Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend has been working away for the past 5 weeks and we have only seen each other twice in this time (he has also not been masturabting), on two occasions that we have had sex his semen has been very think, clear and jelly like. The first time it happened there was about a spoonfull sized amount and the second time this happened there was only about 1cm-2cm worth. He hasnt ever noticed this in the past and has taken no medical advice yet. Is this a normal change? ### REPLY: Degree understand your concerns went through your details. Quantity of semen or thickness of semen hardly matters. Quality matters. Thickness varies due to many aspects including HY .  Don't worry. 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: Dear Doctor, I have had anxiety for sometime now but I fear it may be more than anxiety now. Under my left arm I feel like needles are poking me the sensation comes and goes I dont know if it is normal for a 19 year old to feel this with anxiety. Also the left brast (male) has been getting bigger than my right so is my left arm. It use to be my right side was bigger. I dont have any blood thinning problems but is there a chance of this being a heart attack? ### REPLY: Hi dear. I had gone through your query. I understand your concern. You are in much stress and require relaxation. It is all anxiety symptoms and require treatment. Anxiety symptoms mimic like heart attack. But heart related problems can be ruled out by investigation like ECG and ECHO. Consult physician for routine check up. Anxiety can be treated with medicine like anxiolytic. Mizoram can be useful. But DDO take advise from your treating doctor before taking this medicine. Still if you have a query then feel free to ask. Happy to help you further. Get well 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: Ive just started getting sensitive teeth (front top & bottom), assuming it was related to cavities I made a dentist appointment, however he said Ive been looking after my teeth and they were all ok. He said the ache would be caused by reduced enamel & to use sensodyne, however this has made it worse and when I go for a run the throbbing pain after is awful..... What is causing this? ### REPLY: Hello and welcome, The sensitivity may be due to -bone loss periodontal pocket, gingival recession and regressive changes like cervical abrasion and erosion. I would advise you to brush your teeth using soft bristled toothbrush in back-forth and up-down motion. Avoid vigorous brushing methods. Get your teeth cleaned. Bone loss has to be corrected by bone grafting methods. Exposed dentin as well as root portion of tooth has to be corrected using tooth-coloured filling materials. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor!! i am 33 years of age, 105 lbs., 167cm in height. i ve suffered colds ever since i was young as 7 i think because whenever i got colds, i had swelling nose and it was continuous. then just 2 years ago i discovered that i have allergic rhinitis. fortunately after the medicine it subsided. he had my face x-rayed and he told me that i had mucous formation and need surgery. he had prescribed medicine such as zyrtec, rinoclenil and some vitamin c for 3 consecutive months. i had this body pain, headache, itchy nose and non-stop sneezing. another doctor gave me roxonin, xyzal and allergodil nasal spray. it was effective. when my allergy attacks, i just used these medicine, roxonin, allergodil and clarinase. is it safe or do i have to see the doctor again for another prescription? thank you. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern if this is allergic condition then in my opinion the underlying cause need to be found out for the allergies then and then this need to be treated and this would give best results if treated the underlying cause, otherwise taking symptomatic medicine does not solve your problem, although taking symptomatic medicine is not bad, even if you are taking the .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had 2 knee surgeries last year. My knee never ever recovered fully. Last week it started to act up and now it worst this week. The pain is in the back of my knee. I can hardly walk and bend it. Please tell me what is going with this. I had a menulis tear on the right side of my knee. ### REPLY: Try a simple test : stand on your heels with toes up (dorsiflexed ankle) while leaning forwards maintain position for 1 min if pain goes away then physical therapy with a professional should be very effective if i am your therapist I would focus on stretching of hamstring and calf muscles, also focus on strengthening vistas medial is (last 5 degree of knee extension)you should improve in first week yet 3 months Physical Therapy is recommended 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 got dental work today so my bottom lip is still completely numb (its been 4 hours since). I was eating diner and I fully bit down on my bottom lip, its turning purple. Whats wrong and what should I do given I cant feel anything and its little bleed?? ### REPLY: Hello, Thanks for your query. The numbing stuff (Novocaine) can make your lip swollen, and then when you bite the swollen numb part, it only gets fatter! So here's what to do. Ice works wonders for swelling, as well as Advil. Apply ice for 15 minutes, take Advil capsule, and then apply some canker soar medicine on the open cut. You'll be much better in a few days. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an arthroscopy of my knee 3-1/2 weeks ago and a meniscal tear shaved off. In the last couple of days I have noted a lump behind my knee on the back side of my leg. It feels about the size of an egg. Could this be an infection, blood clot, Baker s cyst. It is warm to the touch. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have history of meniscal injury.  It can be some hematoma formation or abscess or backer cyst.  You should go for ultrasound study and if needed to go for 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 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: Hello my name is nick Beckham. I am 24 and have severe asthma . I went to the local ER last night and was diagnosed with a upper respiratory infection and a asthma flair. I was prescribed 80mg of predisone for 5 days but nothing to treat the infection. Since being discharged I have been taking nebulizer treatments with albuterol every 2 hours and adding atrovent every 4 hrs. I am still having difficulty breathing at points in time. And occasionally break out into a sweat. What can I do to relieve the difficulty breathing? ### REPLY: Hello, Thank you for writing to us at . Corticosteroids decrease airway inflammation in acute asthma and prevents late-phase attacks, hence the prednisolone as you well know. 80 mg is a big dose, but that depends on body weight and max would be 1 mg/kg body weight, so take this after an antacid (such as pantoprazole or omeprazole) or after a full meal. That you are continuing to require nebulizers every 4 hours is NOT a good sign, and arterial blood gas tests may be required. So please get yourself seen by your doctor or go to the ER, saying no improvement. I hope an ECG, Chest X-Ray was done to ensure there was no other problem, a special tests such as V/Q scan may be required to exclude a lung clot if there is a significant risk (such as long travel before this acute asthma episode). Usually long-acting beta 2 agonists such as palmetto should be avoided at this stage until you improve. I hope that was useful. Best Wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: we are planning for our second child. form last 6 moths we are trying, but no positive result. Our first child is 8 years old.now the doctor has suggested Good Ova 100mg to be taken from today. My wife is having her 3 days of Period.When should she start taking the medicines. What are the benefit of this medicines? Are there any side effects also? ### REPLY: Hello dairy understand your concern Good ova should be used if there is problem in maturation of follicle and rupture of follicle. It increases FSH and LH hormone, cause maturation of follicle and effectively rupture of follicle. It increases fertility in 50% case with if there is patent fallopian tube and normal semen parameter of male partner. It should be taken from 3rd day to 8th day of period to induce ovulation. After taking it, USG and ovarian follicle study should be required to know response of it. It can be used for 4-6 months under advise of gynecologist. It does not cause any serious side effects. It causes sometime Stomach upset, bloating, abdominal/pelvic fullness, flushing, breast tenderness, headache, or dizziness, but not in all cases. You can also ask for progesterone pill and tablet ova care to support pregnancy. Avoid stress, take healthy diet, . Hope this may help noncontact further of if follow up needed Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Mom (age 62) is going to have her right kidney removed because of a possibly cancerous mass less than 7cm, but near the vein . This will be the second attempt because last month when she was about to go under general anesthesia her O2 sats dropped too low and the docs cancelled the surgery. They admitted her and did tests over 6 days. The next step is to do the surgery but under a medically induced coma . We are concerned about her being in a coma and want to know if this is a common practice for kidney removal. I have seen a lot of information about induced comas for brain trauma, but nothing for kidney surgery. Is this necessary? Mom does have asthma and high BP but her health is fine otherwise. Thanks for your help. ### REPLY: Dear Madam/ Sir, welcome to . Surgeries are usually done either under local anesthesia, regional anesthesia or general anesthesia. I suspect you mom has been advised the last option (which is what you refer to as induced coma) which is the norm. Nowadays kidney removal is done through key-hole surgery (laparoscopy). This is minimally invasive and recovery is quick but patient still needs to undergo the procedure under general anesthesia. I am sure the anesthetic will do what is necessary before putting your mom to sleep. 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: Many symptoms.... 57 year old male, recently diagnosed with diabetes...now normal A1c with metformin and diet. Gallbladder removed 2 weeks. Symptoms onset over the past 6-8 months. Rapid weight loss 110 lbs. Exhaustion, pain in back Need to rest after small trips to the store. Loss of voice with too much use. Recent loss of appetite (2 weeks) ### REPLY: Hello, You mention that your symptoms appear 6-8 months ago and in my opinion that is not related to your recently diagnosed Diabetes.  Metformin can cause a decrease of appetite, food consumption and induce weight loss, but I don't think that Metformin is the cause of your 110lbs weight loss. Metformin can lower the A1c by an average of 1.5% for 3-6 months therapy if it is well-combined with proper diet and physical activities. About your symptoms, if you were my patient, I will suggest doing some blood work like total blood count to check for anemia, basic metabolic panel to check the status of kidneys, electrolyte and acid/base balance, a thyroid panel to check for hypothyroidism and a spinal X-ray of your lumbosacral zone to see if there is any reason that causes your back pain. These test will give a lot of information and will be helpful to find an explanation for your actual symptoms. My advice is to consult physically your doctor because it is necessary to do the tests to deduct the right diagnosis, only then you can have the right treatment (these things cannot be done online). 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: My stomachhas been looking quite swollen for a long time, but soft and was giving no problems. Now though it always feels queasy and gurgles loudly. For many years I have been taking lot of drugs for arthritis and fibromyalgia - anti-inflammatories, diclofenac, plaqueniland omeprazole, and currently tramadol and paracetemol as necessary for back pain until i can have PLIF surgery to L2/3. I actually postponed the surgery because i thought the problem was due to anxiety about the operation, but it persists. I have had a gastroscopy last year which wasclear, and at that time i had no stomach symptoms.However lately my stomach squelches loudly and feels almost like its trying to process glue.i feel it right under my sternum all the way through my bowel. It not painful, but troublesome. Of course there is also gas, but naturally due to all the drugs i am constipated and have to use senna powder. Ive noticed that i am sensitive to gluten so have eliminated that from my diet, but the squelchy queasy feeling is still there. Last night for dinner I could only stomach pureed spinach and mashed sweet potato. This morning i was so nauseated after my breakfast of banana and fig smoothie with protein powder that it all came back up. Im 54, 53 and 73kg. Fit through exercise and natural foods (we grow all our own meat, fruit and vegetables and rarely eat out) but drink wine every day. I am reluctant to go to the doctor as there is so much else going on that i feel like a hypochondriac, which may be true, but it doesnt help the queasy sickness. ### REPLY: Hi. Thanks for an elucidated history. This is very true that all the combinations of medicines do cause the gastric upsets you described. Yet, it is always a better policy to get the organic causes ruled out, as you may not be in a position to stop all the medicines and see the results whether this helps to alleviated your stomach problem. I would still advise having one clinical examination, preferable by a Castro Doctor and undergo some simple tests like an X-ray abdomen in a standing position, Ultrasonography of abdomen after a good preparation of the bowels. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has a 3 mm muscular vsd type maladie de roger discovered at one day. He is 5 weeks old. The doctors didnt want to see us before he is 3months. We are worried can the hole get bigger? And usually at what age the closure happens? And after closure the heart becomes normal? ### REPLY: HelloThanks for the queryMaladie de roger is a term which is used for very small VSD which on auscultation produces loud murmur. This type of VSD(muscular) does not cause any symptom, and it gets closed in 80% of cases till 2 years of age. After closure heart function remains normal. I won't get worried as such small VSD does not cause any complication. This is the reason your doctors have advised to see him after 3 months. 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,doctor good eveningIn recent days I am getting a deep pain on left side of my stomuch as well as right side. If I take relax for 1 to 2 hours it is getting cured. I think i am getting this pain due to digestive problem. I am not getting hungry also in these days. Please help on this problem ### REPLY: Hi. Thanks for your query. Such type of pains are either due to colitis (inflammation of large bowel, called as colon) or due to IBS, called as Irritable Bowel Syn . IF this is simple colitis due to an infection, you will be cured with 5 days of a course of antibiotics and antispasmodics. If IBS or diverticulitis or so, I would like to conduct all related investigations to rule out other problem and then a start a proper treatment for these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive recently had a bad sinus infection - but have been clear of most symptoms for about a 10 days.  Beginning 2 days ago, Ive been experiencing airway constriction that has led to difficulty sleeping and apnea-like reactions.  This came on suddenly and usually only bothers me at night.  However, now on day 3 of this, Im started to get concerned. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of sinus infection at night which are pointing towards condition called sinusitis. I would suggest you to take steam 2-3 times a day to relieve congestion, .  You can also take ibuprofen (if not allergic) or acetaminophen for pain and swelling. For allergy take over the counter antihistamine  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: feels like a small hole behind my right back upper molar. It has felt tender for a week now, and earlier in the week it was difficult to open my mouth all the way. I have been brushing more than usual in the area and using a syringe with hot water and salt. I hope this will go away on its own, but I want to make sure it is nothing serious. ### REPLY: Hello and welcome. It appears there could be a small cavity developed in the molars. Please do not do self-medication and visit your dentist once. A simple clinical evaluation will solve your problem. Further if required you can go for antibiotics and analgesics as you have mentioned there is difficulty in opening your mouth.Therefore, there could be an abscess too. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im 42 and had endocarditis about 4 yrs ago since then my heart has never been the same. Once in a while i will still get chest pain. I have spidery looking veins on my upper chest. Within 1/2 hour of waking up every day i get swelling in my ankles but mostly really bad at the top of my shins right below my knees. ### REPLY: Hello, this is most probably due to heart problems, you should get first echo, hemoglobin, kidney function test and serum albumin levels done to confirm the diagnosis and rule out other problem.  Also, get your BP tested. In treatment, you should have low salt diet and fluid including tea, juices restriction to less than 1.5 liters a day. Also, l, you can get tab Dy tor 10 mg half tab once a day in morning, prescribed from local doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 frequent anxiety attacks or at least that s what they think is happening. I started taking SeroquelXR 50mg and the past two nights have been restless, BP went up to 151/110, had hallucinations, and had for about an hour deathly thoughts. I think these were all side effects from the medication and not the anxiety attacks that I m use to due to I ve never hallucinated or had any bad thoughts with the anxiety attacks. With the anxiety attacks my BP usually does go up, heart races, dry mouth, shortness of breath, and at times I start shaking. It last for a couple of hours and then I m just drained but otherwise fine. I don t like having any of these symptoms regardless if it is the medication or anxiety. What can I do? ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that your symptoms could be related to Seroquel XR adverse effects. Seroquel is usually useful to treat hallucinations and agitations, but it may also cause the opposite (aggravate them). You should discuss with your psychiatrist on the above issues. You may need to switch to another antidepressant like (sertraline, venlafaxine or mirtazapine), which have not the same adverse effects as Seroquel XR. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor...i am 19 y.o....3 days back i went to the gym and did some pushups..while doing pushups i felt some kind of severe cramp in my abdomen on the left side as if some nerves or muscles are contracting..i didn t took this seriously but from next day there is continuously some white liquid coming out and the urine also comes without any prior feeling..in the beginning it was accompanied by some pain in right testes but now its some what ok..due to leakage of this fluid i am also not feeling any arousal...if you can provide some suggestions please..in desperate need of them..is it going to get cured automatically in a month or so or i should try some treatment ...please reply sir.. ### REPLY: Cant find a relation between the two symptoms. If your abdominal cramps are persistent, get a USG abdomen done and tell your problems to a surgeon. However, if by no arousal you meant no erection, it could call upon further investigation into your case. Specify if you have got any urinary symptoms occurring, like pain, frequency or burning sensation during urination. If yes, get an urinalysis done also. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my side hurts between my hip and lower ribs on my right side. its been going on for about a month now. im thinking its my kidney. I did a bit of reading and the only other symptoms related to my kidney is dry mouth, metal mouth, the pain in my side, my breathing is different sometimes and a bit of anxiety. ### REPLY: Hello, on the right side between the hip and ribs are two main organs i.e. Kidney and the liver. Do you have any other associated symptoms along with the pain? If you only have pain in that region I would suggest you undergo a simple USG scan of abdomen. If everything comes normal then it might just be muscular type of pain also. So I would suggest you to take up a USG scan of abdomen and depending on the report we can see what can be done. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 18 year old has a lump on his spine just below the middle. I ve noticed it for the last few months, but recently it seemed to be going down. He does a lot of weight lifting. Today after doing a work-out and sit-ups on the floor it looks like it is protruding again and reddish. You can only see it if he bends over. What could this be? It does not hurt and is kind of solid, but soft to the touch. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has some soft tissue tumor like lipoma or neurofibroma.  He should go for fine needle aspiration cytology. It will give perfect idea about cause Then he should take treatment accordingly. Most of the soft tissue tumor require excision. 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 . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, I have extreme pain and pressure feeling in my tailbone area as well as my right lower back. I have had an Xray, MRI and bone scan and nobody can see anything wrong. I have had this pain for about 8 months and it is not getting any better only worse? Please help. ### REPLY: It might be coccydynia since pressure is coming on tail bone apply ice pack for 10-15 mins twice dailyApplying heat or a hot pack to the area after the first few days. Avoiding sitting for prolonged periods, or placing any pressure on the area, as much as possible. A custom pillow to help take pressure off the coccyx when sitting. Some find a donut-shaped pillow works well, and for others it is not the right shape and still puts pressure on the coccyx. Many prefer a foam pillow that is more of a U-shape or V-shape (with the back open so nothing touches the coccyx). Any type of pillow or sitting arrangement that keeps pressure off the coccyx is ideal. If the tailbone pain is caused or increased with bowel movements or constipation, then stool softeners and increased fiber and water intake is recommended. Avoid forward bending avoid .  Gently stretching the ligaments attached to the coccyx can be helpful. A physical therapist, chiropractor, physiatrist or other appropriately trained healthcare practitioner can provide instruction on the appropriate stretches. Ultrasound. Physical therapy with ultrasound can also be helpful for pain relief. Mild manipulation will also help stake care hope you get better soon follow this ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi:  I have a very good friend whose daughter is 49 and has had cerebrel palsy since birth.  Lynn is becoming more dependable to the wheel chair and is doing less physical things.  She also has trouble talking.  It takes her a long time to get her words out.  She is not open to new things.  Now that she is older her Mom and step Dad are older too and she is getting harder to take care of.  Being their friend, I thought that there must be someone out there that can help her.  We all live in the Williamsburg, Va. area.Thanks. ### REPLY: Hi, Thank you for posting your query regarding your friends' daughter with cerebral palsy. Though cerebral palsy is not curable, there are several treatments that can help her get better. The prime among them are physiotherapy and speech therapy. If she has spasticity of legs hampering with her walking, then, Botox injections would also help. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, . 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: When I am falling asleep, sometimes I have the sensation of hearing a sharp snap in the back of my brain. Very much like the sound of a very dry stick breaking. Rarely it is accompanied with a blinding flash of silvery/white light. There are times where I feel the need to check if I can still move my limbs or speak. These sounds happens about 4-8 times a year. I remember having them staring in my mid-teen years and continuing to present @ 57 Years old. Should I be concerned? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have sharp snapping sensation at the back of the head. Well the symptoms you mention in query can occur due to May reason like occipital neuralgia, blood pressure fluctuation, tumor, sinusitis or migraine. I would suggest you to consult neurologist for proper examination. Doctor may order CT scan or MRI to confirm the diagnosis and rule out problem like tumor, cervical spondylosis and migraine . Doctor may prescribe muscle relaxant, vitamin supplement for quick recovery vasograine, beta blockers or frusamife. . For now take proper rest and apply warm compresses to your back. Do light exercises. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 47 year old woman who is reasonably healthy and yesterday I developed a sudden pain in my left side of my upper abdomen. It hurts when I breathe in or cough and my collar bone area is also in discomfort. It is bothersome to lay down as well. what is going on ### REPLY: Thanks for your question on . I can understand your concern. Left upper abdominal pain, cough, left shoulder pain etc. are commonly seen with pleural effusion. So get done chest x-ray. If chest x-ray is normal then no need to worry about pleural effusion or other lung diseases. Sometimes simple musculoskeletal pain can be the cause. So take simple painkiller like paracetamol or ibuprofen. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have tiny flesh colored bumps on my buttocks and a few small bumps located on my anus the bumps on my anus itches a little soar but not really noticeable also tiny flesh colored bumps on perineum no its no pain im really scared please tell me what could it be I want nothing but the truth its really stressing me out and taking a toll on my everyday life also tiny flesh colored bumps on legs by the knees and a little bit up and I have some on my elbows and a little bit up also I had got one red itchy bump on my right risk kinda medium size but not really when I don t scratch it dont itch and goes down please help been having this problem for about a week now also a little bit of left adominal pain but not major and when I woke up this morning my face was kind of swollen and felt tight ### REPLY: Hi, thanks for sharing your health concern with team ! In the present case of itchy tiny perineal / back swellings or lumps, if I were your consulting physician, I would just consider 3 possibilities like: 1. Skin papillomas or warts or benign fibro-epithelial polys2. Infection / fibrosis of multiple hair follicles3. Skin infection due to fungus, parotitis, piles, fistula or worms! As per your description, I would like to advise you sat bath with certified antiseptic solution and apply calamine lotion for itching and go for stool examination before farther medication! Take caution not to get injured there as this might invite infection. Hope you got your answer. Please feel free to write to us if any more queries or with the reports / follow-up... Wishing you the best health! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my wife has just been discharge after about a week in hospital, she had pain upper abdo, chest area,, unable to eat properly, had ultra sound today, with a ct to be done, letter to our gp states,possible undiagnosed GORD?and the neck body and tail of pancreas are baulky,& heterogerous, and have noticed changes from her last ultrsound scan a year agowhat does all this mean please, ### REPLY: Hi ! The pain in the upper abdomen of your wife must have been severe enough for getting admitted in the hospital for a week. I would like to know her food habits. Does she take alcoholic beverages ? Did she suffer from any viral fever in the past ? The ultrasound report shows some generalized swelling of the pancreas. This may point to inflammation of pancreas and not simply GOOD. This is why she has been already advised for a CT scan of the abdomen. You doctor may also advise your wife to have a serum amylase and lipase test which usually are increased in inflammation of pancreas. Till she gets other investigations done, she should completely avoid alcoholic beverages (if she used to take), go for bland diet without any spices and fat with a lot of roughage in it, and can go for some kind antacid and acid reducing agent like omeprazole, pantropazole, or rabeprzole after consulting her doctor. Also, she should take a lot of liquids. Hope this helps her till all her investigations are done. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom had a knee replacement in October 2013 . In April 2014 she started to get hives all over her body and they have latest until now March 2015 . Basically one year . She is taking Zyrtec and it helps a little but she still gets the hives every day . She recently had an allergy test and the results said she is allergic to nickel . What should she do? Can she really be allergic to the knee replacement ? Besides going through the second surgery what should she do? ### REPLY: To know the cause for this you need to do different allergy test. I Don't think that she will have allergy with the transplant knee. Because the material which is used for knee use to be a different special non-allergic material. But to have conformation you can visit your or tho and check with the material he has kept and do an allergy test with it. Now at present she can take symptomatic treatment and I suggest ask her to do regular walking or cycling exercises. Because doing regular exercises also helps for reducing inflammation in body. Also check with the hematologist and dermatologist for further use of medication as well to check other causes of this. And if there is anything which can be done to identify the kind of allergy apart from allergy test. Here I told that it can not be total knee replacement as a cause of this because after replacement she was fine for more than 6 months if there is something related to it than it will start immediate after replacement with in a week time. So I suggest having close look on allergy test and visit a different doctor if one is not able to treat it properly. 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: feels like i have a lump in my throat,but nothing there.coughing constantly,so bad that my muscles/chest hurt.cant sleep,worse at night.cough so much now have weak bladder.chest and lungs clear.voice constantly hoarse.have hiatus henia and reflux but take medication for this,no acid or pain. ### REPLY: Hello there, I am . I feel first we should rule out infections. So You need to go for culture & sensitivity test by a reliable Microbiology lab and by a qualified doctor Microbiologist. Mostly this is not infection. Now you have this much type of complication like hernia and weak bladder so treatment for you is syrup codeine. This will inhibit coughing from central system. So this will probably helps you. Along with that you just make your throat smooth by any syrup or any chewable trophy like stress, VIPs etc.One more helpful household remedy is steam inhalation, that is very effective on long term basis in this type of cases. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking 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. My mother is suffering from mental illness since 15 years with Symptoms like talking alone with herself. , not doing any of her work, abusing, sudden wake up from her sleep.etc..so I wanted to know tat is it possible to cure such mental illness. Please do let me know. Waiting for your prompt response. ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are concerned about your mothers psychological problems. From the description of her symptoms, it appears that she is suffering from a psychotic disorder. However, a detailed evaluation and psychological assessment is necessary to arrive at a definitive diagnosis and to start treatment. Effective treatment is available in the form of medication and psychological therapy. So, I would advise you take her to a psychiatrist for a detailed evaluation and further help. 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 daughter is 3 1/2 years old and she doesnt let anyone change her diaper but me she will cry and scream...she wont sleep in her bed anymore said she is afraid of the dark and she has night light on and slept there before..she bites her nails and sucks her finger( i think its her nerves that are bothering her) and she humps pillows all the time. I am very concerned should i be worried? ### REPLY: Hi.... I feel that your kid has experienced some phenomena or incident which has been violent in nature or terrorizing in nature. Please talk to her in loving terms and try to extract what is bothering her. It is not a nervous problem at this age. Somebody might have threatened her, or she might have seen something directly or in television which is bothering the child mind. If nothing is working I suggest you get in touch with a child psychologist. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have reactive hypoglycemia and I was just told my iron level is 3 should be 15-30 and I have low vitamin D . I am taking 3,000 IU a day and still came out low. I have fibromyalgia for 20 years. These others things have just happened now. I am 50 years old. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You are suffering from iron deficiency. You should take iron rich food like beggary, dates, green leafy vegetables, .  Furthermore, you can take oral or injectable iron supplements.  For it D3 you should take cholecalciferol and calcium tablets.  You should search for the cause of reactive hypoglycemia.  You should keep sugar with you in emergency. 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 seventeen year old son has calcification of his right kidney...he has developed blue tinged arms with marked red spots with a white area around them. We have been referred to the hospital but told we may wait until morning. He is otherwise well. Have you any ideas (urinalysis at GP with stick is normal) Many thanks ### REPLY: Hello and welcome to . As a Urologist, i can understand your concern. Calcification is deposition of calcium salts in the organ or tissue. This is usually due to hyperkalemia, genetic or autoimmune disorders. He must be seen by a Urologist or a Nephrologist and do these tests :1. 24 hours urine for calcium, phosphorus and uric acid.2. Blood calcium, phosphorus,uric acid, routine,creatinine, RBS and LFT.3. A ACTIVE or a CENT. According to reports, cause for calcification and its treatment, is advised. You may send reports to me, as a direct question, for an expert opinion. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I believe I was bitten by a spider before Christmas. The nickel size wound did not ooze any fluid, my blood pressure at ER at first was 191 and went down to 167, it still remains high. I was bitten just below the nipple of my left breast. First, had swollen gland under my arm. The pain is very bad, the wound area it extremely painful. I have had mammogram and ultra sound tests that show nothing. But the pain radiates from the wound site through my left cheats area, down my left side and in my back. I don t know what else to do. Doctors just don t seem to worried, but I am. The pain is really bad, the wound is smaller but still there. ### REPLY: Hello, As per your history, it may be due to cardiac issues. For further assessment you may require ECG, 2 D Echo after consultation. Along with that you may require relevant blood investigations after consultation. For that kindly consult at urgent medical care for detailed medical examination. Meanwhile for pain you can take tablet acetaminophen. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 33years old,single, of average height of about 5.5m,i weigh 75kg,i am fertile but would not want to go through the process of having kids in different years i would like to have them if possible once and for all .by BP last 3 weeks was 150/100 but i have tried to stabilize it by staying stress free.is it possible to have oral medication that can help in producing twin babies or triplets without having to go through ivf ### REPLY: Hi, Welcome to . I have read your query understood your concern. Yes there are medicines which can cause multiple ova to mature can result in multiple fetuses in a single pregnancy.... which of course depends on luck. No one can predict number of fetuses formed during fertilization.  Again one can find the efforts needed to nourish 3 babies during pregnancy also look after the same after birth practically more stressful than having three separate pregnancies give birth to 3 babies.  Apart from this maternal problems like raised blood pressure/anemia/digestive problems possibility of Premature underweight babies in Triplets is also common.  Considering all these things... if you still want to have multiple fetuses out of one pregnancy... consult be under care of a fertility specialist.  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: Went from no panic attacks for 28 years since I was born to three in the last 2 months. I stopped smoking 9 months ago but have started Hookah Pipe Smoking . It seems to happen when I feel my heart beat when I smoke . Is it a trigger for my panic attack and is it normal to get a higher heart rate 100 to 129 bpm when smoking? Thanks ### REPLY: Hello and welcome to . Thanks for your query. Your symptoms seem to be indicative of panic attacks and smoking can indeed trigger such attacks. It is definitely not normal to have a such a high heart rate when smoking. Please consult a psychiatrist for further evaluation and therapy - both for your panic attacks and for help in quitting smoking. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. 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: im having a really bad pain in my heart right now but its freaking me out how fast it started beating for no reason and i feel like i cant get a good deep breath and feel like i need to really bad..my heart is pounding and it hurts...is this a heart attack? is there something i should do im trying to take shallow breathes since the deep ones i have the erge to take r making it much much worse, im trying ot relax myself shutting my eyes n trying to mentally slow my heart rate..whats going on?  this has been happening often lately and for about a year now on and off. ### REPLY: Hello! Welcome on ! Regarding your concern, I would explain that it may be a real expression of excessive anxiety episodes. As your chest complains doesn't let you taking deep breaths, it is more likely to be due of that. This explains also the appearance of tachycardia and palpitations. Nevertheless, I recommend performing a careful medical check up by your attending doctor including a careful physical exam, a resting ECG and some lab tests (complete blood count to investigate for possible anemia, fasting blood glucose, chest X-ray study, blood electrolytes level, and if necessary a cardiac ultrasound). Meanwhile, try to engage in more outdoor recreational activities, more physical activities, less stimulating factors like caffeinated . Hope you will find this answer helpful! Kind regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am two weeks late on my period and I haven t had any changes in my daily routine; nor, have I been stressed out about anything lately. I usually don t miss my period so could I be pregnant? Is it too soon to take an at home pregnancy test? My husband and I would like to know. Thanks in Advance. ### REPLY: Hello dear, I really appreciate your concern. If you are trying for pregnancy and not using any contraception during sexual intercourse then there is high chances of pregnancy. So I advise you to have pregnancy test using urinary pregnancy testing kit available at pharmacy. Your periods are already delayed by two weeks so if you are pregnant then early morning urine testing would give positive results. Hope my answer has solved your query. Take Care. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe pain in my right arm from my neck to my pinky. my pinky twitches from time to time and my whole hand starts to swell. the pain is mainly in my elbow and down the backside of my forearm but it hurts all over. im going to a dr Tuesday but I was wondering if you could prepare me for what they might say ### REPLY: Hello, I have studied your case. Due to compression of cervical nerve root there can be pain in your fingers.Also, there can be large disc bulge which can be compressing over spinal cord. For these symptoms analgesic and neurotrophic medication like pregabalin can be started consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like Tens and inferential therapy may give you relief for few days. In case of nerve compression leading to finger weakness you need to decompress nerve surgically. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. I will advise you MRI cervical spine and EMG-NCV [nerve conduction study]. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small blue hard lump under the skin on the underside of my forearm about 4 inches below my elbow.  I was wondering if I could have damaged the vein as this is close to the area of my arm that I would rest is on the edge of the counter while working.  In the beginning it was just a bump with no color, but now it is blueish.  Do you know what it could be. It does not go away. I have had it for about a year now. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have soft tissue tumor with hemorrhage or vascular tumor like hematoma. You should go for examination and if needed to go for fine needle aspiration cytology or excision biopsy. 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 have been described Flucloxacillin as I found a lump on my right breast beside my nipple which was quite worrying. I am 20 years old 5 ft 7 and a healthy female. My doctor said it can be trapped fluid or trapped milk. I had a baby girl 18 months ago but dont think its that. Very worried. Anyway the antibiotics are making me feel sick dizzy and faint. Can someone help me what this is? Thanks ### REPLY: Welcome to  .1. Yes, your doctor said is true, generally seen after lactation.2. But before you take any medication, I would suggest an ultrasound breast get done to confirm that the lumps are the dilated ducts.3. The ultrasound will evaluate the consistence of the lump (ductal dilatation/cystic/solid)4. Also seen in the hormonal changes.5.first get it evaluated and can be treated accordingly. Anything to ask ? Do not hesitate. 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, I am inquiring on behalf of my dad you just had a biopsy today... told there is a tumor on his 3rd rib, right side.  he has lost almost 20lbs, is on pain killers, loss of appetite in a very short period of time, maybe 2 months, what could this mean? ### REPLY: Thanks for your question on . In my opinion he should get done PET SCAN to identify the rib lesion and distal spread if occurred. Also get done biopsy from the lesion. Biopsy will be the diagnostic test to confirm cancer. His all symptoms like weightless, pain and mass all are suggestive of cancer only. So we need to get done biopsy to confirm the malignancy. Mostly it is Chen .  Treatment is based on staging and for staging PET scan is must. So better to consult oncologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I always tend to sit at home and I started hating socialising. Before I had some 10 friends and now I dont even want to talk to any of them. I find a strange and sudden change in me. Even when sitting at home I always want to watch TV or play games and watch movies. Is it depression ? Please reply. ### REPLY: Hello thanks for asking from ChatDoctorThe complaints like decreased social interaction, sitting alone at home could be due too mild to moderate depression. More detailed evaluation is needed to confirm diagnosis. Consult a Psychiatrist for help. Medicines like Selective serotonin uptake inhibitors are mainstay of treatment for depression. Fluoxetine, Paroxetine, Sertraline etc. are commonly used in depression. The medicines are relatively safe to use and result in improvement in about 4-6 weeks. For poor motivation and lack of .  Consult a psychiatrist for prescription.Non-medicinal treatment like Cognitive therapy, relaxation exercise help in early recovery. Thanks, hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a hard knot on the lower part of my arm near the elbow. Mild bruising. Pain with use and sometimes numbness that travels down my fingers. I fell hard on my arm in the parking garage a week ago. Twisting the elbow causes more discomfort than bending it. ### REPLY: Hi. This can be due to a hematoma formation due to injury. The hardness tell the pressure or a stage of organization of the hematoma. Its pressure on the nerves will cause the symptoms you have. I would advise such a patient to undergo X-ray to rule out hairline fracture. May be put in a large bore needle to aspirate the blood to reduce the volume and compression effect (under ultrasonography guidance is available.) You may please visit an Orthopedic surgeon for a proper diagnosis and further management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got my hand caught in the inside hinge of a car door a week ago. I immediately had intense pain in four of my fingers and the top of my hand.  I still have moderate pain on the top of my hand, but I have intermittent INTENSE pain in my middle finger and the left side of that knuckle is swollen, which is making the finger appear crooked. I have a pretty high tolerance for pain, but this pain that comes and goes is so intense it makes me tear up. To make matters worse, I use a manual wheelchair and am unable to rest the hand completely. What could this be? Do I need to see a doctor right away or I should I wait it out a little bit longer? ### REPLY: Cellophane You for contacting . Pain is due to post-traumatic effect. It will take some time to get back to normal state. In the meanwhile I would suggest you following things:> Take hot water in a rubber bottle and place it over your hand. It Will give soothing effect and reduce pain.> Take acetaminophen for pain> Try to move your fingers a little so that they remain mobile.> Take oil and massage your hand twice a day. It will also relax the muscles. If pain does not settle in a week or condition aggravates then you need to visit hospital. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a typical problem for my child - for almost 3 years she is getting +++ blood with all other parameters in range. She is treated with amicasin and monocyte for 5 days and she then becomes alright. However, it reoccurs once every month with high fever in range of 104 to 103? any observations. she had liver absus about 4 months back and a UTI infection 6 months back. the size of absus is reduced and SGOT (AST) value is 37.0. However, an area of ocncern is high CRP -59.10, Leucocyte count 15,100 and neutrophils 79% ### REPLY: Hi, Welcome to , I understand your concern and poor child is suffering a lot. She has gone through so much already, but good thing is she seems to have recovered well from most of it. CRP being high with many neutrophils suggests some infection still going on in your child or may be recovering. If I were your pediatrician, I would get blood cultures done in your child, at least 3 cultures half hour apart from different sites, firstly to look for any infection within the blood that can be cultured and also see if any possibility of infective endocarditis. For a completion of workup, better to consult a cardiologist and get a heart evaluation done as well. Hope that answers your query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am XXXXXXX. I regularly suffer from cold, cough , mouth alcer and some allergy problem.I am taking Bio C for the past 1 month. I don t see much difference. Is Bio C good for health? My sister also having same problem. Can i recommend it her ? she is 40 years old. My mother suffer from joint pain and neck pain . Can i refer her Cal mag tablet from XXXXX. She is 65. ### REPLY: Hi, Thanks for posting your query. Do you have recurrent watery diarrhea, abdominal pain and bleeding per rectum? There may be possibility of viral induced upper respiratory tract infection with mouth ulcers. Presence of cold, cough along with mouth ulcers suggest the diagnosis. You should consult with internal medicine specialist and should go for thorough check up. You and your sister should take multivitamin with zinc supplements, vitamin C, rebaptize and proton pump inhibitors. You should also take cough suppressants along complete antibiotic course. You should also go for colonoscopy if above-mentioned symptoms are also present. 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 went to the Dr today...I had a CPX a month ago. I went in to talk with the Dr today and found out I have HPV (some abnormal cells) and my LDL is only 38. I am worried due to I am a CMA and my understanding too low of LDL could mean cancer. I have only had one partner for over 20 years and I am 36 years old. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Low LDL level has no relation with any cancer. It is a type of cholesterol. You have HPV positive. So it increases the risk of cervical cancer. For that you should go for regular screening test. Pap smear examination is the screening test for cervical cancer, and you should go for regular screening. No need to worry. Just be relaxed. 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: Hi doctor, I am xxxx. I got married in last 28th Nov 2011. I am trying to get conceive till now. But last month I got my periods on 26th jan (32nd day) After that I went to meet my dr she suggest me to come for follicular study and she also gave me fertyl ,progynova,susten and apcod .. I went for follicular study on my 10th,12th day. It was normal and dr told me that the egg has formed nicely. But on my 14th day folliclesize reaches to3.1cm and on 15th day i.e today it reaches to3.6cm.she again asked me to come on 18th day.i am very much worried. Will I get conceive atleast this month? what this indicates?will it get normal?Pl suggest ### REPLY: Hi, If the follicle has reached a size of 3.6 cm., it is more likely to be due to a cyst formation. Ovulation usually occurs as the follicle reaches a size of 18 mm. The repeat ultrasound should be able to show if the cyst has spontaneously regressed or not. Ovulation induction can lead to ovarian hyperstimulation resulting in such a picture. Conception in this cycle seems difficult and cannot be predicted now. See your doctor for further advice. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Since moving to a new community 2 years ago, I have been advised by my cardiologist to have a nuclear stress test each year. My overall condition seems to be stable and I am wondering if this test is necessary on an annual basis and what the negative effects of nuclear exposure might be. ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that this test is quite safe. It can be associated, so some rare adverse effects like : cardiac arrhythmia, allergic reaction, heart attack or chest pain, but they have been observed in a very low percent of patients who go through this test. There is no accumulation of the substances in your body after repeated tests. So, there is no risk of accumulation after some years. I would recommend repeating cardiac stress test every year, instead of this test, because it is less invasive, and you do not need any injections. Only if suspicions are raised in cardiac stress tests, nuclear stress test should be done. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have lower back pain on the right side above hip. When i press the area, i feel a small lump that kind of moves Bach and forth and hurts when i push on it. It also is painful to stand up straight sometimes or moving torso in certain directions. Is it a cyst or is it a muscle that is sprained? ### REPLY: Hi, Regarding your concern, I would explain that your symptoms could be related both to a cyst or a strangled muscle. That is why I would recommend consulting with your family doctor for a physical check up and some tests: - a hip X-ray study-complete blood count, PCR, sedimentation rate for inflammation.- a lumbar column X-ray study. An ultrasound of the region would be helpful in case of soft tissue lesions, which are better identified through the ultrasound. Hope to have been helpful. Let me know if I can assist you further. Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother underwent surgery for CA RECTUM October 2011 and stoma closure sept 2012. Is it advisable to continue to use ecosprin 75 Tablet each night every day ? She had no real mild or heavy heart trouble but had uneasiness and pesrspiration 2 years earlier hence prescribed ecosprin. Please enlighten sir/ mam ### REPLY: Hi, Based on the history your mother was prescribed Ecosprin-75 apparently due to ischemic heart disease. Low-dose aspirin such as Ecosprin-75 helps prevent heart attacks and strokes from occurring in people at high risk because it prevents clots from decreasing blood flow, the cause of heart attacks and some strokes. So, in view of the above it is advisable for her to continue taking ecosprin-75 as prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has severe depression and refuses to leave the house. Is there psychiatrist that will come to the home to make an assesement. I can t get her in the car to go to a hospital or doctor and I really don t want to call 911. I would like advice to see if that is the right decision. ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are quite worried about your daughters problems. Since you have mentioned that she is suffering from a severe depression, it is essential that she gets professional help at the earliest. Unfortunately, when someone has a severe psychological problem, they may not have the insight or the motivation to seek help. So, it would be up to you to take necessary steps to get her the necessary help or treatment. I'm not sure if any doctor in your place would come home for an assessment. Even if this is possible, considering the current state your daughter is in, I presume that she will need to be taken to a hospital for further treatment. So, if you cannot find any other means to get her to the hospital, please don't hesitate to call 911. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have bedbugs in my apartment. I was hospitalized with cellulitis Oct 2.. I thought it was spider bites. Turns out if is bedbugs. I think I got them from a neighbor here in my building. She has hepetitis C and because I am so sick she would come visit me and we would hang out in my bed and chat and watch tv..etc. I know without much doubt they came from her. I am worried that the hep C could be transfered to me if the same bug bit us both. Worried. Also, I cannot get my complex to help me. I have been saving live bugs in a pill bottle. Do you think if I went to ER with my evidence they would document it for me and help me? I have them in my vagina and have no idea what to do. deb ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Insect bites are known to transfer hepatitis C.2. If worried, you can get a serological test or an antigen test done for hepatitis C3. Not to worry, live bugs are not necessary. Other infections can be transmitted through bed bugs and secondary infection is also possible. Discuss with your doctor. 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: I am a 50 year old female.My weight is 58kg and I am 1,69m tall. I knoe I do not need to diet but I am a diet freak.I am currently taking Duromine and eltroxin as well as adcoretic and I exercise 4x a week...running and doing weights.I feel terrible when I run...no muscle strength out of breath,in short...I suffer! I am worried about my heart as I get chest pains as soon as I push to hard.Can I just stop taking all these tablets at once. ### REPLY: Hello, Levothyroxine and determine. Combining these medications may increase the risk of cardiovascular side effects such as high blood pressure, palpitation, chest pain, and irregular heartbeat. If you have preexisting heart disease, your condition may worsen. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications.  Do not stop using any medications without first talking to your doctor. 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: My son is 4years old, for the past 4 dayshe has been burping andpassing gas all day long. His feces are big and extra long, he does go to the bathroom everyday. Sometimes he says his stomach hurts. Is this normal should I take him to the dr right away? ### REPLY: Hi, welcome to . Gas formation in a child is most often related to indigestion usually of fats and protein. Please avoid extra fatty diet and diet which is rich in protein. Also, don't give bakery items like cakes and breads. Give him lots of water to .  Also, give him tablet lansoprazole 15 mg once a day in the morning empty stomach. Observe your child for two to three days. If, the problem does not resolve, please show the child to a pediatrician. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have recently got my first nose bleed on the 17th of march, followed by one on the 20 and a 3rd on the 22nd of march. I never had a nose bleed before. I was an occasional chewing tobacco user however i recently went to the states for 2 months and increased my chewing tobacco intake. I have since cut back and am ready to quit. Cn chewing tobacco be causing this? if so could it be cancerous? I dont have any signs of oral cancer . Really wish i did not stat chewing in the the first place. Thanks ### REPLY: Hi, it's nice that you are going to stop the chewing tobacco habit. There can be multiple causes of nasal bleeding and crusting with scab formation by nose picking is the common. Hypertension is the most common cause in the elderly. Cancer can because of nasal bleeding but needs to be evaluated and for that you need to see an ENT. So, do not worry, just see an ENT and get yourself examined in case you do not fit into the above two described categories. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my 32 year old son was diagnossed with ts when he was 14. living in Ireland i feel very much on our own. At the moment he is getting constant seizures, dropping down tonic clonic and absences. He also suffers from severe depression the doctors are saying that is seizures are stressed related and that they are not real seizures what do i do where do i go to get him proper care please help im desperate right now ### REPLY: Hi, Thank you for posting your query. Seizures can occur in TS. One needs to confirm whether these are true seizures or pseudo seizures (related to stress). This can be done with video EEG monitoring. In any case, seizures need to be treated. A neurologist can help you in confirming the diagnosis and planning the treatment. Please get back if you require any additional information. Best wishes, . 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: Hey, I have really bad shooting back pains now and then throughout the day, and a very bad chesty cough that hurts quite badly. I coughed up a little bit of blood this morning. I am very worried and have been looking on the internet. The symptoms sound like phenomia or bronchitus? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of coughing up of blood which seems to be due to upper respiratory tract infection leading to bronchitis/ granular pharyngitis. Need not worry. I would suggest you to do warm saline gargles and take steam twice a day. Avoid use of sharp and spicy food substances. Avoid cold carbonated beverages. Your symptoms will resolve in 1 week. If symptoms keep son persisting you should consult ENT specialist and take proper treatment. You should get X-ray chest done along with pulmonary function tests. Doctor may prescribe antibiotics amoxicillin for at least for 5 days along with decongestant. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im 25 years old. The last few days I have had dull pains on my left side above pelvic bone and sometimes i can feel it in the groin and back area. I thought at first i had a UTI. But I have never had one where i was bloated and this pain all of the left side... I have urinated like every 5 min and it never seems to be enough. although it dosent really burn when i use the bathroom when i finish i do get a lil sting sometimes. could this be a kidney infection? ### REPLY: Hi ! Good morning. I am  answering your query. With your kind of history, if I were your doctor, after a general and local physical examination with special attention to the inguinal region and both testis, I would advise you for a routine/microscopic/culture sensitivity test of your urine and an ultrasound of the abdomen. All these would lead me to either confirm or rule out a urinary tract infection, and/or an epididymo-orchitis or a developing inguinal hernia on the left side. Till the reports are available, I would advise you with an anti-inflammatory .  Further management would depend on the reports of investigations and physical examination. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi ...i quite smoking about a mounth ago and was feeling fine but since i quite i havent been coughing a lot and past week spittting little blood in the morning , not much then goes away . dull pain in my ribs on left side . im very scared , could it be anxiety ? and do you think it will go away ### REPLY: Thanks for your question on . I can understand your concern. No, this is not normal and not anxiety related. You are having hemoptysis (blood in sputum). You are also smoker. So possibility of pneumonia, tuberculosis, bronchitis and lung cancer is high. All these are common in smokers and can cause hemoptysis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray. 3.  PUT (Pulmonary Function Test). Chest x-ray is needed to rule out pneumonia, tuberculosis and lung cancer. PFT is needed to rule out bronchitis. So first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello My daughter is a college senior under a lot of pressure and fear of the unknown. She has some classes that will be difficult.She went to her Family Physician that did a brief questionnaire and said her inability to perform and move forward is due more to depression then ADD. He prescribed Prozac, which scares us due to reports of suicide in young adults.We are afraid to fill the prescription.What should we do.Barry ### REPLY: Hi Barry As your daughter is suffering from depression, she has to take one antidepressant. Prozac (SSRI) is a good antidepressant. Probable cause of suicide after taking antidepressant- the person having suicide idea and low energy level, after taking medications gets energy to commit suicide. This mainly occurs initial phase of treatment. A person with depression, not taking medication-chance of deliberate self harm/suicide is Moreno I suggest you take medication with close observation/ supervision. Along with medication, you take her for psychological counseling hope this helps and clarifies your concern. Wishing you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My baby is 7 months old and weighs 4.4kgs only. Her birth weight was 2.9kgs. She is active & playful. We have done full blood test, CT scan, Eco-cardiogram & stool tests for her. All reports are normal. Please let me know whom i can help her gain weight. ### REPLY: Hello! The weight of a normal child of that age should ideally be 7-8 kg. That's almost 3 kg of weight she is lacking. If all the reports are normal as mentioned, there's some suggestions you can follow.1) Make sure she eats properly and the amount of breast milk she takes is adequate (Yes breast milk should be given along with baby foods) 2) The food which you're giving her is healthy and easily digestible. Ceramic is good for child . 3) Little child ### END