Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doc, my doc prescribed flutivate for my daughter (7mths).she has, a hypopigmented patch on back and small reddish eruptions in circular pattern behind left ear lobe, now similar eruptions are seen in face on the sides of nose . sir what s this condition and is it safe to apply. ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi there im in my third trimester and my water broke on sunday at 4am went too the hospital at 11:30 am my 1st baby my contractions went from a hour apart too 30 min aprt im just wondering if i should go back too the hospital and get them too induce me its my 1st baby also ive been in labour 28 hours ### REPLY: Hallow Dear, You should rush to the hospital. After breaking water, usually woman starts labor pains. However, if she does not go in labor naturally, there is a risk of infection which may prove to be dangerous for the baby. So please do not waste time. In the hospital, they will wait for due time if they find it safe and will induce the labor at the appropriate time. Let the Obstetrician take the decision and no one else. Mostly you will be given oxytocin injection slowly in the parenteral .  If all the water has been  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: during my last cycle i took induct and dubagest.during follicular study,at the 22nd day i was given somme injection to rupture my egg .my periods didnt came at time but few spotting was seen.but next cycle i had my periods. from second day of my periods my doctor suggested ovigyn d and dubagest .what purpose it will solve pl explain ### REPLY: HelloChatDoctor user I understood your concern and My opinion is that origin d and suggest tablets we give the patients to improve quality and size of ovarian follicle so egg release at proper time, and you have good chance of pregnancy. I always prescribe this medication to my infertility patients and I found very good result in patients so don't worry and take this medication, it will definitely help you hope my answers help you Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dr am lisa my sister have kidney problem. now she admited in hospital.one kidney size is 5cm * 1.6cm another one size is 12cm * 1.9cm.she have stome in left kidney.Dr said right kidny size is very small. We try to remove the stone from left kidney. Today them remove the fluid.We had a fair kindly advice ### REPLY: Hi Lisa....small size kidney on one side can be present since birth due to poor development of kidney while in the womb. That is totally harmless. This is most likely in your sisters case. Or it can be due to damage to one kidney by repeated infections, or poor blood supply due to narrowed blood vessel supplying that kidney etc. Because she has only one good kidney she has to protect it. So a stone in left good kidney has to be removed before it can cause any damage to it. Having one kidney is harmless...voluntary kidney donors are living normally....she needs to take care not to become overweight....avoid very high protein intake...check BP regularly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Will marijuana affect naproxin? Such as make it work less? My wife has extreme tooth pain (wisdom teeth) and marijuana alone usually helps but she has gotten naproxin from the doctor and we d rather not disable the naproxin or have any adverse affects ### REPLY: Hi, I can understand your concerns. Although marijuana does not reduce the anti-inflammatory (pain relieving) effects of naproxen however, marijuana when taken along with naproxen can increase the risk of liver damage. Your wife must inform her doctor if she gets fever, right upper abdominal pain, yellowish discoloration of the skin or eyes as these may be signs and symptoms of liver damage. 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 get some type of allergy sickness at least once a year.  Last year March it lasted a miserable whole month.Right now Im experiencing it again, the head/hair are sensitive to touch, and I have to hack hard and too often to remove mucus from lungs.  I use Mucinix and Chlor tabs to help, and ibuprofen.  I try to rest, stay in bed, because of soreness and fatigue.Is it really allergeries, or do I have something worse? ### REPLY: Hello, Welcome to , As you are having these symptoms in a particular seasonal, you may be having seasonal allergy. But the present symptoms are suggesting of coexisting infection in the body. Because of which you are having soreness, fatigue and excess of mucus. As you are taking medicines it will control your symptoms, to know whether you are having any allergy you have to consult your doctor. I may suggest you to get your Absolute Eosinophilic Count (AEC) to know existing allergic manifestations. Thank You. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was streching and when i was done i decided to do the splits and heard two loud pops come from my lower butt/groin area. Now I am in horrible pain and can t walk. I know it s not a broken bone, but its still scaring me. Is it a pulled muscle/ tendon? ### REPLY: Hi, What I feel is this should be called as a performs muscle spasm. As in stretching the muscle get stretched and lengthened and post which it takes some time to regain its position. Try having more breaks between exercise and modify the exercises if needed which don't give trouble. Also use firm clothing which do not restrict the muscles to perform actions. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently purchased some organic chocolate milk with alkaline cocoa in it.  My 3 1/2 year old has been drinking milk her entire life without issue...but since she started drinking this, she has broken out in a red rash on her face and arm.  The rash on her arm went away fairly quickly, but the rash on her face still persists.  It did get better overnight, but when she drank more chocolate milk, it became worse again.  It doesnt seem to bother her at all, but it is dry and red.  If she has no other issues with milk, can she be allergic to something in the chocolate milk (she has had chocolate syrup in milk many times with no issues either).  This is the only think we have changed in our daily routine.  Thank you so much! ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for your daughter as follows:1. From your history, I would first think of allergic reaction to some substance within the organic chocolate milk. However, it is difficult to determine exactly whicChatDoctorponent within the chocolate milk as there are so many constituents including milk, chocolate, cocoa, sweeteners, preservatives, coloring agents, etc. etc.2. I usually suggest my such patients to stop consuming the thing that caused allergic reaction and taking an antihistamine like HY . Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish your daughter 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: I am having slight stomach pain and 100 degrees fever for last 24 hours. Lot of gas in stomach and slightly lose stools. I think it is a bacterial stomach infection. I am taking Tablet Ornof 500MG twice a day - it contains ornidazole and ofloxacin. How long will it generally take to get relief? Thanks Vishal Sachdeva ### REPLY: HI Vishal. Usually the results with this treatment for an intestinal infection starts with the first dose. You should take these medicines for 7 days without break and after food. In addition, take Probiotics, multivitamins for early recovery. As this is a part of the waterborne disease, .  Nothing from outside at all. If required you can get Electoral powder 1 pouch in a liter of water to fulfill the requirements of fluid and electrolytes. To avoid weakness. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 year old daughter has a heart murmur...was checked out by pedi cardiologist when she was three, but lately she complains her heart hurts. Her heart murmur was ruled "normal" at the early age, but I am wondering what she means when she says her heart hurts now? Should I be concerned? ### REPLY: Thanks for your question on . I can understand your concern. Since you have consulted pediatric cardiologist for her murmur, and it was said two be normal, no need to worry about major heart diseases for her chest pain. Some heart murmurs are common in pediatric age group. With age, they will resolve. You have consulted cardiologist for this and nothing found to worrisome. So her chest pain is not due to murmur or other heart diseases. Chest pain can be due to simple musculoskeletal pain. Application of warm water pad on affected areas will be helpful. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an umbilical hernia repaired a week ago and it is no infected but is leaking fluid. My dr said I should clean it with hdrogen peroxide and pack it with gauze. how long will this take to resolve. Would it have been netter of Dr did not reconstruct naval? ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you that it should not be more than week with discharge. If it is more than a week than you consider as lake of surgical skills in doctor. Till that time keep cleaning and washing with HY . I will be happy to answer your further concerned can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my baby born on 4-4-2011 after 2 hours of his birth he sent to neonatal care unit .according to the doctors my baby is suffered from a severe infection and his breathing rate was also very fast and discomfort.after 4 days baby got normal but his platelets was first time 210000. second time after 2 days 30000. third time after 24 hours 40000. forth time again after 24 hours 65000 and then after 24 houres again this was 75000 during these tests baby was also got 50 ml FFPs and 2 time 50+50 ml platelets within 48 hours.so now i want to ask that why these counts are not going to be normal? ### REPLY: Your child most likely according to this information suffers from a sever sepsis, which can cause something called DIC, a disseminated intravascular coagulopathy, which is the consumption of coagulation factors and platelets that is why his platelets are very low (not high, platelets below 150,000 is low) .that's why they gave him FFP and platelets. Once the child survives this overwhelming sepsis, he has a good chance restoring his platelet count back to normal ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 while ago i noticed a lump in the wall area between the anus and vagina, it seems to be getting bigger. it feels quite spongy and doesnt hurt. I did go to the doctors with this originally, but I dont think she really saw what I was talking about, and put it down to childbirth. Should I go back to the doctors ? ### REPLY: Hi, Dear thanks for the query to  virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, as your doctor is right. But as you still worry, I would advise having Second Gone doctors opinion.USG of the pelvis would resolve this worry. Hope this would resolve your query. Welcome for any further query in this regard to ME. I would love to help you outwriting for any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. . N.M.S. Genl-CVTS -Senior Surgical Consultant ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sister has a big bump on her back shoulder blade. It is really big. One doctor said it is bursitis and another doctor said it is filled with blood. He said if he drained it that it would make it worse. Should she put ice on it or heat? what should she do. She didnt  really get a good answer from either doctor. ### REPLY: Hello, There are many reasons for the said lump as lipoma, hematoma, sebaceous cyst, bursa cyst, tumors, and others. Definite diagnosis depends upon the clinical parameters as consistency, fluctuation, transparency, relation with underlying structures, movement possible, growth pattern, other criteria. I would strongly suggest consulting with a high resolution photograph of the same, I assure you to remove the diagnostic dilemma of the same. 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 doctor i have had a low risk relation that is masturbation but maybe during masturbation kind of genital secretion of my partner contacted my penis. after 6 days i felt malaise and backache. and after 10 days i had a persistent mouth ulcer that made me to use antibiotics. i lost my appetite for 2 days and itchy skin for 1 day and then i felt better after 4 days but still anxious. so after 4 weeks the symptoms came back and i felt neck stiffness and cough dry and something like fatigue but i could participate in my daily routines. i refer to a std specialist and he told me my risk is very low and near zero and this symptoms would be because of anxiety but now after 5 weeks i dont feel most of them. i want to know what do you think? ### REPLY: Hi, It is very simple - you do a panel of sexually transmitted disease test and you yourself see the report, if your problem is anxiety after seeing the normal report you will be fine. The brain always expects some scientific evidence to accept it. Even if there is any issue with the report, since you made an early diagnosis, treatment will be easy. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am have been in the process of passing a kidney stone for the last 2 weeks. I was diagnosed in the emergency room and referred to a urologist . I haven t been able to be seen by the urologist because there is only one office in my area so appointments are hard to come by, let alone even receive a phone call in return. The past few days I thought I possibly had passed the stone without realizing it. However, today I feel as though it is sitting at the opening of my vagina and I feel it more so when I urinate. It is more of an uncomfortable feeling rather than actual pain. Also, I am experiencing what seems to be air bubbles coming from that area. Not passing gas, just very small air bubbles . In your opinion, do you believe that the stone is still present? Are these bubbles normal/have anything to do with the passing of a kidney stone? Also, what can I expect when the stone actually passes? Will there be a great deal of pain and blood involved? ### REPLY: Hi, Welcome to  forum. Renal stones less than the size of 10 mm are flushed out easily without major complications. It occurs in 2 stages - origin till the urinary bladder and from the bladder to outside.  Pain, abdominal cramps, bloody urine and discomfort which are usual accompanying symptoms as the stones pass out is found only in the first stage. Second stage is asymptomatic and rarely one can experience flattened stream of urine or double stream urine.  From your description, your symptoms are unlikely related to renal stone passing. The discomfort in the vaginal region is probably due to localized infection. Consulting your local gynecologist will be helpful.  .  Also, important is to abstain from unprotected sexual intercourse until complete recovery. Hope this helps. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain in my upper back molar that almost feels like there is pressure on it.  I have also been experiencing frequent headaches and the pain is on the same side of my head, both on the left side.  Other possibly unrelated symptoms are memory loss and hair loss.  Please help. ### REPLY: Hi. Welcome to . I read your query. Upper molar pain can at times radiate to head region. Check if there is a cavity in that molar or if that molar has gum problems with pus in gum? I suggest you to visit a dentist and get x-ray done of that molar. In case of an infection, RCT or extraction needs to be done depending upon condition of tootChatDoctorplete the treatment along with prescribed antibiotics and painkillers from the dentist. If headache persists even after that, you need to see a physician and get further investigations done. Memory loss and hairball are not related to tooth disease but can be to headache. If the tooth is fine, then you need to check for sinus infection, which can cause both tooth pain and headache. Hope the answer helps you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: azoospermia is treatable or not? what are its reasons? i am 35 years old....married for 5 months... ### REPLY: Hi Faisal, Welcome to  Forum. Does anybody else in your Family has the same problem? Azoospermia is the condition where there is complete absence of sperm in to ejaculate. It could be due to Hormonal Imbalance, Absence of testes, Varicocele or Testicular Failure. The treatment depends upon the cause. You should be getting yourself completely evaluated by a Urologist to rule out the exact cause. 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: Hello. This morning around 3am I had intercourse with my boyffriend and Im currently on Lutera bc and he used a condom. After the third round, we noticed that the sex felt a lil bit different and when he pulled out, the condom got stuck in me and its possible a lil bit was inside of me. I always take my pills between 8am-12pm each day and we never had unprotected sex before. I read online that Lutera can be used as a backup morning after pill if you take 5 the first day and five the second day. Should I use the Lutera as backup or get a morning after pill? ### REPLY: Hi, Since you are regular with your contraception, there is not much to worry about. You may use it as an emergency contraceptive, but the efficacy is not known. If you wish, you may use an emergency pill after contacting your consultant. Please remember, any type of excess hormone use is going to disrupt your hormonal balance and may cause cycle disturbances for a while. Hope your query is answered. 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 i have been to hospital and doctor with my asthma problem..i am taking my medication for the last 6 days and it s still the same...i feel tired all the time...and also it s very hot and humid and there was forest fire smoke a while back,,,my chest feels very heavy all the time...and i have a lot of wheezing ..should i go back to hospital..any suggestions please help... ### REPLY: Hi, your asthma has increased due to fire as you are mentioning, there might still be smoke residue in the area which is not letting you symptoms reduce, you should go to hospital they will increase the dose or add another medicine to you present prescription, also try changing your place of stay for a few days and come back later after that area is cleared of smoke, it takes a while for smoke to fully clear. Your tiredness is also due to repeated attack of asthma. You must go to hospital soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At the age of 25 I was diagnosed with osteosarcoma of the mastoid process. I have done alot of research trying to see if there have been any other cases like mine, but have not been succesful. If there is any data that you could provide I would appreciate it. Thanks! ### REPLY: Hi, Thanks for writing in. Osteosarcoma is a malignancy which causes bone forming tumor. Osteosarcoma of the mastoid process is rare, and I have not come across any patient having it. There is literature which shows that surface osteosarcoma is common in patients who are of your age. I am not sure if your osteosarcoma is of a surface type or not. Literature shows that Most osteosarcomas occur in child .  Teens are the most commonly affected age group, but osteosarcoma can occur in people of any age. It is seen in people at your age. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir/madam, i have a continuous fever, i get so hot that i feel like im over heating, also been tired and falling asleep at work, just a nap.. Slight pressure in the head, but not severe, light headache.. Not bad, my concern is that i have Had this fever for about 2 weeks and its throughout a 24 hour period, please advise me.:) ### REPLY: If fever is continuous and persistent since 2 weeks then first I will advise you to go for blood investigations like CBC, MP or Tidal test to isolate the cause. For treatment, you can take some antibiotic preferably IFIC or moxikind-cv after an expert opinion along with kilos or nimeson-p for fever and fatigue. Take some multivitamin like neurokind-plus or metilda-forte once daily. Do cold sponging to reduce the temperature of your body. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was loading wood and picked up a branch, threw it onto a pile overhandedly. He felt a sharp pain between his wrist and elbow. Now he cannot lift the coffee pot without a sharp burning pain in bis forearm. What has he done and does he need to see a doctor or can we do some home remedy? ### REPLY: **1. As the pain occurred after workout, thus could be forearm muscle strain, but in the best interest it is better to visit your doctor to confirm the diagnosis and to look out for any other soft tissue injury, [like tendinitis, carpal tunnel syn .  Initially forearm pain can be managed with Ice, Elevation, Rest, and pain relievers, however if condition does not improve with home treatment, medical treatment is advocated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 small annular tear at l3-l4 disc, small disc protrusion with annular tear L4-L5 no neaural compression, broad-based disc protrusion at l5-s1 making contact with the traversing right s1nerve root  no nearal compression what does this mean in english please other than alot of pain constantly????????? i am female and 36yrs old ### REPLY: Hi, Thank you for posting your query. I have noted your clinical and MRI details. Based on MRI spine report, your nerves in lower back (lumbar) region have got pinched due to slipped disc. Disc is the soft tissue located between two bones (spine) in the lower back. Symptoms of disc prolapse include back pain, leg pain and tingling of legs. Initial treatment would consist of pregabalin or gabapentin capsules. Physiotherapy and back extension exercises would also help you. Only if the above measure fail, would you require epidural injections or surgery. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi.. m 22 years old.. I hav this certain lower right abdominal pain for a week now.. I had my last period start on 12 Jan and ended 18 th then I got some discharge which was not a normal period but brown in color it started on 28 th and tendency on 30 .. please help as am now having this lower right abdominal pain whicChatDoctores and goes.. I have not got my periods yet.. ### REPLY: Hi and thanks for the question, the commonest cause of absence of periods or amenorrhea in females of reproductive age is a pregnancy. If you have had at risk sexual intercourse within the period, it shall be worth doing a pregnancy. This shall be important in eliminating other differential diagnosis like an ectopic pregnancy. Brown vaginal discharge on its own could be some rare menses, which i common in females of your age, or as you describe, due may be fowl smelling nature might need further investigations.  A vaginal swab with direct microscopy, culture and sensitivity tests shall be important in diagnosis given causative agents and possible antibiotics that might eliminate them. Right lower abdominal pain could arise from gynecologic as well as non-gynecologic causes. An ectopic pregnancy, ruptured ovarian cyst or appendicitis are commonly found diseases that need to be eliminated in the firs place. Doing an abdominal ultrasound shall be a key tools to put things together. I suggest you book an appointment with the gynecologist for a proper evaluation, clarification and .  Avoiding unprotected sex during this period, if you are sexually active, could be crucial in preventing sexually transmitted infections, in case found to be transmitted to or from a partner. Couple consultations in such cases might be the ideal situation. Thanks as I wish you the best of health, Luchuo, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 29 years old, and a mother of two. I had my Implanon removed about a week ago, but suspected pregnancy before the procedure. My boyfriend and I have been together for 4 months, and I am feeling a fluttering feeling (like early baby kicking) in my upper abdomen. I dont have any trouble with gas, but all pregnancy tests come back negative... Just curious as to what it could be. Thanks. ### REPLY: Hi, you are 29, and a mother of two, had implant removed about a week ago, but suspected pregnancy before procedure, feeling bad movements, tests negative.  You had doubt before the implant is removed, and it is negative, so a curious person should not have such a doubt.  It must be only an indigestion, and bowel sounds. In such case I prefer to give my patients omeprazole and some enzyme preparation. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a Novasure ablation two weeks ago and have been feeling awful since.    I have experienced lots of painful cramps and extreme tiredness and dizziness.    I am also suffering from constipation, which is something I do not suffer with and am extremely uncomfortable. ### REPLY: Hello, It is sometimes possible to have some side effects of CO2 which is filled in the uterus as part of the procedure before integrity is tested. If you have completed shedding of the ablated endometrium, as evidenced by a follow-up trans-vaginal sonogram, you should look for any hints of pelvic infection. The tiredness and dizziness are likely to be part of the general weakness caused by the general malnutrition. Yet, it is imperative that you should have a physician visit to look for other possible sources. Constipation can be relieved by increasing the intake of fiber in the diet added by lactulose to facilitate easy passage. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My toddler has balinitis for a second time last time the doctor gave him fucidin which i still had (from 2 months ago)  I used it 2 x a day for 5 days and it appears to have gone, should i continue to use the cream or stop.  Ideally how long should you use the cream for? ### REPLY: Hi, I had gone through your question and understand your concerns. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to use Funding maximum during 14 days. Don't continue to use the cream, it is not required now. 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: hi i have been having pains in my sharp pains in my chest,in the middle and the left flank, and in my left arm not all the time but quite frequently and im worried its something wrong with my heart im really really worried ,it gets worse when i sit down to relax please please help me !!!!! liz ### REPLY: Thanks for your question on . I can understand your concern. Better to first rule out cardiac diseases for your chest pain because left sided chest pain, left arm pain are common in heart diseases. So get done ECG and 2d echo. If both are normal than no need to worry about heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. So better to avoid stress and tension. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 23 years old unmarried male. I have no habbit of masturbate and never do a sex. but I feel weakness in my penis and my nightfall is quite less and during Ejaculating I donot feel any orgasm and also the size of my left testical is small and feeling pain after Ejaculating I m also a bodybuilder, ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the description you gave, it is clear that you do not masturbate because you are doing gym. You are forcing it and you worry about it. Please do not force your sexual habits. Night fall is normal for those who do not engage in frequent sexual activities or masturbation because semen gets produced by the body. Naturally there will not be any pleasure during night fall. You do not have to worry about the size difference of your testicles. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My last period was July 9-14. I was sexually active on both the 23 and 29. On the 30 I experienced very light pink spotting. The spotting only lasted about 2 days. I m almost positive it s not caused from an infection because I ve only been with one guy and he is std free. I ve had a headache for a few days straight now and have experienced quite a bit of dizziness. I know it is too early for a urine test but I was wondering if these were just symptoms of ovulation or is it possible that I am pregnant? ### REPLY: Hi there, I have understood your concern. If you have history of unprotected sex act, if you have history of regular cycles then your dates of sexual activity fall in the fertile period of cycle. And there us possibility of getting pregnant. Your symptoms can not be directly related to pregnancy. The very first and important sign of pregnancy is a missing period.  As you have rightly said that it will be too early to expect pregnancy symptoms and get urine test done. I will suggest you to wait for your expected date of the cycle. If you happen to cross your dates, then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta  test and USG will be of help. Even if you are pregnant, you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 2 month old baby boy (5,2kg). His nose is blocked and the doctor prescribed saline drops.  It came to me that the problem might be the cat in our house and I asked him if this could be the problem.  He said that I must give the baby Allergex syrup 1,25ml - how often can I give the syrup as the bottle I bought from the pharmacy only indicates "see brochure" and there was no brochure included ### REPLY: Hi... No antihistamines and anti cough medications are indicated or licensed to be used in this age group. I suggest you not use Allergen. For nasal block, plain saline nasal . Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there! Ok this may be a lot to read but I m going to try and make it short as possible. About 4 weeks ago I started coughing and got a common cold I believe maybe from stress from a camp I completed. I m still sick though and I don t know why I ve coughed and sneezed and had phlegm and even lost my voice! Well the coughs would come and go or I would have fits now I traveled to meet family and because I m still sick my ears wouldn t pop and I experienced severe pain in my left ear from it not popping now not only am I still mildly stuffy my ears are stuffy and sometimes pop or make little noises like the sound of rice crispies cereal when milked is poured over it. I ve taken pills for a inflamed lungs cause of my coughing fits cause my lower right ribs were sore they re fine now but I don t know what to do anymore I just want to be healthy again and I m scared to fly back because I don t want to experience the same pain again ### REPLY: Hi, thanks for using  The stuffy sensation in the ears may be related to Eustachian tube dysfunction. The Eustachian tubes are tube that connect the middle ear to the hypopharynx (back of the throat). They have different functions. Eustachian tube dysfunction (tubes not working) can cause a full sensation in the ears. If you use a topical and oral decongestant along with an anti histamine, it may help. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,  My finger was smashed in a heavy sliding door a couple weeks ago and the horrible smell will not stop coming out from under the nail..ive been rinsing with isopropyl 90%....should i be worried that infection may be entering the blood stream? or is this normal? ### REPLY: Hello, Welcome to , As your finger was smashed against a heavy sliding door a couple of weeks ago and which was followed by a horrible smell which was coming out from your nail suggest that you are having infection of the affected finger. You require a physical examination to know the extent of the injury and the amount of tissue lost. I would suggest you to follow1. Wound should be cleaned and . X-Ray of the finger should be taken3. A course of broad spectrum antibiotics should be taken. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I am angelia castro ihave had surgery on May 15th 2014 and every joint seems to hurt the drs are telling me to walk to strengthen my back muscles but I just don t have any energy or desire to do this I want to but then don t do it because my knees hurt so bad ### REPLY: Here I would like to know which surgery you have undergone?. Since the information is not available to let me tell you about your other issues. You have told you have pain in all joints as well in spine and there is a weakness too.These symptom shows you have calcium and vitamin D deficiency, or it can be related to rheumatoid arthritis also. I suggest to talk to your or tho and physio and then start taking medication after doing proper check on bone mineral density test along with blood test for calcium, vitamin D and rheumatoid factor. Here one more thing I suggest is all ladies should take calcium once they cross the age of 35-40 and since it's going to be life long it's better to have it from natural supplement brand to avoid any side effects. Now once you start with this along with protein powder for muscle strength I am sure you will be able to do physio also properly for further exercises and rehabilitation. Suppose if your rheumatoid report comes positive then take suggestion on medication with doctor but also consult a dietician for anti-inflammatory diet because this too helps a lot in pain relief. Also use hot and cold pack when ever it pains a lot but prepare your self mentally and keep doing exercises for rehabilitation. I am sure this will help you if you follow the suggestion properly. 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 seem to be getting past from one dentist to another. I have had root cannal treatment  and crown and 3 crowns and ever since I feel as I have been smacked in the face.  I also have numbness in my face and some times ringing and deafness.  Surley this must all be related.  I did not have any of these problems befor I started doing any dentist work.  what is the solution? ### REPLY: Hello and welcome to , Numbness may be due to facial nerve damage during local anesthesia administration. Ringing and deafness may be associated with improperly placed or high points in the crown placed, Also get the root canal treated teeth examined. An x-ray of the treated teeth will help to evaluate the condition.Through scaling is to be done. Maintain oral hygiene well. Re-rct can be done if required. High points in crown has to be corrected soon to prevent temporomandibular joint disorders. 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: Can vyvance cause infertility? I am wanting to get pregnant. I will not take the medication any longer as soon as I ovulate and get pregnant obviously. I got off the birth control pill after 10 years and have not gotten my period for almost 2 months and have taken over 10 pregnancy tests to insure I am not pregnant which I m not. Just wondering if vyvance could have any effect. Thank you. ### REPLY: Hi, Thanks for your query. I have read your query & I understand your concerns. Following is my reply: 1) Vyvanse is unlikely to cause infertility. 2) Please get semen analysis of your partner done. 3) Get a tubal patency test SG for yourself. 4) Please get follicular scan done to check egg count in you, I hope I answered your query. I will be available for any followup queries you have.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, I seem to have chronic low grade fevers, fatigue, sore throat occasionally accompanied by body ache.  I get through the work week but then need to rest most of the weekend.  My energy is low and Im thinking there is something wrong.  Could this be nutritionally related or something else? ### REPLY: Hello, Welcome to , The history and symptoms suggests me that you may be having some viral infection affecting the upper respiratory system which has led to low grade fevers, fatigue, sore throat and occasionally body ache. You require chest examination and the chest X-ray to find out the reason for your symptoms. For the present symptoms I would suggest you to follow1. Oral antibiotics like Tab Autoclave, 625 mg, twice daily2. Gargling with chlorhexidiene mouth wash.  3. Syp Ambrosia S, thrice daily.4. Oral Least, once daily for 7 days aforementioned medicines will help to reduce your symptoms and improve your condition. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has stone in gall bladder and have uterus problems too.. Doctors have adviced for laproscopic surgery for stone and then open vaginal surgery after 3-4days. My mother has Thyroid problem and haemoglobin is around 10.She already had two stomach operations long back(apendics and cesarean birth)..We are from Patna..AFMC Pune will be good or should we go for Patna only for the surgery..???And what other important suggestions will you give??? ### REPLY: Hi, thanks for writing in . The first issue is which problem is causing symptoms? Gallstones or the uterine one. The one which is symptomatic needs to be attended first. Allow a gap of at least 12 weeks for full recovery until you consider the second surgery. Operating both the conditions at an interval of 3-4 days in a patient with medical problems could cause complications. Hence, it is wiser to play self and allow the patient to full tolerate each surgery properly. The place where you get operated does not matter. What matters is the qualifications and expertise of the surgeon. 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, my appendix perforated/ruptured on Jan. 10/14 and I was put on a course of antibiotics in hospital for 1 week, (pipercillon), after discharge I was given amoxicillan/claviculon for 10 days, and found that was not working so family doctor changed me to cipr/micro-flagil (10days) and that seemed to do the trick. An U/S on  Feb. 3/14 shows 9mm left of my appendix and I am wondering if I still need surgery to remove that piece.  I have not got my energy back, but every day is a little better, but I am so tired after 8pm at night I cannot keep my eyes open.  I was supposed to see the surgeon Friday, Feb. 14th but he cancelled due to an emergency.  I have had to take a considerable time off of work and lost another day Friday, so I am trying to decide if maybe I should just forego the surgery, however this tiredness makes me wonder if I am still recovering from the appendicitis or does this indicate that I should have it removed, or is this common to still be so tired.  Prior to this happening, I never went to bed until 12-1 in the am and 5 hours sleep was plenty for me.  I work as a lab tech in a busy Family Health Team for the last 7 years, full time on the go, so this is very out of the norm for me.  Any thoughts? I would appreciate your opinion even though my doctors at work keep assuring me that is normal, I am still recovering, etc., no one has actually said if I still need surgery.  I really dont want to take more time off work to see the surgeon and maybe have him cancel again.  thank you for any advice you can offer. ### REPLY: Hello have gone through the description you have provided. Your fatigue and lack of energy is due to the recent infection and is a common occurrence during recovery. Regarding your question on surgery the answer is yes you need a surgery for the appendix. And it should have done as early as possible. Please set up an appointment with your surgeon to set up an appointment Hope this helps do get back in case you have further queriesRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mono.  and a girlfriend.  we made out the day before i went to the emergency room.  this was 2 weeks ago.  ive had symptoms for longer than that.  she seems to have a cold but no serious symptoms.  what im getting at here is when can we make out again?  thanks  :) ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Infections from mono take 4 to 8 weeks to develop symptoms. Once infection subside person can secrete virus for years. So isolation is difficult to done in cases of mono. But most of the people develop immunity against mono once they infected with it. So don't worry about that. You can carry on. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi! Im Khadija, 26 years old suffering from toot ache from past 5 days.. actually its my right lower wisdom tooths gums are swollen.. doctor says its infection n has given meftagesic (analgesic anti-inflammatory) tablets for 5days..Please suggest me .. ### REPLY: Thanks for using . Read your query. I would advise you to continue the medication prescribed by your dentist and if there is infection you have to start a dose of antibiotics Caps Amoxicillin (if you are not allergic to any medicine) and Tab Metro lag 200 mg for five days (Consult your dentist also). Do warm saline gargling and keep the tooth area clean. If the dentist has taken radiograph and advice removal of that tooth, then do proceed with it. Hope this was beneficial. Thanks and warm 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 four year old daughter has had about two maybe three UTI and now they said there was blood in her urine.this is her second time that they have found blood in the urine but the first time they made me retest and it came back fine and normal. now about 2 months later they found blood in her urine again. what could that mean and could it be related to high cholesterol in anyway, which they also just told me she had? ### REPLY: Hi, most common cause of blood in urine is urinary tract infection, kindly do urine routine microscopy and urine culture test. And ultrasound k u b should be done to rule out renal Stones. In Renal stones also there can be blood in urine. The child should be investigated for diseases like tuberculosis, chronic infection which can lead to blood in urine. Antibiotic treatment should be started based on urine routine microscopy and urine culture report. 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 there, I have just had my testosterone tested and the results came back pretty low but just within tolerance. (11.8 nmol/L  recommend is 10 -35) would this low testosterone warren me getting some kind of patch or cream? Im 23 years old and have a perfect diet and train hard with proper rest days. ### REPLY: Thanks for contacting  with your health care questions are concerned about a borderline low testosterone levels on recent lab screening. In my practice if I received a level similar to yours I would recommend a repeat fasting testosterone level before starting replacement therapy. Other doctors may proceed with replacement. It all depends on if you have symptoms of low testosterone like, lack or energy, erectile dysfunction or lack of libido. In this case replacement would be warranted. Hope this answers your question. Please contact us again with your health care questions and concerns ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had earlier cervical spondylisis 4-5 yrs ago . Recently in the evening when in my desk I suddenly raise my head , everything in front of me gets rotated .Its for a small time .and I am feeling some pain on the left corner of the back of my head . Is it due to cervical Spondylisis . What should I do - Exercise ? any medicine ? ### REPLY: Hello, Thanks for writing to us. Cervical spondylosis is a common degenerative condition of the cervical spine and most likely caused by age-related changes in the intervertebral disks. Vertigo (dizziness) with this type of origin usually happen when the head is turned or tilted causing compression of the blood vessels that supply the part of the brain involved in balance. I advise you to wear a soft neck collar during the day to help limit neck motion and reduce nerve irritation. You can take non-steroidal anti-inflammatory .  For pain relief and muscle relaxants, particularly if neck muscle spasms occur after discussing with your doctor. Do exercises under guidance of a physical therapist to strengthen neck muscles and stretch the neck and shoulders. When you have episodes of dizziness (vertigo)-Do not lie flat on your back. Prop yourself up slightly to relieve the spinning sensation. Move slowly to avoid the risk of falling. Take rest. Resting will help prevent attacks of light-headedness. Do not  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 spinal tap last week for suspected intracranial hypertension because of optic nueritis.  I am now having pain with eye movement. Could this be a low pressure headache from the tap or should I see my opthmamoligist? It does not go away when lying down. And I have not had this before. I did have high pressure diagnosis. ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms. Pain on eye movements are more likely due to optic neuritis, rather than a side effect of spinal tap. Spinal tap may cause post-spinal headaches, which reduce on lying down. For your pain on eye movements, you should visit your ophthalmologist. A course of steroids may be useful. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Skin is very dark due to sun burn, i was playing in sunny in my childhood and my skin turned dark n i have realized now... i don t know what to do n i cannot afford medical treatments, can u suggest some home remedies to get my original skin colour ### REPLY: An effective way to remove sun tan is by mixing Bengal gram flour or began with a teaspoon of turmeric and make a thick paste by adding milk or rose water. Apply it all over your tanned skin just before bathing. Once it .  Doing so regularly will help in removing tan and also keep your skin supple and smooth. Milk is better for getting a fairer skin tone than rose water. If your skin is  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 palpitations and take flecainade acetate for it. I have been experiencing dizzy spells, lightheaded spells, short stinks of my breath being taken away. I recently had a loop monitor placed in my chest and am unsure if i should feel it when it records or when i should record something manually. ### REPLY: Hello, The continuous loop recorder will itself Register all the events whether you feel or episode s which may go unnoticed, so do not worry about that, whereas in some event recorder you may have to press the record button to store that episode, do verify with the technician about the machine used.  Just I would like to point about that shortness of breath, dizziness though can be explained by some arrhythmia happening in spite of flecainide, where changing dose or adding / substitution may be the treatment post review of loop recover.  However, all the symptoms describe are known side effects of flecainide itself so do consult your doctor for the same. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 19 and for two weeks now I ve been really dizzy tired and light headed with on and off chest pain but last night I got a real sharp pain in my chest then it turned into a constant dull pain that has lasted til today and I got real lightheaded earlier and woke up roughly 4 hours later in the floor with my chest hurtin more after I woke up ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Anxiety appears more in your case. Cardiac causes are not common at your age (19), but better to rule out cardiac cause first for your chest pain. So get done ECG. If ECG is normal then no need to worry much for cardiac cause. You are mostly having anxiety related symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Avoid stress and tension. Be relax and calm. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a laparoscopic scar from like 10 years ago, that has suddenly started bleeding a week ago.  It scabbed over, & the scab fell off, but appears to have been just dried up liquid?  And, its more red than the other sites, and hard around all the edges...The opening is perfectly round in the center, like a bullseye.  Is this ok? ### REPLY: Cellophane You for contacting . It could be injury to superficial vessel. I would suggest you not to worry and do following things:> Keep scar clean.> Don't touch it with dirty hands> Clean scar with spirit swab thrice a day for 3 days.> Put poly fax plus ointment over it. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Docter, I am 24 yrs old female staying in bangalore for the past 4 yrs. I am have Oily hair due to which i feel that I am facing hair loss as i have to shampoo my hair every alternate day. Can you please suggest me some measures to stop hair loss. Is it the water which is the problem?? ### REPLY: Hello, Thank you for posting on . It seems you are suffering from Seborrhea dermatitis, which secondarily leads to hairball and thus It's important to treat it first hand. I would recommend you a short course of oral antifungal .  Use a medicated shampoo containing ketoconazole and salicylic acid twice a week. Take antihistamines as required for itching. Avoid excessive use of hair oil. As for the hairball, start oral supplements containing biotin and other essential vitamins and minerals (Collinear new) once a day for at least 3 months. Hope this will take care of your query. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a question regarding betnesol injection. I am in my thrid trimester now and doctor has prescribed this injection of 12mg of two shots in 24hrs gaps. I have had earlier case of IUD with Fullterm baby which was of about 4kgs. Doctor said the cause was Placental Insufficiency. I have heard Betnesol is used for fasting the lung developmental. Is it safe to take? would it have any side effects on the child later as its not a natural process ### REPLY: Hi, Looking at the past history of IUD, your doctor has prescribed in Ethanol to support vital functions of the fetus and avoid IUD. The dose of medicine would be tapered off after birth and such small course does not have any adverse effect on health of the baby. Please continue with the treatment advised. At times if the advantage over weighs side effect, it's wiser to use the .  Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a filling in my lower right molar three months ago Since then I ve been back to my dentist a few times Firstly to file the filling down Then again Followed by removal of the filling and replacing it Yet I m still experiencing sharp pain when slight pressure is placed on the tooth , sensitivity to Hot n cold and a constant aching I m going back next week but I m scared now of the pain ### REPLY: Dear friend, than for sharing your concern, your lower right molar is infected and has got deep caries. Your pulp is exposed to noxious stimuli, could be restorative material. Further pulp has got infected. Your tooth can be treated by doing a pulp capping procedure or if required root canal treatment. An X-ray is required here to decide on this, meanwhile you can take tab Coquitlam 500 mg twice daily for three days. Hope it helps. Take care than. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my 8 yr old son has a really bad dry cough for 10 wks now he has asthma on 2 inhalers ventolin and symbicot sincalur tablet at nite has been on antibitics steriods cough medicine (epitex codine phoydonex) chest x-ray was all clear he also sweats bad a night its driving him mad its so bad it interfers with everyday activities have you any answers that will help my son would br very grateful!! ### REPLY: Asthma is usually triggered by exposure to allergens resulting in episodes of cough breathlessness etc. You will need to identify what is triggering the attack of asthma. It may be allergens like pollen, dust, mite etc., Sometimes chemicals like perfumes, mosquito repellents etc. Adequate treatment may not be as effective if exposure to allergens is continuing. You may consult immunologist who will do various test to identify possible allergens. Also visit pediatric pulmonologist for Lung Function Tests and ask him to add bronchodilator Acebrophyllin along with long acting inhaled bronchodilators etc. For any further query you may consult me at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mom lives in corpus christi and needs to find a heart specialist. Her blood pressure is high and the GP that she see s can t seem to bring it down. Can you refer her to a doctor that either speaks spanish or has someone in the office to transalate to her. ### REPLY: Hello, The aim of this site is to guide patients through the diagnosis and treatment options. We can not prescribe medications or refer patients to specific clinics.  Coming to this point, I would like to know more about her current therapy, in order to suggest possible changes that may help improve her situation. Then, you can discuss these treatment options with her GP.  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 got a ceramic filling on my upper right molar and gone for couple of adjustments too. All looked normal for two weeks. All of a sudden, I felt some mild pain in that filled molar while biting or chewing and I feel like , iam not biting with my original teeth and biting with some other thing. And kind of so uncomfortable while chewing foods. Today morning, I noticed a very tiny black spot on the gum in between the filled upper molar tooth and filled wisdom tooth . I really wonder what it is? And what is the cause of my pain. I got filling on both upper molar and wisdom tooth just a month back. Please advice me. Your help is appreciated. Thanks in advance. I really got a good oral hygiene and don t have any smoking or drinking habits. ### REPLY: Hello and welcome to  forum Pretty, i would be glad to answer your query, according to the dental history provided by you, it seems, that the ceramic filling is either too high or there is some infection present in the tooth, pain is usually present following trauma or infection in your teeth, you have not mentioned if there is swelling associated with the pain, I assume there is no swelling.I would like to advise you to visit your dentist again and ask him to check the filling once again, as it is hurting you. Also, the black spot over the gum needs to be checked clinically in order to rule out a diagnosis. Till then, start with warm saline rinses(3-4 times/day), and avoid biting from the affected side. I hope I answered your query, i wish 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, my mother is 40 and her uterus was removed 40 days ago, after the operation she was infected and was very cold twice a day, she took a lot of antibiotic and after 15 days from infection she became fine, now she is complaining about her back and it is paining a lot. I would like to know what to do? thanks ### REPLY: Hi, Thanks for your query. After going through your query I came to know that your mother having backache after surgery and infection. It is likely due to vitamin deficiency and trace element deficiency and general weakness. You should take vitamin B complex,vitamin C and trace elements (EVIAN LC). For pain relief she can take analgesic such as diclofenac. She should be given balanced diet to fill the deficiency. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have what feels like a lump in the middle of my chest..Lately Ive been doing a lot of burping and regurgitating after I eat, the burping is also when I drink..seems like Im having trouble swallowing..I do have a low thyroid and nodules,one which has grown in size from Nov to Feb..Ive had a parotid gland removed due to a acenic cell tumor . ### REPLY: Hi, Dear,thanks for the query to . I studied your query in full details. I understood the concerns you have. Cause for lump on Chest-This lump doesn't have any relation with thyroid nodules, or with burping and or with scenic cell tumor of parotid gland. Assuming you are male, Mostly this lump seems to be Sebaceous Cyst. I would advise you to consult ER Surgeon, who would resolve your issue by first-hand check and information.Don't worry and things will be right after this check up. Plz don't self-medicate and increase risks and costs of your illness. Just ask query to  and to me. Hope this would help your query to satisfaction. Write excellent review and hit thanks if this reply helps you out. Welcome for any further query to  and to me in this regard. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor,I am very worried.I am 19 weeks pregnant,and three days ago I unknowingly ate 3-4 ounces of fully roasted (whole)turkey that had been left at room temperature for more than 5 hours!Can listeria regrow after they are killed by cooking?I am so worried for the baby. ### REPLY: Hello, and I hope I can help you today. It is true that poor quality or poorly stored processed lunch meat can carry listeria, however, the chance of catching Listeria from properly cooked food left at room temperature is practically nonexistent. Pregnant women are advised to avoid raw or undercooked meat or meat and fish that is "smoked" rather than fully cooked, or cheese made from unpasteurized milk (which is usually imported or only local dairy farmers in organic food stores)So I your situation you really do not have to worry about Listeria. I hope that I was able to answer your question today and that this information was reassuring. Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i recently had an Echocardiogram ..it showed calcification of the mitral valve without any evidence of narrowing of the valve. it showed mild regurgitation. however, there was some shadowing and they felt that it is possible that this mitral regurgitation could be underestimate as a result. what does mitral regurgitation underestimated mean? Thanking you for you advice. ### REPLY: Hello! Welcome on ! I understand your concern and would like to explain that mitral valve calcification, especially mitral annulus is not a rare finding in elderly individual, those with chronic renal disease, etc. Nevertheless, returning to your concrete issue of concern: mitral regurgitation, I would explain that when acoustic shadowing is present due to excessive calcification, mitral regurgitation visualization on color Doppler could be suboptimal. Coming to this point, additional echo techniques such as spectral Doppler analysis, and evaluation of possible impact of chamber dilation could be a clue to clarify this issue. In addition, in case trans-thoracic echo is not sufficient at providing satisfactory data, then a trans-esophageal echo would be necessary. You should discuss with your doctor on the above-mentioned issues. Hope to have been helpful! Kind regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m desperately looking for a highly skilled and experienced doctor in treating RSDthe Charlotte area. I m currently being treated at SOUTHEAST PAIN CARE and we re just not getting anywhere. He s actually an anesthesiologist not pain management specialist. What s the difference anyway between an anesthesiologist and a pain specialist. ### REPLY: Anesthesiologist will have more idea as well information in terms of giving anesthesia, but he may not have idea on how to deal with pain in different condition. He can be useful only for pre-operative anesthesia or local anesthesia.Whereas pain management doctor will also deal with route cause of pain, so it may not come back and patient gets cured faster as well for permanent for possible treatable conditions. Now to answer your question for reflex sympathetic dystrophy I suggest you consult first euro physician and based on his advice and medication take a view of physiotherapist as well pain management doctor for further improvement. As per my view I believe the major issue with red is pain, swelling, and vasomotor dysfunction. And this can be treated well with regular exercise use of hot and cold pack for swelling and reduce inflammation too. As well with regular exercise work out body releases certain hormones to regulate the imbalance within the body and helps to heal the inner body. So also concentrate on curing the cause rather than just managing the symptoms of pain. One last suggestion as a physio and nutrition specialist keep more of omega 3 in your diet. It has anti-inflammatory as well hormonal balancing natural property which will be helpful for you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im a 21 year boxer. in outstanding physical conditioning.  i train very hard. amateur boxer becoming pro. i have a murmur. have had ultrasound. all good.  but today while jumping rope, i felt a sharp pain on my chest over my heart; felt like my heart was beating fast and bursting out of my chest. it caught my breath and i stopped bc it was really sharp and i felt i couldnt breathe.  i had eaten @1 1/2 - 2  hrs prior. never happened before. im fine now. but it scared me bc i have never had that happen. should i check it out? ### REPLY: Thanks for your question on . I can understand your concern. Possibility of musculoskeletal pain is more. But better to rule out cardiac chest pain because it is located in heart area, and you are having murmur. So better to get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test). If all these are normal then no need to worry about major heart related diseases. Possibility of musculoskeletal pain due boxing exercise is more. So avoid exercise for few days. Apply warm water pad on affected areas. Take painkiller like ibuprofen. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an MRI these was my diagnosis I was told cervical disc degeneration, mid-cervical region. M43.16- spondylolisthesis, lumbar region, M50.22- other cervical disc displacement, mid- cervical region M53.2x6 spinal instabilities, Lumbar region M43.16 spondylolisthesis, lumbar region, with these do I need surgery. ### REPLY: Hi, You can have compressive symptoms due to a spinal problem. For that you need a surgical management for cure.  Until then, you can be prescribed non-steroid anti-inflammatory .  Physiotherapy also beneficial in such case. Avoid strenuous activities and heavy weight lifting.  I suggest you consult an orthopedic surgeon for examination and further management.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife 32 yrs facing breathing problem in early morning whenever room is closed( when all windows of house closed) it happened twice. no body else faced such problem only she is facing . she is not bulky either she has lost weight recently due to tensions at home. we eat goosberry daily since 2 months. plz suggest if it looks serious ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion your wife does not seem to have any major disease for early morning breathlessness. But I still advice to consult pulmonologist and get done PFT (pulmonary function test) to rule out bronchitis, asthma etc. If PFT is normal than mostly your wife is having stress related suffocation and shortness of breath. She is also having tension at home, this also favors possibility of stress related shortness of breath more. So ask her to avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions to identify stressor in her life and start working out solution for the same.Don't worry, she will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Will taramodol test positive for opiates on I am not supposed to have opiates.. I am on methadone 9 milligrams and am tested for opiates..but the test also is for methadone. I have been clean for 6 years but am suffering huge amounts of back pain.I really want to be careful.. ### REPLY: Hi Welcome to  After going through your query I concluded that you want to know that if tramadol test positive for opiates. Tramadol is an opiate analgesic. So I think it is tested positive for opiate. You can discuss with Your doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END