchet → Mix in milk or yogurt and then give him. Twice a day for 7 misreport to hospital if:> Condition remain same after 3-4 days> Child becomes lethargic> Child becomes unconscious> Child refuses to take oral feed. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing him good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello how long does it take to stop coughing after champix i took them for 8days my noise started running like badly then I thought my asthma start I thought I had a allergic reaction. No it was Champix I rang my chemist,and they said Champix does not do that? ### REPLY: Hello, Champ ix is a brand name of penicillin, and it is used to help people to quit smoking.  It will not stop coughing. You might be having an allergic cough, as a first-line management you can take over the counter available expectorant cough syrup and antihistamine for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated.  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: my 2 yr old daughter has rattling n her chest and breathing heavy like its hard to breath was at hosp monday doc did xray she has bronchitis went bk yesterday for check up. she didnt start rattling till we got home yest. is this leading to something worse? whay should i do? ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* This is due to bronchospasm caused by bronchitis giving rattling sound.* Additional suggestions for better recovery-Continue all medicines as per pediatrician advise.- Give balanced nutritious diet with plenty of liquids to maintain HY . - Avoid exposure to excess cold.- Avoid all dairy products, excess sugar, sweets, ghee, cheese.- Keep watch on urine output and fever. Hope this clears your query. Welcome for further guidance. Regards dear 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: Me and my girlfriend are wanting a child. We have had sex 3 times in the past 2 weeks. Unprotected. She is also not on birth control. Her period should be coming up soon. Last time it was the 7th. It is now the 29th and the latest we are thinking her period should come is on the 7th of July. What are the chances that she will be pregnant? ### REPLY: Hallow Dear, It is not possible to predict the probability of pregnancy without knowing the exact days of your intercourse in relation to your menstrual cycle. However, please follow these instructions if she fails to conceive during this cycle:Get her ovulation monitoring done by ultrasonography. Try to plan the intercourse on and around the day of egg release. The egg has a life of 24 hours and sperms are active for 3 days. So intercourse near the day of ovulation will help her conceive. If this time she misses her period, please get her pregnancy test done on overnight morning first urine sample about a week after missed period; earlier these tests may report false negative. Alternatively, you may opt for Beta  test on her blood 10 days after the last unprotected intercourse. I hope this should provide a scientific answer to your query.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i have recently masturbated with a kind of handsoap and i didnt wash the soap off, well not that good. And the next day the foreskin became dry and pretty much everywhere i used the soap, not the head tho. Its been like this for about 3 days now, please give advice on how to heal it. ### REPLY: Degree understand your concerns went through your details. If you are using the same soap for bathing for many days, then this could not be an allergic reaction. Otherwise, this could be an allergic reaction and I suggest you to consult a skin specialist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been trying to concieve past 8 months  , have been taking clomid for ovulation , i have had prolactin level 57 when i started treatment , now my prolactin is 34 , kindly let me know if  i will be able to concieve, should i go for any other method like iuf or ivf for concieving , ### REPLY: Hi, Welcome to . I read your query and understand your concerns. Following is my reply :1) Prolactin is still high please take treatment from an endocrinologist for the same.2) Once prolactin levels are low, you can go for GUI depending upon your age or IVF. 3) Please provide more details which will help me to answer you bettered me know if you have any more queries. I will be happy to answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Iam a young man of 32years.I dont smoke,but I use to drink before but since stop drinking.Recently l noticed when l brushing my teeth l bleed,whenl sneeze or cough a little in my saliva l split blood appears.Iam really disturbed.2:Whenever lam hot,my body start itching me from inside although there will be nothing or scratches on my body,but l use to scratch so much that is embarasing me. ### REPLY: Hi, Welcome to . Bleeding gums can be due to bad oral hygiene, and due to inflammation of gums called as gingivitis. Coughing up blood in saliva is definitely worrisome. Itching could be due to many reasons, but most common is allergies to food. I suggest you get a detailed examination done by a GP near you to rule out causes of these symptoms. I would also suggest you get a complete lab workup to rule out bleeding disorders, and any kind of malignancy. 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: 1) my sisters kidney biopsy report - the overall morphological features are of acute diffuse proliferative glomerulonephritis with immune complex deposits. What does this report mean?2) Urine Routine Exam was done after kidney biopsy. Urine test report is as follows -appearance - faintly turbid, color - straw, reaction - alkaline, specific gravity - 1.015, Albumin - a trace, Sugar - nil, acetone - nil, bile pigments - nil, bile salts - nil, blood - present with a weak reaction, excess of phosphates - nil, Pus cells: 2-3/HPF, Red blood cells: 5-6/HPF & a few epithelial cells present. No cast seen. Please let us know the present actual status of my sister. ### REPLY: Hi thanks for asking if questioned. Kidney having basic filtrating unit known as glomerulus. Inflamattion of glomerulus known as glomerulonephritis. If it shows neutrophils and menial cell proliferation then called diffuse proliferative type. Usually it is secondary to some infection. Particularly after streptococcal sore throat infection. Because of glomerulonephritis your urine having RBC and trace protein. Consult neurosurgeon for starting treatment. I hope your concern regarding diagnosis of your sister has been solved. 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: both my daughters age 1 year old and 4 year old have a inflammation in throat with ulcers inside the mouth and on tongue.they have also had fever for over 2 days with itchy blisters on palm of hands, arms, ankles and aoles of feet. The younger daughter also has it in her nappy area. Please advise? ### REPLY: Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY .  This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. 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: Thankyou,,,,,my 50 year old daughter has a blood infection and received antibiotics in the emergency ward for two days and was sent home for total bed rest and a prescription for strong antibiotics. She is very weak and sleeps all the time and is extremely groggy, Is this normal? She has been home from the hospital for three days and says the swelling has gone down in her leg but she is still in a lot of pain. ### REPLY: Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that it is normal to have such a scenario when your blood had infected. We called it as septicemia. Give some time and regular antibiotics to her to get recover. She will be better in some times. If she is in much pain you should think of tramadol tablet with due consultation under your nearby doctor. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 in a bad car accident and broke my right femur i have a titanium rod and four screws. An intense pinch in my lower back (right side) has grow over the last three years causing me from sleep and pretty much any kind of comfort. Primary physician has givin me prezidone a couple times and it doesnt help the pain at all or help me sleep what medications should i be reseaching to help with my lack of sleep and my excruciating pain? ### REPLY: Hello, I have studied your case. Usually nerve compression may lead to back pain, you may need MRI for this. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had a breast reduction 12 weeks ago and have noticeable lumps under the skin along the scars. My PS has checked it out and told me they are stitches that could take up to 9 months to dissolve. I am rubbing coconut oil on daily and scars look great. Just the lumps are a bit annoying. Is there any way to speed up the dissolving process? LS ### REPLY: Hi. Your PS has said that the lumps are due to undissolved stitches. There are only a few suture materials that take this much tome. Most of the stitch material dissolved within 3 months, You are already 2 months postoperative period and the scar is fine. A short course of oral steroids like deflazacort will certainly help to dissolve the stitch granulomas. Granuloma is the bodies reaction to the foreign material in the form of suture material. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, I am male, 27 years old. I have normal color (not so dark). So can I use BRITE cream from WALLACE company to get fairer face. 1. Can it be used on face? 2. Can it be used by men? 3. Will it cause any side effects in future? 4. What precautions do we need to take while using it. Please clarify the above points. ### REPLY: HelloThanks for posting your query said that you are not very dark. My suggestion is only to apply a good sunscreen half and hour before you go out.  That will keep your skin texture intact and will prevent from sun tan and darkening. Creams like Write contain shy .  It is like going to a parlor. It is not a permanent remedy, and you may have to apply continuously. Furthermore, it definitely produces side effects in the long run especially reddening of face and the steroid will produce increased facial hair under the eyes. Retinoid acid produces burning sensation when you go out in sunlight. As no medication can change the texture permanently and without side effects it is better to accept our own color and be with it. Have a nice days Prasad ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell up the stairs and landed on my knee, elbow and the side of my wrist hit the next step up. It s bruised and a little swollen, hurts to touch, but I can move everything there s a little bump, but I can t tell if it s just from swelling or not. Should I have it looked at? ### REPLY: Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to the fall. I suggest using anti-inflammatory medications to relieve the pain and inflammation such as Acetaminophen three times a day. I also suggest using cold compresses for local application. I recommend resting and elevate their area to prevent further inflammation. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am staying in Bangalore for the last 10 years now. But suddenly in the last 6-8 months, I have developed a chronic on coughing & sneezing. It remains for several weeks and subsides down very slowly - only to get return soon after. In fact its so bad that the first thing I do (after waking up) is coughing (sometimes as many as 10-15 in series!). Please advise. ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. I would like to know more about you like whether you have wheezing/breathing difficulty, nose congestion, headache, eye symptoms, regurgitation of fluids/foods after heavy meals, any digestive complaints, etc. etc. This will help me to understand your complaints better and therefore to make more specific suggestions for you.2. At present, from you given history, I would think of possibility of allergic cause. I usually prescribe my such patients regular Montelukast + Levocetirizine for 2-4 weeks (depending upon response.3. I would also suggest you regular steam inhalation and regular warm saline gargles which help to recover nose and throat respectively.4. Furthermore, I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander, etc. This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.5. In general, please avoid exposure to dusts, smokes, air-pollution and cold air as much as possible. I know air-pollution is a major problem in Bangalore.6. Regular breathing exercises and diet rich in vitamins & minerals will also help you to improve your lung capacity and immunity respectively in a long run. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My 5 year old daughter was hit in the mouth.  She was pulling on the dog leash and the collar came off the dog, and the metal part of the collar swung back with a lot of force and hit her on the outside of her mouth and the inside of the mouth.  The outside has a tiny puncture...the size of a pin head....and it is a tiny bit red and swollen.  The inside had a 1/4 inch puncture.  It stopped bleeding so I did not take her to get stitches, but now it has turned completely white...the cut and the area around it.  What should I do? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint it seems that there has been torn in the mucosa due to trauma that can be due to hitting with the teeth leading to a cut. As a quarter inch cut does not need to get stitched and also the blood supply of the oral cavity is profuse that any injury gets healed very quickly. The would when heals continuously changes its color and a pale or whitish appearance is not to be worried about, and it must e a phase of healing. You should apply antiseptic oral ointment over it and do cool compresses. Make her gargle with antiseptic mouthwash suitable for kids. Apply antiseptic ointment over the pin head cut on the outside too to prevent it from getting infected. In case if there is an increase in pain or swelling both inside and outside mouth then you must consult an Oral Physician or a Periodontist to get her checked for infection. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Thanks in advance. I am getting light pain at right side abdomen since 1 year. and i visited urology specailist. he said there is no problem in both the kidney s and they are functioning good. and also Appendix is not visualized in Ultrasonography test and they notecied in the report that there is mild mural thickening of terminal ileum (measuring 3.4mm). Please suggest that is this serious. and also please suggest the remedies. ### REPLY: Dear very, this is not something you should worry about. This finding means almost nothing. Radiologists describe mural thickening and convince us that it means inflammation of intestinal wall, but without clear clinical presentation we cannot get the right diagnosis. Yes, mural wall thickening can be sign of terminal ileitis which means that you could suffer from Crohn's disease, but there are better ways to find it out. If you want to check it I think you should do colonoscopy or biography. Crohn's disease is usually associated with attacks OS diarrheas, abdominal pain and obstipation so if you experience such symptoms you should do those tests i ve mentioned. Wish you good health, .  ### END