Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, I wanted to know what is the main use of Ubiphene-50 tablet? Does it induce ovulation to occur? How will we know the ovulation is happening or not? I have tried checking it through the ovulation kit, but mostly it shows negative. Can you pls let me know. ### REPLY: Hi, iPhone is given to induce ovulation.  It helps in growth of your follicles.  You can track your ovulation by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, you can also take an injection for rupturing the follicles.  After 1 to 2 days, a repeat ultrasound will confirm the ovulation showing the formation of corpus luteal cyst and fluid in pod. Hope I have answered your question. 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: epidymal cyst and e.coil in urinehi doctor,i have e.coil in my urine culture  report and also epidymal cyst in my left testicle..my symptoms are pain in penis tip(suddenly occurs),vomiting sensation ,clear sticky discharge but no colour it comes when i squeez my penis tip,sudden back pain and elbow pain is this is any std syptoms if which one is it or it just an uti plz help me i am confused with doctor ### REPLY: HelloThanks for query. Based on the facts that you have posted I would state that you have UTI due to Ecol organisms and Epididymis Cyst on left side. Please take antibiotics as per culture and sensitivity report along with urine alkalizer twice daily. Ensure to . This will help to reduce dysuria. As regards Epididymis cyst it is a benign cyst and does not need any treatment. You may take painkillers like Broken as and when necessary. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 16 years old and still havent fully hit puberty. I have some pubic hair (very few) and barley any leg and arm hair and no armpit hair. My penis and testicle is very small. When I was young I had surgery for my penis because of my circumcision (the doctor did it wrong when I was a baby) and there is a scar. Is there something wrong? Im scared to be in a relationship and show my penis. help! ### REPLY: You should not worry as in most of such cases puberty is delayed because of constitutional causes. In such cases puberty may come between the age of 16 to 20 yrs. I will also suggest you to consult an endocrinologist after a year or so if till then also you do not get puberty. He will get you tested your sex chromatin, sex hormone levels and some other tests to evaluate the causes of delayed puberty. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: which food help for healthy chromosome in female at over age 35 ### REPLY: Hi Welcome to  There is risk of congenital anomalies in babies in pregnant women who are >35 yrs. It is advisable to take folic acid supplements in diet before conception to reduce such risk. Leafy green vegetables (like spinach and turnip greens), fruits (like citrus fruits and juices), and .  Omega fatty acids and antioxidants like vitamin E and C ll be very helpful. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 28yrs old lady,planning to conceive.Dose of Folic Acid tablet is taken twice a day by misunderstanding the docs instructions.Will that cause me physical problem next ? ### REPLY: Hi Lena, Welcome to  Forum.Don't worry if you have taken it only once. It won't cause any health issue in the future and you won't have any Problem conceiving. Just take it as directed by your Doctor once daily and have Unprotected sex every alternate day from 10th to 20th day of your Cycle to increase the chances of conception. Eat healthy nutritious balanced diet which should include fresh fruits and Green Leafy veggies. Good Luck, Take Care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took an antibiotic for bronchitis. I think I now have a yeast infection in my mouth. The back of my tongue is white. I am aware that this can easily turn into a vaginal infection as well. I have stopped the medication until I can get back in the doctors office. Is there a home remedy for this?? ### REPLY: Hi. Thanks for the query. Antibiotics are commonly seen to cause oral thrush and vaginal thrush especially in individuals with low resistance.However, if you have got oral thrush due to antibiotic intake, and now you have stopped taking antibiotic, you can start gargling with Statin containing mouth rinse and suck Clotrimazole lozenges. Take plenty of probiotics like Yogurt and garlic as they will help in clearing fungus faster. Avoid antiseptic mouthwash and maintain a meticulous oral hygiene. Keep the tongue cleaned by gently scraping with tongue cleaner. You will see improvement within 4-5 days. Take care. Regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The night before last I lifted my bed so I could wash the cover. Then lifted it again to put the cover back on. I woke up yesterday just fine, but woke up this morning in unbearable pain. I need to be pulled up just to sit up.it hurts completely around my body, chest, back, and under arms. I have taken 2000 mgs of Advil and been in bed all day. It actually hurts to take a deep breath. Should I wait a few days and see how I feel or should I get to an ed for an x ray to see if I tore some tendons ### REPLY: Hi, In my opinion, no need to urgently go to emergency room. Possibility of musculoskeletal pain due to over straining is more likely. Do following things for better symptomatic relief.1. Take painkiller and muscle relaxant . 2. Sit with proper back support.3. Avoid sudden jerky movements of back and chest.4. Apply warm water pad on affected areas of chest. Don't worry, you will be alright with all these in 1 week, if not improving then get done chest X-ray to rule out internal injury. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,My 5 year old has an infected molar.  She has been living with pain for several days.  Her cheek and gums are swollen and sore.  She started  taking amoxicillin 2 days ago.  Although her pain level seems to have decreased some, her cheek and gums are still swollen and she is taking motrin and tylenol.  Is removal of the tooth necessary at this point, or are there other options?  Is it better to remove the tooth or access the infection through the gum?  Any advice will be much appreciated.  We live in Israel and it is very frustrating to get answers from the local dentist.  Were seeing him today, and Id like to be as educated as I can.  Thanks so much! ### REPLY: Hello.thank you for sharing your problem with . To decide extraction is necessary or not I need X-ray. If infection is deep there can be option of saving it by a treatment called root canal treatment. But if it's more than enough deep and can't be saved then extraction is only the option. Continue with antibiotics .and take painkiller if pain is unbearable. You can consult back for further queries. Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I just noticed a lump on my neck. I have been sleeping on the couch for the past 3 days so I thought it might be a knot from sleeping wrong but my neck doesnt hurt. It feels like its under the skin and it doesnt look like a pimple. Its right at the end of my hairline about an inch or so from my spine. How can I tell a knot from a lump or a swollen lymph node? What can I do to get rid of it? ### REPLY: HIT hanks for posting your query.  It's very unlikely to be a knot. It is either a subcutaneous swelling like Lipoma or sebaceous cyst, or it could be lymph node.  Lymph node will be firm to hard in consistency while Lipoma or sebaceous cyst will be soft in consistency. You need to consult your doctor as it requires personal examination to find out what it is. Your doctor will examine it and if required may ask for a test called FNAC. The treatment depends on what the swelling is and hence kindly get evaluated. Hope this information was useful to you. Any clarification feel free to ask. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor , 20 days before i had temperature , cough and it takes 15 to 20 days , and here local doctor gave me anti bio tics i eat them and now i well , no temperature but still have cough , it seems like some times the dry one and some times not, with all this my complex i mean color of my face and body becomes pale and brown , all people says to me what happen to your face , today i look in mirror i saw black, grey spot on my tongue also.What you suggest and recommend. ### REPLY: HIT hanks for posting your query.  Fever with cough indicates infection, though you were treated with Antibiotic, your cough has still persisted. It means the Antibiotic given to you has not worked properly, and you need to get another course of antibiotic.  But this time before getting an antibiotic started I would recommend a test called Throat swab culture sensitivity test. This test will tell which is the right Antibiotic for you and if you use that Antibiotic your cough will subside.  Also do salt water gargling, .  Hope this information was useful to you. Any clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a cyst on my scrotum it doesent hurt but its just embarrassing. Ive had 1 b4 and I got it lanced by a doctor. The problem is I do not have medical insurance anymore and really the whole procedure b4 was horrible for me. I dont want to go through that again. I also remember having to pay to get the cyst tested for cancer after it was removed and I dont want to have to pay for that again because I get cysts all the time and im pretty sure its not cancer. My question is is there any home remedies that I can do myself? Ive Read that goldenseal tincture can help is this true? I just want this thing gone because its kinda big... please help ### REPLY: Hall, Masses or cysts on the scrotum, can be several things, most of which are benign and harmless.  Among these possible causes are Sebaceous cysts, a HY .  Physical examination should be able to diagnose which of these you may have.  In few individuals those who work in hot temperatures, there may be chances of formation of sebaceous cysts which are multiple over scrotum. Usually not harmful but if there is less immunity power and if you are getting any skin complaints like fungal infection, there may be chances of appearances of infection over scrotum.  In Ayurveda, there are certain herbal medicines which are helpful for controlling this type of infections.1.KISHORE JUGGLE and AROMA VARYING which are good medicines for your condition2. Take KHADIRARISHTAM twice daily.3. Wear cotton comforts like underwear which is very helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 59yr old woman with HCV caused cirrhosis.  About 50% of the time my doctor takes my blood pressure it is normal (120/70 or 80) and the other times its high (160/105) or more.  Had heart tested a couple of years ago and it was fine.  Pre-cirrhosis it was always low.  Ideas? ### REPLY: Hello, thank you for your question. Liver cirrhosis needs a complex treatment. If you were my patient I would suggest you to get an appointment with gastroenterologist. You need to get regular ultrasonographic and biochemistry exams to check the status of the disease. I have to warn you that liver cirrhosis is a main cause for liver cancer. You should switch to a liver friendly diet - no fried foods, no fatty things, lemons etc. etc.. Its is good for you to take regularly hepatoprotective medicines. You have to be aware of one of the complication of cirrhosis - portal hypertension. You may develop varices of the esophagi which can bleed badly. Your condition needs dedicated lifelong treatment. Hope I helped 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 am a 19 yr old female and i have been sick since dec 22 and have had only 9 "feel good" days in between then and now.... i have a severe cough, runny nose, my lungs hurt 24/7, cant sleep, ive been getting little bruises on my legs, and my hands will tighten up sometimes and i cant move my fingers (when they are not doing that they hurt all the time) ### REPLY: Hello Since, you are having cough for last 8-9 months with runny nose, and lungs hurt. Also having pain in fingers joint and also hurt. All these symptoms may be due to these reasons:1 Anemia, since cough is for long duration, so get in blood for hemoglobin examination.2 Tuberculosis, since this cough, runny nose is for last 8-9 months, so we can't rule out tuberculosis. Diagnosis can be confirmed by X-ray chest, Contours test and sputum for AFB.3 Allergic bronchitis is another reason of such symptoms. When such patient visit I advise my patient to take montelukast+albuterol tablet once or twice in day according to severity of symptoms (normal dose is one tablet at nighttime). Also take some cough syrup containing chlorampheniramine+ dextromethophan + aerosol. However, there are so many other reasons of such symptoms, but physical examination is important in this case because symptoms are for 8-9 months so consult a physician and get his opinion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sair i am pavani my husband sperm count is 20 its verry low so we disided tretment for ivf in vellor cmc hospital.next moth they started process .so i have some doubts.plese tell me answars.1.what is the difarents ok ivf babyes and normal babys any complicatons for test tube babys2.any special care for ivf pregnent3. cmc vellor hospital is best are not tell me ### REPLY: Answer to your queries are as follows according to the serial number given by you: 1) IVF is of 2 types: IVF Self and IVF Donor. In IVF Self the sperm(male egg) and ovum(female egg) are of the husband and wife only, and thus they are the biological father and mother of the baby. In IVF Donor either sperm or the ovum or both are of a donor/donors and thus the biological father/mother is/are different. No complications for a test tube as such.2) IVF pregnancy is a precious pregnancy so adequate ante natal care is to be taken in terms of regular check-ups, medicines as prescribed by the doctor and also the instructions for delivery to be followed.3) CMC Nellore is a renowned hospital and teaching institute also. I hope I have answered your queries satisfactorily. Take Care. Stay Healthy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I have what I think is a swollen lymph node under my jaw on the right side of my jaw. It hurts really bad. My lymph nodes under my jaw are usually swollen, but not this bad. My doctor has asked me about them and expressed no concern as long as they aren t painful. But this one hurts without even touching it and it s quite painful, enough that it makes me want to cry. What could this be caused from? Is it treatable? Is it a serious condition to be concerned about? ### REPLY: Hello, I went through your query. The swelling under your neck is maybe either a swollen lymph node or a swollen salivary gland. The lymph nodes below the jaws will get enlarged as a reaction to any local infection like an infected tooth or gums. And the fact that is very painful, it is more indicative of an infection. Also there is a possibility that the swelling may not be a swollen lymph node. It can be a salivary gland whose duct may be blocked by a calculus(stone). Both the conditions requires you to visit a general dentist to find the actual cause of the swelling and treat it accordingly. Hope my answer helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am very worried as I had my first icsi 14 days ago, 3 day embryo. Was good quality the embryologist said. I just realised that I have dark brown green ish discharge , I had white discharge since embryo transfer all day every day till now?? I don t know is that a bad sign? My test is on Friday, I had mild cramps since the transfer and for last 3 days head aches. I don t have any period ache, normally I am in agony every month. Is there a chance that still everything could be ok? I am 31, had 11 eggs , one week injections , Regards Maggie ### REPLY: Hello, Thanks for the query. Your symptoms of spotting per vagina with pain abdomen is something to be concerned about. Get an Ultrasound abdomen done to rule out early chances of miscarriage/ sub chorionic hemorrhage. Don't worry you still have chances of continuation of pregnancy. Studies have shown that 50% women with first trimester spotting continue their pregnancy and deliver a healthy child. 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 doc, just wanna ask if its OK to use pregnancy test 6 days ago after sexual intercourse,and how true is it that the woman could not be pregnant if the sexual intercourse is made on the fourth day of their menstrual period,meaning they are not fertile? ### REPLY: HIF you have had sex on the ovulation day, then pregnancy test can be done on the 7th day after sex. The logic is implantation of baby into uterus occurs on the 6th-7th day after ovulation. With implantation, pregnancy hormone is secreted, and it can be detected by tests. This is the earliest time to do pregnancy test. Urine test may not detect it. You need to do blood pregnancy test. So only when you have sex at the time /just after ovulation pregnancy test can be done after 6-7 days. What you have heard is right. The first week and the last week of a menstrual cycle are safe. A woman cannot get pregnant if she has unprotected sex during this period. I hope I have answered your 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: Our son, now 45 has what we thought for years was Arthritis. I am not sure how to spell it, or if this is the complete name....spondalosis, or spondalitis? It is an intense source of neck pain, and now has progressed down his back into his hips. The doctors in the past told him that his neck and hips were "fusing" to the point of lack of mobility. A new doctor is telling him that it is not arthritis, but a blood disease? Can you clear up some of the confusion?Thank you,Joan Snedden ### REPLY: Hello, I have studied your case with diligence. As per your history there is possibility of polyarthritis. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, does he have sucChatDoctorplain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased does she have such stiffness in spine? Harmony imbalance like hypothyroidism also leads to similar complain. So check your thyroid profile. For diagnosing blood disease investigations will be required. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi dr., I have bad anxiety, a few days ago I had an EKG because I thought something was up with my heart. They took a look and it was ok. Today I m a little anxious and I ve been having life a fluttering in my chest and some pain on the left side of my chest, off and on for just a half second. I m not sure if it s muscle pain or something more serious. Any information would be helpful. ### REPLY: Thanks for your question fluttering sensation in the chest can be due to -tachycardia secondary to anxiety or heart ailments-gastritis you need to visit a physician or a cardiologist to rule out any organic disease and a psychiatrist who can give you treatment regarding anxiety disorder I consider prescribing antidepressants, beta blockers and if needed selective serotonin reuptake inhibitors to my patients you can discuss these modalities with your physician to guide you with the best treatment thanks feel free to ask more questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 13 month old son has had a change in biwel movements for the past 3 weeks,yellow and mushy and a strong fish smell he is otherwise well but at the same time his sleeping in the night has been terrible waking constantly whimpering and unable to settle even though he is exhausted, I wondered if he may have an allergy to cows milk? ### REPLY: Hi.... milk allergy would have resulted in blood in stool and also eczema like changes in the skin of flexes. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: is it safe to give Ofloxacin + Metronidazole Suspension to ais it safe to give Ofloxacin + Metronidazole Suspension to an 18 moths old baby. We have given it to our daughter. she has been suffering from loose motions and fever for the past three days and has not been taking any food except mik and that to in little quantity. She is crying a lot and feeling irritated a lot ### REPLY: Hi thanks for asking question. This combination is effective for loose stool control, and it can be given in 18-month-old child. As the weaning is started from 1 year of age, chances of infective diarrhea is present. But loose stool may be because of viral cause like rotavirus. So you can give your baby serum containing both this . Still no benefit then further work up will be done. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 24 yr old female i have been sick for almost a month. i am having pain in my upper stomach under my ribs. i have seen a GI doctor and everything is normal. all my blood work is normal but i have an elevated white count, the last time is was checked it was 15 thousand. the other blood work showed no signs of infection, or inflammation, and no cancer cells. it is still a possiblity of lukiemia ### REPLY: Pain under the ribs with high counts. Let's not jump into leukemia straight away. You might have a hepatitis, cholecystitis. Best thing is to look at the counts again with differential counts and a peripheral blood smear. We will follow the counts and get the sonogram of the belly and if count won't settle get a marrow. Leukemia would have given you a low Hemoglobin and low platelets too... So is unlikely but will still be kept into the mind, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 squishy lump on my ribcage left side when i touch it it turns. My left arm. Numb and caused my heart to feel stabbing pains i went to er they did an xray to make sure my ribs werent out of place but the pain in chest left and arm numbness left. I comes back when i put my arm at my side its scares me what can ithis be ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion, we should first rule out heart related diseases because they are common cause for left sided chest pain with left arm numbness. So first get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Possibility of musculoskeletal pain is more in your case. So avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise like. Take painkiller and muscle relaxant .  Apply warm water pad on affected areas. 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 am a 24 year old male i just masturbating a little to vigorously and not 2 minutes later right under the head of my penis on the under side swelled.... My penis is a little sore not really at all. But I took a shower and massaged it. the swelling has gone down but there is still a small red bump left after. Should I be afraid? should I go to the doctor Immediately? there was no bump before I masturbated and I Know I don t have any stis because I literally was just checked. SOMEONE HELP! ### REPLY: You need not get tensed. It is good that the swelling is reduced. Just keep your penis clean and .  Do not apply too much of soap or creams in that region. Wait and see if the red bump regresses by itself in 2-3 days, if not consult a dermatologist. Keep in mind not to bruise your penis by doing rough activities. It is a sensitive region. If there is pain, you may take Flexion or Coquitlam tablets, one after having food. TC ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir , i m suffering with acne and pimples on my face. Offlate they have started occurring frequently. I avoid eating out and rarely take oily food....still i am getting these pimples on my face specially above my upper lip region Sex: Male Age: 27 Height: 175 cm Weight : 70 kg Medical History : Never suffered from any serious ailment. ### REPLY: Hi, thanks for query. Pimples in young people is very common. This occurs due to many reasons like hormonal changes, infection,pollution, food etc. Please wash your face immediately after visiting outside with a mild soap. Avoid using any cream on face while going out. Take good healthy diet rich in fruits and salads. In case of pain and red acne please see our skin specialist for proper course of . 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: i have Been having throbbing pain in my Supraorbital Ridge for months now, i went to the eye doctor, everything was normal. Also went to my medical doctor, everything was normal except i have allergies congestion. When i bend the pain gets worse. ive been sneezing alot lately. What could be causing this pain?? (left eye) ### REPLY: Hello dear, The symptoms & case history mentioned in your post suggest that you might be having Frontal sinusitis. Management involves:1. Steam inhalation2. Analgesic to provide relief from pain.3. Antibiotics against the causative organism, based on culture & sensitivity reports.4. Antihistamines can also be used for symptomatic relief.5. Avoid exposure to cold and other allergens. So, kindly consult an ENT specialist, get a proper clinical examination done and start treatment accordingly. Investigations like complete blood count, X-ray of para nasal sinus will be helpful in clinching the diagnosis. Wishing you a Good Health. Let me know if I need to clarify further. Thanks & 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 will be 7 weeks pregnant this Thursday. I had a vaginal ultrasound on Monday and the doctor did not see a heartbeat.  He told me to expect the worst but that he would do another ultrasound on Friday.   I have had mild spotting (mostly brown for about a week).  My hormone levels have been good so far, though he did want to see my ChatDoctor levels rise even higher (they were 4700 at about 6 weeks and my progesterone was 23).  He told me to do another bloodtest to see if the hormones are continuing to rise. This morning I woke up to heavy bleeding and passed some pretty large clots.  I was convinced that I miscarried.  The doctor called me today with results of the bloodtest I did yesterday.  He said that the hormone levels look good, but that does not necessarily mean that the embryo is developing normally.  Since I am RH negative, I am going in tomorrow for a Rhogham shot and the doctor may do another ultrasound to see if I have miscarried.  If the embryo is still there, is there a chance it is still too early to see the heartbeat?  I should add that last week he did see the gestational sac in the uterus, as well as afetal pole. ### REPLY: Hi, Thanks for the query.  Fetal heart sounds are seen by 7 weeks of pregnancy in USG scan. But as the date of conception/ ovulation time tend to differ from person to person, it's better to wait for a week & repeat the scan to confirm absent heart beats.  - heart beats are not seen when heart is not developed, but all other signs & hormonal set up is like pregnancy. The condition is called blighted or chemical pregnancy. This is usually expelled out / evacuated.  Anti D is taken after evacuation.  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: Hello doctor....my husbands eosinophil count is 2800...where as biologilcal range given by doctor is 40-440...he has also been detected with a mild pleural effussion on right side....and ving gastric problems from last 1 yr...help out me to knw which specialist doctor to consult and is it dangerous fr health?? ### REPLY: Hi, Thanks for asking. Eosinophil count of 2800 is indeed high and needs to be evaluated. Tests needed for evaluation are:1. Allergen test2. Stool test for ova and cysts of parasites3. IGE levelheaded on these, you can meet a specific specialist like MD Medicine, or Allergic specialist. Yes, it could be dangerous, as it can induce anaphylaxis if it's an allergic reaction. Meet your doctor for tests and reference. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, an enquiry re: ARS symptoms.  Can they start with a one day fever, then nothing for a few days followed by a 3 day sore throat and week long pain in the fingers, toes and jaw ?  I thought all ARS symptoms happened on the same days, not one symptom one day then others a few days later ?? ### REPLY: Acute HIV infection is defined as the period between exposure to the virus and completion of the initial immune responses. This period varies but generally lasts 2-3 months. During this time, antibody tests may be negative for HIV, but the serum viral load is detectable and can be quite high. Approximately 70% of patients with HIV infection develop symptoms during the acute infection period. Symptoms of AS occur over 2-3 month, not in one day. Yes, symptoms of AS may occur intermittently over a period of 2-3 months. Early symptomatic HIV infection includes persistent generalized lymphadenopathy, often the earliest symptom of primary HIV infection; oral lesions such as thrush and oral hairy leukoplakia; hematologic disturbances such as hypoproliferative anemia and thrombocytopenia; neurologic disorders such as aseptic meningitis; and dermatologist disorders such as varicella-zoster virus. Hope this is helpful. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Around 8 years ago a doctor had to do lumbar puncture on me to test for maningitus and since that time i have had a very bad back pain and over the last 3-4 years i have developed sciatica pain as well. I have used all gels, warm and cold patches and painkillers and exercises but as soon as it gets cold my sciatica kicks in and it is so difficult to do anything. I am only 27 years old and because of this problem I feel like I am 50 due to the lack of mobility during the extreme pain. Is there anything else you would recommend that does not include steroid injections as I do not want steroids in my body. Thanks ### REPLY: Lumbar puncture is often blamed for back pain, but it is not the cause, especially after so many years. If the pain has been there cor a long time, you should undergo clinical evaluation by a spine surgeon and may be an MRI if required. Most back pains get better with properly guided physiotherapy and regular exercises. Maintaining proper posture during daily routine activities is also most important. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife this evening mistakenly took my mother s blood pressure medication instead of her diabetes meds. she tried throwing up and the dinner came up but we didn t notice any pills. her BP has been dropping slowly over the last two hours from 140/79 to just now 115/59. she is very nervous. is there anything I can give her to raise her BP? Coffee, Chocolate, ??? ### REPLY: Hi Coffee may be used to raise blood pressure, but I suggest that your wife should be admitted in emergency. She must be given normal saline. As a matter of fact the BP will fall for more hours and there is risk of fall in blood pressure as effect extends up to 24 hours. So I recommend that she must be admitted in emergency to be put under observation. If you are satisfied with my answer then please vote as helpful. With Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter was accidentally poked in inner corner of eye yesterday. And today her eye is irritated with eye hoovers all over it. I cleaned up XXXXX and that has relieved some of the irritation. But the eye boogers keep coming.the friend that poked her had been playing with their cats and dogs. Could it be scratched or a bad allergy reaction or both? ### REPLY: Hello, Any eye injury should be taken seriously. Especially the cornea. Cornea is a very delicate structure and our vision depends upon it. If the injury is established then is very difficult manage because it becomes permanent and the ability to regenerate to normalcy is unlikely. The contamination may be high due to the source of the injury was in contact with animals. Take the help of an Ophthalmologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 extremely nervous when a doorway, aisle, or hallway is blocked. This happens especially in public places lile restaurants or stores. Basically anytime I feel like I would not be able to get out easily if I needed to. Do i have a phobia, and if so, what is it called? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Agoraphobia is the phobia that you are having. More specifically it is claustrophobia. This needs treatment with paroxetine and benzodiazepines.  Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 1) my wife is 0 negative and am positive, she delivered a baby boy but died shortly after delivery due to essesive loss of blood. Pls I will like to know if her blood group has anything to do with these. 2) We had over 2 years delay before this conception. I will like to know if it has anything to do with 0 negative ### REPLY: Hi, dairy have gone through your question. I can understand your concern. If moths blood group is negative and babies blood group is positive then it leads to Rh incompatibility and chance of hemolytic disease of newborn.  Mother should take anti D injection to prevent that. Delay in conception has no relation with any blood group. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 34yr old, 172cm tall, 58kg, generally very healthy. i went to Asia last month, living in clean conditions but shared bathrooms. now i have dull pain in lower abdomen... usually left side, sometimes closer to pubic bone and occasionally right side.  some white vaginal discharge, not smelly. had gastro bout whilst over there, medium level, not severe. lasted on and off for up to 2 weeks. took a couple of immodium tablets, thats all.  could I have diverticulitis.... vaginal infection....??? have had i think Giardia whilst over there 2 years ago and one recurrent bout 6months later. that was far worse than this time. ### REPLY: Welcome to  .1. Your symptoms are more towards UTI - urinary tract infection / fungal infection / STD sexually transmitted diseases.2. You have not mentioned anything related to bowel pathology, other that previously you have got infected.3. Sharing bathrooms has very fewer chances to get transmitted any diseases.4. In this case, a swab from the vaginal discharge, urine complete analysis, and an ultrasound abdomen pelvis would help you to get better.5. Get an appointment with your GP and get the needful investigations done and a course of antibiotics would help. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my husband and I are trying to conceive and I know we have to keep trying for at least a year but I just want to make sure we are doing it the right way. My question is this : everytime we have intercourse, right after, I always pee. i also wash my vagina with cold water, to remove the stickiness of the sperm which makes me uncomfortable. (I was the outside and a little on the inside with the tip of my finger) Do these 2 things minimize my chances of conceiving? (1) peeing (2) washing? ### REPLY: Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. As per your history, Please find my advice below-:1)You can wash no problem at all which are outside of vagina.2)Use one app to calculate your ovulation date and try to do sex in that particular date only which you can feel by little practice.3)Remember Only one intercourse creates a baby. I hope I was able to ad .  If you have any further questions, please do not hesitate to write to me. Wishing you all the best. 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: hello,i am 36 years old and for last 2 and half to 3 years im suffering from low back pain and weak spine and numbness in legs and getting very uncomfortable while on bed and cant stand for more than 3 to 5 mnts .....i got my complete spine X rayed.....and it showed that theres slight spondylosis in neck region and the main problem as the doctor pointed out is that theres L4 L5 sacralaisation in lumbar ....i just want to know wheter theres any permenant treatment in homoeopathy for such problem ### REPLY: Hello. Thanks for writing to us. The permanent treatment of such age related degenerative changes is a surgical correction. For symptomatic relief, medicines like painkillers, muscle relaxants, methylcobalamin can help you. Regular physiotherapy is also necessary. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is a heart rate of 121 normal when walking? I feel a flutter in my throat and a slight tightness thru my chest to my back at times but no real pain per say. I do have high cholesterol. I get this strange sqeeze feeling sometimes. I ve been feeling this now for about 2 days. Was just wondering about my heart rate. While sitting it s in the 80 s but when I m walking and I sit back down is when it goes up and I feel this feel I just explained. I get this slight pain feeling on the left side of my head when my upper left side of my chest makes that weird feeling. Do you think I should see a doctor? My mother has congestive heart failure and afib and my baby brother has afib. ### REPLY: Hi... Normal heart rate is 60 to 100 beats/min. It can increase during any physical activity such as walking, running. Heart rate of 121 during walking is normal. But if you get chest pain, breathless or palpitations on walking uphill or brisk walking it is matter of concern. In your case your, your symptoms are non-specific, but since you have a positive family history for heart disease I would recommend, 1. ECG 2. If you are really getting chest pain on walking you should go for ECG and TMT, 3. If ECG is normal and no chest pain I think you can follow healthy diet and exercise and have regular health check up. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went to my old dr the other day to get back on adhd medicine. He put me on what I use to be on which is 2 20mg adderall daily. I have barely slept, barely eaten, all I ve has to drink is water and a good bit. What little I do pee, which is VERY little, hurts real bad. My liver feels like is tearing open and my kidneys are sore. You know of it will go away or should I go to the hospital? I don t have much money to go to hospital but should I anyway? ### REPLY: Hello dear, I understand your concern. It seems you have UTI and parenthetic reaction of liver. Urine tests, liver test and ultrasound should be done to rule out it. For treatment, I suggest- Definite 1 tablet twice after meal for 5 days and Cyst on 2 tablets twice a day for 1 month.- LIV 52 should be given two tables twice a day 15 minutes before meal for 1 month.- Ashwagandha 2 capsules daily for 2 months. You will feel better, don't worry, just take following up medicines. Wish you speedy recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello there, A few days ago, I started having neck issues and assuming its from work being I have a very physical job, but whatever the case may be. At first I had thought it was pulled muscle knotted up, but I noticed I had these bubble like/ball like things in my neck that move around and I m not sure if it s swollen lymph nodes or something else? I been getting these killer head ache from it so bad I feel like my neck/head is going to exploded. Going to be seeing my doctor this weekend but it rough because i work 12 hr shifts being the holidays coming up and on the 3rd shift. ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to.muscle knots in the neck. I suggest using muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplement for muscle relaxation. Furthermore, I suggest warm compresses for local application at the neck area. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Since I had a mesh hernia op, and after ejaculation, my wee smells strongly of fish. It last for about two days then stops. I also have fibrosis of the liver caused by tainted blood and Hep C infection diagnosed 5-years ago and following anti viral course I am viral free. I am 70 years of age. ### REPLY: Hi, I had gone through your question and understand your concerns. In most cases this is sign of reinfection and liver fibrosis may contribute to increased risk of reinfection. Also, dark urine may be sign of more severe liver disorder such as cirrhosis or liver failure.  IF this continues you should do urinalysis, monoculture and kidneys ultrasound to rule these main causes out. You should .  Hep C should not be related to your urine symptoms but as I said it may contribute indirectly as a cause of liver failure. 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: my child has Microcephaly....he is 9 months old and everything is fine ecept he has the body of a 5 month old, he goos and ahhs, all the time.......we even got him to say Daddy at six months old...he knows ppl, he plays normaly, he cant sit up on his own or roll all over the place, cause his body is little.....what other thing should i look for in my child with this condtion ### REPLY: Hello thank you for writing us here. You mean the small size of baby right? Because microcephaly is phrase used for small head and I think because the little baby speaks and do the lot of activities it isn't about the head. And for the size, it's the built of the baby. How well he's nourished how much he consumes and excrete. I would suggest you to increase the diet of the child, and he should consume little meals around 5 or 6 times a day. Also, you can give him breast milk along with whining foods like banana or the foods which are available in market for child .  Let him play, do physical activities and eat properly. He would start gaining weight and be healthy within 2 years of age. God bless you and the little baby. Best regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello there! my baby is just 1 week old and have severe stomach cramps or at least that s what we believe he has as he cries intensely at certain times, has his belly contracted and his legs as well!we ve heard is not common for such young baby to have colic! ### REPLY: Hi, It is very common and completely normal in the first three months of age for the baby to experience colicky pain. You can use gripe water or Dentin ox baby .  Also holding the baby upright with his tummy against your shoulder and massaging the back till the baby burbs after feeds will help decrease the colicky pain. 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 husband is 45 healthy in good shape very athletic. He just found out he has a myocardial bridge, he had no symptoms. It was discovered due to low heart rate during a yearly physical. Cardiologist said there was no clogging everything looked good he just had  a myocardial bridge. Recommended a aspirin  a day and Pravastatin 20mg for prevention only Dr says that this medication helps with inflammation. Is there anything natural that can be taken, he does not want to take a statin drug.Is this medication needed? Thanks Rose ### REPLY: HelloThanks for posting here. Usually the arteries of the heart are located on its surface. Sometimes they may pierce the heart muscle and pass through it. Because if this, when the heart contracts, the artery also gets compressed. This is called myocardial bridge. It implies that there is no clot or blockage in the artery, but it gets compressed by muscle contractions. So they do not cause any harm to the patient. Since he is 45, your doctor has started him on aspirin and statin. If the lipid profile is normal, LDL less than 100, and his other arteries show no blocks then he can be kept off statins. But statins are very beneficial .  So I suggest continuing taking them. 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: have flu like symtoms, with acheing all over body. Coughing, whezzing, running nose. Left ear stopped up like Im in a tunnel, and my eyes are running, red, and swollen with alot of pain. I have also been running a fever od 102 now for a week. What can I take to get rid of this yuck? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of post infectious bronchitis is more. It is common after viral upper respiratory tract infection. Your symptoms like coughing, wheezing, breaking etc. are due to bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my child is 5 year old and once in a month he suffers from tonsillitis problem, the day I notice his fever and pain while swallowing issues i give him Arithral 200mg syrup. Is it fine to give antibiotic the very first day of his fever or I should wait for 1 or 2 days?, also how can I reduce his tonsilitis issue that comes every month? ### REPLY: Hi.this age tonsillitis occurring so frequently is uncommon. I am trying to say that it is so uncommon that we should think whether it is really tonsillitis and reconsider the diagnosis. You are right - we should not be using antibiotics so frequently. Using an antibiotic after a bacteriological evidence is prudent, and it can be done by a throat swab culture or a rapid antigen test. 95% of kids illness of sore throat in this age group are viral, and they do not warrant antibiotic usage.Sometimes warm saline gargles will help a lot in preventing such recurrences. 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 coughed yesterday and a shooting pain when up the sides of my neck. Still have full range of motion. And my neck doesnt hurt at any other time. But every time I cough same shooting pain goes up the sides of my neck, lingers for a while then goes away. ### REPLY: Thanks for asking your question I completely understand your question pain in neck associated with cough can be due to excessive coughing by which all the neck muscles get pulled and fatigued, or it can be due to sores in the pharynx due to excessive coughing can apply some muscle relaxant and take an analgesic if pain doesn't subside you can consult a physician thanks/ regards feel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How can I tell the difference between toe nail fungus and a bruised toe nail?I went to get a pedicure and I asked the lady if I had toe nail fungus and she said it was just bruised but it s been there awhile and it looks a lot like fungus. It s yellowish at the end of my nail and it s all under it. I can dig some if it out but it hurts really bad. So what do you think it is?? ### REPLY: HI, thanks for using  If the changes have been present for a long time then it is more likely that it is a fungal infection of the nail. Bruising should not take weeks or months to resolve. Fungal toenail infection require treatment with oral antifungals. Examples are itraconazole, terminating and fluconazole. These require a prescription and normally have to be used for up to 3 months. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im just 14 and I got manboobs since I was a kid Please tell me the efficient way to get rid of it (like some medicine or so ) And I dot want my parents to get involved in this because they consider it a burden when I ask them :( So please tell me some not soo costly medicine (which I can get with my pocket money) ### REPLY: Degree understand your concerns went through your description. I suggest you not to worry much. For a 14-year young boy, oversized breasts are normal. It happens often. There are no miracle cures for this and there are no medications. Most young boys overcome this with the help of exercise and hard push-ups. You can also do the same. Within 6 months, your problem should be solved. Instead of practicing such a wonderful and useful method you are wasting your time in search of something which is not available. Hope this answers your query. Available for further clarifications. Good luck. Merry Christmas. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 u please tell me the permanent solution of dust allergy? When i was a kid my dr. Recommended me ventorlin syrup, zethrin, betnesol!!! Some people says this prblm has a permanent solution in ayurveda ... Please tell me what should i do??? I can live like this sometimes life look like hell... Tell me permanent solution n I ll definitely do!!! Thank you for helping me... ### REPLY: 1.  what are the other symptoms associated with it: running nose, sneezing,watering from eyes, any itching in the throat??2. Any difficulty in smelling?3. Could be possible Allergic Rhinitis/Hay fever?4. Any family history of the same.5. Any complaint of nasal Polyps or chronic sinusitis?6. Rather than avoiding the allergen you should boost up your Immune system with Immunomodulators (Malayan Nikita), because it is difficult to avoid dust 7. Sleep with elevation of head at night to prevent nasal congestion.8. Avoid dairy products, sugar,potatoes, tomatoes,banana, oranges, grapefruits.9. Apart from Ayurveda medicines you can consult with the Physician there for Net type of nasal douching to help with your symptoms. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 found that my hemoglobin level was reduced to a minimal of 8 mg/Dl, and now it is around 9. I will become so tired and feels lack of proper breath in less time while running or while doing some exercises. It was there from my childhood. This value was around 11 when iam 15 Yrs old. Now i am 27 yrs old. Can you please suggest me to improve this?. Suggest me the type doctors with specialized in this. ### REPLY: Hello. Welcome to . Anemia of any form will lead to the symptoms that you are having. So for getting relief, it is important to correctly diagnose the cause and anemia first. It is important to go in for complete hematological work up like CBC, Iron studies, Vitamin B12 and folate levelsPeripheral smear. Based on results of these investigations, you need to have further work up if needed... like hemolytic work up, work up for uncommon anemia, etc. HEMATOLOGIST is the person you must visit. 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 husband was diagnosed with throat cancer he has it on a tonsil and parts on his lymph? He has been told that he is stage 2 cancer can you please tell me more about this as it is from HPV and I am told that different things about percentages and survival rate will he die from this ### REPLY: Throat cancer refers to cancer of the voice box, the vocal cords, and other parts of the throat, such as the tonsils and oropharynx. Throat cancer is often grouped into two categories: pharyngeal cancer and laryngeal cancer. Pharyngeal cancer forms in the pharynx. This is the hollow tube that runs from behind your nose to the top of your windpipe. Laryngeal cancer forms in the larynx, which is your voice box. If diagnosed early, throat cancer has a high cure rate. Throat cancer may not be curable once malignant cells spread to parts of the body beyond the neck and head. However, those diagnosed can continue treatment to prolong their life and slow the progression of the disease. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has a rash on her buttocks that we have been treating with nystatin . She is undergoing treatment for ALL and the oncologist believes this to be the proper treatment. The rash (small red bumps) has now spread to her leg and her face is getting splotchy. We hope to see the oncologist tomorrow. What should we be looking for. ### REPLY: HelloWelcome! I would be pleased to answer your question. From what you have described in your history, it looks very much like acute popular urticaria. Most episodes of acute urticaria are self limited within 4-6 weeks of onset of symptoms, it is not imperative to do so. I would recommend taking an anti histamine once or twice a day for 2 weeks +calamine lotion over the affected areas whenever symptoms occur and seeing whether they recur on stopping the medicine after 2 weeks. If they do then restart treatment for another four weeks and then stop and see. If they still recur then you will require some blood tests and will need to see a doctor in person. Please note that if you have any lip swelling or difficulty in breathing you should see doctor right away. Hope this information is useful, please feel free to ask if you have any queries. Please feel free to ask if you have any queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 12 years old and got hit by a baseball in the chest tonight.  He was pitching and the ball was hit strait at his chest.  He was pretty shook up and the baseball left a welt but he says hes not having problems breathing.  Is there anything else I should watch for?  If something was going to happen wouldnt it have happened right away?  You just hear so much about kids going into cardiac arrest over things like this. ### REPLY: Thanks for your question on . I can understand your concern. Your son is having blunt chest trauma. Musculoskeletal injury is the most common injury after such trauma. Some serious complications like rib fracture, pulmonary contusion, pneumothorax etc. can also occur after blunt chest trauma. But no need to worry about such major complications because he is not having breathlessness. You should watch for coughing, worsening chest pain, breathlessness, redness and swelling on affected areas etc. If any of these is seen then immediately consult doctor and get done chest x-ray. Otherwise, no need to worry much. He will be alright. And don't worry about cardiac arrest. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. 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 recently had a pelvic ultrasound with endovaginal scan and it showed there is an apparent focal thickening of the endometrium measuring 5 mm (non-vascular)  It might represent unusual polyp or focal endometrial growth associated with a small amount of hemorrhage in the canal above it.  I am 60 years old, on biest and progesterone for 4 years; with lower abodominal pain (like low grade menstrual cramps at times) frequent urination and weight gain.  Should I be doing something else? ### REPLY: Hi. Thanks for your query and an elucidated history. To consider your history one by one:The cause of the lower abdominal pain can be many. This can be due to PID, due to the mass in the uterus as per your ultrasonography. It is possible that there is a prolapse of the uterus giving you typical pains of the type of menstrual cramps. In addition, taking the best and progesterone as a hormone replacement therapy can have its own effect on not only the uterus but also on the body and can give wright gain and all associated symptoms. Frequent urination can be due to urinary tract infection or prolapse of the uterus as has been mentioned above. I would advise you the following::Blood tests, particularly of the hormonal status including the Thyroid function tests. Urine routine, microscopy, culture and sensitivity. Ultrasonography of abdomen. Physical examination by a Gynecologist to rule out any prolapse and so. Currating and biopsy of the endometrium to rule of the cancer. All these tests will lead to a proper diagnosis and plan for a proper treatment ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 15 yrs old and has had asthma sice birth triggered usually only when he gets a cold. He has had viral codes 6 times in the last 6 months. Within that time getting pneumonia once. After 7 doctors visits early all saying it was viral I demanded a chest xray and they found pneumonia and treated it and then it was gone. Again my son has the same symptons clear bial, coughing non stop as it drains down his throat for the 6 th time this winter. He is booked for an allergy test but its 6 mnths out. I make sure he has a good diet vitamins and am regimented about his asthma maintenance but am frustrated with doctors who say is just a virus and send me home. Are there some tests that should be done? He has always had a weak immune system. ### REPLY: There are chances of milk allergy as when we add milk and diary after 2 years of age the child starts getting these types of symptoms, and it is misdiagnosed by doctors as flu and chest infectioneverytime we give antibiotics the child immunity decreases and as age increases the attacks are more frequent and not controlled by routine medicine get blood serum test for milk specific antibodies can add for other foods like wheat rice egg nuts Chaney potato but with my experience I am sure of milk with . You can get treated with desensitization therapy after tests ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 partner has very high blood pressure. She was given tablets to take before I met her but she refuses to take them. Today we have taken a few different readings. 220 over 174. 210 over 169 and 203 over 171. These have been takenin hospital as shes in for a pre-op appointment so I know they are accurate.  Can you advise what I should be doing with her to help i.e. diet or exercise? ### REPLY: Hello These readings are really high, diet and exercise alone cannot bring this down. She has to be medicine like tab Telmisartan 40 and Amlodipine 5 mg once a day, so she should get these prescribed.  She should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then she should be on medicines for it. Regular exercises like brisk walking, jogging according her capacity at least 30 min a day and 5 days a week after blood pressure is controlled. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.  Hope this helps you and get back if you have any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a bad tooth ache all week. Thought I needed a root canal. Went to the dentist he thought maybe I had a high part on my crown and sanded a part off yesterday. Today hurts more, underneath my jaw very sore, very sensitive if I bite down. I have been taking ibuprofen, every 4 hours, still a lot of pain. I have some old pain medicine, from a previous root canal. The medicine is hydroco/apap 7.5-500 tab from 5/25/2011. It says it expires 5/25/12. Is it still effective? Should I just continue the ibuprofen? ### REPLY: Thanks for using . Read your query. First, regarding the medicine you have asked whether to take, please do NOT take it as it is expired. Expired medicine cause more harm and reactions to your body. Continue with the ibuprofen for the pain. Second, visit your dentist and get a radiograph done of the tooth and go ahead with the root canal treatment to get a full relief from the pain. Antibiotic may be required after consultation with your dentist. Do warm saline gargling. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My 1 yr old son keeps being sick for no apparent reason, this has been going on for months. There doesn t seem to be a pattern to his sickness, it is mostly at meal times but not every meal and not every day, sometimes when he is sick at mealtimes we clean him up and he tucks into his food again unfazed. What could be the cause of this? He is generally very healthy, only the usual coughs and colds that all kids seem to get. ### REPLY: Hi, Welcome to , Your child seems to be having not very specific complaint. I understand the matter of concern but if he doesn't vomit every time he feeds a d It's occasionally then it doesn't seem like any problem in him. Also, because he is otherwise well and loves to continue with his food, all signs that he is well. However sucChatDoctorplaints can happen when there is a gastroesophageal reflux. I would suggest you consult a pediatric gastroenterologist or even a pediatrician for the same before ruling out that he is normal. I wish good health for your child. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son has fever for two nights and 1 day now, we brought him to a physician lastnight and one of the medicine she prescribed is an antibiotic. observing constantly my sons temperature last night and up this early morning, we noticed that his temperature did not subside from 39 degrees. Is it because of the antibiotic that hes taking that the temperature does not go down? ### REPLY: Hello, Welcome to , As your son is having fever from one day for which you have admitted in the hospital and the doctor is monitoring his body temperature regularly, and he has been prescribed antibiotics. The antibiotics will not increase the body temp. It will control any infection present in the body which is leading to fever in your son. The antibiotics will help to fight against the infection and control the mediators of fever. I hope he would have been prescribed paracetamol which will reduce the fever along with the antibiotics which will combat any infection present in the body. It is a false notion that the antibiotics will increase the fever contrary it will reduce the fever. 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 m experiencing sharp electric shock pain in my right elbow. I had shoulder surgery 2 years ago and did experience the same pain prior to surgery. Can you tell me what could be causing this? happens mainly when exercising but has happened at random moments as well ### REPLY: Hi, as you mentioned your symptoms, the pain cannot be related to the previous surgery of shoulder. As to which surgery was performed and for what issue makes an important here. Also, the shock nature of the pain is always referred to as the pain travelling through the nerves, when the nerve is pinched in its course or may be at its root. Taking an MRI of the cervical spine, NCV and EMG will help understand further what causes these symptoms. Also, if you can try performing neck strengthening exercises and trapezius Strengthening exercises and see for a week. If the pain level comes down then the pain is neuropathic in nature and an MRI will provide a good input. Usually with exercise things come to 99% of success. With the grace of God I wish you a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think I might have OCD, but I am not sure. I was reading about it because I was worried about a friend, but then I read that tapping or counting numbers was a sign of it. For a while now, I have been repeating words in my mind, and each syllable gets a finger. Then I tap on my fingers what I just heard. I can t skip over fingers, and it has to end on a pinky or thumb. Am I OCD? ### REPLY: Hi, Thanks for using  .OCD comprise obsessions and compulsions. Obsessions: Repetitive, Intrusive,illogical, unwanted thoughts, ideas or images comes in to mind though person doesn't want them, and they create some discomfort. Compulsion: Obsessions make the person to do something repeatedly related to component of the obsession and if person doesn't do the same, he/she feels so much anxiety, discomfort and distress. If these obsessions and compulsions are so frequent that they cause problem in persons daily routine, work and wasting of time, we can say person has obsessive compulsive disorder. If your repeating word and tapping fingers are obsession and compulsion as I describe above, and they create difficulty in your work, you should consult a psychiatrist for detail evaluation. If your habit is for a while and not repeated, and you are not feeling not discomfort, just relax and forget about your concern of having OCD, then you are normal. Hope I have answered your query, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started to workout for the first time in a while yesterday doing the elliptical machine and about 10 mins into my workout my bottom teeth started hurting. It got so bad that i had to stop my workout. The pain was a combination of sensitivity and throbbing pain. It has been 12 hours since then and they are still bothering me. I workout on and off again and have been for years and this is the first time anything like this has ever happened to me. I am concerned that it can be related to a heart issue. Can you please help ? ### REPLY: Hi friend. While doing exercise our blood circulation in body increases which is same for the teeth also. As teeth are closed entity they can not handle increase in blood circulation if they are already infected due to tooth decay or fracture or trauma. So your first priority must be to visit your general dentist and have the check-up done.Also, please mention which area in teeth is paining. Is it happening in localized area or you're all teeth are paining? Are you able to locate the pain in any specific tooth? ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a host of issues I think are all pointing back to my thyroid.  I am having trouble getting into my GP and I really want some answers.  I had a thyroidectomy in 2000 removing the left lobe and center of my thyroid.  My most recent test was 4/2/13.  My levels are TSH-0.11, T3-30, T4-7.3, Free T4-2.2.  I am not sure why the TSH is so low and the others are within the normal ranges.  I am 30 pounds overweight and I can not seem to lose it with diet and exercise.  Secondly, Im apparently going through perimenapause because I have been having raging hot flashes and I have not had a regular cycle since January.  Lastly, I had several kidney stones (all small except one) and had lithotripsy two weeks ago.  Needless to say... I feel like poop and Im not really sure where to start and where to go from here. ### REPLY: Helloas you have said you are a patient of thyroidectomy, and your fresh thyroid status shows subclinical hyperthyroidism with low TSH and normal t3, t4, in premenopausal status, with kidney stone sin premenopausal period women have increased calcium absorption from bones and hence more stone shot flushes are common in premenopausal period and best treatment is vitamin E with venlafaxine subclinical hyperthyroidism again causing more calcium absorption and hence more stones your residual thyroid has become over active or about to become overactive .....treatment is complete thyroidectomy or neomercazoleyou need to go to endocrinologist for thyroid problemsgynaecologist for hot flushes nothing to worry about, follow my advice and your problems will be solved in a week take care ### END