Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey I been feeling strange lately my sides have this pinching pain and my stomach always hurt when I eat or drink I burp a lot and it will feel like my food won t go down and when I use the bathroom I will kinda force and blood witChatDoctore out and after the bathroom my stomach will hurt again I don t know what is wrong with me ### REPLY: Dear Friend. Hi, I am , I have read your query in detail, I understand your concern. This might be due to Acid Peptic Disease. I advise you to follow:1. UGI Endoscopy.2. USG Abdomen.3. A combination of Pantoprazole and Risperidone once a day.4. Soft, Bland diet.5. Avoid Heavy meals. This is my personal opinion based on details available here. If you still have any query you may please ask me. Stay Healthy. , MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have the C5 C6 space present with a focal central extruded disc which slightly deforms the anterior surface of the spinal cord .A slight amount of CSF lies between the spinal cord and posterior wall of the spinal canal and these is no cord compression.The exit foramina are patent. I just have 36 years-old I can make surgery? ### REPLY: Hi, Thank you for posting your query. I have gone through the MRI report of your cervical spine. The decision to do surgery or not depends on patients symptoms and examination findings, in addition to the MRI report. So, I request you to get back with your symptoms. If you have severe articular pain in the arms, or if there is weakness of muscles, or if the medical treatment has failed, you may require surgery. Surgery in spine is safe in experienced hands and there is no need to worry in case the surgery is needed. I hope it helps. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doc i am doing anything, but suddenly half side right side of my body becomes like its going to sleep, sometimes i am carrying files or other things, and its hard for me to grab them. After some time it becomes normal and then i can feel strength in my fist. Its been almost 6 months i am facing this prob. I am a Qualified Chartered Accountant and working as an Auditor in UAE. Waiting for your reply ### REPLY: Hello. Thanks for the question. These are serious symptoms. There are two possibilities which need to be considered. First is TIA and second is cervical spondylosis. TIA - transient ischemic attack, this is just short of stroke and underlying cause is temporary reduction in blood supply to brain. This should be investigated with MRI brain and clinical evaluation. Cervical spondylosis is degenerative changes in neck vertebrae leading to pinched nerve. Pinced nerve can present with such loss of power in upper limb. This should be investigated by MRI of cervical spine. But if you are experiencing pain in right lower leg as well as possibility of TIA is more likely. I hope this answers your question. Please consider seeing doctor sooner. 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: Ever since I was little, my gums bled all the time. When I brushed, rinsed, or got hit. The dentists always say that I need to brush better, but the the thing is I spend 30 mins brushing, flossing, and rinsing all the time. They have gotten better over the years. I m 14 and I m wondering if this is normal for such a young age. The redness used to hurt and had isiility, but not that much anymore. However, it still bleeds at random. Today I ha a Dentist appointment and they were saying that my gums are inflamed, extremely. They didn t say Gingiitis, but I m unsure. I have braces so it s kind of difficult to floss, but I try. Please tell me what I should do. ### REPLY: Hi, since your age is 14, you are at the stage of puberty.at this stage the even little infection will be aggravated. So I suggest go to dentist, take proper scaling sittings, if it is infected you may need antibiotics also. Take proper care of brushing twice a day, learn from your dentist the method of brushing for proper care. As you have braces please don't use floss as it may entangle in your brackets and harm your wiring treatment(or tho) process. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have dark patches in most of my body the patches are really dark am from. I have wen a dermatologist who gave me a few creams and said there s nothing they can do as the creams have not worked they ve also advised laser wouldn t help my patches. Is there any kind of surgery or treatments I can have to get rid of my marks ### REPLY: Hi, Thanks for writing in.  You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements.  You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination.  As the creams have not worked few procedures like chemical peeling and microdermabrasion can be helpful in your case.  Take care.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi...I have severe problemS...I went to otolaryngolog and he said to me that isn T any danger problem...but I still have problems like as: dysphagia , phagophobia, high anxiety disorder ...and simply I don;t know what to do...I visited severe doctors and I did blood tests...and so many tests...but all of them are good...PLeassee helPp..meee... ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are going through a difficult time with your problems. Anxiety disorders can cause not only psychological symptoms, but can manifest as various physical symptoms too. Since, all your medical evaluations have been negative, it is very likely that your physical symptoms like dysphagia could be due to the high levels of anxiety. I would advise you to consult a psychiatrist for a detailed evaluation and further treatment. There are safe and effective treatment options available to control your anxiety, and once your anxiety levels are brought under control, many of your physical symptoms will also subside automatically. Wish you all the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took my child to gp because of a cluster of small wart type spots on her knee. He diagnosed juvenile spring eruption but after looking into this online , these cases present themselves with red itchy spots. My daughters spots are skin coloured and non itchy. Could it be anything else? ### REPLY: Hi, Thank you for asking question on .Non-itchy cluster of small eruptions specially over knees and elbows may be due to vitamin A deficiency. It is called Bioderma or toads skin. Try AD caps as well as vitamin A containing foods like fish, liver, green, orange , red and yellow fruits. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor.. i am 29yrs old. i have had my AKT finished in july 12 ... ( july11-july12).are there any post treatment side effects which can be faced? i m facing some knee ache and putting on some weight too. worried about this problem. can u pls help me out? ### REPLY: Hello AKT treatment is not expected to cause knee pain. Some medicines in antitubercular therapy may cause liver damage. So, it is important to monitor liver enzymes during AKT therapy. Knee pain may be due to some reasons. You need proper clinical examination and X-ray of knee in AP/Lateral view can be taken. Further investigations can be done if needed. Proper treatment depend upon findings. Empirically you may take short course of analgesics. You may recover. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my 4 year old has red spots on her bottom cheeks and at the back, top of thighs as well as under her armpits, occasionally the spots under her arm become very large with a red base and white head and require squeezing which causes her a lot of pain. ### REPLY: Hi... I sympathize with the kid and understand your concern. As a matter of fact even my kid had this when young. The trick of the management is keeping the skin moist and never allowing it to be .  For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had a tooth extraction on Thursday (4 days ago). The pain is still there, but getting a little better. My main question is, on the same side that my extraction was I now have small bumps all over the roof of my mouth in addition to the painful and swelling gums. Should this concern me? ### REPLY: Hi. Thanks for the query. Swollen and painful gums along with bps on roof of mouth are all appearing to be due to Infection at the extraction site. So it is better to get a clinical examination done by your Dentist. You can be advised a course of antibiotics like Augmenting (Amoxicillin and Clavulanate Potassium) along with anti-inflammatory painkillers like Ibuprofen. Also gargle with antiseptic mouthwash like Chlorhexidine. Hope this helps. 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: last night was the second time in two months that Ive woken up with difficulty breathing,  very light headed and dizzy, excessive sweating, and my ears sound muffled followed by an almost screeching sound.  It only lasts for about 10-15 minutes.  After I start sweating profusely, I can feel my heart thumping throughout my whole body. I cant walk or see right when this happens.  Can you give any insight on this? ### REPLY: Hello! Thank you for asking on ! Your symptoms seem to be caused by anxiety or nightmares. Have you measured your blood pressure during these episodes? The lightheadedness and excessive sweating seem to be related to an autonomic reflex. I recommend you to consult with the GP for a careful physical examination, and perform a routine blood test, kidney and liver function tests, resting ECG, chest x-ray, blood electrolytes and closely monitor your blood pressure. A polysomnography may be necessary to exclude possible sleep disorders like nightmares which are associated with an autonomic overreaction. Hope to have been helpful! Greetings!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from lumbar problem.Many a times I feel heaviness in the waist .A few months ago I had an attack of filariasis and was prescribed HETARAZAN 100 for 20 days.After the completion of the course I found a great relief in the heaviness in the waist.Has HETRAZAN 100 helped me in any way? Please comment THANKS ### REPLY: Hi, Betrayal does not appear to release heaviness associated with the lumbar problem. Betrayal (diethylcarbamazine) is effectively used in the treatment and prevention of filariasis and tropical pulmonary eosinophilic. It works by killing both microfilariae (larval forms) and adult forms of the parasitic worms that cause filariasis. There is no documented evidence that it acts by releasing heaviness in the waist due to lumbar problems. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had anal and oral intercourse with a man about 4 weeks ago. My throat is sore and my chest tightens up at night, not sure if do to stress or what? But I m worried I may have caught something. My anus doesn t really have symptoms, it did itch a couple of days ago but went away(but I do shave and could be hair growing back in) I stopped shaving and it hasn t itched but I did see white in my boxers. not sure if this helps but my eyes are also a little irritated. ### REPLY: Thanks for your question on . I can understand your situation and problem. Yes, possibility of Upper respiratory tract infection due to oral Intercourse is more on your case. So better to avoid such things in the future, these are not hygienic things and cause infection. Wash your mouth thoroughly with antiseptic solution like chlorhexidine.  .  Start antihistamine and anti-inflammatory  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 George Daniel , 56 year old wants to take angiogram and to consult the Dr. George Thayil. Now I am working in Dubai,what is the procedures and how many days will take for angio +consultation.some days back I am went a hospital with chest pain.taken the ECG, ECG was perfectly ok, I am having diabetes, hypertension and cholesterol but blood sugar and BP under control Ldl cholesterol is above normal Still I am taking medicines. If I am getting the telephone number of Lourdes hospital that is well to contact. ### REPLY: Hello, After going through your medical query I understand your concern and would like to tell you that angiogram is a daycare procedure which can take 4-8 hours depending on the site of puncture radial or femoral. If your angiogram is normal then you can go back the home same day or if you are going for angioplasty then 2-3 day hospital stay. 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 sir,in past time my father had TB , he was treated & found ok. now it again tb infaction have become , in a city scan & X ray fungal infaction was obsorbed , by chance  he was admitted in hospital due to enlargement of lung(left side) a tube was incerted in lung to remove air from lungs , bp is normal ,sugar conrolled ,cheast drain is ok ,he is on artificial oxegen , not able to remove oxegen .he have become very week not able to seat. please help &Advice ### REPLY: Thanks for your question on . I can understand your concern. So, your father is having relapse of tb with fungal infection and complicated by pneumothorax (air in lungs). Honestly speaking, this is not a good sign for prognosis. Pneumothorax in Tb and fungal pneumonia is having poor prognosis. Healing takes very long time in case of active lung infection. So first give him anti-tubercular and antifungal .  He shouldn't keep the tube for at least 1-2 months. If still not improving after 1-2 months, get done thoracoscopic intervention for pneumothorax. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had slight back pain below my shoulder blade right next to my spine for about 3 months. it isn t anything I can t tolerate. I went to the chiropractor and he took an X-ray and said I have slightly shifted vertebrae. sometimes the pain goes over to above the rib cage on both sides.. I m 27 years old and a non smoker. what could this be? ### REPLY: Welcome to  I have gone through your query and understand your concern. I think it is most likely muscular pain. Its treatment is rest and analgesic. But sometimes it doesn't respond to this treatment then injection triamcinolone give good results. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my name is Katherine I have a 19 month old boy who has been throwing up in the middle of the night or mid morning for the past 3-4 days now. He doesn t seem to act sick, runs around like his normal self. Has a little appetite but seems fine. I m not sure whats wrong with him but I just want to make sure that he is fine and doesn t have anything serious going on. ### REPLY: Hello, You should take an antiemetic for your child in the doses depends on how much your child weighs. You should consume liquids and food. If it lasts more than two to three others day, or you see that your child deny .  You can use TESOL giving it one tablespoon every hour to substitute the liquids lost with vomit. 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 aunt is partially paralyzed and she experiences various kinds of nerve pain, she is currently taking several medications to control those pains, my question is what other forms of pain or illnesses should she expect? She has been paralyzed since 2010 and was never prepared or spoken to about what to expect with her condition. ### REPLY: Hi, She may be having fibromyalgia or regional pain syn .  Both are chronic pain conditions and are quite difficult to treat. She can take analgesics like Tramadol or Gabapentin which can provide symptomatic relief in these patients. If pain persists, better to consult a pain physician and get evaluated. Emotional support is also very important in these conditions. 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 sister has been dx with alzhemirs /dementia she is in a center for behavioral health. She is a alcoholic has been drinking the past 5 months prior to this she did not drink anything for 10years. Prior to drinking she fell a lot now they are telling me she can t walk . She will have to have someone to live with her or go to a nursing home. Is falling a part of dementia/alzhemirs ### REPLY: Hi, I am .  I have read your question and understand your concerns. Let me try to help you Question 1 :. Is falling a part of dementia/alzhemirsAnswer 1 : Yes. Falls are a part of Dementia Question 2 : Does constant alcohol consumption cause dementia? Answer 2 : Yes. Constant Alcohol Consumption will mimic dementia Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 3 year old has very strong urine when he sometimes wets bed at night....doesn t seem to be so strong during the day....not overly thirsty. His father is type 1 diabetic..not from heredity...it was a virus that attacked his pancreas...so we don t think child inheritednit ### REPLY: Thank you for posting your question. The strong urine that you sense your child has, is likely to be concentrated urine. Such concentration of urine is likely to occur due to prolonged periods without water intake. In normal circumstances such urine is found in all individuals towards early morning. Thus, this finding of yours is most likely to be normal. Diabetes mellitus would present with increased urine frequency, increased thirst, increased hunger, loss of weight etc. If none of these are seen in your child, it is very unlikely that he would have the disease. Still in order to be sure you may get a urine sugar or a random blood sugar done.Also, if you notice any associated symptoms like burning or pain while urination, fever etc. a medical consultation would be needed. If you have any more doubts, do write back. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 am residing in India and married for 11 years but yet to have a child.  My consulting physician prescribed levo carnitine tablets besides some other tablets like siledanafil citrate.  Will consuming these tablets increase my drive and yield me a fruitful result of getting an offspring. My count is in the range of 40-50 millions with 40 % motility while taking these medicines which was around 30 millions previously.  Is there any need to take testero-sterone pills/injection as I am already aged 43 and lacking my drive these days due to psychological frustration.  Thank you. Rajn ### REPLY: Hai, The two medication from your quote Levi carnitine is a diet supplement and silednafil citrate for erectile dysfunction. As your count and motility is just under normal.no need for any hormonal injection at this time. If you add almond, cashew,pomegranate, fig,dates, pumpkin seeds, watermelon seeds, jaggery, milk and milk product daily in your food intake will enhance increase in sperm count along with your prescribed medication. Healthy lifestyle will influence and increase your quality of semen and sperm. Regarding your frustration kindly avoid it.no need to worry. Stress, anxiety,depression will decrease the sperm count. Follow the above advise. Thank you hope I 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: Over the course of the early morning till now I have been experiencing pain with sorness to my right upper quadrant close to the stomach just under the rib cage, with tenderness to palpation. The pain is mild to moderate, but enough to be a concern. I have also had a lot of serious gas in the last two days mostly yesterday and have taken simethicone with little relief. I have also had sudden urge, frequent foul-smelling stools today (semi-loose.) The hearburn is a killer and is not being helped regardless of the antacids used. No fever. Eyes are a little dull looking. I am over weight. Last gallbladder check was 2 years prior. Also my appetite has been down over the course of the last 2 weeks, and I have a history of peptic ulcers, and stomatitis, diverticulitis, and microscopic colitis. Occassionally if feels as if there is sort of a burning/tingling feeling above and around my navel. Any suggestions? ### REPLY: Hello dear, Given the medical history of peptic ulcers, dermatitis, diverticulitis and microscopic colitis, the symptoms as mentioned in your post can be attributed to accumulation of gas secondary to increased acid production in the stomach. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods.2.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: So the other night my 12yo son asked me if he could maybe see me without my clothes on he said it was because he wants to know what he will look like I said no right away but he has asked again he is also asking me abput masturbation   I am a single dad he is my only child I dont have many friends with kids so I dont know what I should do so I figured I would ask the world wide web for advice no I am not a pervert or skeez this is a for real question so any help would be great my email is elmueller28 aol since I am not sure how I get answers off of this site thanks ### REPLY: Hi thanks for contacting ... Your child is in adulthood phase .... So he has lots of question in mind about sex and masturbation..... If you feel shy in giving him sex education you can consult pediatrician or psychiatrist for their session... Try to solve query that your child has in mind regarding sex and masturbation... Up to two to three time masturbation is pleasure giving technique... So can be practiced without worry. But his age very less... So after educating him advise him for keep mind in study in such a young age .... Take care Hope your concern solved. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 believe I have ruptured the elbow bursa sac on my right elbow. Fluid has accumulated in the area about the size of a ping pong ball. There is little to no discomfort other than a slight tightness due to the fluid accumulation. Are there any home remedies for treating this condition? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern and looking to the history given here I could say that at one hand you are talking about the ruptured bursa and at other hand you are asking for home remedy how come this could be possible, in my opinion it is advisable to consult the surgeon to get it confirm and if this is a same condition as you said then this would need to the surgical intervention, have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an injury to my left knee. I don t know how I did it, & it started almost a month ago. I ve see a surgeon who says the x-ray is fine. I have a MRI in 5 days. For now I m told I have a stress fracture. My knee is swollen, tender to touch, hurts to move, & to walk on. My question is: If the MRI shows nothing, what would be the diagnosis, & treatment for this? For now I m on crutches, taking over-the-counter pain medication & doing the RICE method. My mom is a RN & says the thinks I need surgery,even if it s aurthoscopic. ? Can someone help me to know what could be done for this? Thank you! ### REPLY: Hello, A normal MRI would indicate just mild inflammation. Anyway, with a swollen knee, I would not expect the MRI to result normal. If there is a fracture or ligament rupture, surgery with arthroscopy would be the best treatment option. In the meantime, I recommend taking ibuprofen for the pain, immobilization and using local cold packs. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi iv been suffering with pain and pressure on the left side of my abdomal for 7months, my veins have become more thinner and blue and the right side of my coller bone is bigger then the left my doctor puts it down to ibs but theres been no problem with my bowels ### REPLY: Hi. Thanks for your query. Read and understood your concerns about pain in the abdomen left side of the abdomen. Veins have become thinner and the right side of the collar bone has become swollen. Also noted that your doctor thinks that you have IBS. For such a problem to be said as IBS, you need to undergo all relevant investigations to be absolutely normal. These are the routine tests of blood, urine, stool, Colonoscopy and CT scan of the abdomen. So get the above investigations and get treated as per the findings. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 usually take my contraceptive pill at 12:15pm daily and have been doing so for the last 3 months. Yesterday I forgot to take my pill, which was the 13th active pill, and had sex about 13 hours later. Halfway through I realised I hadnt taken the pill and made my boyfriend stop and took the missed pill immediately. He did not ejaculate at all during intercourse and we stopped completely after I realised I had forgotten the pill. Today I took my pill at the regular time. Should I be worried? And should I take the morning after pill seeing as it has been 17 hours since intercourse? ### REPLY: Hi, Thank you for posting your question here, I will try to answer it to the best of my ability. Since you did remember to take the pill on the same day, you're okay. You can continue taking the pill as you did earlier starting tomorrow. By the way good call to stop having intercourse, I recommend you don't have intercourse tomorrow either, wait till you are back to your normal cycle of 12:15 pm each day. Which means you can only have intercourse the day after tomorrow, sorry about that. But isn't it better to be safe than sorry? I hope this answered your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i took gynaecosid last month for not having my periods my physician suggested me and i got my periods now four weeks have been passed now am waitin for my periods again have taken pregnancy test its negative just want to know is this any side effect of gynaecosid that my periods are late ### REPLY: Hi, The cause of irregular periods should be treated for permanent remedy. The cause of irregular periods such as polycystic ovaries, obesity and hypothyroidism should be treated effectively. Hormonal treatment should be continued in the subsequent cycles. FSH LH ratio is about 1:1 - meaning the FSH and LH levels in the blood are similar. FSH and LH are often both in the range of about 4-8 in young fertile women. These levels should be evaluated. You may have to continue the pills for few more cycles. Anemia and overweight should also be corrected. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Several years ago i was diagnosed with liver disease from severe alcohol use. I had severe bloating and pressure under my rib cage on my right side. i assumed it was from the liver. I have been sober for 5 years n0w and for the past two years i have had those same issues with belching , gas, pain that radiates to the middle of my back. i have had severe bloating where my upper abdomen is hard as a rock. ### REPLY: HelloWelcome to  Dear Patient, if you have been refraining from alcohol for the last 5 years, I hope your liver disease will have improved by now, and these symptoms of bloating, pain in right upper abdomen, pain radiating to the middle of the back and belching in the absence of jaundice, vomiting with blood in vomits, black colored stools, fluid in abdomen and swelling over body, are very unlikely due to liver disease, rather your symptoms may be due to acid peptic disease, ball bladder stones or irritable bowel syn .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father aged 70 years, heinght 5.5 feet, weight 60 kg had an abdominal ultrasound done around 6 months back when he complained of severe abdominal pain . The ultrasound report suggests that he has acute cholecystisis, diffuse irrugular thickening of urinary bladder wall and enlarged prostate . Gall bladder wall with diffuse edematous thickening of gall bladder wall mesuring 0.58cm however no calculus is seen within the lumen. After taking medication, he was fine however even now sometimes he complains of stomach pain. Please suggest what treatment needs to be done? ### REPLY: HelloThanks for your query. Your father had acute Cholecystitis and his Ultrasound revealed findings suggestive of Acute Cholecystitis As he is getting repeated attacks of pain due to Cholecystitis It is better to get it removed by Laparoscopic Surgery which is safe and gives permanent remedy. As regards his Enlarged Prostate consult some Urologist who will advise some medication like Tamsulosin, Finasteride or Surgery(TURN)depending upon the severity of his Urinary symptoms and Ultrasound findings. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 year old sonMy 13year old has a terrible cough and I cant get him to the Doc till tomarow. He is coughing up yellow sputum and running light feaver. He sounds like a dog barking when he coughs and he has had bronchitis recently. What is your suggestion for what I should do. ### REPLY: Hi and thank you for choosing  to post your question. Whooping and barking sound during cough are due to laryngotracheal pertussis infection. What is his vaccination status? Did he have other symptoms, for example nasal congestion, tearing etc? Pertussis infection is a disease characterized by three stages :catarrh with nasal congestion, rhinorrhea, sneezing;paroxysmal phase characterized by paroxysm of intense coughing and a convalescent stage characterized by chronic cough. The mainstay of treatment is supportive therapy with good nutrition and plenty of rest. Antibiotics initiated during the paroxysmal stage(in which it looks to be your son) do not affect the duration and severity of illness but can prevent or alleviate secondary bacterial infection. Azithromycin is a good choice. I hope my opinion can be helpful. Kind regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had what was thought an umbilical Hernia (small) for the last 4 years, I am female and 52 years of age, until recently it has not caused too many problems, but in the last year i have noticed pain like a burningdragging feeling and have gained about half a stone in weight, i also have palpitations and sometimes rapid heartbeat, anyway I have just undergone an ultra sound and they now say it is not a hernia but lipoma, but it is painful especially after eating, i also get bloating, and shortness of breath on occasions, should i ask for a biopsy? very worried now as it may be cancer , thank you ### REPLY: Thanks for your question on . Lipoma is benign tumor of soft tissue containing only fat tissue. Rarely it can give rise to cancer, liposarcoma. It is usually contender, non-itchy swelling. Since you are having pain I advise you to get done Biopsy. This will come mostly negative only. But will help you in reduce your stress and apprehension. The only treatment available for lipoma is surgical removal. So if you think lipoma is the cause for your palpitation, better to get it removed.Otherwise, no need to worry about cancer. So be relaxed and keep calm. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Diagnosed with bladder cancer (papillary). Thery were removed. Started Chemo X2 sessions. had to stop as the Dr. Says it is not working. Urine test shows particles or tissues and the doctor sayt it has to clear prior to starting neww treatments. Need to know what are those particles or tissues? ### REPLY: Thanks for your question on . I can understand your situation and problem. Causes of bladder cancer are following. 1. Tobacco smoking 2. Chemical exposure 3. Old age4. AZO dyes exposure 5. Scarring of bladder due to repeated cystitis 6. Chronic bladder stone etc. The particles you are talking about can be either tumor substance or degenerated bladder epithelial cells. So follow your doctor s advice. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Please help me! I am devastated. I am unable to see my 2 month old baby boy in severe pain. It seems that he has sprained his neck and/or shoulder muscles. He is comfortable in certain positions and sometimes when I just try to move him for some reason he starts crying till he turns almost black and blue and breathless. I feel really helpless and sad. Jo ### REPLY: Hello, Your child may have a neck sprain which can rarely occur from injury. What is more common in 2-month-old child is a stiff neck secondary to a muscle injury which occurs at childbirth (tortillas), however, as you have mentioned that your child turns blue during crying needs to be evaluated. I would suggest you get your child assessed by your pediatrician so that after clinical examination he will be in a position to guide you. Wish you a speedy recovery. 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: Estimated price to get three teeth fixed/repaired, two are maxillary central incisors. The front left maxillary central incisor has severe side decay deep into the root, same tooth has a another cavity by the gums. One tooth to the left where the side cavity is appearing on the maxillary central incisor, the tooth is having similar early stage effects on the tooth left of the maxillary central incisor (Side decay is occurring, to the left of the maxillary central incisor on the next tooth.). The third tooth is the other maxillary central incisor ( the right one), this tooth, from what I can see, only has the upper cavity located near the gums. At the moment, Im in no pain, but it is becoming irritated and a large black figure is appearing (in the left maxillary central incisor tooth) within the root. ### REPLY: Hello and welcome to  forum, Thank you for writing to us, I would advise you to get the front maxillary teeth restored soon. The decay if not restored can progress into the nerves of the tooth which will need a root canal treatment. Prevention is better than cure. As it's a matter of front teeth so it's better to get them fixed as soon as you can. I hope this answer helps. I will be glad to answer more queries from your side. Thank you 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: im a really nerves person, im getting married this year and the thought of been the centre of attention scares the life out of me, i would also like to learn to drive but because of the panic that sets in with anything out of my comfort zone, im really struggling and its affecting all levels of my life, do you have any suggestions ### REPLY: Degree understand your concerns went through your details. I can understand you. You are a nervous person. Being the center of attention scares you. Fine. What is your profession? Just go back to your past, and you will see many occasions where you were the center of attention. Overlooking them will be fooling yourself. So you do have experience being center stage. They why this problem now? This is called anxiety. You are troubled with anxiety disorder. Worrying about something which may or may not happen in the future. You need psychotherapy treatment as a management technique. You may consult a psychologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. i have a breast mass which i discovered more than  a year ago. Im afraid of surgery so i drink mx3 capsule. would it help remove the lump? last year i got pregnant and gave birth 2 months ago so i stop drinking mx3 but after i gave birth i found out that there are already 2 lumps in my breast, a new small mass was formed. would it possibly lead to cancer? is there any pill that will dissolve those lumps formed? what are the symptoms of breast cancer? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have breast lump. It may be some benign lump, or it may be cancer.  .  Symptoms of cancer are growing lump, weaknesses, weight loss mild fever etc. You should go for fine needle aspiration cytology or core biopsy of lump.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m suffuring from depression and pannic attack, i m taking etizola plus 10 mg and etizola .5 since last 20 days, in one whole day in evening i feel like cuff in throt and difficuilty in breathing as soon as i take .5 etizola i get relaxed please guide me ### REPLY: Hi, I read you query and can understand your distress due to anxiety and depression. The medications that you have mentioned are eidola plus which is a combination of Mizoram 0.5 mg and Escitalopram 10 mg. Eidola .5 contains only Mizoram .5 mg. Etizolam is a benzodiazepine which helps in reducing anxiety. However, it doesn't reduce the disease process which is causing anxiety and depression. Escitalopram is a selective serotonin reuptake inhibitor which helps in the treatment of anxiety as well as depression. Since it is already 20 days of your treatment, I would suggest you revisit your psychiatrist for a treatment review. Had I been your psychiatrist, I would have increased the dose of Escitalopram further and waited for its effect. If still there is no improvement, some other . I would also be taking care that the dose of Mizoram is kept under control and later tapered off to reduce the chances of developing dependency. Hope this information was helpful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 25 year old male and I am suffering from recurrent pancreatitis (idiopathic) in nature for the last 13 years. I am controlling my diet and not taking fatty and rich food as much as I can. I even became a vegetarian. I am having creon or similar medicines for a long time. Sometimes I get pain 2/3 times a year. As I studied there is no medicines in allopathy for curing my disease but just preventions. Last year I have also developed Diabetes . Can you suggest me. I am really helpless and lost all hope to be cured. Please help me...... ### REPLY: First thing I would like to know is your lipid profile?second let me tell u one thing, the latest science says, idiopathic pancreatitis done exists that often as much as its has been termed may patients are found to have higher cholesterol leading to pancreatitis or alsoampullary dysfunction for pancreatitis or have microlithiatis of cholesterol stones blocking ampulla leading into pancreatitis well lots of things has to be investigated in you for further information email me : . Comph: 9925033352 ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Ive been having some chest pains off and on, but I can work my buns off does not bother me, when im doing nothing is when it bothers me, also I feel alot of presure in my head and when I breath I feel dissy and light head , is this all tide toghter ? ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* Many details are missing here to co relate the things precisely as - age - site of the pain - associated symptoms - pain details of type, intensity , severity.* In absence of that, I co relate this as stress induced psychosomatic manifestation of underlying anxiety condition.* Recommendations for better outcome - Avoid stress, anxiety.- No smoking, alcohol.- Adequate, regular, sound sleep of 8 hrs.- Avoid oily, spicy, non veg, beverages.- Keep engage more in likely activities.- Cap. Prilosec (20)mg morning and evening before meals Tab. Tylenol (500)mg morning and evening after meals for 5 days. Suggested follow up after 7 days about progress. Hope this helps you. Thanks. Regards dear. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir,i m male 24 years old,last year 2011 august i suffered from acute viral hepatitis (probably E) i recovered after 10 days of hospitalization,i m G6PD deficient and my biliribin reaches to 22,now after 10 months i m suffering from mild fever,stomach discomfort and eye-burn..i m afraid its not hepatitis again...plz help.... ### REPLY: Hi thanks for asking question. Usually once hepatitis E occur then protective antibody form which protect for long duration. Here chances of hepatitis less. Still to rule out it, you can estimate your liver enzymes in laboratory. You mostly will have stomach viral flu. CBC done ... If lymphocytes viral infection most likely.Meanwhile, take more water. Avoid excess tea, spicy and fatty food. Avoid alcohol and smoking. Fruits taken more. If diarrhea present stool examination devoid haphazard use of analgesic. If still no benefit then USG done for further work up. Wish you good health. Take care. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im having pain in my scrotum on the left side beside shaft. ive been to urologist and he felt and said everything is fine. Also had some test done blood work for a few things, I don t think they were test for anything major just testosterone levels and such. The pain is worst when sitting down its seems to ease up after I stand up and walk around. I feel a slight bump above left testile and that s were pain is coming from. ### REPLY: HelloThanks for query. Based on the facts that you have narrated I would state that pain at the top of the left testicle radiating up to groin and lower abdomen with a bump on the top of testicle is most likely to be due to infection of Epididymis (Epididymitis). Consult qualified Urologist for clinical examination and get following basic tests done to establish diagnosis 1) Urine routine and urine culture 2) Ultrasound Scanning of scrotum 3) Semen examination with Semen culture In the meanwhile start taking broad spectrum antibiotic like Cefuroxime along with anti-inflammatory . Further treatment will be decided by him based on the results of these tests and final diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...hoarse throat and phlegmy cough. prescribed moxikind cv 375 thrice a day but getting an upset stomach and a slightly run down feeling. what to do and how long should the treatment be on? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of sore throat with cough and upset stomach which seems to be due to chest infection/ chronic upper respiratory tract infection, and it could be due to swollen lymph node/tonsils. Stomach upset sometimes occurs due to intake of antibiotics. Need not worry. I would suggest you to do warm saline gargles. You should visit ENT specialist once and get it examined. You should get paranasal sinus x-ray done along with throat swab test and blood tests and start treatment after proper diagnosis. Furthermore, you should get pulmonary function test done. Furthermore, you should take yogurt in diet. Take proper course of antibiotics. Avoid oily and sharp food.  .  Apply mist humidifiers in room. Hope your concern has been resolved. Get Well Soon. Best Wishes, Harry Maheshtala ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 thigh was badly injured in a fall and the entire leg has swelling and is turning yellow. Injury happened 1 week ago. The pain has been moderate. Walking with a limp that loosens up as I go. Understand it takes time to heal at 60 years age. Concerned about the swelling and yellow coring for entire leg. ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you're swelling and yellowness could be due to infection secondary to the injury. You will need and or tho consultation and examination. Meanwhile1 keep your limb elevated.2 start Tab Ibuprofen 400 mg three times in a day.3 Rest. 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. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir can ChatDoctor be taken on 3rd or 5th day of menses to concieve?im confused. ### REPLY: Hi Ran, Welcome to . Self treatment for infertility is not advisable. You have to consult an infertologist and follow his advice. More over follicular growth monitoring on ultrasound scan will be necessary to know the effectiveness of . It will be necessary also to confirm that your tubes are not blocked and that your husbands' semen analysis is within normal limits. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am recently married to my husband of four years. I ve been off birth control since October my husband and I were trying at first but nothing ever happened. Recently this is the first time I ve missed 2 periods in a row ever no nausea or cravings but my nipples are constantly hurting and sensitive, white spots have appeared around my areola and discharge has been appearing only when squeezed from my right nipple. I have taken many urine tests and a blood test about two weeks ago and all said negative. Should I be worried? ### REPLY: Hi, I guess your concern is about reasons for not getting pregnant, right. Firstly I want to tell you that there many reasons or factors which are responsible for not getting pregnancy. These factors can be present in wife or in husband or in both. In most few cases reasons are unknown.in case of female most common reason is ovarian factors like-irregular menses, cystic ovaries etc. Tubal factors like blockage of one or both fallopian tubes, uterine factors like fibroid etc. Sometimes there is a hormonal cause like abnormal thyroid hormones, excessive secretion of prolactin hormone etc. In case of male most common factor is abnormality in sperm or sperm production etc. Secondly let us discuss your problem:- as you told that I missed your period for 2 months, but pregnancy test was negative, and you are having pain, white spot around nipple and on squeezing there is discharge from nipple, right.These problems mostly occurs in case of high prolactin level in the body. It is milk producing hormone which is secreted from pituitary gland. When its level is high in body, it causes irregular menses and milky discharge from the nipple etc. But you have not given information regarding your menses whether it is regular earlier or irregular from the starting, and also you have not told about the character of the nipple discharge. So it is difficult for me to comment on this. With above discussion you can try out my suggestions-1. As you told that you are taking birth control pills. These pills are given for regularization of menses. Once your menses will regular, there is high chances of getting pregnant. So DON'T WORRY.2. Try to do coitus in fertile period (it starts from 10th-16th day of menses) during this period chances of getting pregnant is high). So do coitus as much than possible.3. If you are in hurry then visit nearby infertility specialist. He/ she can help you. I hope the above information is useful, informative and helpful. 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 pee hole is burning from past few days. I had burning feeling when urinating. Then i started drinking a lot of water and it went away. I dont have any burning now while urinating but pee hole keeps on burning on and off. Also i get redness on penis as well(which does not burn).Any idea what might be causing this and what would be the cure? ### REPLY: Hello I share your concern, I will try to help you out in the best possible way. Looking at your description this could be STI or infected ulcer may be due to trauma during rough sex or an allergic reaction. I would like further information to help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test Apart from this blood sugar fasting and post radial and Blood for CBC and liver function test are also advisable. Maintain good hygiene Wash and clean it with antiseptic solution or soapbox can apply antiseptic ointment externally. Use condom during sex Hope this answers your question please feel free to ask for more clarificationThanks 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: sir i am suffering from mouth ulser since 30 yrs so far no relief from mouth ulser only releif in betnsol tablet & Tess buccal paste steriod medicine. please suggest me any good medicine to cure my problem or good consult doctor to take treatment  thanking you sir. ### REPLY: Hello and welcome. Thanks for sharing your concern. Actually ulcer doe snot have a fixed etiology(cause) and so is the treatment. It can occur due to stress, due to deny . Also, it is recurrent in nature and goes off with proper care and treatment. In a way, it is good as it shows the deficiencies in the body too.Therefore, do not worry and continue with your treatment approaches as earlier. 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 know of a 26 yr old girl whose CT scan showed calcified lesion/ granuloma in the left parietal region. This girl has been suffering from seizures since the age of five. It reoccurred at the ages of 5, 13, 20 and now in 2014, Jan. She was under different medications at different times(tegretol,mazetol, diazepam and eptoin) along with deworming and vitamins. Medications were apparently stopped by the parents for reasons known to them. My questions are 1. Did the seizure happen because of the medicines being abruptly stopped?2. What are the side effects of long term usage of the medicines ?3. Will the calcification disappear eventually?4. What are the potential dangers for future life? ### REPLY: Hi,1. Seizures are often precipitated on stopping antiepileptics. So the answer is yes2. Long list of side effects like liver, bone,blood problems, skin rash, gum swelling. But dangers of the disease eclipse the side effects. And blood levels should be measured so that she does not get excess . 3. Calcification is unlikely to disappear.4. If seizures are effectively controlled, and she has regular checkups future will not be a problem. But she will have to be careful in pregnancy and take extra folate. And she will not be able to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I crushed a vertabrea in my back about 10 years ago and have been in lots of pain since then.I think I also crushed a nerve in it also,as when I walk,stand or sit too long get burning throbbing pain so bad I feel like throwing up.I had MRI and Cat scan but nothing shows up,as they are taking lying down and I am not in pain when I am lying down it is the only relief I have. Am at the end of my wits and dont know what else I can do.Any suggestions. ### REPLY: Hi, Welcome to . After going through your query I think your You are suffering from chronic backache. It is related to posture. Treatment of back pain is exercises and analgesics (diclofenac 100mgSR). Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(On DK 60K weekly with milk) can be taken. Avoid long continuous sitting. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. I think your query answered. Welcome to any follow-up 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 have a small, smooth red lump on my right upper arm. It is about 1cm squared in size and slightly raised. It doesnt itch and doesnt irritate. Ive had it for many years and it hasnt changed at all. Links to what it looks like are:  WWW.WWWW.WW        and         WWW.WWWW.WW ### REPLY: Thanks for your question on . I can understand your situation and problem. Following are the possible causes for your painless, stable upper arm lump. 1. Hematoma 2. Lipoma 3. Desmond (less likely) 4. Fibroid (less likely) Since your swelling is not causing you any trouble like not painful, not enlarging in size, non-itchy, not restricting the movements etc., no treatment is required for it. So don't worry about this swelling. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 participate in martial arts and last night I had by knuckle hit by a staff, it didnt hurt much at first but now its extremely painful to use it in any way, i have damaged my knuckle before and it has swollen but there is very little swelling this time,Thanks for your time ### REPLY: Hi.you have possibly damaged the periosteum...which the bone covering.there will be tenderness and swelling.Don't worry. I recommend you to dolor of ice in the injured area...apply some Anti-inflammatory gel in that area.possibly massage the forearm muscles...to ease of some stiffness and facilitate lymph flow.if you have any Anti-inflammatory medications prescribed to you, you can have them... Hope this is useful for you... Kindly revert in case you need any further help in this regard... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor,this is Priya me and my husband are married since 3 years now,and we havnt had actual intercoure till date as my husband ejaculates very soon..now we are planning for baby soon and we went to some doctors but no use .. i m feeling to go for IUI artificial insemination ..what u suggest and is it safe to go for it ? how many days it would take ? ### REPLY: Hello Ms. Priya, Premature ejaculation can be treated after a proper evaluation to look into the specific causes. Relaxation techniques, use of condoms to reduce the sensation over the penis, altering the posture during the intercourse such as lying on the back etc., can be tried. GUI can be tried if natural methods fail after trying seriously to get pregnant for six months. It is a single sitting outpatient procedure, done on the day of ovulation with a concentrated sample. Ovulation inducing medications may be used prior to this and hence, multiple pregnancy is a possibility. There is also a slight chance of infection. The success rate can be up to 20 percent in a single cycle. 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 My 11year Old son as a bump on the top outside area of the ear. He has had this bump for at least 6 months. It looks to be the size of a pea and has not changed in size over this time. It is white with some black discoloration and said it does not hurt when touched. It used to be a hard bump but seems like it has gotten softer and perhaps has pus in it. I have not popped it and he seems to leave it alone. What do you think this could be? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. He may have some infected sebaceous cyst or some infection benign cyst.  You should go for excision OT that lump.  No need to worry.  It is a simple lesion. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My name is ruby ten years ago I had an abi tbi at the moment my last mri says that my head is full of deep white matter i am having trouble thinking and concentrating also many body aches and pain shoulders, neck, large lump in throat difficulty swallowing mostly tablets, what now ??? YYYY@YYYY ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. TBI with white matter, cognitive problems, body aches can be treated. In Order to Proceed, we need 1. Clinical Examination 2. MRI Brain 3. Mini Mental State Examination need to consult a neurosurgeon in Your Place for further carhop you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/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: Hello doctor my name is hema. I m trying to conceive last three years but all in vain. I have already done hystroscopy and laproscopy. Three settings of iui but all failed. Then i changed my doc. She gave me duoluton l tablets. Plz guide me for conceiving. Thanks ### REPLY: Hi hemp, Thanks for writing to . Hysteroscopy helps to diagnose any polyp or adhesions in uterus and also uterotubal junction defects. But it won't help to know tubal patency.  I suggest my patients to undergo tubal patency test before GUI. I would suggest you to undergo tubal patency test. If tubes are patent you can try 3 more cycles of GUI.  Routinely we advise GUI for 6 cycles. If that fails IVF(in vitro fertilization) is next option. But no procedure have 100% success rate. Hope I have been helpful. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I fell on top of my left foot about 10 days ago. The doctor said I tore small legaments, Xrays did not show any broken bones. However at the top of the arch on the inside of my foot there is a hard bump that hurts to touch. Wondering what it could do and what I can do further than RICE to help it heal. ### REPLY: Hello, Thanks for writing to us, I have studied your case with diligence. It can be due to soft tissue injury or ligament injury around foot. Strictly follow limb elevation, so that foot swelling gets reduced. For these symptoms enzyme chymotrypsin and anti-inflammatory can be started. Till time take medication and apply crêpe bandage over foot or use supportive splint. Do ice fomentation and rest to foot. If pain persists you may need MRI, you can consult your doctor and do require investigation. 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: My mum suddenly had knee pain and it swelled up. She had pain walking so had x ray which showed a large shadow on the outer leg just above the knee. After about a week her knee got better and she could walk again. She had an MRI and has now been referred to an orthopaedic hospital. I m really worried it could be cancer . Is there anything else it could be? ### REPLY: Dear michellewrench, Good afternoon, You did not mention the findings of MRI reports. Also, it is difficult to comment without seeing the X-ray. By history, it appears she may have developed ligament injury or meniscal injury (a soft bone in joint).  It is very less likely to be a cancer. Kindly go ahead with the treatment/ consultation by orthopedic surgeon. Take care. I wish your mum a fast recovery & good health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My 3.5 year old daughter has what i describe as tremors on occasion, only while sleeping. She had this happen again early this morning. Her leg and arm on the right side of her body shake, along with her stomach. She seemed to be waking up when this happened, because she said out loud mommy, I m trembling. She stops right away when I fully wake her. She told me that there were polka dots filled with special water on her right foot that makes her tremble, and that her bones make her stop trembling. Also, she said it doesn t hurt, but tickles when this happens. Any ideas? ### REPLY: Hi, I understand your concern by what you say I feel that it could be a benign sleep myoclonus or a conversion reaction. Conversion reaction is highly unlikely keeping the age of the child in mind. I suggest that you consult your pediatrician regarding this and if nothing is found out in the physical examination better to consult a child clinical psychologist. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have left back pain. I have had it for 3 months and getting worse. Worse when I get up in the morning or lay down at night. But lately I feel it throughout the day. At time the pain is sharp. The np I saw felt it was a muscle strain but did no testing ### REPLY: Dear patient Pain in left side felt throughout the day is most likely muscular pain. Since it is for 3 months Bony pathology also needs to be ruled out. I would like to advise X-ray of lumbosacral spine anteroposterior and lateral views. Please get it done from radiology center nearby you. Meanwhile start tab moral 4 mg twice a day with tab attract twice a day for 5 days. If X-ray report is abnormal please consult orthopedic surgeon nearby your area. Avoid forward bending and weight lifting. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 48 years and my hight is 177 Cm & weight 73 Kgs. In last 3 year I noticed 2-3 times Urine & Kidney Infection & treated for the same. Suddenlyfrom last weak I feel regular back pain in left side & pain in urine discharge. last year in my ultrasound report some calicos around 4.5mm were found in my left kidney & gall bladder. What should I do and what is the right treatment? ### REPLY: HelloThanks for query. Pain in left side of back is mostly due to calculus of a size of 4.5 mm in left kidney. Normally the stone of a size of less than 7-8 mm pass out through urine spontaneously and does not require any active intervention .take following treatment to help to pass out the stone at ease and quickly 1) . This will help to dilate the ureter and there by to pass the stone early and without pain. As regards stone in Gall bladder. If there is no pain in abdomen (Silent stone)it can be left alone and take a call for removal by Laparoscopic surgery at later date or get it removed now.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an abcess near my anus and sometimes bleeding and a lot of itching I apply neosporean so it heals but it s healed some and there still some punctured skin I use an antiseptic and am taking antibiotics as recommended by the doctor and it s still there it might also be because my underwear is too tight what do I do? ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that take the treatment as suggested by your doctor. Yes wear cotton and loose undergarment until you are completely treated. Maintain local cleanliness and do .  Newsprint is good powder use it still it is healed. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The blood test report is as below: Salmonella Typhi O titre 1:80 dilution Salmonella Typhi H titre 1:80 dilution Salmonella Para Typhi AH titre 1:20 dilution Salmonella Para Typhi BH titre 1:20 dilution Titre 80 or more than 80 is positive. Method: Agglutination method Does the report indicate the test result as Negative (decease absent) or Positive (decease present)? Female, age 60 years ### REPLY: Hello, A single test cannot in itself give a diagnosis, except when done in an endemic area. In the early weeks, tests can be false negative. A rise in title of four-fold in a repeat test after 7 days is conclusive evidence of the presence of the disease. In a single test, the result is considered to be positive if the titles are seen in 1:160 dilution. As such, your test report is inconclusive. You may repeat the test after consulting your physician. 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: I am 26 years old and otherwise healthy. This morning I woke up extremely dizzy to the point that no matter what I did, the room felt as though it was spinning. I had my blood pressure checked at 9 am and it was 133/86 and my heart rate was 104. I checked it again at 3 and it was 134/90 with a hr of 83. I also have a knot on the side on my neck that has been there for a couple days. I had a sinus infection last week, but have already finished a round of antibiotics for that (amoxicilon 875mg x2 daily). What s going on with me? Should I be concerned, and should I be seen in person by a physician? ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. I can understand. You are a youngster. Heart rate is dependent on stress and anxiety. Due to your sinus and related problems, you could have become highly stressed and anxious and that coupled with the spinning could have created the high heart rate. But 104 is not that high a heart rate for a person under treatment. Please don't be worried and anxious. You can always talk to your physician regarding this. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yesterday i found a heat rash like lump with little spots inside the lump, they are raised and red and hot and im sure puss started to come out of them. im alarmed as i never have anything on my skin and wonder what it could be??? is it a bite maybe??? ### REPLY: Hi, greetings from . From your description you may be suffering from folliculitis with abscess formation. Insect bite is another possibility which can produce a raised red-hot swelling. You have to go to a surgeon and do a complete blood tests including blood sugar to rule out diabetes. If this is not settling with antibiotics and supportive treatment you have to undergo surgical .  ### END