Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: White 62 year old male with pain on balls of feet, primarily right foot with topical swelling between big and first toe on right foot only.   Work involves walking or standing on concrete for up to 10 hours daily some time on stress mats ( but I also add a layer of cardboard to mine which really minimizes the discomfort).  Some pain  ( 7 of 10)when I press down on the second ( first to the right of big toe ) on right foot. Help ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint pain in ball of the foot also known as METATARSAL that occurs due to inflammation in the area of metatarsal bone while lies in the region of your ball of foot. In your case it seems to be due to long persistent standing hours. Other causes can be:-Obesity.-Stress Fractures.-Arthritis-Ill-fitting shows.-Diabetic Neuropathy.-Bunion etc. I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and investigations like x-ray, MRI Scan, blood tests to check for arthritis, gout and diabetes can help.-You can be advised to take anti-inflammatory painkiller like Ibuprofen, Naproxen.-Do cool compresses over the foot.-Limit standing hours.-Avoid excess exertion and also high impact exercises.-Insoles or Orthotics can also be advised.-Avoid high heels and wear flat shoes/candles.-You can also be advised Physiotherapy for relief. In case if there is no resolution at times steroid injections and surgical treatment can also be advised. 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: hello sir.few year ago i have some cold problem. every morning i have  sneezing...... but after taking furamist az  . the sneezing is stop. but our doctor said that u have to continuee for life time this medicine... bust i dont want to take... any suggestion ### REPLY: Hello No doubt you are having allergic rhinitis or allergic bronchitis, but allergy is the predisposing cause of your problem. Since fluticasone + elastin is the . But this is a steroid treatment. When such patient visit I advise my patient to take montelukast+ levoceterizine tablet one or two in day (according to severity of symptoms i.e. sneezing). When patient also feels breathlessness (not uncommon in this type of patient) I advise them to take montelukast+ albuterol tablet once or twice in day. Avoid, fine dusting powder, mite, pollen, mold, sudden change in temperature, hay, fodder as these are predisposing factors for allergy. Hope this will help you. Steam inhalation also help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When I woke up this morning my lungs felt heavy like I had just finished running a marathon. The discomfort has persisted all day. I feel a pain when I breathe in deep in the center of my chest and I can feel a dull pain each time my heart beats - which is at bit of an elevated pace, reaching about 94 bpm when I m usually closer to 70 bpm. I m 26 years old. Fit. Non-smoker. ### REPLY: Thanks for your question on . In my opinion we should rule out pulmonary and cardiac cause for your symptoms. Pulmonary causes like infection can cause similar symptoms. So get done chest x-ray to rule out this. If this is normal than get done ECG to rule out cardiac cause like arrhythmia. If both are negative than no need to worry much. It is mostly due to anxiety. So avoid stress and anxiety. Be relax and calm. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I accidentally tripped early this morning, inside my home. I am 6-5, 215 pounds. I was falling flat on my face, which I broke my fall by landing on my left elbow, in turn fracturing my scapula. I have had 5 surgeries to my left shoulder, to repair multiple labrum repairs, with the Bankart Procedure being performed. Prior to today, my Orthopedic Doctor stated that I would eventually need a total shoulder replacement. I am in SEVERE PAIN, and m local hospital called Dr. Felix Savoie, with the Tulane Sports Medical Facility, who is my shoulder Doc, and he will see me tom at 12:30. I am more than certain that I have torn more ligaments, and from the pain, it appears that I have a fracture to the glenoid portion of the scapula. Could you possibly give me your Expert Oppinion as to the prognosis/recovery, that I may be facing in the very near future? Any assistance would be much appreciated. Thank you for your attention to this matter ### REPLY: Dear patient First, diagnosis as to the cause of left shoulder pain should be done to give prognosis. As you said multiple surgeries are done on left shoulder. First X-ray of the left shoulder anteroposterior and axillary views should be done to rule out bony injury. Scapula fracture usually heals with conservative treatment and has good prognosis. Other investigation needed is MRI of the left injury to check for soft tissue injury. If muscle is torn and there is ban kart lesion injury prognosis should be guarded and surgery may be needed again. Please consult your operating surgeon with reports.  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: My 15 year old step son runes cross county. He started to have pains around his ribs chest toke him to the doctor they done a EKG on him last week . We get phone call today tell us he has an enlarged heart . How come now it shows up its his 3year in cross county and what can we do ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your son has enlarged heart. First he should go for echocardiography/ cardiac electrophysiology to check the function of heart and then I needed he should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am currently going through chemo for breast cancer, the chemo drug I am taking is taxol... I now have some discomfort in my lower left side... And it hurts when I cough... I am a little constipated from the chemo and steroids they gave last Monday... Is the pain caused by the constipation? ### REPLY: Hi, Thanks for writing in. Cough is a protective reflex that helps in expulsion of secretions from the airway. Coughing also involves the contraction of the abdominal muscles. Sometimes during severe cough the patient might develop continuous muscle contractions in the lower abdominal wall and this causes pain and discomfort/The pain is not because of the chemotherapy. People who are treated for cancer usually end up with a low immunity. This makes it possible for mild respiratory infections to affect the person. Due to the increased cough, there might be fatigue in the lower abdominal wall muscle. Please take a cough suppressant after discussing with your doctor. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Karolina Im 19 years old,my weight is 52kg and I do not have any big health disorders in history. Last week I got a flu, I had a temperature and got sore throat. After 2-3 days it went away. I took Nurofen Cold&Flu tablets twice a day and Strepsils tablets. But now I got this strange continuous coughing ,it increases at night time especially! Whenever I inhale I feel a light pain in the middle of my chest which forces me to cough. Should I be worried? ### REPLY: Hi thanks for contacting ... Here you could have viral or allergic respiratory infection... As mild chest pain associated possibilities of bronchitis present ...CBC examination done to rule out lymphocytes as in viral and eosinophilic as in allergic condition... Symptomatic management done.... Excess fatty, fried food avoided. Take antihistamines . ... If blocked nose present then oxymetazoline nasal spray useful . Steam inhalation also help in soothing effect.... Take ginger juice with honey one tsp.... If fever more with continuous chest pain then chest x-ray needed to look for consolidation.... I am giving you here advise according to history, but it will not replace the auscultation that is needed ..... Take care.Don't worry.... Hope my suggestion will helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got new dentures and it was awesome to be able to eat things I hadnt been able to in a long time. But the new dentures made my jaw and mouth feel tired and heavy.  Unfortunately I also got very ill and was not able to go back to the denturist.  About a month ago I was eating my dinner and all of a sudden I could no longer chew. My bottom jaw fell really heavy and like jelly.  I was finally able to go back last week and they filed them down but they still feel too heavy and I still cant chew for any length of time because my jaw wont work properly.  I dont have any pain but when i chew my jaw does click. ### REPLY: Hello, Welcome to  .com.  I had read your query thoroughly and gone every bit of it.  It seems to me because of muscle spasm you are feeling heaviness of jaws.  As you had a jaw relationship developed during the past period without dentures and your muscles got developed as per it. Now when you started wearing dentures, new jaw relations will take some time to develop.  You need to wear dentures intermittently for some period only during eating and other important occasions. Also apply hot cotton on the place 2-3 times daily 10 minutes for each time.  Avoid too hard food.  Also keep you dental prosthesis clean to avoid fungal infections.  If it is painful and annoying you can take oral muscle relaxants like colchicine or cholorozozaxone.  Hope my answer will help you, and you will be healthy soon. Please write to us if you need any further 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: Can liver damage be cured? I went to the dr today and found out my liver enzymes were critically high and my liver is inflamed. I go for a X-ray tomorrow. Is their also anything I can do right now to maybe help my liver? I just noticed yesterday my eyes were alittle yellow as well ### REPLY: H thanks for asking question. You are suffering from liver disease and with jaundice. The most likely cause is hepatitis. It could be viral hepatitis, so do serum viral marker. Depending on type of hepatitis prognosis varies. Hepatitis a recovers fully usually. But hepatitis b and c can get convert into chronic infection or carrier. So regular follow up is necessary. If viral hepatitis not present then other cause searched. Here are few suggestions to you. Avoid refined sugar and food. Green leaf veg and fruits useful to you. Avoid trans fat like butter, cheese, cookies. Cake etc.Omega-3 fatty acid oil can be used like olive or sunflower. Regular exercise necessary. Carrom seed and cumin seed powder with water taken twice daily. Licorise with honey helpful. Papaiya seed with lemon juice best remedy. With these suggestions you will benefit most. After 5 to 6 months if still liver enzymes elevated then it is case of chronicle c hepatitis and consultation to gastroenterologist done for starting antiviral therapy. I hope you will get well soon faster. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I believe my son who is 1yr and two months caught some sort of skin issue from the babysitter who we had before. we let her go because she was diagnosed with something called mouth herpies. what treatment should be used to treat a child that has a rash caused by exima or her mouth issue? ### REPLY: Howell come to ChatDoctorI really appreciate your concern, it is very necessary to confirm the clinical condition whether this is really happened because of babysitter ? If this is viral infection then you need to wait for some time because this would come around on its own, although chances of this is very rare, baby must be having some hypersensitivity reaction and for that you need to wait because most of the time this is also self limiting, if condition remains as its then it needs to be clinically examined, hope this helps, take care and have a nice day. (At the most Defense .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 question about my mom. It started off with a biopsy of her lungs which this Dr. went into her lungs through her back. He then put a tube in her lung ,and told the nurses to take her to ICU they took her to a regular room and there the tube fell out of her lung causes them to do cpr on her for hours. well we made it through that and they told her when the results came back she had IDIOPATHIC PULMINARY PYBROSIS. THEN SHE GOT INCEPHALITIS IN HER BRAIN, tTHE DR, AT kEESLER AIR FORCE BASE GOT THE RESULTS ON HER BIOPSY AND TOLD HER SHE HAD A YEAR AND A HALF TO LIVE, WELL SHE HAS BEEN IN OUT OF THE HOSPITAL FOR ABOUT 14 MONTHS, THE DR. AT KEESLER SAID HE WAS GONNA DO A BIOPSY WITH HIGH RISKS THAT THE TUBE HE IS GONA PUT DOWN HER THROUGHT MIGHT HAVE TO STAY. HE DID THE PROCEDURE AND FOUND OUT SHE HAD VASCULITIS. WAS PUT ON STEROIDS AND SEVERAL ANTIBIOTICS. THEY STARTED ABOUT 6 WEEKS AGO TRYING TO WEEN HER OFF OF THE STEROIDS. TONIGHT SHE COULDNT BREATH AND MY FATHER TOOK HER BACK TO KEESLER HOSPITAL. HER OXYGEN LEVELS WERE 79 AT THE OXYGEN ON 4 BUT IT DIDNT HELP. SO THEY PUT IT ON 9 AND HER LEVELS WHEN UP TO 100% THEN HE CALLED ME AND TOLD ME HER OXYGEN HAD TO BE PUT UP TO 15 AND THEY WERE PUTTING HER IN ICU. DO U THINK THIS HAPPENED BECAUSE THEY TRIED TO WEEN HER OFF OF HER STEROIDS? WORRIED AND SCARED ### REPLY: Hello, Sorry for the continued medical problems your mother is facing. Steroid is the major treatment after continued inflammatory disorder with unknown cause. Steroids cannot be taken for a longer time as it suppresses the immune system leading on to infections and other systemic disorders. I strongly doubt weaning through steroids could have led to the present position, rather a progression of the disease could have caused it. Hope I have answered your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I believe that I have tendonitis in my right leg. I was in a Colour Party in a Military Tatoo and stood at attention for 15 minutes, rigidly. It is very sore when I get up and I have to say I haven t really stayed off it except to sleep. What would be my best course of action? ### REPLY: Hello, I have studied your case and can understand that you have developed severe tendinitis. I would recommend you to take some rest and hot water fomentation. If there is swelling then you can also apply compression bandage and keep your feet elevated over pillow. I would also recommend you to take Govern tablet twice daily and also do not walk or stand for long time. I hope this answer will be useful for you. Let me know if there is any other followup questions.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 2 issues.  The first one is that when I lay down to go to bed I get really itchy around my mouth area.  It is only when I am laying in bed.   Do you know what would cause that?   The second thing is I get really bad leg cramps at night in both legs.  If I stretch I have to immediately release my legs because if I dont I will get massive Charlie Horses.  What is the cause of that? ### REPLY: Hello, thank you for using , well, leg crams at night is very common problem, it is due to low calcium level.take calcium tablets and take calcium rich food. Along with calcium take vitamin D also as vitamin D helps in calcium absorption .you can take SHELCAL-M it contains both calcium and vitamin D. one tablet per day, you can go for any other local brand also.take more milk, EEG, fish, meat, cereals, fruit like banana. These are rich in calcium and vitamin D.about itching around mouth I want to ask you that is it itching that you are feeling or it's tingling like sensation. Because tingling and numbness around mouth is also common manifestation of low calcium level.if you feel that its definitely itching then there can be many cause for it. Visit nearby physician for that hope this helped you take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im 72 years old and, for my age, fit and healthy. Im getting an intermittent dull pain in my right groin and right testicle. I have checked the testicle and its fine. I have suffered oedema  in my right lower leg and foot for some time and wear elasticated socks. ### REPLY: Hello understand your concern.  Pain in the groin and testicle could indicate various conditions.  Could be a pulled muscle or a hernia in the groin with pain radiating into the testicle. Any physician can do certain physical exam tests to check the difference. It could also be a varicocele or HY .  Is the leg edema new, occurring around the same time of the groin and testicular pain?  Have you had any surgery of the leg that is swollen? Leg swelling could be due to a medication, increased salt intake, an injury, or could be due to a blood clot or even cancer.  It is best you check with your physician and see if you need a leg ultrasound or and abdominal CT scan to rule out any of these conditions. Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a rare genetic disorder that affects teeth. I am 43, and have only about 20 teeth...some of them babies. Two of the babies were just extracted in hopes of eventual implants. I have been very very lethargic after the extractions. is this normal? ### REPLY: Thanks for your query, I have gone through your query. The lethargy will be there, but it will subside in 1-2 days. Nothing to be panic. Take more nutritious food, .  Regarding your missing teeth, you might be having partial Antonia or epidermal dysplasia. Consult an oral physician and get a radiograph like OPG, To rule out any impacted permanent teeth, the bone level to plan for an implant. Based on the findings we can plan for an implant of a fixed partial denture. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc,I am a 22 year old female,Past 2 months I have been getting UTI frequently. When I gave my urine for routine test it showed plenty or 15-20 pus cells 2-3 times. But all this times cutlture test didnt detect any. As per my doctors advise I have done an ultrasound scan and a uroflowmetry test. Everything has been normal and scan result impression was UTI with insignificant post void volume. All my doctor could say after analysing the report was I have got a high capacity bladder of 1 litre and I have to void withing 2 -3 hrs which I am doing regularly even before visiting him. I am drinking almost 4 litres of water everyday. My doctor has now prescribed me Niftran and a citralka syrup. I have taken all these before and despite I have developed the symptomes of UTI again. But doctor asked me to take the same medicine again. Please help me with this ### REPLY: Hello, Urine should not be accumulated in the urinary bladder more time. This creates a good sides for the bacteria to grow and multiply rapidly. This is what that is causing you trouble by repeated UTI. It is basically cystitis which is nothing but infection of the urinary bladder. This infection may ascend or descend to cause infection to other organs of the urinary tract. Backflow of urine may cause HY . Regular voluntary voiding of urine is advised. Alkalinize the urine so that bacterial growth is prevented. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 experiencing pain in my right shoulder. It has been ongoing for a while now but just at night. It wakes me where I cannot sleep. Now it hurts more nights than it doesn t. Also it is starting to hurt during the day now. Also on the same arm my elbow hurts when I pick up heavier things or turn it certain ways. Also hurts if I have it bent and my arm gets pushed where it makes it a tighter bend. Hard to explain in text on that one. This has been going on for awhile also. It too is getting worse. I don t remember injuring them, and cannot remember if they started hurting at the same time. Not sure if they are even related. ### REPLY: Hello, I have studied your case. It can be shoulder rotator cuff disease which may need MRI for confirmation. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. Also check your it B12 and it D3 in your blood. Another possibility of cervical disc bulge leading to such symptoms. 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 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: Ive got a scary knawing pain in my left armpit- the pain makes me cry. It started when my child projected vomit on a bus everywhere. Also I cant seem to digest food. And cannot sleep. I take citalopram and quetiapine for anxiety,but this pain is real. Parallel to a tooth abscess ### REPLY: Dear patient is there any redness with swelling in arm pit? If yes then u you may have got boil or abscess in your armpit. This leads to severe pain like throbbing at the site of assess. It is caused by infective organism most likely staphylococcus. You should get examined by general practitioner nearby. Treatment is tab augmenting 625 mg twice a day for 5 days and tab diclofenac sodium 50 mg twice a day for pain relief. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently gone for 2 procedures on my cervial are. it has reduced the amount of pain in my shoulders, but not really in the base of my neck spine area. we are talking about radio fequency treatment next. could you tell me anything regarding that procedures ### REPLY: Hi there, thanks for your question. Despite the advances of modern spine surgery we still don't have formidable treatment options for axial neck pain. Axial pain is pain exactly at the area of your spine. Though the pain radiating to arms and shoulders subside, some amount of next pain does remain after cervical spin e surgeries. Sometimes this can be attributed to arthritis of joints at the back of Spine. In such scenarios radio frequency ablation can be used to ablate the small nerve fibers which supply these pain causing joints. This has been found to go ve some pain relief in axial neck pain. Hope this helps. All the 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: Yes.  My brother just died in his sleep.  He was only 56 years old.  He was a smoker and had high blood pressure, however, he had controlled his blood pressure with medication.  I was told that he did not complain of any problems and he was very happy the night before he died.  However, I believe that he also had sleep apnea because he was a very loud snorer, according to my sister in law.  She made him sleep on his side.  An autopsy has been performed and we wont find out for another 6 weeks.   What are some factors that could cause someone to die in their sleep like that? There was no prior history of heart problems, no heart attacks, etc.  Just the high blood pressure and smoking.He was not overweight, and did get excercise in his job, since he worked for shipping and receiving. ### REPLY: Hello, Thank you for using  to post your health query. I am really sorry about your brother. The most common cause of sudden death in patients his age is a myocardial infarction. From what I can see from your question, your brother had some risk factors for coronary artery disease (heart artery blockage). He was a male, had hypertension, he smoked and probably had sleep apnea. A good guess could be that he had a myocardial infarction. Other causes of sudden death are arrhythmias, pulmonary embolism and stroke. The autopsy will give you a more accurate answer. 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: Hi i am praveen from Guntut AP, my mom always gets pain when she work more than usual work, her legs  gets pain and she used to take neurokind and neurobin  injection for relief, when we go for blood test doctors told us hemoglobin percentage is low and can you sugest any other specialists ### REPLY: HAI, pain can be due to longstanding&long working hours. In that premenopausal, or post menopausal period these symptoms are more aggravated. Those are multi vitamin injections, u can continue with these. If HBO is low, u don't have to worry. Pls check out for any gynecological problems or any other problems like piles, hemorrhoids, we in she's maybe loosing blood. U can start with oral iron tablets, intramuscular iron injections, or intravenous preparations. Add up with rich foods containing iron like dates, Jagger,, vitamin C fruits. And treat her for deforming. Please meet a physician. Take care. 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: I have a wound on my leg it is presenting with redness and when I pulled off the bandaid my skin turned black around the area and is full of blood would it be helpful to takelevofloxacin 750mg since it is past time for any doctors offices or urgent care facilities ? ### REPLY: Hello, the severity of the wound and potential complications (infections for example) cannot be assessed from afar. It is impossible for a patient to describe a wound with adequate detail so that a doctor can completely understand the situation. A picture might have helped more. An injury that may fit your description can be anything between a mild injury that only requires some time to heal and a serious injury that requires debridement. Antibiotics do not promote healing and are not required in many cases. I would insist on getting it assessed by a doctor as soon as possible. I'm against the unjustified use of antibiotics, particularly when advanced antibiotics like levofloxacin are involved. I hope you find my comments helpful! Kind regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Wednesday I had two teeth extracted on right side. Upper molar and lower. I have been rinsing with salt and water. This evening something fell out while gently rinsing. Looked like minute piece of gum. pink in color with a bit of whitish stuff in middle. Very small. Yuck....now Im paranoid of dry socket. What could this be?  Thank you!  No extra pain; however took a generic pain killer ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as you have undergone extraction now you feel of gum skin fell out don't worry these symptoms are not of .  I will suggest you to follow post-operative instruction, take antibiotic course prescribed by your dentist. If you notice symptoms of pain and foul smell then consult your dentist for visual oral examination. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, everytime I drink alcohol (even after 1/2 drinks) I get really sharp chest pains, which then the next day leads to a fainter pain and also back ache/pains. Is this normal? I also experience vomiting the next day, even if I have only had a few drinks. Thanks ### REPLY: Thanks for your question on . I can understand your concern. Alcohol is known to cause gastritis (hyperacidity). This will in turn causes burning epigastric pain, nausea and vomiting. So better not to take alcohol in the future. Avoid hot and spicy food. Avoid large meals. Take pantoprazole (antacid) twice daily on empty stomach.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: My dog was sick for few days and while feeding accidently the teeth had a contact on my open wound.I am not sure of completing the full rabies vaccine schedule to my pet. So next day i took Tetanus and started Rabipur PCEC rabies vaccine. I have completed the first 3 doses i.e 0,3 and 7 day. My dog is healthy now and its been 12 days since the accident. So my question is do i need to continue the rest of my 2 doses or is it ok to stop it now. ### REPLY: HelloWelcome to , As you are bitten by a partially immunized dog and taken three doses of antirabies vaccine on days 0, 3 and 7 along with tetanus injection. As the dog is healthy after 12 days of bite, it suggests that dog is healthy and has not developed any symptoms of rabies. I would suggest you to take one more dose on day 21/28, so that you can convert your post exposure prophylaxis into pre exposure prophylaxis. 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 m a 39 year old cancer survivor of breast cancer in the last 6 months I have had several upper and lower stomach issues ulcers bleeding and 45 lbs of weight loss and an escalating tacacardia 100to 150 bpm I have seen 5 different doctors all who send me to another then another did see my oncologist about a week ago after labs were done he ordered a ct scan still waiting for results does it always take so long ### REPLY: It would have helped to know the initial stage of your cancer and the time that has elapsed since you finished treatment. That would have helped me assess the risk of recurrence of your cancer. That is my only concern at the moment. Your weight loss is the concerning feature for recurrence. What recurrence doesn't explain is your raised heart beat. As an oncologist I would have ordered a PET scan rather than a CT scan as that would have scanned your entire body. Anyway, now that you have gotten a CT scan done it is prudent to wait for the results. Normally, the results take a day to a week depending upon the center. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 slightly enlarged liver according to an Ultrasound. Blood tests show an GPT/ALT as 62 where the normal max is 42. All other tests for the liver are in the norm. 6 moths ago the same blood tests showed also GPT/ALT as 58 and Gamma GT as 68 where the norm max is 53. If though Im on a diet, the liver is still enlarged. Sometimes theres a little pain in that area. What do you suggest? ### REPLY: Hi. Thanks for posting query at . Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). So you should NOT be worried. Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from "Alcohol" - AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. 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 went to bed and was feeling fine, but then after a little while i started to sweat a bit. Very suddenly I felt light headed and got out of bed, feeling like i might pass out. That feeling passed, but now I am sitting on my couch a little light headed, a little nautious, and my whole body wont stop shaking. What do i do? ### REPLY: Hello, Thanks for writing to us. The most likely cause of dizziness and excessive sweating is an anxiety disorder. Dizziness (lightheadedness) is often caused by a decrease in blood supply to the brain. It is also a common complaint in people who have low blood pressure. I suggest you to get your blood pressure checked out, do relaxation exercises and consult your doctor for further evaluation. I do hope that you have found something helpful, and I will be glad to answer any further query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,my sister already underwent twice brain tumor operation. now again  doctor has adviced her to undergo another operation. otherwise she will not  be able  to survive for more than a year. under the circumstances, is not it a good idea  to go suicide. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  She may have some high grade tumor.  So she needs surgery.  Please send me her reports of brain tumor so that I can help you further.  And if she has suicide thought then consult psychiatrist also for treatment of depression. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 20yrs old lady am somehow confuse about some facts like is it true that when i have sex a week before my period or a week after my period i wouldn t get pregnant ? ### REPLY: Hi Welcome to  forum. You have got the correct information. Generally in a cycle of 28 days we call a specific period known as "safe period" which is for a week from her last date and again the week before she expects her next cycle. Having an intercourse during this time will have very minimal risk of pregnancy, but do make sure that the cycles are regular, else this method may not hold good. The remaining days from the first week up to 21st day of the cycle is considered fruitful period were chances of fertility is very high to get you pregnant. Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently discovered a lump on my left leg near my hip. Shortly after I started noticing bruising. Each day I wake up and the bruise gets worse and the lump hurts when my pants touch it or when I walk and move. I have not fallen or injured myself in any way so I don t know what is going on. What could it be? ### REPLY: Hi, Dear thanks for the query to . I understood your health concerns. From the facts narrated in the query, it seems that you have a fur uncle or the boil which is developing over last few days on the hip. Treatment-Anti-inflammatory, antibiotics, cold compresses with the prescription from your ER Doctor would resolve your issues. Hope this would resolver your worry. Welcome for any further query in this regard to . Write excellent review and hit thanks if you find this reply helpful to you. Have a Good Day. . N.M.S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 20  days back my 8 month old son wt 7.7 kg got cough and cold , doctor prescribed kufril , nasoclear and duolin respules for nebulisation and azithral liquid . He got cured within week .yesterday night he got fever  and i gave p-250 2.5 ml and today morning he was very active and i continued p-250 but now he got cold he is taking feeds well. Again cold whats the reason ### REPLY: It is nothing else than viral infection which is quite common among child .  For this you can give the same medicines as your doctor had prescribed before or in my opinion you can give him syrup Ural 100 mg 5 ml once daily or syrup symbiotic-p 125 mg 5 ml three times daily with syrup ivory or syrup no-cold 1 SF three times daily for common cold with syrup OFCE or syrup ambrosia 1 SF twice daily. You can also use naso-clear nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.  I,m a 47 year old female with no heart issues that I,m aware of.  I am very stressed, but not overweight, my cholesterol is fine and so is my blood pressure.   I am experiencing short stinging pains on the left side of my chest off and on just today.  Its happened maybe 4  or 5 times.  Ive also had a couple of  small electrical shocks in the palm of my left hand.  Would this be heart related.Thanks.Lynn ### REPLY: Hello. Thank you for asking on . I read your concern. Now, chest pain coming from the heart can be of two types: angina, which is produced by a blockage in a coronary artery and is described more like a chest tenderness, heaviness that begins during physical activity, lasts 5-15 minutes and goes away after the physical activity is ceased or after using nitroglycerin under the tongue. The other type comes when the heart lining (pericardial sac) is inflammation and is described as a stabbing pain that worsens when lying down and decreases when sitting prone. My opinion is that this is not a chest pain with cardiac origin. It may be musculoskeletal or stress-induced pinching pain. I hope I was helpful. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes i would like to now about testical removel  Enoch in the bible had it done for his faith in God . I have been married for 36 years and have spoken with my wife on the subject.We do not have sex and live very happy .Would removing the testicals ease the mind from temptation . Thanks ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Sexual arousal (also sexual excitement) is the arousal of sexual desire, during or in anticipation of sexual activity. A number of physiological responses occur in the body and mind as preparation for sex and continue during it. In addition to the psychological arousal, several hormones affect sexual arousal, including testosterone, cortisol, and estradiol. Therefore, in simple medical understanding, removal of testicles cannot, at least in theory, ease the mental temptation to have sex. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, my number 2 s are missing, I have a dentist appointment on Thursday and I dont know how to ask my dentist I want my gaps filled, I have know people that have had caps put over their number 3 s and made them look like a full set but I have asked my dentist a number of time but they say they cant do nothing,,,i really want it done! ### REPLY: Hi, Thank you for the query. According to the history given your lateral incisors are missing. If both the lateral incisors are missing then I would advise you to go for a bridge or can even go for an implant which is more conservative treatment though surgical. If the gap in the area where lateral incisor is missing is very less than slicing and rebuild up can be done which more cosmetic. This can be decided only after clinical examination of the teeth size and space. Hope this information helps 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: Dear Samuel, I have a problem that i never ever heard about it yet. My name is Sri and i am facing a problem with semen count, which is very low count. I am looking for a baby, so please help me get out of this problem and is there any treatment to increase the count. Please help me on this. Thanks in advance... Regards, Sri ### REPLY: Hi Sri, I have gone through your query. Low sperm count in cause of infertility. And yes, there is treatment for increasing the count. Even less number of active motile sperms cause infertility. Usually Oligocene and camphene is given to increase count. Complete semen analysis report is required to help you out more. Hope I answered you. You can contact me on my page http://bit.ly/ . 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: Back tooth on right side started hurting today now half of my bottom lip, chin & jaw is numb similar to a Novocaine shot wearing off. Also, head is starting to hurt & feeling nauseous. Ive taken quite a bit of advil today with no relief. Also iced it a few times but nothing is helping. Very concerned about the numbness. Please help. ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, don't worry, you have mentioned that you are feeling pain in lower right tooth, it can be due to tooth is carious, or may be due to periodontal problem, numbness and referred pain in jaw and head, For this you should go to dentist and get investigations IOWA (intro oral periapical radiograph) done, to confirm diagnosis, For pain you can take Medications one Capsule Novato 250 mg twice daily, one Tablet Paracetamol twice daily, one Capsule vitamin B complex once daily for 3 days, Do warm saline gargle two - three times a day, Hope this will help you.  Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My nephew is two, still does not sleep threw the night and has bags under his eyes all the time. He also is still very oral , every thing goes in the mouth , he licks my wall , puts leaves and pine needles in his mouth any thing he touches it goes in his mouth. I think something is wrong. What do you think. ### REPLY: Thank you for posting your question. The number of hours of sleep that can be considered adequate for any child is usually individualized. It depends on the pattern that has been formed from the beginning, the diet that the child consumes, the level of activity the child has, the routine of other members of the family, the sleep conditions provided to the child in the house etc. Although sleep is also likely to be affected in any disease process going on in the body, if decreased sleep is a routine affair for the child then it is unlikely that it would be due to any illness. The process of ensuring good sleep for the child would be long, requiring continuous efforts and patience. Certain tips that could be used include increasing the level of activity in the child, avoiding day time sleep as much as possible, giving a glass of milk before bed, giving a warm bath before bed, making sure other family members are asleep and lights switched off in order to provide an ambience to the child etc. Having said so, one cause that is often overlooked and causes sleep disturbances in a lot of child .  This occurs due to obstruction in any part of the upper airway due to either a deviated nasal septum/ consular enlargement/allergy/cold/obesity etc. It usually manifests in the form of snoring and disturbed sleep at night and is considered if it causes day time irritation/lethargy or other system involvement. If it is suspected consulting a doctor would be advisable. Apart from this, the habit of eating inedible substances also known as pica could be due to deficiency or iron or calcium which may be corrected be giving supplements. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 off and on the pill for the past two years. I missed a pill about day 13 on my cycle. My boyfriend and I still had unprotected sex. I had also been taking my pills at very different times during the day. It is about a week before my expected period and I am lightly spotting and have cramps . What are the chances I could be pregnant? ### REPLY: Hi, Thanks for the query. As you didn't use the pill in prescribed schedule, the complete protection cannot be expected. The symptoms you are experiencing could be with . But now the possibility of the pregnancy cannot be excluded completely. In that case the spotting you are experiencing could be implantation bleeding also. So, you better wait till your expected date of periods and if you miss the periods, go for pregnancy test once. 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 boyfriend had an abcessed tooth and he had a hole on his jaw/check where puss was coming out. The problem is its been about a year and a half and the hole (with a bump on the jaw) and the puss is still there .Could you help?                   -worried ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as your friend had abscess in tooth this pus formation can be due to carious tooth or due to poor periodontal condition. If pus formation is due to carious tooth then treatment can be done is root canal treatment and if pus formation is due to periodontal problem then go for scaling and curettage.  I will suggest you to do warm saline rinses 2 -3 time a day, brush your teeth twice daily and consult dentist for oral examination and treatment. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my 12 year old has had a loose top right incisor that has been hanging on by dangling gums for months.  Two weeks ago the dentist said it needs to be cut because the gum and tooth are hanging well below the rest of his teeth, but we scheduled another appointment to have procedure done one week from now.  Today the gum has turned dark purple and Im very concerned if there could be infection. ### REPLY: Hi. Thanks for the query. Loose upper incisor at the age of 12 is abnormal whether it is milk tooth that is over retained or a permanent tooth. Purple discoloration of the gum can be due to Infection or trauma causing blood accumulation under the gum. So my suggestion is to first get the latest x-ray if the tooth done to rule out the exact cause of the discoloration. Please upload the image of the x-ray so that I can advise you appropriately. For now don't let him bite anything from the front teeth. Give soft meals and avoid hard foods. Painkillers can be given if there is pain. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello...My 5 year old daughter has been complaining for three weeks now that her stomach hurts all the time (24/7) and she gets nauseated when she eats anything, plus her stomach hurts even more. She has been tested for worms, the results came back negative. I don t know if there is any connection or not, but at times she complains that her legs ache. Poor thing wants to eat, but she just can t. I am losing faith in her doctor. Any suggestions or help would be GREATLY appreciated. What do I need to do? Thank you very much... ### REPLY: From your history I feel there could be gastric erosion (ulceration) in her stomach as there is pain on eating.This is a rare possibility in 5-year-old. Mesenteric lymphadenitis is a possibility. Definitive diagnosis is made by identifying the underlying cause of the gastric mucosal inflammation and/or by tissue (gastric) biopsy. For example, the major infective cause of gastritis is Helicobacter pylori (H. Pylori). This bacterium can be detected by breath, blood, stool, immunological and biopsy tests. Biopsy of the stomach mucosa, done during endoscopy examinations, is often used in patients to identify the causes of chronic gastritis and may allow visualization of mucosal erosion and other stomach mucosal changes. Abdominal X-rays or barium studies (upper or lower) may demonstrate the presence of thickened mucosa and folds that are signs of inflammation in the stomach. Your doctor can help determine which tests should be done, including ancillary tests that may help identify other causes of the non-specific symptoms commonly found with gastritis. I would give Rant ac syrup and watch. For nausea and vomiting another medicine like ondansetron could be give. In your case diagnosis by endoscopy and ultrasound and X-ray would help. You can discuss with your doctor. 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 am Aditya 22 years old working professional and I am suffering from hair loss kindly suggest me some steps or any medicine to stop it and to regain the same. I have heard about biotin capsules if its good for hairs so please let me know in bangalore where its available. ### REPLY: Thank you for the question. Hair loss is associated to many factors. But hair loss due to heredity is usually seemingly get yourself first checked for routine blood investigations such as hemoglobin etc. If all the tests are normal, then you could start applying Minoxidil solution 2% or 5%. This should be supplemented with multivitamins. Biotin is usually found in multivitamins. Regular exercise/yoga, street free lifestyle and balanced diet will all be helpful in reducing hair loss. You will begin to notice hair growth after a period of 6-8 weeks after following all the steps which is advised Best .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I broke the bone on the side of my hand (under my pinky finger) the dr. At urgent care wrapped it until I can get in to see a orthopedic dr. He said my bone is split about 2 mm apart. I m wondering what they will do...pin it with surgery, numb it and fuse it back together? ### REPLY: Hello, As the fracture is just 2 mm apart I don't think the surgery will be taken as a choice.  It will be treated with an immobilization using the plaster and wait for 4-6 weeks of time. In this duration, multiple x-rays might be taken to check the healing of bone.  Once the healing is optimum then the cast will be removed, and you will be advised to undergo physiotherapy to improve the range of motion of the finger joints and improve the strength of the hand muscles. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now Hi I m Gayathri .. i m 28 yrs old married .. we had been trying to have a baby for last one year and we have done all the tests .. everthing is normal.. only thing is i m fat is there a problem in being pregnant ? ### REPLY: Hello dear, I understand your concern. In my opinion if all the causes for infertility are ruled out there might be good chances for pregnancy. In case of obesity there might be hormonal imbalance leading to ovulation problems. Also check for sugar levels as high sugars might also cause infertility. Both the partners need to be evaluated in infertility. Avoid stress and anxiety related to pregnancy as they might cause hormonal imbalance and delay the fertility. Regular intercourse increases the chances of conception. Nothing to worry as everything is normal. 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: The past 3 day I have been having bouts of dizziness, been doubled over with stomach pain which is around my belly button which seems to hit in waves, nausea to th point of vomitting, shakiness, hot and cold flashes and painful frequent bowel movements. I have takednn my temperature and it has gone up from 97-100 is this cause for worry?? ### REPLY: Hi, Looking to the history you might be having acute gastroenteritis giving all these problems. Take antispasmodic for stomach pain and medicine for vomiting like Ogden. You might require one course of ofloxacilin medicine course for 3 days. To control frequency of motions you may take Operative for a day or two. Take plenty of water and electrolytes and keep HY . Take light diet like curd, rice, buttermilk. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor. I m 21 year old. I really have some doubts about my reproductive organ. I used to masturbate for the past 6 years and I do it at least 3-5 times a week. I really don t have control in ejaculation, it occurs within a minute after arousal during masturbating and sometimes its ejaculates in sleep by itself. My penis is shaking and pain a lot while doing it. And also am worried about is, the Outer skin is not getting down the penis head and feel its small to my age. Is this immature growth or is a normal one. Will these thing affect if i have an intercourse.??? If there is a real problem please suggest me a natural remedy. Thank you. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No, it sounds normal to you. Ejaculation period can range from few minutes in various individual. So two to three minutes can be normal in you. You should increase your frequency for masturbation. Because of the decrease frequency of masturbation you are facing the nightfall. As you increase the frequency night fall will disappear. Masturbation is not the abnormal thing not it will harm you. So you can do it and enjoy it. Your organ size is normal and need not worry. Retraction of foreskin is somewhat tough in erect penis. So if you are having this problem than you are normal and need not worry. You can do intercourse with this organ. You will do it successfully. Please wear condom while doing sex this will help in prevention of STDs. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dr. I had taken one oligocare tablet for good healthy sperms as suggested by scientist. I was completely fine before. But next day morning during copulation I didn t get any thing out after or during copulation. It s first time this way Pl suggest. Than You so much ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Oligocare tablets gives us micro nutrient vital for spurns. It is usually prescribed to the person suffering from the oligospermia. It only provides micro nutrient and dose not affects one's sex organs. So it never affects your ejaculation. It's your belief that you are having the ejaculation problem with it. I advise you to try it for second time. This time you will surely get ejaculations. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had tonsillitis roughly 6 times this year and it s only June. (Once was strep). Every time I go to the doctors they say that they don t remove tonsils anymore unless it s really serious or you have sleep apnea. When they are infected, they have white spots EVERYWHERE and are so swollen it s painful to swallow and I only want to drink liquids. When they re not infected, they look scared and have little crater things all over. There s also two white spots that never seem to go away even when nothing hurts. They re the biggest ones when they are infected and still very noticeably there when I don t seem to be infected. My doctor jus says take Tylenol and they won t remove them. This has been an ongoing problem for about a year and I can tell you how many times I ve gotten it in the last 12 months. Well over 10 I m sure. Should I get a new doctor? Should they be removed? ### REPLY: HI, thanks for using  The indications for tonsillectomy are: (1)enlarged tonsils causing obstruction or sleep apnea(2)presence of an abscess(3)3 or more infections a year despite treatment (relative indication-can or cannot remove, depends on patient)(4)persistent bad breath due to chronic tonsillitis (also a relative indication)(5)suspicious appearance of tonsils-need biophysics you had at least 6 episodes already this year, you would qualify for tonsillectomy if this is your wish. You should consider seeing another ENT specialist for a second opinion. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir self s.k.mishra 53 years  hight five feet & ten inches about one year ago some sweling of my both below legs .after whole abdomen ultra sownd only gallstone found in gallblader please advice  best sursrey of gallstone where in lko & expenses  any oprastion pakese  in any hospital ### REPLY: Hello Mr Mishra, How are you?  Stones in the gall bladder are a fairly common finding during USG of the abdomen. You do not need any additional tests to confirm the presence of gall stones.  Gall stones can cause pain in the abdomen and vomiting, but it does not cause swelling of the feet. So I hope you have gotten that complaint diagnosed and treated before considering surgical treatment of the gall stones. In 99% of the cases, the treatment is accomplished by "Laparoscopic Cholecystectomy" (removal of gall bladder by making 3 small cuts on the abdomen guiding the surgery through a small camera inserted). This is a fairly routine surgery and could be done within a cost of 30 thousand rupees at most hospitals. Hope this helps, and please do not hesitate to contact me for more details. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 AFB smear tests #2 are negative. But my chest CT scan show small nodules 0.2 x 0.2 cm in the posterior segment of the right upper lobe and 0.3 x 0.2 cm in the anterior basal segment of the right lower lobe along the inferior major fissure. My pulmonologist thus suspects that I have PTB, and will treat me for this.In other words, the AFB smear tests are not reliable in detecting PTB, am I correct? ### REPLY: Welcome to , To diagnose pulmonary Tuberculosis we usually check 2 sputum samples. The first sample is a spot sample and the second is usually a next day morning sample. If any of these or both are positive we start the treatment. If both are negative as in your case, the physicians check for x-ray and if the x-ray is suggestive of Pulmonary Tuberculosis then they can start you on treatment. Some physicians after getting 2 negative samples put their patients on antibiotics and then repeat a 3 sputum sample after 14 days. If it is positive then they start treatment or else they take an x-ray and decide if the person needs treatment or not. Remember sputum test are reliable, but they are not full proof, many patients who are suffering from pulmonary tuberculosis may have negative results, and they are referred to as "sputum smear negative pulmonary tuberculosis"Hope that answers your question.  . (if the answer has helped you, kindly indicate this) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I am a female of Indian origin and 36 yrs of old,currently residing in Netherlands....Since 6yrs I am having 150mcg of Eltroxin and 1000mg of calcium.....for past few months I am having bad hair days.....I mean severe hair fall,dry ,rough,damaged hair and lifeless and severe hair loss.....I am bothered that I am going bald.....My question is does this medication has an adverse effect on my hair and so is this bad hair of mine....Plz suggest me and the solution for it.....thanks ### REPLY: Hi, Hair fall is one of the less commonly seen side effects of Elton. However, thyroid disorders are a common cause of hair fall. So my suggestion is to once get your thyroid levels checked to be on a safer side. Also, you should start massaging the scalp with warm coconut oil.  You should apply pure algebra gel over the hairs and scalp and wash your hair after half an hour. Along with it, you should take vitamin E capsule daily.  .  You should also eat more of green vegetables and fruits. Apply hair serum after washing hairs. Always dilute the shampoo with water before use.  Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have jaw tightness, pain and recurring headaches. Last jaw surgery was 1990, and 1996 to fix an open bite and replace jaw joints. Don t know why the pain has returned if the problem was fixed surgically. Any ideas? Or should I buy stock in Advil for the pain? ### REPLY: Hello, I can understand your concern. As you were symptomless after the surgery for some years, the problem you are experiencing now seems like a muscular problem and not bone related. In addition, spasm of muscles that can help in chewing can cause pain in temporomandibular joint with jaw movements, annoyance and headache. I would advise you to take muscle relaxant medication such as Dan-MR (Paracetamol 500 mg + Diclofenac Sodium 50 mg + Chlorzoxazone 250 mg) twice a day for five days. Heat compression over the joint area along with local application of Diclofenac Gel (Voting) will help. Try to have soft diet for a few days, less speaking if possible and give rest to the jaw. If the problem does not resolve in five days, then I would recommend a physical examination by a dentist or oral surgeon for ruling out problems with temporomandibular joint. I hope this information helps you. Thank you for choosing . Let me know if you have further questions. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I was a pulmonary embolism and DVT patient last year..after my treatment in fortis delhi and months of taking medication (acitrom) , I just topped taking it as I was adviced by the cardiologist to stop after 6months (I have had numerous ct scans and was told in my final meeting i.e 3months after the incidence that I need to take acitrom with varying dosage depend on my iNR which had to be kept btw 2 and 3) . I am a student doing preparations at home and have to sit for 1 or 2 hours continuous (not any longer)but I have started some excersicing and walk sometimes.. ever since I have had the illness even 30 minutes of sitting on a cushioned chair becomes problematic on my bottom (right buttock more often) and I would have to do stretching time and again.Now after stopping the medication and continuing witb the trend of sitting for 1 or 2 hour daily with exercising and stretching, during brisk walking my right thigh gets exhausted easily and I feel a temporary soreness , just like after a strenuous exercise..but it goes away on resting.So my question is, has the clot formed again? On my own I have again started taking acitrom with ecosprin , as I am fed up of going to the doctor again spending thousands in mri and lakhs in treatment.Please help ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. No, your symptoms are not suggestive of clot formation again. So you should not take citron and esprit without confirming. Because these .  This bleeding can be life-threatening. So you should not take citron and esprit without reports. Your current problem is mostly due to spine related cause due to prolonged sitting. Prolonged sitting in bad posture can cause spine problems and similar symptoms. So consult orthopedic doctor for this. Stop citron and esprit. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor, i went to turkey last year (sept) and 4 weeks later i took really sick i was told it was a virus i had no energy then i took inflamation in the stomach and couldnt walk properly. i was then tld i had vertigo i felt everythime i was walking i was walking backward i then went and seen a a differnt doctor he told me the more tablets i was talking the worse i was getting to stop all tablets i finally managed but nearly a year later i still feel really off sometimes 2 weeks ago i was at collage and i took the fit off shakes i was told it was a fluie virus. i dont know what is wrong with me please help ### REPLY: Hi thanks for asking question. According to your doctor mostly you have viral generalized infection with stomach involvement. So vertigo can be because of that. But other causes also have to be ruled out like labirynthitis. Ear examination can be helpful. Head injury, hypertension, history of stroke, few medications can lead to vertigo. If you have recurrent bouts of vertigo vestibular rehabilitation can be done to strengthen this system. In infectious labyrinthine antibiotic needed. While in inflammation cause steroid needed. If vertigo appear in particular position benign positional vertigo is the diagnosis. I hope my suggestion will help you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my wife just left the doc office and she told me,they told her that her lining was real thick she suppose to get her period 3 days ago ..were trying to get pregnant  could it be that we are ?.. But she took a pregnancy test a week ago but was negative ### REPLY: Hi, Thanks for writing to .There are less chances of your wife being pregnant at this stage. The lining should be more than 15 mm which may be due to pregnancy not 100% diagnostic. Since lining is less it is less likely to be pregnant.  Sometimes due to stress or if taking fertility .  I would suggest you to repeat urine pregnancy test one week later. If you are desperate to know soon then get serum b-ChatDoctor test. This give sure results about pregnancy. Hope I have been helpful. . Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 year old daughters teacher called me and asked that I pick up my daughter at school because she had thrown up on excess and was pale... Definitely not feeling well. Once I picked her up, I noticed purple spots around her eyelids and chin. Should I take her to the hospital? What causes this? ### REPLY: Welcome to the ChatDoctorThe purple spots near eyes and chin may be due to petechial or allergic reaction. Petechial do not blanch on pressure and can develop due to rupture of minute blood capillaries in subcutaneous tissue. It might have occurred in your daughter due to pressure from several vomiting episodes she had. I would recommend you to take her for a proper clinical examination is you feel that the spots are increasing or there is any frank bleeding from any site. It may occur in some child .  In case the spots are blanching on pressure, the cause could be allergic reaction. You may give her Spy. Chlorpheniramine in that case. Hopefully this will help you. For further questions, you may contact me. 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: Since flying from XXXXX to XXXX I ve had swollen feet ankles and legs which I usually get for a few days. However I have also got a rash up both legs and pain in feet and ankles. No calf pain so no concerns of DVT just concerned about rash as thought initially it wa a sensitivity to Ciprofloxavin that I took for chest infection but since ceding the meds rash hasn t really improved. PMH- CA breast lymphoedema L arm and breast asthma and hypothyroidism ### REPLY: Hello, It is important that a DVT is excluded (at least by clinical examination, if not by Doppler) as your past history puts you in a slightly disadvantageous position. However, if you are now not taking tamoxifen etc. then the risk is low, but if the flight exceeded 6 hrs without many feet exercise, then it is better to exclude a DVT. It is unlikely a reaction to ciprofloxacin, unless you have a past history of quinolone allergy. The rash also means a DVT must be excluded. If the rash is itchy, then venous pooling with .  But I would still recommend getting this checked out. 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: Hey doc! my name is nicole and i am 19 years old . i have this terrible knee pain. it feels very tired everytime i wal or sit and it annoys me .sometimes the whole leg feels heavy or tired . i  m afraid to go to the doc cuz i m too young to do a surgery . pleaaase tell me what it could  be ### REPLY: Hi, In my opinion you shouldn't worry from your given history you are still young for operative treatments, and you may not need it now at all unless you had a past severe injury causing it to swell and sore. It could be osteoarthritis, gout, rheumatoid arthritis or a minor trauma that you didn't recognize. For now, I suggest hot massages with topical gels, painkillers like ibuprofen 500 mg tabs when needed, avoid vigorous movements and standing for a long time, wear knee supports, avoid bending it and elevate it will be effective. If pain persists visit your physician for proper evaluation. Please consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnoses with bilateral pulmonary embolisms 9 days ago. I am taking heparin injections once a day since, released from hospital 6 days ago and felt better and able to breath better every day until today when I experienced a sudden onset of lightheadedness, more shortness of breath and a burning sensation in my lungs. I am fatigued. My blood pressure is slightly elevated at 140/97 but my usual BP is 110/70. I paid a visit to emerg today and my bloodwork, EKG,urine all tested normal. Should I still be alarmed as my symptoms seem to be persisting? ### REPLY: Hello and thank you for asking in . I am trying to understand your concern. According to your history you have just few days discharged from the hospital for pulmonary embolism. I think that it is a short period and maybe to wait some other days given the fact that the tests you have repeated are negative. But the most important fact is the reason of pulmonary embolism, it may from deep vein thrombosis OS others??? So I recommend you to be careful with sharp movements and if the symptoms persists you have to recons ult the pulmonologist. Wish you good health 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 have severe right side pain around the waist height, it is hard to sit or lie down on the right side. It hurts a lot to stretch. I do have a kidney infection but I have been on meds for 7 days now and that pain is getting better. But I do not know what this pain is, it is lower than the kidney area. ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have stone either in kidney or Ureter. Along with infection of the kidney. Please consult qualified Urologist for clinical assessment and get following basic tests does to confirm the diagnosis.1) Routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. 2)Ultrasound scanning of the abdomen to rule out urinary stone. Please take broad spectrum antibiotics like Čeferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to . To keep your urine dilute. ### END