Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 or Mam,My wife is 32 yrs old n we are married from last 7 years n we dont have a child and day before yesterday we had visited a Dr n she asked for a ultrasound and the report came that she has a complex cyst ,most likely maligntant in her left overy measuring ard 3.5 cm and a ployp n her blood test were also done CEA and CA-125 which both are normal,i like to now how to get it remove with surgery or will it resolve with medicines and can it be cancer also.pll tell i am worried ### REPLY: HelloOvarian Cyst Complex is a more severe forms of ovarian cysts that are found on the cysts of females. Usually the content of a cyst is fluid; however in the case of ovarian cyst complex the cyst also has some solid content in it which makes it really dangerous. Surgery to remove the cyst or ovary may be needed to make sure there are no cancer cells. Surgery is more likely to be needed for: Complex ovarian cysts that don't go analysts that are causing symptoms and do not go awayAlthough ca-125 is normal, but the cyst can still be malignant. Get the surgery done as early as possible. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 36yr male, and married 6 yr back. I am suffering from infertility and not abale to give semen for test. 2 yrs back i have go through TRUS scan and found cyst at urticle and got tranuthreal opreation and removed cyst. Now also i am not able to give sample. i visited several doctors and no one started treatment for fertility without semen test. Last month i again scan scortm and impression is Bilateral Epiditics.My fertilty will be improved or not pls tellme ### REPLY: Hellothank you for writing to  1. As you are unable to give a sperm sample, you should meet a urologist and see if they can give you some medication after you are examined, that might help with erection and ejaculation.2. You also will require some blood test - hormone profile to see if its normal3. Sometimes you can have a retrograde ejaculation and this can be identified, and you can diagnose the same with a specialist4. As the recent scan shows epididymitis - you will require antibiotics and treatment for the same hope to have answered your query wish you all the best .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother was told that she has uterine cancer on sept. 13. We are trying to get a second opinion but the new doctor need that Pathology report but the old doctor is not responding when the new doctor call his office resquesting information. What can we do? Should I have my mom do the painful biopsy again. She is middle aged with extremely high blood pressure. ### REPLY: You should know first that getting a written report of any test that has been done on you is nothing less than your right. I can't think of a reason why any doctor would refuse to give you a report unless maybe he has lost it. The only option available to you in order to avoid a repeat biopsy is to get the slides and blocks from the lab where the first biopsy was sent and get them to your new doctor. That way he can get those slides reviewed at his own lab and come to the diagnosis. If for any reason this is also not possible then you should go ahead for the repeat biopsy without delay. High blood pressure can be taken care of for such a short procedure and should not pose such a risk that you refrain from it. Your mother is more at risk from the cancer ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, my self Ravika Rajput,sir my father is having a problem in his left side chest part.His treatment is going on in jabalpur .His citiscan report says that in his left side lungs their are some white spots ,doctor Bharani from jabalpur hospiital says that it is a kind of infection but he dosent able to tell about this infections clearly first he asked us for many test, the test reports says that he is not having tb nor cancer nor pnumonia .We dont no what to do now please give us some advise regarding his treatment. ### REPLY: Hi Ravine, Thanks for writing in.First, I would like to emphasize that a diagnosis can only be made after correlating clinical findings with X-ray /CT scan findings. Secondly, a diagnosis like TB/Cancer/Pneumonia can only be ruled out after the clinical symptoms have been correlated with the investigations. To be able to help you better, I would need to know the symptoms that your father has. Other causes of white spots in the lungs on CT scan can be interstitial lung disease, benign tumors, hypersensitivity pneumonitis, hematological disorders, acidosis and idiopathic pulmonary fibrosis. The treatment can only be decided once we know the cause. 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: my daughter is 6 weeks old her umbilical cord fell off in the first week and a half. yesterday i found that it was bleeding, i took her to my gp and he prescribed fucidin cream. today we had our 6 week checkup and he said it was umbilical granuloma and he told me to use salt. i did that tonight and my daughter was in pain and she got really upset can i fucidin cream and will it help her belly button to heal? ### REPLY: Hi, Granuloma is excess tissue formed during stump healing. Funding is an antibacterial cream and will help to clear any infection there, but won't help granuloma to disappear. Treatment of granuloma requires the excess tissue to be burned / destroyed by some or other means (and hence any treatment modality will cause some pain / discomfort). We commonly use salt application or chemical cauterization with silver nitrate. Salt, by its osmotic effect, clears the granuloma and can be done at home. Although somewhat irritating, most babies will be comfortable after initial few applications. Your doctor has given the right advise-need not worry. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive suffered with chronic severe back pain, In the lower back just above the buttocks.  On several occasions Ive woke up with severe back pain as well as my skin being very sensitive to touch.  Even my clothing caused pain all over my body.  I am currently being treated with Lortab 10 mg and Zanaflex 8mg.  Ive also taken Lyrica, Doxipen and a few others for fibromyaliga.  Also I am having severe chills and upset stomach. ### REPLY: Dear patient What is your age? And for how long you are having back pain? If It's for long duration and not relieved with medications it should be investigated.  First with X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities such as spondylosis and spondylolisthesis.  Next is MRI of lumbosacral spine with screening of whole spine to rule out canal stenosis and disc prolapse. So visit radiology center nearby you and get it done. Till then continue your pain medication. If report shows abnormal findings consult spine surgeon nearby you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been having sharp pain on my left breast near my armpit. I 1st experienced it this afternoon and it was difficult for me to breath normally. I took shallow breaths until I was able to get in some good breaths. The pain started again about 30 minutes ago. Now it hurts when I try to take a deep breath. ### REPLY: Hello dear, welcome to .come have gone through your concern in depth.* There are various reasons for this pain as - Costco . * For precise management this requires proper diagnosis to find out the cause with the aid of x-ray with or without CT scan.* Primary relief with analgesic as ibuprofen (400) mg 3 times a day after meals. Hope this will help you for sure. Regards dear take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sgpt fluctuate. When it was 156 I use to take UDILIV 300 3 times a day. After 2 months report shows 74. Reduce drugs from 3 time to 2 times a day. After 2 months again it comes 154. What to do.Pls advice. I stopped chelostorel drugs for last 4 months from 1st may due to higher sgpt level but still it fluctuate. ### REPLY: Hello, Why have you been taking ADÍLIO? You need to get to the exact cause of your high Sept levels.  This may be the higher cholesterol, higher fat contents in your liver or anything which gives a mild chronic injury to liver like hepatitis B or C. One the cause is clear then it to be treated accordingly will automatically bring your Sept to normal.  Cholesterol .  (You need to check upper limit of your lab). Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is Luke and I have a question regarding my girlfriend. She s a 21 year old. Over the past year, her hands have started to become numb. And more-so recently, they have become more numb than usual . Well, over the past couple of days, the left side of her neck and face have also started to become numb as well. She went into school today (she s an 8th grade math teacher) and an associate said she looks awful and her temples are green because the veins in her temples are sticking out. any idea what it could be? She had surgery in both of her shoulders in high school due to torn rotators cuffs and had screws put in. I don t know if this will have anything to do with it, I was thinking it may have something to do with the circulation in her hands until the recent neck problems arisen. She s been to a neurosurgern and they couldn t find anything wrong. They re thinking it has to do with MS, but the MRI s couldn t really say what it was. Any ideas? ### REPLY: HiT hank you for your question. Numbness of the hands and recent engorgement of the neck and face and numbness may be indicative of something compressive around thoracic outlet. This is the area where the nerves to arms are coming out. Blood from neck and face .  I would advise seeing a vascular surgeon to rule this out. CT scan of the chest may be helpful if compression is suspected. Wish you the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my family doctor pushed my lower left rib in when i was 11. Im am currently 19 years of age and now I have a sharp pain right below it to the point that it hurts to breath and I cant take full breaths. It also feels like my heart beats fast sometimes. Please help! ### REPLY: Hi thanks for asking question. If you have history of trauma then muscular strain or tear can lead to chest pain at lower part. If you had done heavy weight lifting or any unusual activity then pain can also occur by strain of muscle. The blunt trauma can lead spleen injury and pain can be there.USG done for it... If ribs tender to touch and painful Costco . Rest needed and analgesic can give. If still no cause clear x-ray done for rib fracture identification. If fever present then chest x-ray done for rule out respiratory pathology. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old daughter was diagnosed with strep back in early December. We have taken her back 3 times to recheck and every time she still has strep. Doctor keeps putting her on new antibiotics. When we took her back a few days ago, she still has the strep but now has blood in her urine (without the presence of proteins). She s having accidents and it does not seem that this new antibiotic is working at all. It s been 4 days since the new antibiotic. I am concerned that too much antibiotics is going to cause other problems as well. Should we demand to see a specialist? ### REPLY: Hi.... by what you say I feel that your daughter is having recurrent streptococcal infection. But I would like to know how this streptococcal infection was diagnosed - was it with a rapid antigen Diagnostic testing or by throat swab culture. Throat swab culture is the gold standard technique to diagnose streptococcal infection. Moreover, not all the streptococci are pathogenic, some of them may be commensalism also, which means that they are normal flora in throat I suggest that you consult specialist. 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 27 years of age, trying to conceive for two years but not successful. my height is 5 2 , weight is 56 kls. i am diagnosed with PCOS six months ago and was prescribed to take metformin and ovamit(just started for two months now) but still not able to conceive. the ultrasound showed that i have a normal sized anteverted uterus with intact endometrium . polycystic ovaries with dominant follicle on the right. my HSG result is: theres opacification of the endometrial cavity and both fallopian tubes with contrast spillage on the right. no other findings ### REPLY: Ki Lori, Thanks for posting your query. To control PCs main thing is weight reduction by doing regular exercise & avoiding heavy & spicy food. If still not controlled then medications are started. You are taking good medications as prescribed by most of the gynecologist. But your HSG results are not so good showing only one tube patent means your fertility rate is 50% reduced. Wait for some time if still do not conceive then go for IVF. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 65 years old - I was taking a nap and it felt like a shock in my chest above my left breast toward the center of my chest - My pulse rate is approx. 92 - Do I need to be worried - I was excited when I took my pulse rate because I had just gotten up from my nap ### REPLY: Yellowest pain in your age need immediate medical attention. It may be due to many causes like cardiopulmonary causes, reflux etc. You may need clinical correlation and few more investigations like routine hologram, random blood sugar, liver function test, lipid profile, renal function test, urine RE/ME, ultrasound of abdomen, upper GI endoscopy, ECG,TMT and ECHO. Treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: painless lump on gumhi i have a crown on my front tooth and have noticed a small painless lump on the gum above.i had absess in my root months ago as i had pain and swelling,but took antibiotics which got rid...could this be to do with that?kate ### REPLY: Thanks for your query, I have gone through your query. The abscess could be a recurrent infection from the same tooth. Consult an oral physician and get a radiograph done to rule out infection. Get the tooth root canal treated (if previously not root canal treated) and repeat the crown. Take a course of antibiotics like penicillin and metronidazole combination(if you are not allergic).  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: hello..I face some sexul problem which is...my penis is not strong and stand when my wife come to my side..bUT..when 1st time of marriage then few days I face this problem then I take a sexul medicine vegorax .just few time ..after that s it s solve...but after 2 yes later ..at present 2 month my penis totally does stand and strong. when sexul time. ### REPLY: **Thanks for contacting  with your health concern1. As the problem has again resurfaced consult a Urologist for necessary examination and investigation of Reproductive System, till then:i. Start with perineal exercises: while urinating, stop the flow of urine, start again, stop & start again 4-5 times. ii. take: milk and milk products, ghee, Mahan, cheese, curd, black grapes, pears, raisins, dates, almonds, walnut, pomegranate, carrot, banana, apricots, musk melon, AMLA, coconut, pistachio, turnip, potato, onion, lady finger, radish, old brown rice, peas, garlic, bottle gourd. iii. Avoid: sour and cold substances, tobacco [in any form], brinjal, tandoori ROTC, red chilies, heavy and food which require long hours to digest, Jagger and its items, deep-fried food. iv. before starting treatment take:. Take trifle churn [3 gm] with lukewarm water before retiring to bed for 15 days. Singly you can use: [after 15 days]:- Ashwagandha: best regarded as adapted with aphrodisiac properties which may be due to testosterone like effects, thus prescription .  - In Compound form:i. Vigo max capsules [Charge]: 1 capsule daily with breakfast or at bedtime PS. Recent studies indicate Vigo max was effective in restoring sexual function in men with ED of varied etiologies. ii. Tented forte tablets [Himalaya]: 2 tablets twice daily for 3-4 weeks. Treatment may be prolonged depending upon the response.PS. is a non-hormonal and safe sexual stimulant and acts on higher brain centers to improve libido, the antis tress, adapted action of tented forte helps alleviate anxiety associated with sexual desire. iii. Take tablet mental [Himalaya] 2 tab twice a day [since ED is a psychosomatic disorder] thus tranquility of mind is important. iv. perineal exercise [pelvic floor program] is a noninvasive alternative for the treatment of patients with ED by clearing venous occlusion. [will help to achieve full erection afterwards] It also helps to strengthen the muscles and splinters involved in erection and ejaculation. PS. Before prescribing medication especially for ED, the patient should be evaluated for any cardio vascular diseases, thus have an appointment with a Cardiologist for any potential risk of a cardio vascular event, so that Ayurveda medicines/herbs can be incorporated in your daily routine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, mt 2 year old daughter has had a few red small pimple looking dots on her body for about a week now. We actually thought they might have been a mild case of chicked pox since now they are dried up. except now, the 3 that are on her arms have a red ring around them. i have no idea what the rings are... ### REPLY: Hi, Chicken pox usually has preceding systemic symptoms like fever, and causes multiple fluid filled vesicles starting around head and neck area and then spreads further to include other areas. Even when vesicles are few, they are usually not grouped together, but far apart. A closely placed group of pimples with red ring around is more likely to be a skin infection like boils/impetigo. Just try applying local antibiotics like mupirocin for 3-5 days to see the response. If it is not getting better by then, or fever appears, kindly see your pediatrician, as this may need antibiotic treatment. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son of 3 yrs old is having cough since 1 month. treatment is started. Dr told that he has some allergy or due climate this may happened. Dr. has started two spry.  Now he coughs for 5 to 6 times in 24 hrs. All reports are normal. Is this cough is related to lungs. ### REPLY: Hello & Welcome to , I had gone through your case and I have concern for you. Normally allergic cough is not affected with lung, but you do not take proper treatment for her then it can affect the lung tissue also. What I found from your case that she has lack of immunity due to which she can not any kind of climate change or particular to any item either food or spray. Exact allergic material you have to find it.Meanwhile, you consult to any Homeopathic physician and give her 4-5 almond daily early morning with milk. Definitely you will get the solution for the problem. From .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have a question i m 22i weight 110 i have no medical history. i worry and stress alot about life and lately for several months, feels like all my life, before I go to sleep and when i wake up mostly, my heart is pounding very fast and unsteady and i feel i can t get air. this happens alot and it lasts for about 30 minutes sometimes longer. lately i have been having sharp chest pains feels like each side of me is being pulled together and squished. I ve delt with depression in the past...am i having anxiety attacks? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Am I having anxiety attacks? Possibly yes. Does happen after prolonged stress and anxiety associated with stress. But you should confirm your health by visiting a physician and undergoing the necessary checks like ECG, blood work etc. Once that angle is cleared, visit a psychologist who can determine your depth of stress and give you counseling as well as psychotherapy. 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 the needed 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: My partner has been prescribed Effexor xr 150 mg. is this a high dose and if so what would it be used for? I believe he has been on this medication for around 18 months. Depression or some other issue? I am concerned about his behaviour lately - anger, rage, crying easily. Sandy ### REPLY: His understand your concern and appreciate your positive outlook. Effexor is venlafaxine, and it is antidepressant.150 mg is not high dose, and it is usual dose to treat depression. It helps to recover from depression within 6 months of period if she did not improve then need to re-evaluate diagnosis. Anger, crying etc. are the symptoms that shows psychological illness. Consult psychiatrist for better evaluation. Say thank you if you are helped. Happy to help you further. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello earlier today I had sudden intense pain across my lower back, it was that bad i fell to my knees, since then i can not sit up straight, or walk properly (im using crutchs) Iwhen trying to walk i cant stand straight the pain in my lower back is too bad, Ive been experiencing pins and needles in my feet and numbness with the odd pins and needles in the centre of my lower back, what could this be? is it a slipped disc? should I go to A&E~? ### REPLY: Hello and Welcome to , Thanks for writing to us. These symptoms are part of lumbar disc degeneration with PIED where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don't get better with this treatment, another option is surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms Hope this helps you. Wishing you good health... Regards.  . Orthopedic Surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 weeks pregnant and as my mom had gestational diabetes i was checked for it and my doc says i am on pre diabetic stage ( A1c test showed 6.0). I want to have a natural remedy for it as i don t want to have insulin and any medication.As i read through several blogs few suggest to have fenugreek seeds, bitter gourd juice,ragi and few other stuffs which i am not sure if i can rely upon. I request you to guide me on the diet. ### REPLY: Try to control your diet by avoiding simple sugars, sweetened beverages, fruit juices, sweets, soft .  Have a fiber rich diet as it will help to prevent spikes in blood glucose. Include fresh fruits and raw vegetables as salads, green leafy vegetables like spinach, fenugreek leaves, amaranth leaves. Reduce oil in cooking to not more than 3-4 tsp in a day for one person. Have whole grain cereals like whole wheat chapati, brown rice, partly milled rice or parboiled rice, oats and oat bran, broken wheat oatmeal or Dalian (unsweetened).limit intake of white rice, refined flours like maid (white flour) or Sufi (semolina) and its products like noodles, buns, bakery items etc. Limit intake of fried and fatty foods (nuts and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doc.my dad is diagnosed with liver cirrhosis 2 months back....he is 64 years old.....docs has precribed udiliv 300 1-0-1cap razo d 1-0-1lasilactone once at 8 amcap zincovit 0-1-0tab ciplar la 4o mg at 6 pm dailyliquid duphalac 15 ml dailyis this medicines good... ### REPLY: Hi thanks for contacting ... Your father having cirrhosis.... In this condition by sodium and water retention edema can occur.... So you are given diuretic for preventing edema and ascites.... You are also given multivitamin and zinc tablet with omeprazole to prevent acidity. Here cut off oil from diet. Daily in morning take grinned spinach and carrot juices.... One tsp cumin seed with milk taken.... Take one tsp crushed papaya seed with lemon juice.... Ultimate treatment for cirrhosis is liver transplantation.......TIPS like less invasive procedure can be 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. My doctor of 22 yrs. recently retired and sadly died shortly thereafter. I could always count on him for any question that might concern me. The dr. I have now only sees me once every 4 months. I have asked his medical assistant who receives his calls from his patient s. I was told, as of my last blood work, that I have become very anemic. This happened once before a few years ago, but with a small change in diet and a medicine, the name of which escapes me at the moment, and in a short time I was no longer anemic. Can you suggest what I can do to get rid of this anemia? I m 66 and will be 67 in 3 mo s. My health is fairly good, so what would one of you suggest I do? ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. You have to be regular on iron, vitamin B12 and folic acid supplements.2. Improve on your nutrition by taking heme rich foods like cereals, pulses and meat. Also have citrus fruits as it increases absorption of whatever iron is available.3. Avoid excess intake of tea as it inhibits iron absorption.4. You can keep a check on Hemoglobin say once in a month, also get a reticulocyte count done to know the improving status of hemoglobin. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hiii doctor,my age is 25,hieght 5.11 . i used to masturbate regularly since 8 years  so now  im suffering with erectile disfunction,since 4 years.even iam also facing very fast ejaculation during masturbation.i consulted homeo pathy medicine ,but it does nt shown any result. wat to do.with in a year i have to marry.im not understanding wat to do. ### REPLY: HelloThanks for query. You have been indulged in frequent habitual masturbation since many years and now facing problem of erectile dysfunction and early ejaculation. These problems are due to habitual masturbation and need self-determination to overcome this.addiction for masturbation Try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past few days when i get upto do something or move around i get real dizzy like ive been spinning in circles. When i sit down it goes away after a few minutes. Sometimes i feel like im gonna pass out and sometimes like im gonna throw up. No headache jus dizziness. Please help doctors office is closed for the weekend cant see them til monday and dont wanna go to the er unless its an emergency. Thanks for your time. ### REPLY: His am . I have read your query. I think I can help you. The symptoms are quite suggestive of an orthostatic hypotension. Try following measures.1. Get up slowly from the lying down to sitting position, or from sitting to standing position.2. Wiggle your toes before getting up.3. Watch your fluid and electrolyte balance.4. Check your BP in lying down position, and then on getting up to standing position, exactly 2 minutes after standing up. Let me know the 2 reports of BP. I have tried to make it as simple as possible. Please feel free to ask a further clarification. Best of luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I smoke about 4-5 cigarettes a day and for about a month have been feeling a little lump with soreness on the left side of my neck.  If I touch it it feels like it is clicking or moving.  I also have ear soreness and pain and stiffness in the front and back of my shoulder.  Could this be cancer? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node. It can be reactive lymph node, lymphoma or metastatic carcinoma. You should for lymph node biopsy or fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . 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 had science and math test today. Right before math test, I started getting quite a bit of pressure in my chest for like almost two hours. It hurt to even twist my body. Didn t really effect my breathing or anything and I have no prior history of chest pressure (I used to have pretty bad asthma but it s gone I think). It went away at lunch after eating some food and now I m at home and the place where my heart is has been ***tickling***!! I mostly just want to know the chances it could be something serious. If there s above a 50% chance that I am going to die, I ll probably tell someone. ### REPLY: Hi Thanks for your query. I think you had asthma in the past which has gone away but just before your exam as you are in tension, your anxiety has provoked it a bit but I am not sure of it whether it was an asthma episode or else. For it, you need to undergo some investigations - 1. Spirometry and bronchodilator reversibility2. ECG3. Chest X-ray suggest you to consult a pulmonologist and get yourself examined. Because asthma is diagnosed mainly clinically and confirmed by spirometry finding. I think you got my point. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor.... Iam 25 year old male, i have some question please answer them. 1.sir , i daily have a handjob , does it effect on my future sexual with partner. 2. as i have read more on web on different websites , all says differents answer, my question is does daily handjob effect on my face or on my body, because i have pimples on face and i am weak in body. 3.does daily handjob effect on penis size, because i do handjob from about 2-3 years. 4.what are cause of pimples on face and solution on it ? please give answers as iam scared and worried... ### REPLY: Hi, Thanks for writing in. Please find answers explained below1.sir, I daily have a hand job, does it effect on my future sexual with partner. Doing masturbation 2 to 3 times a week and not more than once daily is considered normal. More than this can become an addiction and affect your daily routine as well as sex with partner in the future. 2. as I have read more on web on different websites, all says different answer, my question is does daily hand job effect on my face or on my body, because I have pimples on face and I am weak in body. Daily hand job or masturbation is not recommended as you can get addicted to it and neglect your job and studies. It is best to do masturbation at maximum weekly three times.3.does daily hand job effect on penis size, because I do hand job from about 2-3 years. Does not affect penis size but doing it with force can cause injury to penis. Please do it gently. 4.what are cause of pimples on face and solution on it ? It can be due to hormonal changes at puberty and adolescence. Please consult a dermatologist for treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have headache and hip pain in one side what to do ### REPLY: Hello Mr sham kumarfirst of all please tell me what is the time of headache it comes at interval, periodic or regular .it covers whole head or any part of head(frontal or occipital) if you have any history of vision problem then go for eye check up. Please correct your daily routine.  And for hip if you have ant history or injury.it is muscular type pain or pain in bone. Please correct your posture of sitting. Please go for x-ray. Please contact again regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I am 53 yr old female, I am on 100 milg. oftoprol for high blood pressure. I have sinus drainage at this moment. Last three nights after I lay down to sleep. I feel a flutter or bubbly sensation are my heart area. Wondering if it could be affecting my heart?concerned! ### REPLY: Hello, what you have described can be because of the heart particularly when the heart cannot accommodate the increased blood on lying down increasing the back pressure in the lungs. It can be because of other simple reasons like reflux gastritis, where on lying down the stomach acid regurgitates back. By all means a visit to your doctor, so he can examine you and Oder necessary tests is highly recommended. 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 doctorAm 22years old guyPlz tell me the benefits of sunath surgery and how long it I Ill take to cure How many days needed for bed rest and after tat can I got to office regularly or need a lot of restAnd can I mange my slef alone Without anyones help ### REPLY: Degree understand your concerns went through your details. Sunbath surgery is called circumcision. Circumcision is the surgical removal of the foreskin, the tissue covering the head(glans) of the penis. There are some potential medical benefits of circumcision in terms of a slightly lower risk of urinary tract infections (Otis) in little boys, certain sexually transmitted infections in men, and penile cancer. From the day of surgery, within two days you can do your normal day-to-day functions. Within 15 days everything will be perfect. You will not be having anybody else's help, and you will be able to manage alone. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had a white swollen lump above my tooth that was filled with liquid ithink. i get these every once in a while usually above the same tooth. it errupted now and is all deflated. these past few days that same tooth has been feeling wiggly as well, like its getting loose ### REPLY: HiT hanks for your query with , It would have better if you had mentioned your age since you say it is erupting and whether the tooth is having any decay? Coming to lump it could be either periapical or periodontal abscess would suggest you to visit your dentist for the best treatment don't delay if you want to save the tooth though it depends on the condition. Hope my answer would be 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: Hello dear ladies and gentlemenI have a very big problem. 2 years ago I had a sudden nasty taste in the mouth because the tongue has stunk bad. I thought it would be normal after a year I could no longer stand in the school had to remain quiet all the time and if someone came to me and walked away because I have i.wie gum did not help anymore, I went to otolaryngology doctor had ignited my almonds were rausgeholt nothing has improved. it is so I have intestinal blockage problems, etc. but Im sure the smell is directly ausdem mouth when I smell it themselves and many have told me. is my tongue white lining at the back when Im away he goes away the covering ganricht i.wie is connected to the tongue that is just look like white tongue. if I take hold of the finger behind the tongue and smell it. It really smells like feces after and when I bit my finger with further direction gullet go quite so far down it smells slightly better but still bad eggs out after. I probably know this mushroom diet nystatin been taken nothing has helped Latin hospitable 3 times already because my GP thought I vill have displayed the stomach. heartburn but Ive never understood, and the odor comes from the stomach is not coming directly from behind and in front of the tongue on the tongue, it smells disgusting and tastes disgusting years since 2 is the second time for 1 gemack not go away no matter what I used who Ive always behind the tongue or just touched my tongue and then smelled my tongue, it had always smelled disgusting. chewing gum not help me no doctor helps me because Im patient, Ill cash out sent to 5 minutes, and prescribe unnecessary medium. I have been suffering with depression is 17 am destroying my life just do not even go to school I will: (... need help before I drigend what wrong doing .... ### REPLY: Hi.I have read carefully your query. First u say u have depression the did u visit psychiatrist ever??? Bcause if u didn't than u must. Sometime this type of genuine complains are associated with mental illnesses. If your complaint is without any medically reason than it fall under category of medically unexplained symptoms means aromatization. Aromatization and depression are comorbidly present. And second thing it may mimic olfactory referral syn .  Both of this aromatization and olfactory referral syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband had a lithotripsy on Friday. He had severe pain and vomiting yesterday and was in the ER for 4 hours. He was feeling better and now all of a sudden the pain is back and he has the chills and his teeth are chattering. He took his pain meds and is taking a hot bath. Should I take him back to the ER? ### REPLY: Hello and welcome to . After a lithography session, i.e. fragmentation of stone, the tube leading from kidney to bladder, can get clogged up with the stone fragments. This leads to pain and omitting in several people. But, having chills, suggest that he may have fever, which requires medication, including antibiotics. This will be decided after your Urologist sees you. Hope you recover soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 67 year old male with hemochromatosis (20 years) in good health. Have phlebotomy every 2 months. Most recent was today. Advised that my hemoglobin was 18.2. All previous hemoglobin reading were in the 15 to 16 range with the exception of the last prior to today at 17.Is this concern? What would have caused this elevation in my hemoglobin level? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have hemochromatosis. It lead to iron overload. And increased hemoglobin level.  You should go for repeated phlebotomy.  Iron cheating agents like desferoximine or defiperone may be helpful.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother aged 18 years has been diagnosed by doctor for kidney disease. The following results were shown after test report1. Bilateral renal parenchymal disease.2. Ascites.3. Bilateral pleural effusion.what should be done to cure it. Is there any possibilty of not doing dialysis or transplant.Please give me an advice.thank you ### REPLY: Hi, Prevention is always the goal with kidney failure. Chronic diseases such as hypertension and diabetes are devastating because of the damage that they can do to kidneys and other organs. Lifelong diligence is important in keeping blood sugar and blood pressure within normal limits. Specific treatments are dependent upon the underlying diseases. Once kidney failure is present, the goal is to prevent further deterioration of renal function. If ignored, the kidneys will progress to complete failure, but if underlying illnesses are ad .   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 30 year old gal got married 6 months ago we are trying to have sex but its very painful so just end up in foreplay .. my hymen is intact...can i use some gel to avoid pain for only few days until t get easier ,, if so which one to use please help .. we are planning for a baby and is it 30 years to late to conceive ### REPLY: Hello! First do not panic. You do not have reason to get worried. I think that you should start enjoy you marriage to all the meanings, even to your sexual life. Your husband will help you to get through the difficulties of intercourse. Of course, you can use lubricants agents to ease the penetration. Second, you should have at least 1 year regular sexual activity to worry about conceiving. Of course that I would recommend you to try because until 35 years old, is thought that ovarian reserve and ovarian response is the best. Medicine is not mathematics, but I told you that you should first have a pleasant, regular intercourse and then try to conceive. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dentist appointment where I need help relaxing as they do not have gas, and I will only be given novacane. I asked my Dr for something to take the edge off. I am 58 yr old female she gave me .25 xanax and said to take it an hour before my appt along with a second pill to take if the first isnt enough. Do you believe this will be enough to relax me for this appointment which I am very stressed and fearful? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Yes this option should be good enough to help you relax. You may take the second tablet as well. I presume that you would be having multiple sessions with your dentist. If at all that has not helped you then you may take propranolol instead of this medication.(Xanax). Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has just found out he may have one kidney he s 49 years old and thought he had two, he also has arthritis since he was 17 years old is there conditions that could cause him to have one kidney later in life or is there just birth defects that creates him to only have one kidney ### REPLY: Hi, The chance of congenital absence of one kidney is more. So the problem might be since birth.  Infection of kidney like chronic infection can lead damage to kidney and loss of its portion, but total absence of one kidney could not be due to that.  The surgical removal or congenital absence seems most likely.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a child around 18 month with a slight genu varum. Is it correctable? do we have to wait longer than 18 month? will he be able to run as normal children and have sports? i am the morther and i also have a slight genu varum, but i dont know the cause, is the way i grown. What do we have to do for my child so we don t have to do a surgery later? ### REPLY: Hi, just saw your question on genus arum, or in simple terms your sons knees are closer than they should be, and the legs are curved or bowed . Sure your child will be able to walk, at 18 months he will be already toddling around.I suggest that you and your baby have an X-ray of the knees done before he is 2 years of age to see if the upper part of the shin-bone is projecting inwards.causing the bowing. If it is so then see an orthopedic surgeon. This is called Blunts disease and will need some corrective appliances. Also check out if there are evidences of rickets or vitamin D deficiency, in this case supplementation with It D will bring it back to normal. Though most child .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had #8 pulled a week ago. Internal resporation, infected also. #8 had a 20 yr old root canal, crown hard to get the root out. Fused to the bone. Implant couldnt be done. Had 2mm bone graph done. I try to wear my flipper but its still painful, swollen. How long will my speech sound bad. Even with my flipper its hard to get some sounds out. Not my normal issues. They estimate the implant 3-4 mos. abudtment 2mos or so. Will I have speech issues til its got a new crown. Is this a common problem for losing #8? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern... As per your complaint as the extraction was a difficult one and might be traumatic also due to fused roots to bone, and it is only one week passed so the pain and swelling and difficulty in speech and wearing flippers is not an abnormal finding, and you should not get panic as gradually in a week or ten days the heals will take place to a considerable amount and the pain and swelling will subside. Whatever you are experiencing is not an abnormal finding, and you will get well soon. The other thing is that it will not take months, and you do not have to wait for crown placement over the implant to regain proper speech and functions, and you will be soon be alright. You should do warm saline gargles and take anti-inflammatory painkiller like Ibuprofen, and it will help in relieving pain and reducing inflammation and swelling. Hope this information helps. 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: My son who is 30 has extremely swollen gums for several days and now he says that he has difficulty swallowing due to throat pain and his glands are also now swollen.  He has an appointment tomorrow at 4:00.  How serious is this condition?  Would strep throat start this way ### REPLY: Hi. Thanks for the query. As per your complaint swollen gums and now having sore throat and swollen glands both seems to be due to different conditions and not one cause. Swollen gums can be due to most common cause that is gum infection and accumulation of excess of plaque and tartar on teeth and in the gum pockets leading to infection and swollen gums leading to Gingivitis. Other causes can be side effect of medication, if he takes any. You should therefore consult an Oral Physician or a Periodontist and get evaluated and a thorough scaling and curettage followed by a course of antibiotics like Metronidazole and anti-inflammatory painkillers like Ibuprofen can help. As far as sore throat and swollen glands is concerned, it can be due to bacterial or viral throat infection and for this you need to consult a Physician and get him evaluated, and a throat swab culture can be diagnostic. A course of antibiotics like Augmenting or Azithromycin, anti-inflammatory painkillers like Ibuprofen and warm saline gargles can help in improvement. 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: I am 31 year old. My semen has discharged immediately while I talk or see any girl or any kissing scene in any movie. My penis also very small size like 10 year old boy. When I talking with my girl friend semen has discharged and I am not able to perform physical relation. Please guide me with any medicine or any excersize for quick relieve. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern.First you should start doing masturbation. It is a very good exercise for penis. Once you start doing this all your problem will be solved. If you do not do masturbation than the problem of the early discharge or premature ejaculation will remain. Masturbation will also give you potential of good erection time. If you do not hold the erection for long time than you can also take the sildenafile citrate tablet. This will give a good erection to you. You can also practice foreplay, good foreplay can give you good erection and so will cure your problem. 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: I have had upper respritory inffectoion for 6wks. My couhing has deminished alot but is still there and I am still coughig up phiegm to the throat but its not always a strong enough cough to get the phlegm up far enough to get it out. Then it gets stuck and can cut off my air.  This has been happening to me for years towards the end of the infection.  I use a nebulizer and xopenex to open things up and it works sometimes. I also take generic Mucinex. Wat can I do? ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you are mostly having bronchitis. And upper respiratory tract infection (URI) is the common cause for recurrent bronchitis. To prevent recurrent URI, do following things. 1. Start warm water gargles 5-6 times a day. 2. Avoid oily and spicy food.  .  3. Start multivitamin tablet containing folic acid, niacin, vitamin b12 and zinc to improve immunity. 4. Get done annual Influenza vaccination to prevent recurrent infection as Influenza is the most common organism for recurrent URI. So discuss all these with your local doctor and plan accordingly. 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: I woke up two days ago with a pain like cramp sensation in my upper abdomen. I am going on day three. My stomach region is tender and hurts to touch. It hurts when I move, lie, walk, breath. I keep thinking it will go away. It feels like a cramp from exercising that will not go away. what do you think? ### REPLY: Hi. Thanks for your query. History noted of the pain in upper abdomen on waking up in the morning; like a cramp. Tenderness present - hurts on moving and any movements, and thought to be due to exercising. This may be due to Peritonitis, meaning inflammation of the internal structures of the abdomen and can be due to inflammation of any internal organ like appendicitis, or so... I would advise you the following:Keep yourself nil orally. Get admitted to the hospital. You need to be examined by a General Surgeon for evaluation. Investigations of blood, urine and most importantly Standing X-ray of the abdomen, ultrasonography and so. If there is an internal problem, you may need an urgent surgery. If this is just due to exercise you will be sent home with proper anti=inflammatory medicines. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, a few days ago my boyfriend and I had sex and the next morning he woke you a sore on the head of his penis. Both of us have been tested for STD and were negative. He went to the health dept and the nurse pract told him that she thinks it herpes. From what I have read the generally take 2-4 weeks to show symp. Is it possible that it could be staph or strep? ### REPLY: Hello really appreciate your concern and being your physician, I will try to help you out in the best possible looking at your description this could be suggestive of injury or inflammation of during sex, STI or other infection and an allergic reactionChances of streptococci or staphylococci infection are less likely. I would like further information to help you betters age and relevant medical history is he's having any kind of discharge In my opinion he should keep it clean and apply antiseptic ointment If it gets worsen or doesn't improve than he should consult your doctor for physical check up and detailed evaluationMaintain good hygiene use condoms during sex until it heals completely Hope this answers your question if you have any more doubts please feel free to write back to me, I will be happy to help you Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 29 yrs, 50 kg and 5 ft tall. I am under going IVF treatment, after day 8 of my cycle my scan suggest no growth or hardly any growth in follicle in both the ovary. However there is one cyst in left ovary which is growing. Is there any Ayurvedic medicine to increase follicle growth. ### REPLY: Hi Welcome to  This is .  Your worry is that even after 8 days of your IVF treatment follicle not growing. Though it is matter of concern, even then I will suggest you to have patience.  I will suggest you to take care of your physical as well as mental health. Include in your food, vitamin E in the form of almonds, eggs, fish oil . Take wheat, black gram, almonds, eggs, fish oil, ginger, , lettuce , radish cooked with leaves, milk, refined butter, mango, melon. Out of these, take as many as you can in a day. Some of these you include in BF, some of them include lunch and some in dinner . And last but not the least, take water prepared in copper glass twice every day. Fill water in copper glass and keep overnight,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had a little bump above my upper left tooth. I always thought that it was my wisdom tooth. However, I had a root canal done in may on that tooth and 1 week later my bump started to hurt and grow to the point that my cheek looked like I had a tennis ball hidden there. The x-ray did not show any infection so my dentist prescribed me antibiotics and steroids. That helped but now 6 months later I am noticing my bump to start slowly growing again. Is it swollen lymph, cyst, salivary gland - should I see ENT specialist or go to Enthodontist? The tooth itself does not really hurt. ### REPLY: Thanks for your query, first you consult your oral physician to rule out any infection in the tooth adjacent to the root canal treated tooth or in the same tooth.take radiographs and confirm it. It looks like cellulitis secondary to tooth infection...the other possibility could be infection in the salivary gland duct due to stone in the duct...take a course of antibiotics, do saline gargling. 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: I am a healthy 73 year old woman. For several wks I have been having sharp but not severe chest pains in the center of my chest of and on often throughout the day. I thought it could be posture related at the computer or reading etc. but I m wondering. I have stairs at home and seem to not notice problem climbing. I do maybe feel a little light headed. Could this be angina related? ### REPLY: Thanks for your question on . In my opinion you should consult cardiologist and rule out cardiac cause first. In old age (73 years) central chest pain can be due to Cardiac problem. So get done 1. ECG2. 2d echo 3. Stress test rule out cardiac cause. If all are normal than no need to worry about cardiac cause. You may have HERD (gastroesophageal reflux disease) mostly. It is commonly seen in old age due to laxity of gastroesophageal sphincter. Because of these the acid of the stomach tends to come up and cause the symptoms like central chest pain. So try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid stress and anxiety. Avoid large meals, instead take frequent small meals.2. Take good proton pump inhibitor.3. Go for walk after meals. Keep 2-3 pillows under head in bed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 32 year-old son has shizoaffective disorder + GAD. He uses a low dose of a benzo (Clonopin) to deal with anxiety, but has stopped all anti-sych meds. They cause dystonia-like symptoms, with protruding tongue, facial spasms, fear of choking, etc. We have used Benadryl to stop those symptoms which is effective, but he doesnt want to continue that. Im trying to see if there are other options to the Risperdal, Geodon, Abilify, and others he has tried he has tried. His hallucinations, paranoia, delusional thinking have gotten much worse....tks ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. I understand that you have tried three different antipsychotics and all have led to extrapyramidal side effects. However, you may try olanzapine or quetiapine. Both these .  Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with right atrial thrombosis and am on anticoagulants andaspirin. Recently blood tests revealed total cholestrol at 467 and ldl at 197needing second opinion and further treatment.pl.respond at  YYYY@YYYY  or 0000 ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Anticoagulants are effective for all types of thrombus. Both arterial, venous and even atrial thrombus.2. The INR range should be maintained between 2-3 at all times, then only anticoagulants will be effective against thrombus.3. The cholesterol level is too high and needs to be brought down at the earliest. Risk of atherosclerosis and infarction present. You need to be started on statins and vibrates. Non-pharmacological therapy includes weight loss, low fat diet, fiber rich diet along with moderate exercises. LDL apheresis can also be done, if it continues to be high. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, I had a car crash almost two years ago, and had broken ribs where the airbag hit me. I noticed only now that I have a lump on the side of a rib below my breast. The area of the lump seems to be consistent with that of the airbag hitting me. The lump feels like rolling under my fingers. Is it dangerous? What should I do. I live very far from doctors. Thank you for your help. ### REPLY: Hello, Thanks for using . I have gone through your query and I can understand your concerns. Probable diagnosis : HematomaDifferential diagnosis : Serbia/lipomata of treatment : Conservative/Needle aspirationInvestigations : Basic blood investigations, FNAC (rarely)Outcome : Excellently the symptoms you have mentioned suggest the possibility of a hematoma. It is nothing but a collection of blood under the site of injury. There is nothing to worry in it because it is a highly curable condition and chances of complications are very less. If there is any diagnostic confusion, you have to do a procedure called FNAC(Fine Needle Aspiration cytology), in which a needle is introduced in to the swelling a portion of it taken out and studied under microscope to confirm the diagnosis. I suggest you to consult a general surgeon and get the proper evaluation and treatment done. He will either aspirate the fluid/blood in case of hematoma and if it is a lipoma treatment is by surgical excision. Hope this information 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, our 10 year old son had an IGA test completed. His results on his Kaiser lab results show 0.14 and it indicates that the standard is Can you help me interpret this because I read on your site that a low IGa can be a risk for developing some sort of autoimmune disease. His Grandmother was dx d with Rheumatoid Arthritis at age 20. And, I am concerned about his possibility of Celiac disease. ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. When there is complete absence of IGA, and it cannot be detected, it is called as IGA deficiency.2. Malnutrition is one of the commonest cause of IGA deficiency. 3. Rheumatoid arthritis can be genetically inherited. However, there are other factors also. If you had rheumatoid arthritis, there is a risk for your son.4. Celiac disease cannot be diagnosed based just on IGA levels. Specific antibody evaluation and Biopsy confirmation is necessary. Abdominal symptoms also need to be present. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My Self Is AYAN. From last few days i found whenever I am doing intercourse with my wife,just after intercourse My penis heads come up with a redish circle which itch and burn for upto 1 hours max then gets normal.pls do the needful reply. With Best Regards Ayan ### REPLY: Hello, Thank You for consulting  ! May be due to trauma, because of the act itself, or it can also be due to infections like viral or bacterial, or may be due to allergy if you are using any condoms or lubricants. Stay healthy, and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in the future. Kindly rate the answer if you are satisfied. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 other day I noticed that my urine was dark orange...but I thought little of it as I had drank orange. Tea for a sore.throat I had developed. Also I noticed a slight orange hue in my ejacualte this morning..I have chills and a slight rash in my face. ### REPLY: Degree understand your concerns went through your details. Orange urine purely signifies lack of enough water. Slight orange tinge in your ejaculate is also normal due to deny .  Then it could be attributable to blood. Still don't worry. Consult a physician, and you will be alright within 3 days. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an unprotected sex immediately after my period. My bf releases inside me and had it stayed there without washing right away since i got tired and fell asleep. When i washed and peed later i saw a blood mixed with something white which i don t know what is it called. What does it mean? Will i get pregnant? I m not ready for it yet what should i do? ### REPLY: Hello dear. Understand your concern.don't worry dear, its not because you are pregnant. You said that you had sex immediately after your period that means that blood is just your menstrual blood mix with semen and cervical mucous or may be some injury to genitals.& also you sex during safe period so no worry about getting pregnant. So don't be panic, just calm. If you have excessive worry then you can take I pill with in 72 hours after sex to prevent pregnancy. Maintain pelvic hygiene by using V vaginal plus wash. Use safe sex practice to prevent STDs and Unwanted pregnancies in the future. Hope this help you. 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: So my bf is expierincing pain in his groin area right below his stomach line with random heat flash llike symptoms. He feels cold but says he is burning up painn in ghroin has been on and off for a couple of days we have bronchitis and are getting over the flu ### REPLY: Hi. This probably can be sued to urinary tract infection and infection of the spermatic cord or so (as per the symptoms and site you have noted) and also has cold and hot flashes. Flu itself can cause this, or it gives reduced body resistance cause further pains and infections. Consult a Doctor to get him examined and undergo tests if the Doctor feels are necessary. Continue treatment under the Doctors care to avoid further complications. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a sinus blockage for years. I do not suspect swollen sinuses or sinusitis because when I lay down the drainage runs to the downward sinus leaving the anterior sinus free and clear. When I turn over, the same thing happens on the other side showing that the upward sinus is unobstructed. Lately my salivary glands have become swollen as well. I visited an ENT and was sen to get an MRI which was not dispositive and turned out to be expensive and useless. At that point the ENT wanted to surgically remove all salivary glands without even having diagnosed the problem or taking a needle biopsy. This seemed strange to me and unwarranted absent any confirmation. Are the two conditions related and what should I do? ### REPLY: Hi, welcome to  forum, well as you know that you are suffering from sinusitis and surgery is not the right choice, so I will now advise you to start homeopathic treatment for your sinus problem, you will find complete cure for this problem in Homeopathy without any side effects. You can show to your local Homeopathic physician, or you can mail us at info . Com or visit us at WWW. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bumps/ lumps on the back of my tongue they are red, theres alot & I also have little red bumps on the tip of my tongue. On my cheek their is a bump, that s tissue like also its another bump same place on my other cheek except that one isn t tissue like. On top of my lip (outside) there s a little tiny bump you can barely see it,but its black filled. Also there is a little red bump inside my lip with a hole in the middle . Should I be worried ? ### REPLY: Hi, Thanks for asking the query, There are many reasons by which you develop bumps on your tongue, Due to accidental trauma and biting on the tongue. Excessive smoking can irritate the tongue. Canker sores , authors ulcers. Enlarged papillae if it becomes inflamed and irritated. Medical conditions like diabetes , anemia. I would suggest you to visit to the Dentist and get checkup done. Brush your tongue softly with a tongue scraper or soft bristle toothbrush. . Use antiseptic mouthwash gargles twice daily. Take vitamin supplements. Hope this helps out. Regards.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In September my husband was diagnosed with Lyme Disease, which we have learned causes respiratory problems, among other things. Beforehand he was diagnosed with COPD & Emphysema, he is prescribed Symbicort & Spiriva for these conditions. We are located in WV and at this time are having extremely cold temps. and he is having severe trouble breathing is there anything you can suggest we do at home to help his breathing in addition to the medications he is already taking? I understand the emergency room is available for emergency services but at this time driving conditions are very hazardous, if you have any suggestions short of a trip out to the emergency room, they would be so very greatly appreciated. Thank you so much! ### REPLY: **1. One possible symptom of Lyme disease is air hunger or so-called shortness of breath [SOB], and is due to Babesiosis [which is one of the Lyme coinfections]2. In best position I would suggest you to see a LLMD [Lyme-literate M. D] since most general doctors/physician don't know that much about Lyme and how to treat it properly and taking antibiotics in such condition will only worse the symptoms, called as herx.PS. The presence of antibodies in the blood is not sufficient reason for continued or pretreatment with antibiotics & currently, there is no available vaccine in the market for Lyme disease.3.  Emphysema/COPD is progressive and worsens every year, one has to live with it, stressing on deep breathing exercises, avoiding exertion and low dose steroids for severe cases is key to management. If breathing difficulty gets severe, seek help from ED [emergency department]PS. Acute exacerbations are usually due to infection and are related to change in weather. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 desperate to find a specialist in the Pittsburgh, PA or surroundings, who specializes in treating black mold illnesses. My daughter is very ill due to spending 1 year in an apartment where the landlord refused to do anything about it. Some of her illnesses include: severe muscle pain, loss of hair, impaired vision (getting worse), breathing problems especially at night, 14 or 15 yeast infection in one year, some bleeding from her rectum, blurred vision, extreme fatigue etc..... I need help and advice. Please help me to help her. Who can we contact. We have exhausted every possibility that we know. ### REPLY: You should meet certain specialist and take their opinion on the same issue. A few I can mention. Meet a dermatologist, a pulmonologist, a cardiologist, a general physician, a physical medicine rehab specialist. Lastly after these people have a proper communication within their own parameters your child will be helped better. Do talk about the fatigue issue. As a physical therapist might help with simple exercise to balance the fatigue issue. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 niece has stopped developing and has actually began to regress. She has been admitted to hospital where they suspect brain shrinkage. Please help us understand what this means, it is happening quickly and we have been told today that she is virtually blind and the damage is beyond repair. ### REPLY: Hi, Thank you for posting your query. I have noted your nieces symptoms. Based on the description, she seems to be suffering from a degenerative disease of the brain. If possible, please upload an MRI scan of the brain. This would help in getting to know the diagnosis. Generally, a degenerative disease can not be cured. However, with physiotherapy and certain medications such as coenzyme Q, some improvement is possible. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END