Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29yrs old and was diagnosed with hbv (the doctor said its chronic because IgG is positive)in February this year. i have LFT which indicates elevated ALT of 78, since then till date I have coloured urine, I have also gone for scan which says the liver is normal. sometimes i feel pain below my chest. My question is: what could be the reason for the coloured urine that have lasted this long? ### REPLY: Hallmark color urine is most likely not related to chronic HBV. Dark color urine may be due to many reasons like infection, due to medicine etc. You may need clinical evaluation and few more investigations. Investigations include routine hologram, random blood sugar, renal function test, urine RE/ME. Elevated ALT may be due to chronic HBV infection. Treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is six years old. He has got heat boils all over his face. But now he has got a boil on left side of eyelide and below the eye and there is swelling below both the eyes. Is it curable by medicines or shall I consult a surgeon for the same. please advice ### REPLY: Hi...by what you quote I feel that it could be a pyoderma of the face, and it is curable with medicines. But, Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My fathers blood test shows reduced RBC and hemoglobin slightly below normal range, and elevated MPV. He had a heart attack 6 months prior. He is a non smoker, non drinker, average weight, and actively exercises. What could this blood test indicate and what should he do? ### REPLY: Hello. Thanks for asking on . The blood report indicates mild anemia. Kindly look up the MTV MCH indices in the report. In case of iron deficiency these are low. In case if folate or b12 deficiency these might be high. You might have anemia of chronic disease in which these indices are normal. You can get serum iron folate and b12 tested. Increased MPV implies that the average size of your platelets is slightly high. It is no concern to worry and indicates an active bone marrow producing platelets. So I think nothing very serious with the report. Can take haematinics to improve he though. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctors My husband was prescribed Nebido injections ones in 3 months due to low testosterone level. Got 1 injection so far. The thing is we are planning to become parents and I found out that these injections can leade to mens infertility, to a low sperm count. is this true? Thanks alot ### REPLY: Hi, Welcome to . Low testosterone itself causes reduction in sperm count. So testosterone supplement is needed. Chronic use of testosterone may lead to decreased sperm count. But usually when supplement is started it is monitored regularly with blood testosterone level and stopped when normal level is reached. So using testosterone injection with adequate monitoring doesn't affect fertility. Hope I have answered your query. 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 strained something in my chest the other day picking up my son too quickly. The pain comes and goes depending on how I move, however I find the pain to be more when I inhale to breathe. I am also pregnant, so I am limited to certain medications. Do you have any ideas of what I can do? ### REPLY: Hi thanks for contacting ... Here according to history you are having simple musculoskeletal pain by muscular strain.... I am suspecting this because pain aggravated in some position which indicating it.... Apply hot pads over chest wall... Avoid strenuous activity .... Heavy exercise avoided. Try to limit movement causing pain.... Rest taken.... Proper sleep position needed..... If still pain remain consult physician for that .... Then detail investigation might need. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im two day post op. I had Laparoscopic. Is it normal to have enormous amount of pain one side and not much on the other? All 4 incision sites are bruise plus the places were my organs were taking out are also busied. Is this normal? Also I tried water and gaiter Aid the only liquid that seems to be helping me get some of the gases moving and out is to drink carbonated drinks. I was told the reason why I bleed for 10 straight weeks is my uterus was very enlarged with fibroids packed in there. He took both ovaries and put a hormone patch right on my belly right around were my uterus was. I was told to wear that in its place for one week. One more question. I have been putting heat on my belly. Is it true that will cause increase blood flow? Should I stop doing this and use ice for the swelling? ### REPLY: Hi welcome to  forum.  Thanks for calling to . Forum.  You had laparoscopic operation 2 days ago, had more pain on one side. 4 incisions were done, they are bruised, it is done for enlarged uterus with fibroid. Removed both ovaries and put a harmony patch.  It is common to have pain for few days after operation, and to overcome that pain they will give painkillers, and antibiotics for healing.  Moderate brooding also will be there as a process of healing. First you will have bruising and then contraction of the scar tissue.  If you have any doubts you can ask your operating doctor for relief.  Wishing for a quick and complete recovery.  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 had a partial colectomy due to diverticulitis almost 2 years ago- still having lower left abdominal pain . Some days really bad. Also going from 10 BMs a day to constipation. Drs can t find any reason for pain. Had colonoscopy that showed focal ulceration and granulation tissue but again dr said not the cause. At wits end . I previously had hysterectomy and appendectomy, so what else could it be? ### REPLY: Hi. Thanks for your query. This is an atypical presentation that is why diagnosis is going to be a bit difficult, meaning one can not really pinpoint the cause. As per your history there is a focal ulceration and granulation tissues. This is indicative of an active process, and you may have to undergo re-surgery if not amenable to the medical management. Prior to CT scan of abdomen can help rule out other probable causes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 on statins for many years. I quit the drug at age 77 because my Dr told me they didn t help people my age. Also I had been in ketosis for 7months and my blood lipids were good. However after 6 months off statins my ketones went down and my fasting blood sugar went up to 226. What should I do ### REPLY: **Thanks for contacting with your health concern1. As you are a case of type II diabetes and under supervision thus regular follow-ups with your Doctor/Endocrinologist is essential [as he will be aware of your current situation and in the future and what line of management should be prescribed] along with a good lifestyle modification program, thus following are my observation:i. Check with HbA1c as it is measured primarily to identify the three-month plasma glucose concentration.ii. Natural ways to reduce blood sugar levels along with necessary instructions:DIETARY REGIME-Take:i. Cereals: barley, a special variety of grains [Santana, KO .  ii. Pulses: green gram, horse gram, pigeon pea, Alas, chickpea. iii. Fruits & vegetables: payola, Karla, Malawi, hard ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir i had under gone kidney transplant on 9 mar 2012 on 27 apr i suffered a rat bite and my nephro says there are chances of kidney rejection if rabipore course is completed can there be chances of rabies in case of rat bite if yes then any other medication with no or least risk factor ### REPLY: Hi, welcome to . There is a chance of rejection whenever transplant patient uses vaccination with immunoglobulin that can modulate your immunity. Rabies is transmitted from animals, especially dogs. There is no need to take rapport course after rat bite, especially after so much time. Tetanus toxic injection, proper wound care and antibiotic course are usually given for rat bite. Non infected animal will not transmit rabies virus. So, don't get worried. Take proper care for rat bite as advised. Best wishes. TC.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a family member that claims she has vertigo so severe that at times she cannot get out of bed. These bouts will last sometimes hours, sometimes days. She has been known to be taken to the emergency room for vertigo. She takes advantage of being waited on and pampered. Can you fake vertigo? Or can it be as severe as she claims? ### REPLY: Hi, Vertigo can be as severe as keeping someone in bed, however, there are ways to determine the likelihood of such a symptom by performing neurological and neuro-ophthalmological testing.  If you take her to an Neurologist or Neuro-ophthalmologist they will be able to properly evaluate her to tell whether there is an organic substrate to her complaints vs. psychogenic causes. 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: Dear Sir, My mother is 81 yrs old.. doctors diagnosed ILD and started medication . but it affected her liver and her condition detoriated further. then she was given liver medicines. she recovered and her condition remained stable for about 2 months. again 3 days ago she started coughing and feverish.what does it indicate........? pl help..... ### REPLY: Dear Friend. We would like to know what medications she was given for OLD, which caused liver dysfunction. At age of 80 yrs, we have to be very cautious in using medicines. We would like to know what symptoms made her you to get her investigated and what investigations were being done to make her diagnosis. See at this age we would like to see all investigations before commenting. Is she on steroids? If possible upload her X-ray Chest film and all investigations. We would be happy to help her. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 jaw hurts so bad. I have gum infection.. It sometimes bleeds and hurts so bad that it gives me terrible pain. I use pain killer pills and brush my teeth regularly. I want to know whether my gum infection is not too serious and whether it can recovered soon with medecines and brushing. ### REPLY: Tithe tell-tale sign of unhealthy gums is the bleeding associated. You need to visit an oral physician and preferably a periodontist so that the treatment can be done according to the severity of the condition.periodontal therapy usually involves deep scaling/curettage and sub gingival medication either through medicated chip insertion(like period chip) or local application. This may take a couple of appointments. I strongly advice you against any prescribed usage of painkiller in brushing. Pain along with bleeding is associated with moderate-severe periodontal disease, so pay a visit to a dentist at the earliest to stop further decoration .rest assured with proper treatment and timely intervention your gum condition can get back to normal .take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my 5yr old son had a big bang to his head wed after he went really pale then was sick we took him to hospital but he came back with it so they sent us home. Next day thurs which was his birthday he was really lethargic wasnt bothered about presents hes just sleeping all the time. Today fri hes still very lethargic &sleepy i took him to drs they said its probably Concussion. Hes not eaten since wed either. Do you think it is Concussion thanx x ### REPLY: Hello, First, be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly. 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 mother-in-law is 58 years old and she has diabetes and in 2008 she was diagnosed with heart disease. She just found out she has heart valve leakage and her heart is enlarged. Her doctor said she is not a candidate for surgery. What is her lifespan? ### REPLY: Hello! Welcome and thank you for asking on ! I passed carefully through your question and would explain that we can not determine what her lifespan is, only based on what your refer. There are some stages of heart failure. Besides, this is a clinical syn .  I would like to directly review her cardiac ultrasound for a more professional opinion. I would also like to know if she has leg swelling or shortness of breath. An optimization of her current therapy may be needed. Hope to have been helpful! Wishing good health,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 33 years female and i am a divorcee and my cycles are 28 - 30 days cycle. july 23 was my menses and today is august 25 i dint get my cycle .... i have edema , waist pain and nausea with giddiness wht shud i do...i am 81 kgs , no BP , no diabetics , wht shud i do ### REPLY: HI, I have read your query & understand your concern.  Conception is not possible without deposition of sperms in vagina. Delay in periods with edema/ nausea/ over weight/ pain in waist can occur due to many other causes like simple severe weakness/ illness/ hormonal imbalance (POD, Thyroid problem) You should consult a gynecologist, get investigated to pinpoint the cause of your problems & have specific treatment.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am suffering from hormonal acne around the lower cheeks and jaw line that seems to come and go with my cycle. it started, i believe, with a copper IUD device that was in for a year. I had it removed because the breakouts where so bad, and started taking zinc to try and expel the excess copper from my body. i m also taking DIM estrogen metabolism supplement and using natural progesterone cream . how can i get rid of these breakouts?? ### REPLY: Hi. Thanks for your query. Pimples have a very direct relation with hormonal changes in the body.they might be due to physiological hormonal changes in the body, like during puberty, or due to external/internal hormonal therapies. Since Copper Ts release hormones Ito bloodstream, you might have the acne mentioned due to it. Also, the other hormonal therapies mentioned, can very well lead to the same cause. To start with, you should do the necessary investigations and Ultrasonogram of pelvis to find the exact cause of the eruptions. You can start with Salicylic acid 2% cleansers and use it twice a day to wash your face. Start application of topical clindamycin gels once daily on face.You might add on a mild retinoid acid on alternate nights.Most anti acne therapies . Take care not to make your face very  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been suffering an abdominal pain, it is on my left side, higher then my belly button....if I touch there, it is tender, almost like a dull, bruised pain inside....sometimes I get pain without touching in the same area....I am realy worried as my family suffers from all sort of stomach problems:-( have seen GP twice, but they just said, they are sure is nothing serious, there is no always explenation to stomach pains...shall I be worried or trust the doctors... ### REPLY: Hi ! How are your food habits ? Do you eat frequently from outside your home ? If yes, please try to avoid it. Apart from this, you may take some protons pump inhibitor and antacid .  If they are not relieving your symptoms, you are suggested to go for an ultrasound/CT scan of abdomen on discussion with your family physician/gastroenterologist, which will exclude/confirm major problem if any. 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: Last night i had some pain in my stomach, it felt as if needles were poking my stomach, as well as my back. It was also very hard for me to breath, however it has stopped and started at 1 a.m., then I went to bed and then it stopped, then it started again at 5:30 a.m. and would not stop. It only does when I fall asleep, and now my head hurts and I just want to sleep. ### REPLY: Hi! Good afternoon. I am  answering your query. If I were your doctor, I would advise you not to eat from outside if you do, as intestinal infection could creep in from outside food and give rise to such pain in the abdomen. Also restrain from alcoholic beverages if you do consume these. I would also examine you physically and advise some investigations like a complete blood count, a liver function test, a serum amylase and lipase, and an ultrasound of the abdomen to rule out chances of any gallstones and pancreatitis.  Till then, you could go for a proton pump inhibitor along with an anti-spasmodic . 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. I wish 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: i am sameer 32year old female from india , i suffering from psoriasis last 2 year i take Dexamethasone +betamathasol+levocetltrazen+prednisolone+ranitidne last 3 months my friend sad it is danger so plz helpe me that witch take psoriasis medicen plz help me sir i ugam very upset plz suggest me other cheep and best medicen for psoriasis and how to leave this medicen ? sir i m very poor ? help me ? ### REPLY: PSORIASIS IN NEWER STUDIES IS STATED AS CHRONIC INFLAMMATORY REACTION BY ONE OR MORE OF COMMON FOOD WE TAKE IF YOU WANT TO KNOW YOU NEED TO GET BLOOD SERUM TESTS FOR MILK WHEAT POTATO CHINA EGG NUTS RICE OR COMMON FOOD YOU TAKE DAILYELIMINATE THEM FROM DIET ACCORDING TO TEST AND YOU WILL RECOVER IN FEW WEEWKDEXAMETHASONE IS NOT GOOD INSTEAD YOU CAN TAKE METHOTREXATE 2.5 MG TWICE A WEEK AND CAN ADD NONALLERGIC BASTING 10 MG DailyPay Calamine on skin mixed with salicylic acid ointment locally on affected part of skin ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor , i am having pain or burn after ejaculation, its lasts  upto around 30 minutes and after that automatically its solving  -during this 30 minutes  several times am going to bathroom for urinating. This burn is not regularly happening but its happening once in every 3 months or near to tht interval.I am a 24 yr old  , i am very much disturbed with this poblem - please give me a reply sir ### REPLY: Dear user, Thank you for writing to us. I understand your concern about burning pain after ejaculation. This suggests possibly inflammation of the structures near the urine tube like prostate or other sex organs. Kindly take plenty of fluids orally and sees a urologist or general surgeon near your area to rule out possibility of infection. This can be treated successfully. Use barrier methods (condom) during sex with your partner. If your partner has any symptoms like burning, discharge or itching, then she does require treatment. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 22 year old female and ive been having bad chest pains all the time for the past 2 months and its starting to cause problems on my spine and ive been getting really  swelling bad underneath my armpits and ive been 2 my gp about it and they told me its panic attacks but im not satisfied with it because i shouldnt be out of breath all the time and i shouldnt b in pain please can you help me thank you  charlotte burrows ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should get done chest x-ray and ultrasound examination of maxilla to rule out lung infection and axillary lymph nodes. If both these reports are normal then no need to worry about major illness. At young age, panic disorder and anxiety are very common. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic . Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have been suffering from a toothache for about 3-4 days, but it has become increasing worse. Pain spreading from the top left quadrant into the ear, and down to the lower jaw, also covering the lower quadrant. This evening I feel pain around and just above the eye. There is also an odd pain and pressure at the base of my nostril, with some numbness in the cheek. Ive been treating with 800mg prescription Motrin, but the length of relief is closing significantly, from 6 hours down to only slightly dulling the absolute extreme pain!!! I have begun a warm water rinse earlier this evening, but the pain is so bad that if there is actual relief it cant be measured. I am in between dentists so Im in a bind... ### REPLY: Hello dear,First don't worry and be relaxed. I Have gone through your query thoroughly. I will provide you with my best possible advice. As your symptoms suggest and on the basis of your description, you may have a carious tooth(agitated) in upper left qua .  Pain as you have described is a radiating type of pain. And numbness may be due to inflammation and infection. Simply taking painkillers like MOTRIN will not solve the actual problem. If someone with same symptoms arrives in my clinic I must ask few questions-Do pain increases on biting or chewing?- Is there any specific time (day or night) when he experiences more pain? You have to undergo the complete treatment(procedure and medication) most probably "Root Canal Treatment" of the offending tooth to recover completely. If I were the treating dentist, on the basis of your given information I would advise these-Get an X-ray done of the offending and nearby teeth.-Try not to sleep from left side for few days.- Do not chew from left side for few days.-Do not give any type of pressure with hands or with anything else.- F0r better pain relief take tablet of tramadol-50 mg diclofenac-75 mg combination (marketed as duration by Abbott Healthcare) if not allergic to it twice daily for 3 to 5 days. And do visit the dentist for further treatment. Thank You and Take Disregards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 shortness of breath that started around 2007.  I have mitral valve prolapse and grade 1 diastolic dysfunction of heart. I was told by cardiologists not to worry about the heart its all ok. but I can not stop having this shortness of breath. It gets better when I lie flat on my stomach at night when I go to bed.  I have only mild asthma and my dr. said my asthma can not be causing this. I saw a nerve doctor and he said it not my nerves. prior to getting the shortness of breath I was very healthy and used to go dancing and skiing etc. now I am afraid to do too much since I am afraid of being soffucated. I have had one pregnancy and it went ok and this shortness of breath started 2 years after pregnancy. I think its either the heart or the lung or diaphragm. this month i will be seeing an ent since i have had previous sinus surgeries and one of the sinus cavities seems to have a large hole since mucus chucnks fall once in a while. also my gi said I have mild gerd but he said not to worry about it after. he did a fluroscopy to find it. another asthma doc said its just a condition i need to live with . well its very scary. can anyone help? I also get heart palpitations once in a while. Is there any diaphragm or good lung doctors out there? I have seen a pulmo but he just dismissed it to anxiety. but I am definitely not hyperventilating I am very calm and still getting this shortness of breath.  also xanax does not make it go away nor does clonozapam. ### REPLY: Hello can understand your concern. So as you explain you have several factors that may contribute in your shortness of breath. All of these as mitral valve prolapse, diastolic dysfunction of heart, mild asthma, mild herd have a role in your concern. I would recommend you to do further these tests:Metacholine testSpirometryTSH,FT4 for thyroid problems. In my opinion if you treat well all these pathologies you will feel better. Chronic sinusitis have a role in cough not so mach in dyspnea as you feel. Do not smoke, do some exercise, do not gain weight and for sure you will feel good. Thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am A 29 yr old diabetic (just diagnosed in last year) and im now 16 weeks pregnant . Over the past 8 months or so my teeth have literally started rotting. I have been to the dentist the times in the past 8 moths and everytime the say I need extractions or root canals but I have no insurance and can t afford either. Now things r much worse...i have had swollen gums for about a week above one of my teeth towards the front that is decaying. The dentist gave me some antibiotics that I have been taking for 5 days now and the swelling hasn t gone down its only gotten worse. Should I make the trip to the er or will I be wasting my time and just wait till the dentist opens in two days.. I m in so much pain but since I m pregnant I don t think they can even help with that.. ### REPLY: Hi Julie, you are having a gum problem.I am sure that you are having bleeding gums also. Julie, you are having diabetes and gum problem worsen in diabetes as well as pregnency.in pregnancy we can not give you the extensive treatment. So I suggest go for normal cleaning of the gums and take preventive measures till pregnancy. After that you can go for your complete treatment from your dentist. Note:- please consult your dentist before taking any medicine as all the medicines are not safe during pregnancy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 would anonymous so i an not institutionalized. I choked myself with a belt for aprox. 6 hours and didnt die.i have shortness of breath, my fingers, arms and toes are numb and i am also light headed. My back hurts and throat burns. Whats my diagnosis and what should i do? ### REPLY: Thanks for your question on . I can understand your concern. You attempted suicide and luckily failed in it. By doing this, you must have injured your throat, wind pipe, neck muscles etc. So your symptoms are mostly due to this suicidal attempt. So consult ENT doctor and get done endoscopic examination of throat today rule out internal injury. Proper rest will cure all these symptoms. You should also consult psychiatrist for suicidal tendencies. Get done counselling sessions. Try to identify stressor in your life and start working on its solution. You will need anti depressants and anxiolytic .  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter now 10 mths diagnosed with reflux at 2 weeks old on .05 liquid zantac once daily. has always been uhappy, cries always, always had a cold, attacks her ears, shoves fists in mouth extremely hard to put and stay asleep...pulls legs up while rocking her off upright, leans forward while sleeping. as i have slowly introduced foods the texture is more chunkier and she is becoming so bad.... all symtoms are tripled and she is waking up all night instead of just stiring and farting badly at night. HELP im going insane my patience is now on overload!! ### REPLY: Calm first. Feeding a child in the age group of 9 - 18 months IA an art. Chil .  Give them food in a bowl of their favorite color and choice. Put her food in it. Let her spill and eat on her own. If you are using a feeding bottle kindly throw it away. That may be reason of frequent resp infections. Apply coconut oil all over body. Give a nice body massage with it and make her sleep. Make her food energy dense with oil and ghee ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having sometimes severe lower back pain and right hip pain (and now right shoulder pain).The pain is sometimes so severe I can t sleep.I saw an orthopedic doctor who said I had some osteoarthritis, a bulging disc and a fractured vertebrae. It s been a while since I ve seen him and the pain is getting worse. Should I consult a neurologist? ### REPLY: Hi, Thanks for your query. Your pain is due to Arthritis. When bone is not able to take weight due to arthritis than it has to be shared by muscles. Also, some time it can be due to nerve compression. You can judge your self. If your pain increases on walking and relieved with rest, it is suggestive of nerve related pain. Arthritis pain is present even when you are taking rest. I will suggest you following. Hot water fomentation. Volition ointment Tablet Pregabalin M one daily at nighttime. Calcium and vitamin D3 daily. Tablet Tramadol one daily. Please consult your doctor before taking those medicines. Consult an orthopedic surgeon for further workup and management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 2yr child managed to find an advil in wife s purse. She bit into it and more than likely did not enjoy the taste, so she vomitted. I was searching online for answers, found no harm will come from this even if she would have swallowed it. Is this true? ### REPLY: Hi, Advil is a non-steroidal anti-inflammatory .  Its common side effects include heartburn, upper abdominal pain, vomiting, stomach ulcer, and bleeding. Since your daughter vomited immediately after taking Advil accidentally there is nothing to worry because she has not swallowed it, so harmful effects will not occur. However, seek medical attention if your daughter starts vomiting, or complains of abdominal pain, rash, itching or difficulty in breathing. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had the flu since Friday. Lots of pain & headaches with chills, my body aches. Saturday when I woke up it seems like I just had the sneezing & runny nose. then on Sunday It seems to have gotten worse again with lots of aches & pains. when I cough my ribs hurt. ### REPLY: Hello, Welcome to , The symptoms are suggestive of flu like symptoms, most of the flu like symptoms are caused by virus which will leads to all these symptoms.Most of the time all these symptoms caused by virus are self limiting diseases which will subside by itself, as these infections reduces the immunity it will make the patients prone for secondary bacterial infections. I would suggest you to follow1. . Spy Codeine 3. Oral NSAIDs4. Oral Antibiotics like Autoclave, 625 mg, twice daily for 5 days. The symptoms will come down aforementioned remedies. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I get angry very quickly but recently Im in a relationship and my guy has the equal bad temper like I do so I have tried to supress my anger but because of that I think Im having other side effects when I cant control it any more I start talking insane and start doing things or saying things which I normally dont ### REPLY: Hi.you can get help from a clinical psychologist for some relaxation therapies.also meditation and yoga would help.you need not worry too much about the relationship.it could have been ad . .but, wait! Sorting out your problems through discussion among yourselves should be of your first priority because we, the psychiatrists, are a little biased towards these therapies and all that.have a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How contagious is mersa? My daughter is pregnant. There is a family member who has a rash and a boil and is diagnosed with mersa. Is it safe for the family member to come to the Christmas gatherings. I am very leery of this person being around as my own mother died from mersa. Thank you for your help!! ### REPLY: Hello! I understand your query. Thank you for your question. Yes your daughter may be infected with MRSA, not only you but the whole family as well. She is pregnant and her babys well-being may be affected as well if she is infected. Methicillin-resistant Staphylococcus aureus (MRSA) infection is caused by a type of staph bacteria that's become resistant to many of the antibiotics used to treat ordinary staph infections. MRSA can also spread easily through cuts and abrasions and skin-to-skin contact. It is highly contagious and is very resistant to multiple antibiotics. Hope this helps, Thank You. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started with my period on Thursday after months without because of the birth control  pills. (Because of hard training I skipped it). It chose to have my pill free week since my boyfriend is on vacation. On my period,  I had a lot  of pain (still have), it was hard to walk, wasnt up for food, and was also very nausea.. Now Im finished after four and a half day which is very normal, but it still hurts a lot! And specially on my right side. So, I read on the internet about appendicitis, since I have a lot of the syntomps. Also afraid I can be pregnant, but I had my period,and also use birth control pills. Can it also be that I just waited to long with the period. Maybe more than my body could handle? Since the period started the same day as I started the non pill week? ### REPLY: Hello! Thank you for the query. Appendicitis is an urgent condition. It is not an issue which can last weeks or months. Without treatment patients either die or get heal by theirs own. So even if the symptoms are similar to the appendicitis, I don't think this is your issue. Pregnancy or ovarian cyst is much more possible. Urinary tract infection or inguinal hernia should be also considered. Please visit your doctor, have urinalysis, pregnancy test, blood work and abdominal ultrasound. Gynecologist should be also visited and transvaginal ultrasound done. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir, last 4months i have inside tongue pain problem , uneasy problemiam consulting one doctor here his given  1) cefiguard 2) PGI  3) L-Cetmax tablets after use the medicine clear my problem and again the same problem is stared , the above mentioned medicine again uses  but problem is not leave me . can i want suggested me. ### REPLY: Hi. Can understand your concern. As per your complaint pain in tongue can be due to a number of conditions and causes like Geographic tongue there are any changes over the tongue, Authors ulcers, infections like thrush, vitamin deficiency and anemia, lichen plans, burning mouth syn . . As you have not described that whether you have any changes on tongue like ulcers, patches or smoothening or pigmentation of tongue so to make the exact diagnosis is a bit difficult. You should consult an oral pathologist and get evaluated, and necessary investigations has to be done to rule out the exact cause of the pain and in case of any abnormal finding on tongue the clinical checkup can help in correct diagnosis. You can take OTC painkiller like Ibuprofen to relief. Hope this information helps. If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,my self ritu.im married girl.my periods are irregular...doctor prescribe me to take some medicines,these are-Fertisure M,Cervifert,biopreg F and Susten 300mg.doctor i want to know that which medicines im taking is this safe is there any sideeffect.please tell me.... ### REPLY: Hi, These .  Fertisure-M, Curvier and Biopreg-F are nutritional supplements containing various vitamins and minerals which are commonly prescribed for fertility treatment.  Whereas Susten-300 which contains female hormone progesterone helps and maintains normal pregnancy and prevents miscarriages in early pregnancy.  Its common side effects include headache, vomiting, breast pain, stomach cramps, and swelling of the limbs. Continue taking these medications as prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had my big right toe nail removed 4 moths ago due to it being ingrown and infected and everything was fine upto a day ago when i noticed puss stain on my sock, so i looked and it was pussing a little bit, what is happening, do i need to see a doctor? ### REPLY: Hi, happy to help you on your health concern on part of ! In the present case of wound infection, if I were your consulting physician, I would just advise you to consult your surgeon once more for a physical examination and necessary microbiological culture sensitivity tests for adequate control of infection. Also, it is necessary to find out the cause behind it. For the time being you have to clean the area with antiseptic solutions and keep the area .  Get a blood sugar test also! . Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just went through a terrible root canal experience with an full blown infection. When the infection started I noticed my armpits neck and groin areas to be sore. I also have some unusual swelling on the outside of the vagina area just swelling no itching or redness. It is just sore and seems to be swollen as well. Is this normal with the amount of stress my body has been under for the last week? How long does it take for this to settle down? I am on Amoxicillin. ### REPLY: Hello, thank you for your contact to . If I am your doctor I suggest you for blood culture and sensitivity. I suspect a Spread of bacteria from the dental infection to lymph node of various parts. Once the sensitivity is available to you, start a antibiotic accordingly. Alternatively start with one higher grade antibiotics which you are right now taking. If you have to ask me anything you can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive got pain in my lower abdomen, it hurts to move, cough and sometimes walk. It also hurts to go to the bathroomIve got the implanon in my arm, Ive also got low iron and b12 and am currently on iron tabletsIm scared that it could be a ectopic pregnancy as I know they are more common with women using contraception. Im in alot of pain. I wake up with the pain and that when it effects me most. ### REPLY: Hi. Thanks for your query and history. You look to be worried too much as the tubal pregnancy is rare, do not worry. But the commonest cause of pain in the lower abdomen where it hurts even for the movement, coughing and sometimes walking indicate that you have peritonitis. I would advise you the following: First all get admitted getting proper treatment started, get all the tests of blood, urine done. Urgent ultrasonography to decide what is inside. Blood group is surgery is needed. The probable causes can be appendicitis / Ovarian problems (in spite you are on implant), Salpingitis, severe PID, perforated intestines, diverticulitis...NCE the diagnosis has been made, you have to undergo the further medical or surgical tests as needed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 curved uterus and had trouble having my coil fitted last Tuesday, the Dr was heavily pushing with a curved metal rod, then all of a sudden it inserted sharply, while I was in the usual position for the procedure I jumped in the air because of the pain- it felt like the metal rod had gone through my rectum! I was uncomfortable after the procedure and found that when I urinated I had a tingling pond &!needlea sensation on the left side of my vagina, also I now have a pain like siatica down my left leg to just above my knee. Could I have siatic nerve damage - how long will it last should I go to my GP? ### REPLY: HI, IUD insertion with introverted/deviated uterus is a bit of difficult procedure, still its managed well by an experienced doctor.  The pain you are having is mostly due to the difficult IUD insertion. Over handling, has given rise to the tingling sensation while urinating.  Again your stressed /awkward position, sudden jumping after insertion has muscular stress/stretch to the nerve. This has given rise to the pain above knee.  You can very well get checked by your doctor, who has undertaken the procedure/ an expert gynecologist. Don't worry, if you don't have any other complaint.  A course of NSAID pills along with vitamin B12 twice a day with food should control the symptoms.  Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Im.a 25 year old female. Had last cycle on july 25. Negative preg test. I have a copper iud in place for almost 3 years. Normal blood work when looking for thyroid problems. But low white blood count. Extream fatigue, and dizzy spells. Whats wrong with me. ### REPLY: Hello, The description you have provided is incomplete in some respects like how much low white blood count you have? What are the differentials? If I am your treating doctor I advised you to check for your blood pressure, Thyroid function tests. Additionally, I also advised you to do regular yoga and exercises in the early morning. This will keep you active for whole of the remaining time. THX to contact us. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Symtoms...pain in lower stomach area under ribs, right side, frequent urination, belching after eating anything, weight gain,,even though I eat better now more than ever and I am exercising,  Male 38 years old.  Just had ultra sound and waiting for results. ### REPLY: You probably mean abdominal pain and not really stomach pain (stomach is only a small organ present in the abdomen). The specific location of the pain is important which could only be understood after proper examination. You could have got a urinary tract infection, but it is hard to comment without more information. If that is the case, you would need to be treated with antibiotics. There could be several other causes, but it is no use unnecessarily confusing you. The ultrasound will provide some insights to the possible causes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: um . hi . um im a vegetarian and i dont take iron supplements or anything like that . and for the last 3 or 4 months i have been feeling really dizzy all the time . i always feel like im going to pass out or fall over . i told a family friend and she said i might have anemia . please help me . and im to scared my parents will make me eat meat . and i really dont want to . is there anything i can do ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some anemia. You should go for complete blood count, peripheral smear examination and anemia profile.  If you have iron deficiency then you can take oral or injectable iron supplements.  No need to eat meat as compulsion.  You can take vegetarian diet with high iron like beggary, dates, green leafy vegetables, .  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m writing on behalf of a friend who after working out got a few mysterious bruises on his legs and ankle. Then they turned into a rash. He also has lots of muscle pain. After 2 urgent cares and 2 antibiotics it s not better? What could this possibly be? Thank u, , ### REPLY: Hello, What I see with history is there might be some blood routine to be got done. Pain can be due to DOES if he is not a regular exercise person. Also, what is your friends age? This gives more insight into why there are bruises and rashes. Antibiotics should be administered only if any blood routine is done and infection found. Kindly take the blood routine first, and please provide his age. If aged then have to assess other things too & if young then only blood routine. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 3yrs &8months ,he is very naughty&always puts his hands inthe mouth,so by this he always gets cough&cold&later turns to fever.whats the best way to stop him from this.recently he had typhoid&neumonia&also tell me that is there a chance taat typhoid will relapse in future ### REPLY: Brief answer:It's a habitual thing. Detailed answer:Hi, welcome to . Putting of hands in mouth or thumb sucking is a habitual thing. It is not a disease. Child should be regularly counselled by explaining the disease that he may catch by putting finger in mouth. Typhoid also can occur if repeated episodes of fingers in mouth are present as infection from nails can occur. Don't be angry with the child it will have negative impact of child. I hope this has helped you. Take care. Regards - .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pains in my legs which happen after eating anything with oil. I was told it s impossible for gas to be in legs, however , when I take gas relief products or pass gas, the pain lessens. Could it be varicose veins? No one has given me a diagnosis. ### REPLY: Hello, I have studied your case. Confirm this diagnosis by investigation. Dilated vein need investigation like venous Doppler and valve study. Many of my patients find relief with laser treatment for varicose vein. For these symptoms analgesic and neurotrophic medication can be started. Till time, you can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Vitamin E supplement with carnitine has good results. 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. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dr Sahib.           I am 60 yrs & on 27th Dec  2010, i Had a heart attack & same day DES was put in one major artery, for 3 months I was feeling very fit,But now i feek weak in walking also & from last 1 month i am feeling sore throat & thick cough .though I am taking antibiotics but no improvement. ### REPLY: Hello are 60 years old with DES after heart attack. Now you are also having cough, with thick mucus for one month, these symptoms may be due to these possibilities, these include:1 Bronchiectasis, diagnosis can be confirmed by sputum for culture and X-ray chest .2 Lung abscess .3 Tuberculosis .4 Asthmatic allergic bronchitis. Patient usually feels whistling sound with wheezing. Thick mucus may be due to post nasal discharge. In my opinion consult a primary care physician and get his opinion. Usually I advise my patient to take montelukast= albuterol, one tablet one in a day (in few cases twice in a day). Codeine +chlorampheniramine male ate cough syrup. Since these are prescription . Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son who is now 16, feels nauseous every day and has for years. Have gone to doctors, naturpaths, had an upper endoscopic procedure and biopsy, modified diet, nothing is showing up. Once was diagnosed with GERD, don t think he has that now, gastroparisis, does not really have that either. He used to vomit all the time when he was quite small but has not vomited since he was about 5 or so. Still feels sick every day. Any suggestions on where to go from here? ### REPLY: Thanks for the query. Is he the only child? By your description it feels that you are too protective towards him because of his childhood illnesses. I feel as he is growing he needs space and needs to take care of himself. This will boost his self-confidence. He can try some outdoor games, especially team ones. Initially he may have problems adjusting to the new lifestyle, but this will take care of his digestive system and reduce his nervousness. Make him do household chores as well. Let him do all his work including washing clothes, utensils, ironing, shoe polish etc. He may join NCC or scouts too. On your part stop telling him what to do things in correct manner. Let him make his own mistakes and learn. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife is experiencing white spots in the lower gums and the inner internal lower lip that bleed when she applies pressure ... she says it hurts and is eating much less. We visited a dentist (surgeon) and he has doubts it is afta because it has gone on for over two weeks. He prescrbed Nystatin oral suspension three times a day... he believes it could be a fungus manifestation. We are extremely worried and would like having a second opinion. Please reply to YYYY@YYYY . Thank you very much ### REPLY: Cellophane you for getting in touch with us. As I see, your wife was most probably diagnosed with Candidiasis and prescribed Statin for that. It is a commonly seen fungal infection seen in many individuals. If there are no additional signs and symptoms seen, then you need not worry about it. If there are any additional features, then we would recommend you to get a complete check-up done to rule out other diseases. Often, poor immunity leads to candidiasis and other problems. Hope this helped. 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 my2 year old son came out sayin he penis hurt.i ask to show me were it hurt he pointed to a brown small mark on he penis,wich appeared about a month ago but i thought it was a birthmark,so i pulled bk he full skin and wen i got to the brown mark he cryed and puss came out and its abit swollen on the side of the brown mark ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Doctor i realised about 2 weeks later that i was taking the Trigestrel pill,the other way around. can it affect my periods? because i havent received my period this month,and i havent been sexual active since end of June,but i got my period in July. ### REPLY: Hello, Trieste is mainly used as an oral contraceptive pill, although it is used for other causes like menstrual irregularity. It shouldn't affect the menstruation negatively.  But, sometimes due to hormonal changes or stress changes in the menstrual cycle are observed. Do not worry, there are other factors like stress which cause delayed menstruation. I would suggest you wait for a few days and if this persists, do visit a gynecologist regarding this, depending on your history the doctor will ask you to get some tests done if needed.  Depending on this, the doctor will be able to guide you with appropriate treatment. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...For the last four nights or so when I first go to bed and lay down I have chest pain and after awhile it goes away but I have also been awoken by it again later in the night, I have had palpitations occasionally for awhile now and they occur during sex along with shortness of breath....today I am noticing the same chest pain and fatigue and shortness of breath...can you please advise me...I am female and 39. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out heart diseases in your case. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: age 27, weight 50, height 165 cm, medical history - i was under skin treatment for lot of pimples & acne before 1 year. I m vrunda raut and i m facing issue with dark circles and skin darkness. kindly suggest for the treatment to make skin clear without any spots and glow ### REPLY: Hello, Thank you for posting on . Dark circles under eyes or under eye pigmentation is a challenging condition to treat. Its seen commonly in people having stressful life and irregular sleep and diet. It's also seen among people having atomic dermatitis and asthma. Sometimes its genetic due to deep sunken eye sockets in skull. Most of the OTC products are not very useful. I would advise you to apply tacrolimus 0.03% ointment at night and AVA RTA eye cream twice a day. Take oral It C regularly. Additionally, a series of chemical peels like arginine, lactic acid etc. from a certified dermatologist can help a lot. For darkness over face, again chemical peels will be of great help. Also, apply a cream containing comic acid, albumin, betray . Try to de-stress your life and maintain a healthy schedule. Hope you will be fine Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,   I recently shave my genital area (about 2 months ago),  a week or so after I notice a small lump under the skin on my penis shaft......   Regretfully, I have tried to squeeze this, and it has becom larger and slightly tender......  It is not attached to the penis, and can be move around under the skin, therefore, I presume that it is a sebacious cyst.......   As it is now larger, has it become infected?  shall I just leave it alon for a while or do I need to see a doctor? ### REPLY: Hi ! Good morning. I am  answering your query. You possibly might be correct in presuming it to be an infected sebaceous cyst. Even though it might subside with anti-inflammatory and antibiotic . 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: I feel gross even asking but I can t wait until tmrw to go to the hospital. About a little over a week ago I was in a homeless men shelter and I brushed my mouth at night thinking it was and it wasn t . After this even occurred my lymph nodes under my jar and gums were swollen. I ve always had sensitive teeth so I d bleed alittle but I ve been bleeding way too much. What are the chances of me catching help?!? ### REPLY: Hi, As per your query you have the problem of bleeding gums and sensitive teeth which is because of inflammation and ulceration of gingival mucosa. Maintain proper oral hygiene. Visit the dentist once and get it examined. Go for qua .  Use Listerine and Betadine mouthwash. Do gargles after every meal to prevent bacterial accumulation. Go for curettage. Rinse mouth after every meal to prevent bacterial accumulation. Give cold packs to his gums to relieve pain and discomfort. If there is pain in gums anesthetic gel application can help by giving numbing effect. The dentist may perform oral prophylaxis or may prescribe antibiotics along with anti-inflammatory.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a female of age 48. I am suffering from low Hb level i.e. 3.3. Ferritin level is 1.4 whose range is 10-120.I have pain in my teeth and mouth. my hands and feet swell by even walking a few steps. I have become quite weak. eyesight is also affected.How can I bring my Hb and ferritin level to normal? ### REPLY: Hi, After looking at your lab reports, I am wondering why you are not admitted to hospital. Severe anemia has led to cardiac failure leading to limb edema. You need a red cell packed cell transfusion to improve your hemoglobin at the earliest. Later on injectable iron can be used, and iron tablets can be taken at a later stage. Other vitamins also need to be added to improve hemoglobin levels. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My grandson is 11 months old and today has had a large number of what look like clear yellowish teardrop shaped jelly capsules in his stools which when punctured contain a clear liquid. He started antibiotic yesterday for a throat and ear infection. What could cause these globules and could they be related to his antibiotics ### REPLY: Hi welcome to  I understand your concern, Yes, antibiotics can cause loose type stools with globules(mixed air), some antibiotics are less likely to cause and some more, and it is also individual patient response to antibiotics. If motions are watery, ORS can to taken , pre and probiotics can be added if required after consulting your doctor. Hope I answered your query,Revert if any other query thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have  swelling under my arm about 3  to 3 1/2 inches around, this is the second time in approx 6 months, I had a mammogram which showed nothing - however this time is it painful and sore to the touch and movement -when I move my arm there is a pulling sensation and pain - the first lump was there for apppox a month = this one has now been there for 3 weeks..... there is no redness or "warmth/heat", but the pain is the difference, should I be concerned...I have no fever or other specific symptoms, I am tired but is more likely to be attributed to lack of sleep and my hours....... ### REPLY: Hi. The swelling under the arm which is not hot is called a cold abscess, meaning lymph node mas due to tuberculosis. I would advise you to get an ultrasonography and guided FNAC - fine needle aspiration cytology to confirm the diagnosis, as also blood tests like Gold Quantifier test for TB, X-ray chest PA view. If this is diagnosed as Tb, get started with proper treatment to get a cure with preliminary liver function tests. You will be fine. IF the FNAC shows cancer so the treatment will be as per the guidance of oncosurgeon and oncologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my baby boy is 12 months and 3 days now.from last 3 days he is having loose motions.and very red and light skin pealed.i was giving him cocunut water for drinking and hydrozole for nape rash,,,but still did not work ,,please help my kid ,how to stop loose mostions and napy rash....and how many days it will cure hopefully ....please help mu kid.only bottle feeding ,he is active, not eating much food . ### REPLY: Hi thanks for writing to . I understand that your baby is having acute gastroenteritis. Please give him 1/4 the glass ORS after each loose motions. May be baby might vomit while taking ORS you can use an anti vomiting medicine. For nappy rash, avoid using pampers while child has loose motions. The gel that forms in nappy itself can cause the nappy rash by irritating the skin. If I were your treating doctor I would have kept baby pamper free and used juridic acid 3 times a day to heal the rash. In case babies activity decreased, blood in motions or fever in baby kindly visit pediatrician. In case any more query I am happy to answer, else rate this answer and close the discussion. Below is the link of my article on loose motions, you may find it 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: what is the best current treatment for someone in thier thirties experiencing chronic prosititis , for last 7 years and they have felt unable to have a sexual relationship due to the severe pain ?why would it not be appropriate to remove the prostate ,and relieve pain ? ### REPLY: You should be consulting a urologist ... he will examine you and if necessary will collect prostatic secretions with per rectal massage under ascetic precautions. These secretions may be cultured to find out the organisms and proper antimicrobial .  You may have to take for min 4 to 6 weeks or until your symptoms are completely cured.sometimes even your partner has to be treated Hope my answer helps 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: after a one hour nap this evening my blood pressure was 155/79 (I took it three times and averaged it out). The 155 is high but the 79 is okay. I am on a Masters swim team and was going to go swimming; however changed my mind after I saw the 155. Why is the top number so high, but the bottom number is normal? ### REPLY: Hello. This condition is called isolated systolic hypertension... There are a lot of causes for this condition. I would like to know details like your age, history of smoking/ other . . It is best if you can approach a doctor for getting a Thorough clinical examination and above said investigations done. Hope my answer helps you.if you have any more queries I would be happy to help you. Good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband age 44 now had a serve injury to his L-should approx 17 years ago..he fell from 20 feet up and landing on the concrete head and shoulder. at this time,a dr only slinged the injury and told him it would heal fine this way! my husband believing in the dr did what was told of him..leave it alone! now 17-18years later it effects his life so badly that he just cries or gets angry because of the unbareable pain! we have seen several doctors and no one will offer surgery or anything else for him. we have been told that the injury is too old to do anything about and the arthisis has incased itself around the bone and now the good shoulder(R-shoulder)is compensating for the bad one and now both are outta wack! what can we do? who do we see? this even effects our love life,hes in too much pain or the shoulder just simple pops out of the socket and my poor husband just cries,sometimes all night long in his sleep! thank you! susan ### REPLY: Hello, I have studied your case. There is possibility of rotator cuff weakness post injury reverse shoulder replacement may help in reducing symptoms of arthritis. You may need Ultrasonography or if possible MRI /X-ray to see details. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. He will guide you for active and against resistance shoulder exercises. If possible consult orthopedic surgeon who is specialist in shoulder replacement surgery. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my right collar bone sticks out more than my left, there is some pain when i put pressure on it and it aches when i am just sitting down. I am right handed so i do use my arm alot. I do competitive cheerleading. I got an x-ray done i was just wondering if any one knew anything while i wait.. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have severe collarbone pain. Well there can be many reasons for symptoms you mention in query like fracture or injury, acromioclavicular ligament tear or wrong movement of arm or shoulder. I would suggest you to take proper rest and do not move arm or shoulder much, apply warm compresses and take ibuprofen or acetaminophen for pain. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order CT scan or physical examination. Doctor may prescribe muscle relaxant, anti-inflammatory or recommend physical therapy . Physical therapy will help a lot. Doctor may also immobilize your joint for some days. 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: I Have a horrible slimey oily taste in my mouth  almost like its coated with sylicone, im nausius and nothing i eat drink or gargle takes it away . it also tastes awful .. and its not a hygenic problem im very clean on myself  please help its disgusting ### REPLY: Hi ...will you tell me what exactly you are felling ? If you fell your mouth is sticky then have plenty of water. Do proper tongue cleaning with tongue cleaner . If you are felling bitter taste then have some lozenges in mouth. Do mouthwash for some days. Tiwce brushing if your oral hygiene is not good. Are taking some medicines?.. sometimes due to some medicine you have altered taste like matronly will give you metallic taste. So have note on that also. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is allergic to dust. Always hv mucuous secretion. He has to yake anti allergic medicine evernight. Bt still cough replase everytime with minute changes in weather or may be dust or allergens. What should we do? Do eggs creates cough? Pls let us knw. ### REPLY: Hello. Thank you for asking at . I went through your sons history and I think he is having respiratory allergic disorder. I would like to know the age of your son. However, I assume he is pediatric age group. Personally I would suggest him to continue a .  If he has nose symptoms like obstruction, running nose, etc., I would suggest taking levocetirizine and montelukast. If in spite of being on these medications, he has intermittent cough, I would suggest you to consult a Pediatrician at time of his symptoms. A Pediatrician will examine his chest and decide what is the cause of coughing. For identification of allergy causing substance, allergy testing will be useful. Common allergy causing substances are those in our daily environment like house dust mite, molds, pollen, etc. Eggs do not create cough unless he is allergic to them. Hope this will be useful to you. Wish your son the best of the health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello i was wondering about this stomach pain i was having i woke up this morning with a really bad pain and i couldnt even sit down i cant even pee because it hurts and no its no my period and i have been sexually active does this mean its anything bad? help me please i need answers ### REPLY: Hello! So severe pain is usually seen in ureteric colic i.e. stone in ureter causing obstruction. In such cases, I advise X-ray PUB, ultrasound abdomen & pelvis, renal function tests & urine routine. Stat dose of injectable smooth muscle relaxant like spasmodic with painkiller is given. Further management is according to diagnosis. Feel free to ask any further query after your reports come. 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: i took progynova for 21 days followed by meprate for 5 days,still no sign of getting periods,i have pcos is there any chance of getting pregnent.why an i not getting my periods ### REPLY: Hello;welcome to  Delayed or missed periods can be due to hormonal imbalance;PCs;thyroid problem;mental stress;and even in case of pregnancy you can miss periods. Since you were on hormonal pill that is Progynova for 21 days the chances of getting pregnant are less but still you can get a test of urine done to be sure. As you have already taken Me prate for 5 days now do not take any medicine and just wait for a week and even then if you don't get your periods then consult a GAEC. Thanks ### END