Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4yr old has been throwing up only in the morning for the past 3 mornings. Thurs was 5am, Fri was 4am, and this morning was 2am. He seems fine all day long, eats and plays. He had runny poop today but other than that, there are no other symptoms. ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wbc has been elevated for 2 years, averaging 14.5, I am fatigued often and was prescribed nuvigil daily, I have been diagnosed with adult onset asthma, bloodwork shows thyroid off,bone marrow biopsy showed reactive changes , had ct of abdomen 2 days ago, showed some lymh nodes . I am so frustrated because I feel like something isn t right but they all say I am fine nothing to worry about, I don t know what to do. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  But your WBC count is slightly high so no need to worry. Just be relaxed.  You might have infection or inflammation. You don't have any major problems. So don't worry about that dear. 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 woke u[p in the middle of the night and found my neck hurts as does my left side.  I thought I might have pulled a "wing" muscle but as the day went on I found it increasingly painful to inhale and my side (from lower to middle back) hurt as well.  Help! ### REPLY: Hi thanks for asking question. First you could have simple musculoskeletal pain as you are suspecting. It might be by heavy exercise or weight lifting. Rest and analgesic with hot compression useful for it. Second rule out respiratory problem if suspicious symptoms present like cold or sore throat with fever.X-ray and pulmonary function test seems to be useful for it...PFT useful for diagnosing and differentiating restrictive and obstructive pulmonary disease. If still no benefit then we will do further work up according to more history and physical examination. Take care...... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain in the pad just behind the toes of my right foot. An MRI Was done and found the following. 1Arthritic change at the 1st MTP joint and medial sesamoid articulation with marrow edema in the medial sesamoid 2 Suspected1.2 cm interdigital neuroma in the 2nd webspace 3 intact planter fascia and tending us structures. 4 mild degenerative arthritic change in the PIP and DIP joints of the 3rd ,4th, and 5th toes. ### REPLY: Dear patient Arthritis at first MTP joint means wear and tear at the base of great toe joint where it meets foot. MTP means metatarsophalangeal first joint. Interdigital means between two digits. Neuroma means benign tumor arising from nerve. You have got neuroma tumor between 2nd and 3rd toe space size is 1.2 cm. PIP means proximal interphalangeal joint and DIP means distal interphalangeal joint both are joints in toes.Mohave got age related arthritis at this joints in 3rd 4th and 5th toes. You need to consult foot specialist as soon as possible. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 noticed a lump in my rib cage that was a bit tender. It wasnt red or discolored in any way. The next morning when I woke up there was an almost black bruise where the lump was. I went to my dr. and he ran a blood test to check my blood clotting levels whicChatDoctore back fine. Should I still be concerned? ### REPLY: Hi, Welcome to . Looks like you had got a hematoma (blood clot) following an unnoticed bump. It occurs when there is an injury to a vessel following trauma, leading to collection of blood in the region. The blood has now seeped till the skin to cause the bruise. It will over time change from black to blue to yellow and eventually fade away. You need not worry about that. 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: I am 67 yo female with chronic pain} fractured L2/healed. various bad disks. inflamation is high. Bad pain on top of my hips, waist level bilateral. For 10 yrs. docs are treating with narcotics. I m on 37 mcg/hr fentanyl patchs with Dilaudid for break through pain. Docs say I m not a good surgery pt. as back surgery is so failed. Is there something better then just taking drugs, meditation & exercise? ### REPLY: This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Diabetes. Any way it may be tried,--.  Looking Plus (Mankind) [Diclofenac 100 mg +Paracetamol 350 mg] 1 tab.  OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Avoid direct flow of AC or Cooler.--. Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.--. Do mild exercises for Back.  --.(Take help of a physiotherapist or visit WWW. . Com). --. Use no pillow under the head. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (phone.91 9810012688)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 these pockets of pus marks developing on my gums and the inner part of my mouth. I am fighting a bad cold right now. I also broke out with a rash all over my body so I thought it may be from the same thing...a large puss mark just broke on my gum should I see a doctor or a dentist? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have pus formation in your gums, when there is Access formation, may be toothed is carious, then Periapical access is there, or may be there is Periodontal problem then it is Periodontal Access is there so, You should go to dentist then go for proper investigations done IOWA (Intro oral periapical radiograph) , and go for proper treatment Root canal treatment or Scaling and root planning properly, Do warm saline gargle two - three times a day, you will get relief Hope this will help 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: There is a weird pain at the upper inside of my mouth. The location is near the upper left wisdom tooth. The pain is weird because it is not there when I closed my mouth. It only appears when I open my mouth to talk. Swallowing does NOT invoke the pain too. I have experience of tooth pain in the past but it does not like it because tooth pain is like impulse and it remains there no matter what you do or not do. This pain bother me mostly when I am talking. Also, the pain-est moment is when I start to talk. It diminish when I keep on talking. I dont have the courage to see a dentist because I have EXTREME gag reflect. I gag when I brush myself and I cant withstand the wooden stick to press my tougue when I see visit physicians. I inspected my mouth a noticed no readiness there. Any advice? ### REPLY: Hello, The pain can be due to any nerve related problems. As the pain is only on speaking therefore it points more towards nerve related problem. So my suggestion is to consult an Oral Physician and get evaluated. An x-ray has to be done to rule out the exact cause of the problem. Once the problem is confirmed, then only appropriate treatment can be advised. For now, you can take anti-inflammatory painkillers like Ibuprofen. 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 three year old son has been fighting a cold for 2 days .... Tonight at bath time I noticed a rash on his back not raised and not itchy, about 2 inches in diameter.  After the bath the rash looked better.  An hour after falling asleep he woke up and vomited.  Now he has nearly a dozen of the rashes on his back, shoulders and face.  Wondering if this is cause for an emergency room visit? ### REPLY: Hi... by what you quote I feel that this could be urticaria or a skin allergy of some sort. I suggest you take him to the emergency room. But meanwhile, you can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 55 year old female. I have pain on a 8 level, at the very tip of my sacrum. It has gotten much worse over the past two months and much worse over the last week. I do have severe spinal arthritis, but this pain is different. What is that part of the bone at the tip of the sacrum called? I have had a hysterectomy. Sex is very painful in that region. Should I see a Gynecologist or a orthopedic doctor. Thank you ### REPLY: Hithanks for writing to  the part of bone at the tip of sacrum is called coccyx (tailbone)and you seem to suffer from a condition called coccygodynia (swelling of soft tissue around your tailbone)as there is no history of injury the chances of fracture are very less. Please take following treatment:1. For sitting -use ring pillow or doughnut cushion with a hole in between.  (this will offload your tail bone).2. Do not sit on any kind of hard surface3. Avoid sitting for long4. Do sat bath(dip your buttocks in a tub of lukewarm water).if not possible lie down sideways and do hot fomentation.5. Avoid any strenuous activities, lifting any kind of weight 6. Take mild anti-inflammatory like ibuprofen or naproxen7. Avoid constipation, take high fiber diet and increase water intake.it will 2-3 weeks for recovery. If no relief, you can see your orthopedic surgeon. He might consider giving a local steroid injection. Hope I have answered your query .if satisfied please rate my answer. 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: Sir, My son is almost 2 years old and getting a fequent feaver from almost 2 months. Feaver is coming for every 5 or 7 days. We have been going to doctors and they are telling that it is a just infection and gave him antibiotec syrup. But again yesterday we noticed feaver again with 102 degrees. Please help us. ### REPLY: Dear parent, Iunderstand by your history that your child is having fever quite often since 2 months. Its intermittent and lasting for 2 to 3 days and afebrile for 5 to 7 days. There are many causes for prolonged fever like typhoid, malaria,urinary tract infections, rickettsial infections, Tuberculosis,leukemia etc... Please give us history regarding if any other associated symptoms along with fever, any tuberculosis contact, any investigations done. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 15 year old male and I have a sort of dark-red bump on my lower abdomen. I do get pimples often, and it definitely feels and looks like one, but I would appreciate a more educated view of it. Is it something I could easily pop? It s pretty painful and I d like to have it off of my body asap. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some acne or boil. You should go for examination. If necessary take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i get really small blisters like a pimples on my knees, they continue to grow and fill up with a bloody puss and are extremely painful. they sometimes last for a month or two before they go away and then a new one forms. they scab over but sometimes get almost black around the scab. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of painful pus filled blisters on knees. Well there can be many reasons for symptoms you mention in query like seborrhea keratitis, acne, allergic eczema, psoriasis or boils. Need not worry. I would suggest you to apply cold compresses to the rashes, take Ben .  You should take anti-inflammatory and prevent it from sun exposure. If condition doesn't get well then consult dermatologist for proper examination. Doctor may order blood test, skin allergy test or physical examination. Doctor may prescribe antibiotics like clindamycin, immunosuppression and vitamin supplement for quick healing. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My boyfriend last weekend was aching all over and going through periods of burning up and feeling really hot to periods of being cold and having the chills.  That lasted from Saturday Night until Wednesday.  He developed the same symptoms again this weekend and it started last night.  He originally thought he had the flu but wasnt sure if thats what he was experiencing again. ### REPLY: Hi, Since you have mentioned symptoms like fever, cold, sweating I would like to rule out conditions like lung infection, malaria, common flu, enteric fever.1) If you have evening fevers with sweating all night along with cough and sputum then I suggest you to get chest x-ray, CBP, ESR, sputum culture test as soon as possible.2) If there is fever with chills followed by sweating then we should rule out Malaria by peripheral smear test.3) If you have chest pain, fever, body aches, with rusty sputum then it indicates a lung infection which can be diagnosed by a chest x-ray because you have mentioned many of these symptoms I am of a sincere opinion that you need to get evaluated ASAP. Do not worry now that you have received a doctor advise. Go and see your doctor. Hope I have answered your query. Let me know if I can assist you further. Best regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, I took clomid from cd 2-6 and my follicle was 19mm on cd16. I was given a trigger shot on cd16 evening and was asked to take Duphaston twice a day for 14 days starting cd17. Since I might have not ovulated yet, will taking Duphaston is ok. Can I still have the chances of getting pregnant? ### REPLY: Hello dairy understand your concerned have 19 mm follicle size on 16th day. You took  shot to induce ovulation. After taking  shot of you had sex then high chance of pregnancy. I would suggest to again go for USG scan to confirm about ovulation. If ovulation has not been occurred then phaeton does not increase chance of pregnancy. But it corrects luteal phase abnormality and regularize period induce ovulation, you can also use metformin to induce periodAvoid stress, take healthy diet, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir,my brother is mentally some disturb .he behave like as Speak without maters,angry on others people,forgate the talked ,some time (1,2 month between) fainted.His treatment is going last two .Mr.Berry had also previous time and now a Dr. of Gorakhpur treats him but no response is looking. so please give me solution for this treatment Thanks u Virendra - YYYY@YYYY ### REPLY: Your brother appear to have a psychotic illness. You need to provide more details about his illness so that we can reach to some conclusion like... Duration and onset of illness, prior treatment.ts and their response, details of symptoms and also he a psychiatrist has to speak to him to find out what is happening inside his mind. So the best option is to consult a psychiatrist in person. However, provide me more details here, and I would try to help you 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: yes my doctor has me on fluconazole 200mg  for a yeast infection for a couple weeks and still iching in vaginal area and went back to him and put me on the same drug 1 pill a week for 7 week and metonidazole vaginal gel and still having eritation in vaginal era and had my sugar check and it was ok do you know what the problem is ### REPLY: Hello, Thank You for the query at  Since your doctor have recommended continuing fluconazole and metronidazole, the probability is that infection has not cleared completely and causing itching. Once the infection clears up completely. Itching will subside. Other possibilities of vaginal itching are chemical irritants like condoms. Lotions. Scented wipes. Douches, lawn .  Allergy to fabrics etc. and lichen sclerosis (chronic condition that causes thin, white patches of skin). These conditions are treated by discontinuing the irritant factor and use of steroid creams to relieve itching. I recommend that you continue the medications as prescribed and If itching persist after a week, follow up with your doctor to discuss other possibilities causing your symptom.Meanwhile, there are few things you can try to help alleviate itching-wear light cotton panties-Keep the genital area clean and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 coughed so much over the past 2 weeks that my trachea hurts now... Thats probably bad, huh?  Ive been to the doctor; she gave me a course of Azithromycin but it mustnt have worked.  I take Tylenol Cold and Flu Severe, but its not exactly helping... What do I do? ### REPLY: Hello share your concern Coughing and inflammation might not be caused by infection only. It could be viral or allergic You need to identify trigger for an allergic reaction if you can pinpoint any. You may require another course of antibiotics like azithromycin or Penicillin group of . Here I would advise you for an X rat chest and sputum microscopy with blood profile for ESR and Meanwhile do take steam inhalation and deep breathing exercisesPlease write back to me with more details like your age and relevant medical history So that I will be able to tell you more precisely. Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an electric shock like sensation that started today a few hours after I ate lunch in an upper tooth right in front of the upper molar. There is no filling in the tooth. I had my teeth cleaned and checked earlier this week before this started and had no problems. I had this happen one other time but it was after a very deep cavity was filled and my dentist said the filling was conducting with the filling next to it. I just don t understand this one because there is no filling there. What can I do for this? ### REPLY: Hello and welcome, since you got your teeth cleaned recently, there is usually changes on your gums .gums will return to original position as the pus/calculus deposits moves or . This results in shock like sensation. There may be chances of erosion /attrition/cervical abrasion of teeth which causes sensitivity. Visit your dentist and get the diagnosis. Use soft-bristled tooth brush and always brush your teeth from top to bottom, avoid horizontal brushing habits. Use desensitizing paste like resident. Avoid excessive hot or cold foods. Get toothcoloured restorations if there is abrasion on teeth causing wearing of teeth. 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 slipped on a tile floor when i was 3 or 4, i hit the back of my head. dont remember if i went to the docs, i remember hearing my family wanting to take me to the chiropractor. now i am 33, that fall left a knot, i notice pressure around it and it is tender to touch ### REPLY: Hello! Welcome on  ! Your symptoms are not indicative of any serious medical disorder, considering such long time after the head trauma. The knot could be related to chronic changes in this region of the scull, probably due to inflammation at that time. But, there is nothing to worry about. I would not recommend any treatment. Hope you will find this answer helpful! Wishing 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: Good afternoon, I am a single mom with a little boy of 2 and a half. He was diagonsed with Infant asthma when he was 10 months old. However I believe it is caused mainly by Allergy - especially dust and dust mite as he does not generally wheeze or cough. But when there is a change of season he gets a cough that sounds very similar to croup . he is currently on Nebuliser - Duolin at night before bed, he has one puff seraflo, 1 tablet of singlair, Avamis nasal spray , 5ml Antihistamine and 1ml Valegan. then in the morning nebulise with Ventolin as I find his heart races after the ventolin. He has 4ml Aspelone, 4ml cough mixture, Alergex antihistamine and multivitamines. the Poor child seems to live on medications. Please help me to make sense of this and if it is necessary? ### REPLY: THE MILK ALLERGY SOMETIMES PERSISTS BEYOND 2 YEARS OF AGE AND SPOIL YOUR WHOLE LIFERS MILK THEORY SUGGESTS CHILD NEEDS MILK ONLY BREAST FOR 2 YEARS AND AFTER THAT AGE NO NEED OF MILKWEED WE ADD MILK AND DIARY PROTEINS THESE ARE ANIMAL PROTEINS AND ANIMAL PROTEINS ARE NOT COMPATIBLE WITH HUMAN PROTEINS CAUSING ALLERGY ASTHMA AND OTHER DISEASES WHICH PERSIST FOR LIFE IF YOU CAN GET BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR MILK WHEAT POTATO CHINA RICE NUTS EGG AND ELIMINATE THEM ACCORDING TO RESULTS YOU WILL BE FINE IN FEW WAKSMAN WHILE START WITChatDoctorPLETE ELIMINATION OF DIARY AND MILK PROTEINS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes im an 18 year old boy i had unprotected sex with my girlfriend a week lata after i saw a doctor for cymilda they told me too wait to have sex and i waited a week and i sex with my girlfriend saturday night and sunday this red spots appeared on my penis i need answers on what is wrong with me ### REPLY: HelloThanks for query. Red spots that you have developed over glans penis are due to infection of glans penis (Atlantis). It may be either due to bacterial infection transmitted through unprotected sex with your girlfriend or due to allergic reaction to her vaginal secretions. You need to do Swab test of a fluid from the glans penis to confirm the diagnosis. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory . Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. Ask your girlfriend to get examined by her Gynecologist and take necessary treatment if advised. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 undulant fever in 1953, have had severe fatigue, joint pain etc. on & off for several years, very severe this past year. I was diagnosed with fibromyalgia 9 i really dont think I have that) I had a dream and was directed to tell my Dr that I had Undulant fever as a child, I did and now she really thinks I am nuts. I have read some things about cronic undulanr fever. So the question is this..could I have this after 57 years? Is there a blood test for this? ### REPLY: Hi thanks for asking question You want to know about how to diagnose undulant fever. It can present with fever, myalgic, arthritis, headache etc. Blood will reveal anemia and leukemia mainly. Gram stain reveal gram negative coccobacilli. Serological test is helpful like ELISA. Blood or bone marrow culture helpful for diagnosis. If liver is involved liver enzymes like AST elevated. Liver biopsy can be helpful. I hope I have solved your query regarding diagnosis of brucellosis ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 chests are different in shape. What is this? Im going for gym. I felt no problem other than shape of my chests.17 years5feet 7 inches60kgat the age of 3 i got a heart surgery for hole in heart.but i had never felt difficulty of that till now. So please help me doctor. ### REPLY: Hello and thank you for asking. I have seen several patients with this condition as you are. If you do not have any complains about example difficulty in breathing chronic cough with sputum or not or any other concerns, and you do normal daily activity I recommend you not to worry. Sometimes according to the type of heart surgery you had thoracic cage may not have the same form. But if this situation is new it is better to see the GP and to do a chest X-Ray. Wish you good healthThank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started around the 11th with a huge carbuckle in my scalp and had one small swollen lymph node in the back of my head.  I went to the dr who put me on bactrim for 10 days and this took care of the boil.  While on this I noticed a few more small swollen lymph nodes on my head, neck, near my armpit (no bigger than a pea).  This past weekend, I had a stomach virus and now I feel swollen lymph nodes all over.  I am going for a ct scan today but am scared to death it could be cancer/lymphoma.  I also have a chronic post nasal drip. ### REPLY: Welcome to , I really appreciate your concern, Are lymph nodes painful? Swollen, tender, painful lymph nodes are indicative for infection. It might be a viral or bacterial infection. Common causes are :Strep throat, Mononucleosis,tonsillitis, mouth sores etc. If not then it can be a cancer for that you need to undergo a test called fine needle aspiration cytology. Usually a bacterial infection needs a course of antibiotics such as Bactrim which you took, and a viral infection doesn't require specific treatment. To improve her symptoms she needs to rest, . -applying a warm, wet compress to the affected area may help.-She can take NSAIDs to reduce the pain and inflammation like: Ibuprofen, Acetaminophen. If she starts to have fever, or the symptoms doesn't seem to improve, she needs to consult a physician and get examined. A detailed medical history, physical examination, Complete blood count test are necessary for the diagnosis. Please let me know if you have any questions, thanks.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: In the liver function test of my father, the following results Serum creatinine . 1.96 normal range Marked as .7 - 1.4 mg/dL Gamma G.T. 72 normal range marked as 0-45 IU/L SGOT 112 at 37 degrees centigrade normal marked as upto 46 U/L at 37 degrees SGPT 136 at 37 degrees centigrade normal marked as upto 49 U/L at 37 degrees centigrade Please assist ### REPLY: Hi, Both the renal and liver function tests of your father are abnormal. Do your father have history of taking alcohol ? Is he on any medications ? He is a diabetic ? These tests would require further evaluation. I would suggest the following investigations For the liver : 1. Ultrasound of abdomen2. Viral markers-hepatitis B and C For the kidney :1. Urinary albumin/creatinine ration2. Urine examination for casts in urine If he is taking alcohol, I would advise stopping that.  Please send the reports and I would be glad to review them. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a lump about the size of an orange that comes up right above my right knee towards my inner thigh when I flex my leg. I was just wondering if this is anything to be concerned about? Ive had terrible hip and lower back pain on the same side and my knee sometimes gives out when walking. Orthopaedically nothing is wrong with my hip. ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have Moran Bakers Cyst-which occurs with arthritic knee effusion, whicChatDoctores out behind through the weakness in popliteal fascia posteriorly in few cases like you got it. Consult Er Ortho-Surgeon who would treat accordingly. So don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.Instead, just ask a query to  and be comfortable to resolve your health issues. Welcome for any more query in this regard to . Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a broken clavicle for a year now. had plate and screws in and the screws came out. Dr. removed them. I started bone healing exogen and bone hasn t healed. am getting burning sensations now. I am 67 yrs old and fell off my bed at night....why is it burning. Dr has done a lot of tests to see why it hasn t healed .....he is gone for the week ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion normally clavicle do not require surgery, in your case now it is in a state of non-union, the burning sensation could be due to damage to your skin nerves for the incision to fix it or there could be secondary brachial plexus roots compression, you will need to consult a Hand surgeon to get clear on this, and do not be over obsessed by your clavicle, even if it doesn't unite if it's not hurting the skin, you can be fine but for lifting heavy weight. 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: i have  mild vericocele in my sperm analysis the immotale rate is showing as 70%. sperm count is perfect what should i do to have better sperm motality. i have fathered one child and we are trying for the second baby. iam a regular smooker and i use to smoke 5 cigarrets in a day, wil my motality increase if i stop smooking ### REPLY: Good Day, and thank you for being with  ! Yes your motility and sperm quality would very much increase after cessation of smoking. This would take a while around 3-6 months before you see improvement since the life cycle of one sperm is 70-90 days. Antioxidants will also help like vitamin C, vitamin E and zinc supplements.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  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: Hi i have a complex right ovarian cyst? Hemorrhagic and small left renal calculus. My last period feb 19 and mu endometrial thinckness is 8mm I had D&C on jan 1st 2017 as i had missed abortion as i was 6weeks preg .. I want to know in future will i concieve soon? ### REPLY: Hi, It is very unfortunate to know that you had a miscarriage. To give you a better advice I would like to know few additional things:1. Was that your 1st miscarriage?2. Did you take any treatment to get pregnant?3. Size of the hemorrhagic cyst and if any mention of Sept and blood flow to cyst given on scan?? If that was your natural conception and first miscarriage then you can be reassured that mostly you wouldn't have a problem conceiving. Hemorrhagic cysts If any Sept or increased blood flow, further testing is needed. 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 m 13 and everytime i stand my left knee pops and its sore all the time and is embarrising please help, i m 5 7 or 5 8 and 160 pounds and i ve had two hip surgerys about a year ago....because i had a s.c.f.e slipped capitol femoral eppyfisis because i fell directly on my knee cap ### REPLY: Hello, As this sounds to me the weakness of the muscles of the hip and the knee. Usually, due to the weakness of the muscles, the joints become little unstable leading to popping sounds etc. Doing simple static exercises for the hip and thigh muscles will help have recovery from the same. Exercise includes - static gluteus, static adductors, static abductors, static qua .  Will provide benefit. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 34 year old male who has symptoms of bipolar disorder. I observed while on a low carbohydrate diet that all of my bipolar symptoms seem to have gone away. I am having troubling excepting a diagnosis of gluten intolerance or diabetes since my blood sugars are not remarkable or irregular. I have read about some fungus and other diseases which may attack the CNS by exploiting the sugars from carbohydrates. The manic episodes from the carbohydrates are GONE (no racing thoughts) please help me I am a school teacher who is unemployed now because the only medicine which allowed me to control the racing thoughts was lithium. It is hard to be effective when medicated to such a degree. Please share any thoughts or suggestions. ### REPLY: Hi. I had gone through your query. Bipolar disorder is defined by sudden changes in mood along with irritability. It has two phases. 1. Depressive phase. 2. manic phase. Line of treatment is different for both phases. Diet like you mentioned has very limited role. It has no effectiveness as medicines. Lithium is gold standard molecule that working in both phase of bipolar disorder. Mood stabilizer is the choice of medicines in these conditions. It can be treated with medicines like lithium/sodium valproate/lamotrigibe/olanzapine but choice of . So consult properly and get further help. Thank you. I hope I have answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my kid is 7 months old.she is having foam like motions,fever and severe skin rash.what could be the reason for this.this actually started with severe cold followed by fever,then she is taking paracetamol,col medicine and an antibiotic,then started motions followed by rash ### REPLY: Hi...by what you quote, it seems like an antibiotic associated diarrhea. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Antibiotics might sometimes cause antibiotic associated diarrhea. I suggest you use zinc supplements & ORS along with probiotics containing specifically Saccharomyces bollards. 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 doctor, my mom is suffering from pus cells in her blood and urine infection, right now she got treatment for this and it is normal.But still occasionaly fever is coming for her. is it curable? and how long time it takes?what is your suggesion for this? ### REPLY: Hi, Chronic urinary tract infection takes some time after medicine course. If there is resistant strain of bacteria is there then it may prolong for long time. In such case she might require urine culture to know type of organisms and antibiotic working against them. After this report long course of specific antibiotic medicine for long time will cure infection. Give her plenty of water. Ok and 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: hiii doctor m 24 yrs old, 3 yrs old married girl I was suffering from pcos n my doctor gave me 3 month course of elestra with y cyst m now my cycle is regular from last 2 months we are trying for conceive with diva hmg n ChatDoctor 1000 inj n my follicle ruptured in both past cycle but not conceived so doctor suggested me LEVO E this month.. my question is why he gave me contraceptive this month? ### REPLY: Hi, Nice to hear that you had ovulation with those injections. When you are stimulated with hormones you get multiple follicles. Especially when you have POD, you may produce 5-10 follicles at a time. All these may not rupture, only biggest of these would have ruptured. The remaining unruptured follicles stay on for some time & keep producing hormones & it may affect your cycle & hence may affect follicular output of next cycle. By using contraceptive pills doctor is suppressing those unwanted hormones, suppressing those unruptured follicles & after this suppression next cycle when stimulation is done you will get better & healthier follicles. This is called Hormonal Down-regulation. 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: Here are my symptoms over the past four days. Sore throat when swallowing, nasal congestion and sinus pain, eye muscle aches, headache, bad breathe with phlem in back of throat, bumps on back of tongue, stiff neck, all over body aches with concentrated backache and stiffness. Is this a sinus infection or something else. There has been no fever at all. Thank you ### REPLY: Hi, Thank you for your query. I can understand your concerns. It seems that you have upper respiratory tract infection(URI) due to virus. Over 200 different viruses have been isolated in patients with URIs. The most common virus is called the rhinovirus. Other viruses include the coronavirus, para influenza virus, adenovirus, retrovirus, and respiratory synovial virus. Sinusitis occurs as complications. One can have low grade fever which often gets unnoticed. Sinusitis alone will not cause backache and stiffness and other symptoms as mentioned by you. Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Cyst like lump has formed in the middle of my right arm, on the underside and to the back. I am three weeks post op full open rotator cuff surgery (full thickness tear 1x1 and acromioplasty. Any idea what the cause may be? It isn t painful, but does feel slightly numb. ### REPLY: Hi! Good morning. I am  answering your query. With the history of surgery three weeks back, most likely it has to be a hematoma (collection of blood) or Serbia(collection of serum) which would usually subside with absorption gradually. However, if the size increases with other discomfort, you might have to get your self reviewed by your surgeon for further opinion and management of the problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir my blood test reports are Leucocytes (10,200)neutrophils (53%)lymphocytes (42%)eosinophil (04%)monocytes (01%)B suger (81.7)what may be caused of increased lymphocytes from normal range(20-40) and what am i suffering from. Im feeling very weakness and also habitat for hand practice my penis is very weak ,small, and tilt left side. please help me sir ### REPLY: . Leucocytes are increased in number suggests some infection in the body. Lymphocytes are increased in some fever like enteric fever, tb and certain blood conditions. Detail clinical history is required to find out the site and source of infection, and it is also important to start the proper treatment. Avoid excessive masturbation. Start B12,folic acid, minerals,proteins and other supplements to boost up your general health. Eat good nutritious diet. . Consult your family physician for further guidance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend hugged me earlier and when he did, he squeezed me so tight I couldn t breathe. But here I am, about 5 hours later, and my chest feels like someone is crushing my lungs from the top, down. It hurts so bad. Please help, I m not sick, but I have mild asthma when I run. I haven t been running. ### REPLY: Thanks for your question on . In my opinion you are having muscular injury due to tight hugging and squeezing by your boyfriend.  Do try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. If not improving in 2-3 days than consult pulmonologist to rule out asthma worsening as you have asthma. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good evening. I have several bulged lumbar discs post fall. This injury happened 6 months ago. I have sciatic nerve pain on both sides of the buttocks . My lower legs will become numb even if I am walking. I do have pain in the right groin that is most noticeable when I am sitting. I am scheduled for a hip injection next week. Could this still be a disc problem ? ### REPLY: HiT hank you for your question. Disc bulges described on the MRI are very common in middle-aged and elderly individuals and are even seen in healthy people. This means that not all disc bulges are symptomatic. A diagnosis of spinal stenosis is made when your symptoms, clinical examination and MRI picture are matching. Just the disc bulges with no nerve compression won't give you leg pain though degeneration can cause back pain. You need to consult a neurologist or spine surgeon to have your symptoms evaluated in light of the MRI picture. Please let me know if I can be of further help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was using Crepe Bandage for fracture on my foot(lower).Although,there is no feeling of pain at present meaning that the fracture has started healing,certain type of pain occuring from blockage of blood circulation for tightness of the Crepe Bandage is being felt sometime(not always).Should I start taking hot and cold water washing of my affected foot?What else should I do? ### REPLY: Hello, Thanks for writing to us, I have studied your case with diligence. Till time take medication and apply crêpe bandage over foot or use supportive splint. Do ice fomentation and rest to foot. Take calcium rich diet for early healing. 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: I am a 47 year old female. Been dealing with a recent uti. Took bactrum for 7 days, symptoms still persisted. On 2nd round of bactrum on 5th day. My uti symptoms are pretty much resolved but I have had back pain for 5 days, started with lower back. Now the pain is on my left middle back area, pain scale about 4/10, ibuprofen does not help. ### REPLY: Hi, welcome to our site. I am , MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your everywhere are two possible causes that may have caused the symptoms. One is the possibility that the infection has probably co involved your genitourinary tract and the infection of this tract is causing you backache, as many gynecological conditions do. The other possibility is that the infection has spread up into the urinary tract to affect the higher urinary centers. I would suggest a culture of the urine so that an accurate antibiotic can be eventually prescribed, and an MRI/USG to look up the local source of pain. I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had UTI due to e coli, responded well to macro bid. Less than week later, after having pelvic exam and sex, have UTI due to staph sapro (50,000 cfu/ml). Finishing bactrim 7 days. Am 14 weeks pregnant. Otherwise, excellent health. Questions: what could have caused the staph infection? Do I need to be vigilant about regular urine tests to make sure doesnt come back? Why isnt bactrim indicated when pregnant? ### REPLY: Hi! Welcome to ! I appreciate your concern, nothing to worry. Following are the answers for the questions asked:1. You might have acquired the Staff infection during the pelvic examination since Staphylococci are normally found in the skin. If aseptic precautions are not undertaken then the chances of infection will be high.2. No need to have regular urine tests to detect the recurrence of infection. Maintain a good hygiene surrounding the private parts.3. Bactrim is the antibiotic found to be unsafe during pregnancy, hence not prescribed in your case. You are advised to take plenty of oral fluids, maintain good hygiene to prevent the possibility of UTI. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a port wine stain on my right jaw and chin and recently developed blebs and hypertrophy on my lower lip. I had a laser treatment in the fall which pretty much eliminated the blebs, but didn t seem to have an impact on the lower lip (but it wasn t so bad you d notice). I had another laser treatment nearly a week ago. The lower lip is very hyperextended and I have a covering over where I was lasered that doesn t even look like it will scab. My teeth are sore below the gum line in the area. Planing on going back to the Dr. Anything I can do in the meantime? I m still icing. ### REPLY: Hi, Thanks for posting the query, Soreness below the gum line can be due to the treatment performed as you have mentioned you cannot visit to the Dentist right now I would suggest you to take tab Vitriol BD for 15 days you have mentioned that you are icing also take lukewarm saline and antiseptic mouthwash rinses at home, avoid consumption of hot and spicy food stuffs, acidic beverages, junk foods. Hope you find this as helpful, Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi how are u? i suffer from OCD i think as i keepon worrying aout the smaalst of things. My doc has prescibed nebistar 2.5 for a short while and i felt good but i stopped taking it. Now my tension has risen so much its unbearable. I took the medication today and felt better . My BP is ok please advice ### REPLY: Hi, It would have helped had you given more details about the symptoms that you are having for reaching a confident diagnosis. Considering that you have OCD, I am not sure why register was prescribed as it is not considered treatment for OCD. I would certainly advise you to consult a psychiatrist in person. Had I been your psychiatrist, I would have reviewed your symptoms to come to a conclusion about diagnosis. If you are suffering from OCD, you can be treated with medications like Fluoxetine. Generally, the medicines will need time to show its action, so you will have to be patient about it. In addition, you can also consider the option of behavior therapy in form of exposure and response prevention. Hope this information was useful. 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: hello Doctor , i am 34 yrs old female and i am having lower back pain from last one year , one doctor suggested for citiscan n then operation. i changed my doctor and then he sugested some reports like arthritis ,haemogram. But all are normal from last four months my pain increased and dr suggested me some exercise , medicines like Tab. Gemidro, Tab D1000cal, ezorb forte, Tab. restfull, Tab. Dulane m30, Tab. hifenac sr. But still today my pain is as it is . He changed medicines like Tab Equiflex 4, Cap. Katadol. Then Enzomac plus, Tab. Naprosyn p , Cap. Above5D. Then again Tab. clonotril plus, Tab. Safeguard SR. Now today he suggestd me Tab. Gemidro, Cap. BioD3MAX, Cap. Above5D, Tab Lesuride25, Tab. Clonotril Plus, Cap.Pruf, Tab. Myosone. Now please suggest me what are the side effects of these medicines and are all these medicine helps me to improve my lower back pain ? ### REPLY: Hi, Lower back pain not settling with painkillers may indicate any spinal disc problems. Spinal disc may degenerate or any compression or prolapse of the disc can cause lower back pain. Clearly the pain has not reduced with all the .  Hence, I suggest you to take a CT or MRI spine in order to rule out any spinal problems. 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: Yesterday I had a CT Scan done focusing on my right kidney. They told me I had a severely inflamed artery and it affects the blood vessels. Do I need to call my doctor back for the specific name of the artery? Or would you know based on them focusing on my right kidney? ### REPLY: Hello and welcome to . As a Urologist, I fully understand your anxiety. A CENT(contrast enhanced CT), focussing on the right kidney, is also called a renal angiogram. Severely inflamed renal(kidney) artery, affecting the blood vessels, is due to renal artery stenosis commonly, or due to arthritis, whichs uncommon. The stenosis(narrowing)may be located, at the main branch or in its divisions. The angioplasty(stenting), is carried out simultaneously, or as a planned surgery later, depending on kidney function. If you want my expert opinion, send scan report, as a direct question, to me. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a nurse and mother of three. I work night shift and sometimes dont get to go to bed after working a twelve hour shift. Why does my heart beat harder. Its not faster just harder. Im sure its my body telling me to go to bed. Should I be worried since I cant. ### REPLY: Hello. Thank you for your question and welcome to . I understand your concern. Well, madame, who else then us can understand better the nature of your job? It is that the certain amounts of time in standing position and performing various duties, varying from easy to really hard, puts the organism and heart, especially, to a hyperkinetic state. To overcome this state and the load on it, the heart has to do more to cope with this load. Therefore, harder or "pounding" heart beats are produced. Also, adding to this, every time we engage to moderate to strenuous physical activity, assume certain positions for a long time, undergo to a lot of psychological stress and demanding duties, and lose the normal cycle of sleep which is a characteristic of all shift jobs and which is accompanied by changes in normal diurnal and nocturnal hormonal levels, are all factors that are superimposed to this stressing event to the heart. I would recommend you a period of a week or two weeks of holidays or going to a spa, where relaxing programs are readily available. I hope this answers your query. Take care. Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old has had a temp of over 102 for 5 days, he has bloodshot eyes, and a sore neck. He has been tot he Dr s twice. They say its a sinus infection, and pink eye. But now it appears that he has a big blood spot in his left eye. He was up crying that the back of his head by his neck was bothering him. Any advice? ### REPLY: Hi...by what you quote I feel that he could be having a viral illness or an atypical infection. Will tell you how a viral illness behaves so that you can be more assured - Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. 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 name is Dustin Knight, I am 23 and I have been having severe lower back and down both legs. I have had a constant headache for the past few days. I ve tried taking something for the pain and tried ice packs to ease the pain. I can not sleep at night due to the pain. The pain in my back has been going on for about 2 days now. Nothing is helping. Any suggestions of what it could possibly be and what could help? ### REPLY: You take ibuprofen medicine for your pain and follow the instructions to relive your back pain1.avoid bending forward and lifting heavy objects. 2.don't sit on the floor.3.when you sit in chair your foot should rest in a very small stool to avoid nerve pull.4.do regular exercise like lying in supine pose raising one leg till 90degree angle without bending the knee, practice the same exercise on the other leg also and lie in prone pose keep your both the palms below your shoulder and raise your chest look up. Practice these two exercises in an empty stomach with the repetition of 10 times and maintain for 5 secs.  If the pain still persists consult doctor, and you need physical examination. Hope my answer will solve your problems. Take care. Bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Last week I noticed that my stomach started itching really badly. When I started it, it revealed bites/bumps scattered all over my stomach. I thought it was dry skin at first and applied some lotion, but the next day or so bites/bumps continued to spread to my waistline. I woke up a couple days later to intense itching of my neck and back. I don t believe it is bed bugs, as I searched my mattress and did not find anything. ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion, you are mostly having allergic skin reaction. Itching, redness and spreading nature of rashes suggest possibility of allergy more. Allergy can be due to anything like bad sheet, pillow cover, inner wears, soaps, shampoo, night clothes etc. So better to change your bad sheet, pillow cover. Wear cotton clothes at night. You may need anti-allergic and antihistamine .  You may also need steroid containing cream on skin lesions. Since all these  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 one of the upper-jaw tooths root canaled.Post treatment, I used tove food lodgment problem surrounding the cavities adjoining the gums of treated tooth i.e: small slices of food teer into the gums and cavities. When I went to see a Dr, she removed the cap along with which the tooth part came out.Dr. has suggested me 2 options :1) Have an implant of metal by removing the root.2) Have a bridge by cutting the left-adjacent natural tooth and removing the cap of right-adjacent root-canaled tooth.Which one would be better option to prevent food lodgment? 1 or 2?Would you suggest 3) a replacement of cap? or 4) leave the root-canaled tooth without a cap ### REPLY: Hello, I went through your query. If more than 75% of tooth structure is lost then placing a crown (cap) on the broken tooth is not recommended. Otherwise, there is a possibility of placing a Post and Core on the tooth. That has to be decided by your dentist based on the condition of the tooth. Also, I would not recommend leave the broken tooth without a crown. And between dental implants and bridge, I would recommend a Dental implant, if the condition of the bone is sound, because it does not involve preparation (cutting) of the adjacent teeth. Hope you are benefited by the answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having pain under chin periodically since spring 2013. Tightness and burning, like inflammation. Had 2crowns placed upper 2 back molars, and started noticing  sxs not too long afterwards. Dental x-rays  have beenDone and dentist sees no problem. Internist felt maybe was nerve related. Sxs prevalent at night and will Awaken me at times. Ibuprofen does seem to give some relief. Periodically especially in am feel a lump in theback of my throat. After exam md notices no swelling of glands. Any suggestions? Thank you ### REPLY: Hi thanks for your query. The problem you are complaining might be because of high points on the crown getting in contact with the opposing teeth or overzealous crown cutting resulting in exposure of nerve or recession of the gum line resulting in periodontal problem or in general crown is placed over a root canal treated tooth. If there is little amount of pulp tissue left behind these results in pain after crown placement. Treatment can be planned by ruling out these conditions. Visit endodontist. Hope this is helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend has a hard unmoveable lump at the base of his scull and neck connect, it does seem to change in size at times depending on his stress levels and then while rubbing his neck and shoulders I found another lump in his shoulder mucle near the spine. I dont know what kind of doctor to take him to or what it is. ### REPLY: Hi! Thanks for writing to us sharing your friends' health problem and giving us an opportunity to discuss once again on the occurrence of hard, fixed lump on the nape of the neck region. I usually consider few possibilities in such cases, as per my experience of fine needle biopsy reports and these are as follows:1. Lymph nodes due to certain chronic or acute infection in the surroundings like scalp, ear, neck etc. 50% cases2. Benign cystic conditions sometimes getting inflamed 30% possibility3. Benign tumor or tumor-like conditions like neurofibroma, lipoma or dermatofibroma etc...20% possibilityTherefore, this is not a thing for mush worries but should be properly investigated; please see a general physician first for confirmation of the diagnosis and then move to specialist according to the diagnosis. Regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband & I recently discovered a small lump on his right testicle. He says its been hurting for quite sometime. We think it could be a lipoma, however, we arent sure whether its on the testicle or just on the scrotum. How can we tell & what should we do? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He should go for examination.  Because if lump is on scrotum then it could be sebaceous cyst.  If it is on testis then it could be abscessed, tuberculosis, lymphoma or germ cell tumor. So first you should go for examination.  If needed go for ultrasound study.  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: My 19 year old son was diagnose with Osteogenic type II b osteosarcoma on the knee (about 5cm). He had limb sparing surgery and systematic Chemotherapy (Adryomicin, cisplatin and methotrexade). He has had his first 3 month check up and every test is clear, his hair is growing back and he is feeling better and better. The surgery revealed that the chemo had killed >95% of the cancer...When I read the survival rates, they are quite low...Is this accurate, is this one of worst cancers, can we be optimistic, is there any vitamin/food that can help...He is doing so well that I cannot imagine this thing coming back....Thank you ### REPLY: Hi, Thanks for writing in. Osteogenic sarcoma is a bone forming cancer. Stage IIT is early disease, and he is lucky to undergo limb sparing surgery and combination chemotherapy. The goal of cancer treatment is to destroy as many cancer cells and prevent the progress of the cancer. The first step is stabilizing the disease and once this is achieved then the goal is destroying the cancer cells. If the doctors have said that more than 95 percent of the cancer cells are destroyed then your son is in a better position than most patients. He should continue treatment and follow up as recommended. Nutrition is important during treatment and recovery, and he should be eating a high protein diet will vitamins and minerals. The risk of recurrence or disease spread persists and close follow up is the only way early disease manifestation might be noticed and aggressive treatment given. If the disease is under control for 5 years then the risk of recurrence is low. Apart from the primary cancer location, it is important to get chest X-rays and CT scan chest done as required because estrogenic sarcoma stage IIT has a risk for spread to the lungs. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my name is Bertice and I want to share my experience. I was asleep on afternoon when suddenly I jumped up out my sleep screaming because it felt like the right side of my stomach was being burned. When I looked at it it was red the following day it began to scab and peel and soon became raw as if I was really burnt. I don t know what could have caused the huge burn mark. I don t think it was spontaneous combustion. ### REPLY: Hi. Thanks for your query and an elucidated history. Suddenly getting up from the bed with a feeling of right side of stomach being burnt and then really becoming red and burnt followed by scabbing and peeling may be due to an insect bite. Some insects are so poisonous that this can be caused. In such a case, you need to consult a Physician and get a proper treatment with antihistamine and steroids and excision of the scab, daily .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 really dont know if its possible,but it leans more on the possible side. For example you think in your head your plain white curtains are Purple. How could I use my mind to change that. Really it would be controlled hallucinations or having a dream while awake. It would be altering reality with your mind,how you want to see things. So now,is it possible. Can I preform this within the next couple weeks/months? Please tell me! ### REPLY: Dear, These are not hallucinations, they are real. Mind always thinks. It is made for that. It has no other business. Thinking is a process and it keeps. Mind goes on thinking about whatever it feels comfortable. We have to streamline it. We should make mind think about what we are comfortable. For example, mind will not think unnecessarily when we watcChatDoctoredy shows or when we play interesting games. Keep mind in your check. 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 am 37 years old male. I just did a medical check up and found that my Gamma GT is 111 and my SGPT is 58. My doctor thinks I have a fat liver. I used to drink a lot but I am not drinking anymore since 5 months. What do u think I should do ? and where can I find a details about high SGPT diet ? ### REPLY: Hi, Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. 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: can anyone explain how someone can be diagnosed with multiple gallstones and gallbladder polyps, to be told 6months later polyps have gone and one gallstone can be seen. Gallbladder ### REPLY: Hi. You haven't mentioned the number of stones and range of their size. Similarly, you have also not mentioned the details of polyps. Anyway.1. The key investigation for the diagnosis of both is ultrasound scan.2. The disappearance of stones without having caused any symptoms (particularly severe pain) and spontaneous disappearance of polyps is unusual. 3. I would recommend you to repeat ultrasound scan from another experienced monologist. I do not mean to doubt competency of your previous monologist, but that's the best suggestion I can offer because of the fact discussed above (point number 2). 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: My 15 year old daughter is having continually low blood pressure readings. She is not dehydrated. She has had blood work done and an EKG that came back normal. The school nurse has been taking her blood pressure twice a week at school. She called and told me she is having a hard time taking her blood pressure because she can t even hear it to read it. What do you think is going on? ### REPLY: Hello, For this reason, I recommend consulting with her attending physician for a physical exam and some tests: - thyroid hormone levels for possible thyroid gland dysfunction- blood electrolytes for possible imbalance-complete blood count for anemia-cortisol plasma levels for possible a .  You should discuss with her doctor on the above tests. 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 had teeth out 12 years ago and always felt a little lump where one had been taken out. Ive noticed today it feels a bit bigger,its not painful and i can move it up and down. It feels firm but i can push into it and it gives but nothing comes out.any ideas? ### REPLY: Hi, Thanks for posting the query, I would suggest you to consult the concerned Dentist and get the checkup done take an IOWA X-ray of the region to see if there is any broken root piece in the socket causing re-infection or lump, if so it could be removed or else the pus can be . I would suggest you to take course of antibiotic and analgesic. At home take lukewarm saline NAD antiseptic mouthwash rinses. Take multivitamin supplements. Maintain a good oral hygiene. Hope you find this as helpful, Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: patient having 400/mm3 TLC and 42000/mm3 platelet count  and fever from 3 days . improvement in TLC is only 100 per day and platelet count has decreased from 80000 to above said level in three days . dengue is positive . is it may serious for life of patient as 3 units of blood are given to patient till now ### REPLY: HelloWelcome to ChatDoctorYes, dengue is the most common cause for low platelet count. Virus causing dengue fever attacks the bodies immune system by causing destruction of the platelets. In your present situation, as counts are less, along with the blood transfusion, patient needs platelets transfusion immediately to prevent bleeding diaeresis like intracranial hemorrhage. Along with this supportive treatment with steroids, antipyretics and fluids is very much essential. It may also require ICU admission and more vigilant monitoring. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My vision keeps going fuzzy and then my sight goes completely black for about 10 seconds, whilst this is happening I loose my balance and go dizzy. This has been happening for about a year now, when it first started I fainted whilst this was taking place. I visited my local doctor and had a blood test and an ECG but he said he doesn t know what could be, he told me to go back if it was to continue. Since then it has got worse- do you know what it could be? I also get really cold hands and feet during the winter and my fingers turn white and then bright blue (it feels like someone is burning my hands) do you know what this could be as well? ### REPLY: Hello, The symptoms you describe seem to correspond to pre-syncope, which is usually due to a temporary lack of blood flow or metabolic issues.  An ECG was a good starting point but since the episodes are continuing more prolonged monitoring of heart rhythm is advised through 24-48 hour Holder ECG portable device.  A heart ultrasound might be needed as well. Some routine blood tests are also usually done for metabolic origins. As for the finger changes, it sounds like the Maynard syn .  It may be isolated but more often is part of other conditions, like hematological connective tissue disorders, so more blood tests on that regard are needed as well. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END