Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is shashi, my son is onemonth old. he feels pabdominal pan and symtomps of gastric trouble is seen. in usg whole abdomen it is written mild splitting of left pelvicalyceal system is seen. now i want to know, what is the meaning of mild splitting of left pelvicalyceal system in 01 month old baby boy? is it harmful for babys health? or it is normal, what is the requirement of treatment? ### REPLY: Hi. Thanks for your query. This is very typical problem as the son is only one month old. The meaning of the mild slitting of left pelvicalyceal system is that there is a congenital disorder that the collecting system of the urine has split. This is possibly had a negative impact on the back pressure to the kidney is there is obstruction into one of the systems, as is observed as the age advances. If there is no HY .  Just wait and watch. Have regular ultrasonography to follow the further progress. If surgery is required, I can be planned well any time but preferably after the child is 1 year old or 10 kg. This is surgically correctable, if the complications are anticipated, otherwise just wait and watch policy will be better. But you say he s in pain. Better to consult a Pediatrician and if necessary Pediatric Surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Please excuse my writing skills as I am a construction worker and truck driver. I am off a recent bout with pneumonia and plurasy (no idea how to spell that) I was in the emergency room three time in jan with both lungs spotted with pneumonia and could not breath deep could not stop coughing its april now and just went back to work concreting and lost my breath very fast and powered through it but had a coughing fit and it feels like I have been kicked in the ribs, its in one spot on the bottom in the back on the right what can I do. it hurt before and was better but never comfortable. I hope this makes sense and thank you for reading ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Travelling is a risk factor for pneumonia. So in your case, since you are still having coughing and chest pain, better to consult pulmonologist and get done1. Repeat chest x ray2. PUT (pulmonary function test). Repeat chest x-ray is needed to rule out worsening of pneumonia. PFT is needed to rule out bronchitis as this is common after pneumonia. You may need inhaled bronchodilators and antihistamine .  So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, im a freshman in highschool but lately i ve been having a lot of problems with reading, or looking at screens, and also writing. I cannot concentrate on what i m doing because I daydream or I get headaches after a while, so I have to read it over and it is hurting my grades. When I write i ve been mixing up letters so I have to erase and write again. I can t concentrate on pwoer points and it is getting hard to take notes because when I look it hurts my head after a few minutes, or I just zone out so I can t write them down. My teacher thinks I may have dyslexia , help? ### REPLY: Hello The symptoms you have described as poor concentration, day .  While writing you have problem of mixing letters, and you have to erase and write again. It may occur due to dyslexia, but dyslexia is common in childhood and less common in high school. It may occur because of mild form of depression. Mild form of depression may present with poor concentration, poor performance in studies. It may be a sign of early stages of OCD. As you have problem of writing and erasing words, it may be a feature of OCD. But for definitive diagnosis detailed evaluation is needed. I will advise you to please visit a good Psychiatrist for evaluation. 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: Dear Doc.I am having the irritations and itching in my  whole body skin  including head.itching starts after a red colour  appear in the skin and some type of inflammation also. Is it the desease of Psoriasis? I consulted a Doctor in Calicut and he advised me  the following medicine;-1- Tab. Nurobion forte   1 tab 3 times/day2-another  paste prepared at hospital     Acid sil 5 gm,Naseline 100gm , HAD  5gm  These medicine I am using for  one month but  any  improvement is  not visible and  I am suffering the itching  severly. Doc, Shall I get any advise in this  subject/?  Chandra Mohan ### REPLY: Hi, Chan . . You suffer from generalized pruritic. You have star itching and burning. There may be redness. You have not mentioned for skin lesions. So, do not worry, you do not seem to have psoriasis. The disease may be either irritant or allergic contact dermatitis. You consult dermatologist for firm diagnosis. Blood tests may be done to rule out DM, HIV,anemia, other blood or internal disease. Avoid suspected irritants or allergens like soap, dust,house dust mite, woollen clothes, grass particles, fume,deodorants, cosmetics.you may take antihistamines like levocetirizine to relieve itching. Steroids may be taken in tampering doses. Apply mild steroid cream on affected areas. I hope you may be alright in few weeks. 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 just had a full rt knee replacement 2 weeks ago and I received a black box warning from my insurance company about the drug Xarelto because of my massive back injuries and all of the 72 spinal taps, spinal injection nerve blocks along with the 5 sback surgeries including a spinal fusion I expressed my concern about the drug to 5 different Dr s beacause of my back all of which told me to ignore it I have been hving bk pain and when my staples were removed my knee opened bk up and is not heeling properly I am also experiencing severe pricking like I am be stabbed in my leg my back and I hv terrible headaches that I hvnt had to deal with for 6 yrs am I at a high risk I am 38 yr old woman that weighs 270lbs yes I am trying to loose weight but I am so drained and just am not feeling good I feel BLAH all the time should I be contacting a lawyer about this could the medicine b causing me to feel this bad I also have fevers that run between 100 to 102.4 ### REPLY: Hello, I have studied your case. I will advise you bone scan. There can be uptake increased due to loosening of implant or infection around implant. This can be differentiated by investigate like CRP, CBC, ESR.PCR culture is very useful if infection is suspected to find culprit organism. PET SCAN will also give more details. If infection is confirmed debridement/ revision operation is required. 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 was playing football the other day and i got tackled heavily on my shin, i can walk on it fine but it hurts to press it. If i run my finger down the bone it indents slightly, was wondering if it was fractured or just bruised? there is some bruising starting to come out now ### REPLY: Hello, Usually in football game fracture is most uncommon unless and until you have been hit by something hard over the shin.  Also, tibia is a strong bone of the body due to its function of weight-bearing and having a fracture easily is most uncommon. Maximum the injury can be expected with related to fracture can be hairline.  Also, the shin of the tibia is having less bulky muscles in the anterior compartment and only the fascia will be the one to get more troubled.  Due to inflammation of the facial there will be chances of pain and swelling.  Using hot water fermentation and keeping the leg elevated over a pillow should give results of reduced pain and swelling.  In the later stages, as the muscles might land up into weakness, rehabilitation of the lower limbs using balance board training will be a good choice to opt for. In most sports injury of lower limbs, rehabilitation of the lower limbs with sports rehabilitation program has helped many sports candidates in my clinical practice of 12 years. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hiI have got LFT done in which ALT and AST , GGT and are almost triple the normal range and Uric acid test is also double . Also  whole abdomen ultra sound reflected fatty liver -II  and rest everything came normal including liver shape and size.Gastro prescribed :-Heptral 400 mg twice dailyEvion Vit E 400 IU dailyGlycomet 500mg twice daily(weight loss)Zyloric 100mg 3 times daily(for high uric acid)Is it safe to take all medicine for fatty liver -ii or do i need to change or add any other medicine in it ?RegardsMike ### REPLY: Hi. I went through your concerns regarding your condition of fatty liver and a high ALT level. It's a condition in which triglycerides are deposited in the liver. In 20% of patients which causes inflammation in the liver and high ALT level, the condition is called NASH.NASH is more dangerous than fatty liver. 20% of patients with NASH will develop cirrhosis of liver. Your condition is NASH. It is a control able condition. The first line management is achieving weight loss by lifestyle n dietary modification. You should avoid junk foods, oily foods and sweets. You should continue combination of capsule ursodeoxycholic acid 250-300 mg once a day and capsule vitamin E 200-400 mg once a day. This combination has shown promising effect in clinical trials. Ursodeoxycholic acid is a safe .  It has narrow spectrum of side effects like nausea, vomiting, diarrhea, headache, dizziness and dyspepsia. But most of the patients tolerate it very well. Clinical data has also shown proven role of metformin which you are already taking. You have been prescribed appropriate treatment for your condition (NASH). You should continue this treatment regimen and try to lose weight. You should continue Pyloric which is for your high uric acid. But it has no definite role in fatty liver/NASH. I wish you good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i was wondering if you could answer some of my questions in December i noticed this small lump on my lower abdomen right side. and it has grown it a little since then. it doesnt hurt but sometimes its bothersome. i do however have lower back pain and often get swelling on my stomach the right side. ### REPLY: Welcome to . 1. The symptoms and location suggest the possible cause could be inguinal hernia with variation in the size and pain less lump in the lower abdominal region.2. In this case after examination one will ask for an ultrasound scan which is investigation of choice.3. The ultrasound will help in assessing the lump, its source, extension and nature of the lump, if hernia the defect measurement.4. In case of henna with cough reflex, the herniating contents, its vascularity, presence of strangulation is assessed. 5. The treatment include operative with placement of a mesh and followed by a course of antibiotics. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Evenign doctor, Im 28 yr old Female. Got married in Jan 2010. After shifting my home, im facing a terrible hair loss. My Hair volume is thining day by day. Also when hair falls, it comes with root (white in the edge). Almost all hair has got split ends. Before 8 months i also tried hair spa but this increased the hair loss. So i stopped it after 3 sittings. My daily food includes atlease 2cup of vegetables, one fruit apart from other diet. My haemoglobin - 11.  Will be right to meet a dermatologist. Please suggest me a remedy. ### REPLY: Hello, Thank you for posting on . I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, . From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to stress. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like CBC, blood sugar, Thyroid function test. Some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Groupie solution etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sometimes i start getting real dizzy and my palms sweat and i kinda get into my own little world were everything goes slow and then i can hear my heart beating and i grab on to anything because i just feel like im so about to pass out. its the nastiest feeling. but its been happening  to me so much. and i know i am not pregnant. because ive done testing on that. so i would like to know what it is.? thank you ### REPLY: Thanks for your question on . I can understand your concern. Most common cause for these symptoms is stress and anxiety. But better to rule out cardiac causes (hypertension, arrhythmia) and hyperthyroidism first. So get done blood pressure monitoring, ECG, 2d echo, stress test and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Also get done thyroid function test to rule out hyperthyroidism. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic . Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I was diagnosed with diverticulitis attck about a month ago.  Abdominal pains on left side, low grade fever.  put on cipro and flagyl, and pains went away after a day or two.  Stomach has not been the same since...Lotys of bloating and distention, fullness, but other than that felt OK.  This past weekend, i started having on and off low grade fever high 99s to 100, and chills,and overall feeling unwell.  Took ibruprofin.  After 3 days, i do feel better today.  Yesterday, when i went to the bathroom, there was a bit of blood, havent gone since.  I do also have hemmoroids, and not sure if if was a flare up due to stomach issues last few weeks.  I have not had any abdominal pain, so i am wondering if this can be a flare-up of the divert, and does the pain usually follow the fever, chills, etc...Should i go back on antibiotic to fend off any looking infection?Thanks ### REPLY: Hi ! I would like to know the investigation done to diagnose your case as diverticulitis (if colonoscopy / CT scan was done). In that case the treatment of diverticulitis of course is a proper course of antibiotics, anti-inflammatory, which you already had and got relief. Surgery is not always required for diverticulitis unless it gets complicated. You should go for a high roughage diet with plenty of liquids. Avoid alcohol and smoking if you do. These may prevent further attacks of diverticulitis. However, your treating doctor may advise you to go an annual check up with colonoscopy depending on the severity of your diverticulosis. The bleeding per rectum which got recently seems to be because of your hemorrhoids. However, if it recurs then you should see your doctor for a review. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,my 2 year old kid was playing with a few kids yesterday afternoon, when one of the older kids wielded a cricket bat and hit her very hard in the center of her head. She immediately had a big swelling. I put ice and the swelling came down. There is still a bump now after 24 hours. However, she started getting feverish. it is now 24 hours and she has been having high fever not less than 39.4 degrees. With paracetamol it went down slightly to 38.8 but it has not become normal as yet. Her eyes also are red since morning today. Please advise. ### REPLY: Hi....with fever and red eyes I feel your daughter is having a viral illness rather than the symptoms related to the play injury. The danger symptoms of head injury include - continuous vomiting, loss of consciousness, seizures, double vision, bleeding from Nose and ears and weakness of part of the body.riff these are not there you need not be worried about the play injury on the HEIF. For fever, I suggest you give Paracetamol in the appropriate dose and duration. If the kid is otherwise active when the fever comes down it is most probably viral and will get better in a day or two. 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 HUSBAND S SEMEN ANALYSIS SAYS: QUANTITY: 1.0ML COLOUR: GREYISH WHITE TRASPERANCY: OPAQUE VISCOSTY: VISCOUS TIME OF COLLECTION: 12:10 TIME OF LIQUIFICATIN: 30 MIN pH: 7.5 [SEMEN ANALYSIS CHEMICAL] FRUCTOSE: POSITIVE [ SPERM COUNTS] TOTAL COUNT: 16 MILL/ML LIVE COUNT: 06 MIL/ML SPERM PER EJACULATE: 16 MIL [MOTILTY] PERCENTAGE MOTILE SPERM: 38% RAPID LINEAR PROGRESSION: 00% SLOW/NON LIN PROGRESSION: 40% NON PROGRESSIVE: 60% [SPERM MORPHOLOGY] NORMAL FORM: 30% [HEAD ABNORMALITY] SMALL OVAL: 50% AMORPHOUS: 20% [MID PIECE ABNORMALITIES] [OTHER CELLS] WBC S: 01 RBC S: 00 DOCTOR PRESCRIBED FERTILOX. PLEASE ADVICE ### REPLY: Hello, Your sperm count is little less with motility disorder. We tell it oligoasthenospermia. Well, please take the medicine advised by the doctor. Besides, I will advise you to quit smoking and alcohol if any. If you are working in a hot environment, please avoid it. You can repeat the counts after 2 months of taking the .  Astaxanthin and COQ containing preparations may help. You can go for a GUI later and if nothing helps, IVF is an option at the last. 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: hello !I think that my brother is suffering from some mental disorder. He is highly qualifies but refuses to work anywhere and has set up a business which now is under millions of debt. he still is after that and has become dilusional. besides he has had a few hallucinating episodes as well. he is obese .regards ### REPLY: Hello. I cannot diagnose your brother without meeting with him. Symptoms of mania include:at least three of the following: Inflated/expansive/irritable mood Grandiosity Decreased need for sleep and still very activating thoughtsPressure to keep talking/talking fastDistractibilityIncrease in goal-directed activity/agitationIncrease in pleasurable/harmful activities, all of which can include hallucinations and or delusions. It is possible your brother may be experiencing a manic episode, but there is too little information to tell. I strongly recommend that your brother see a medical doctor who can rule out any physical illness that may be contributing to his symptoms, such as thyroid problems. Thank you for writing, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter is 2yrs 10 months age.from day before yesterday she is suffering from caugh and mild fever.from yesterday started running nose and continuos sneezing with same mild fever today her fever raised to 101.7 i gave her meftal p.from day before ysterday we are giving Levolin and alerid by paediatrition suggestion.iam very much worrying about her health kindly suggest that we are following right medicine or not and when my daughter will get relief from fever,cold and caugh. ### REPLY: Hello! Welcome to ! It sounds like your daughter has a virus. To be honest, her fever is a good thing because we know her body is trying to fight off a nasty virus. I know it's not fun to see her sick, but her body is doing what it needs to. The medications you are giving sound like a good match. A cold virus can last several weeks. To be more thorough, a fever associated with a cold can last for up to 3 days. The nasal congestion can last up to 10-14 days as well as the cough. When your little girl has a fever, we don't want to turn it off with medication. The main goal is to keep her comfortable so only give the fever reducer if her fever is above 102.  Of course, you can give it for other cold symptoms such as body aches and sore muscles. Give her plenty of fluids to keep her HY .  Hopefully your daughter will start to feel better 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: Hello, I have an upper and lower respiratory tract infection , i was given a decadron injection and put on azithromycin and prednisone for 5 days. I take proair inhalator every 4hrs to help breathing.I am on my 3rd day. Since i saw my doc i have gotten more sinus congestion. Pain in my ear stopped but now have crackling of both ears when inswallow. Yesterday i started to have vision changes. Near visio is ok but far everything seems blurry. Is this related to medication or a sign that my sinus infection is affecting my vision? Thank you for reading. ### REPLY: Hi, These both donor have any issue with the vision problem. This may be due to some other problem or is simply a vision problems visit your eye specialist to have check for the vision. These can manage your respiratory tract infection. Take a decongestant such as loratadine in combination with pseudocode .  I hope I am successful in solving your query if you have more you can ask me Take care Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thanks for taking my question. A person I am very close to suffers from post-polio syndrome. When he was aged 8 he was diagnosed with poliomyelitis. He is now aged 82. For the first time yesterday did he developed a hardening of his leg muscles, especially the right leg (not so much a stiffening), which made him very unsteady and worried that he would fall. Is this perhaps another symptom of worsening post-polio syndrome? If so, can you offer any remedy, mindful that this man s health otherwise is very good, according to his personal physician? ### REPLY: Hi, Thank you for providing the brief history of you. As the PPS is such where the symptoms are automatic in nature and lead to discomfort in the normal anatomy of the spine. This may lead to abnormal signs and symptoms. I will advise to undergo physical therapy as it will be helpful to maintain the functional ability. In my clinical practice I am seeing PPS patients and with physical therapy we are able to maintain the symptoms and functions to normal. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I gag mostley in the morning sometimes just putting my shirt on or belting up my jeans,sometimes bad smells make me gag or being out of breath or the dentist and lastly cleaning my teath,im 57 height 5foot 10"" and the list of health problems  to  long ### REPLY: Hello Thank you for trusting  Many causes for gagging and most common cause is gastroesophageal reflex disease in which back wash of stomach acid into esophagus cause gagging. Other possibilities Andalusia is rare, occurring in about one in 100,000 people, so this is not likely the problem. It causes regurgitation and difficulty swallowing, both of which can result in gagging. Vagus nerve impingement causes gagging in people who underwent sinus surgery and head injury Esophageal spasms are abnormal muscle contractions within the throat that typically causes pain and difficulty swallowing. Smoking is the another cause for gagging with chronic smokers with excessive sputum may triple down to esophagus may induce it. Sometimes stress may induce gagging. Above I mentioned few causes for gagging you need to evaluated to diagnose the cause for your problem. Please consult your doctor he will treat you accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 50 yrs, female,mother of one son 22 yrs old, thinly built. having low grade intermittent fever for last about six month- finally diagnosed with megaloblastic anemia. All other tests are normal; Urine, Blood C&S, Chest PA view, Hepatic profile, haemogram. I have about 1.5 inch enlarged soft-farm liver. I am on injectable methylecpbalamine and tablet also. Had one course of norfloxanine. I am still having low grade intermittent fever in the morning & hepatomegaly. ### REPLY: Hi thanks for asking question. Noted you have Pyrex since long duration. Rule out tuberculosis if you have cough by sputum culture. Typhoid also rule out by blood culture. Investigate for HIV as it can lead prolong fever with diarrhea... Sometime malaria and leukemic leukemia might be because that may not be detected in blood examination. Do bone marrow aspiration for it . If you have certain metabolic disease like gout that can lead prolong fever. Thyrotoxicosis also can lead prolong fever. So do thyroid profile for it. If you have history of head injury or excess heat exposure then also fever can occur.Meanwhile, complete vitamin B 12 injection. First rule out these causes and still fever present with your detailed physical examination and history further work up will be done. 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 started the ChatDoctor diet about two months ago. I have had idiopathic peripheral neuropathy for 30 years. It has bothered my feet and ankles. Since starting the diet, I have developed numbness in my fingers. That could either be a natural progression of the PN. Could it also be a result of the ChatDoctor diet? Thank you. ### REPLY: Hello,  diet is not approved for weight loss unless it was recommended by your doctor. As it contains restrictions in foods, you might suffer a lack of nutrients, plus changes in pH of body fluids.  All these changes might affect the already damaged nerves, precipitating neuropathy pain flare-up. So you should stop this diet, and if it was recommended by your doctor, report this to him/her. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I twisted my ankle and I have a hard bump like bruise at the bottom of my right ankle when I touch it is hard like a rock and I have been taking a pill that reduces get out from my doctor could that still be it this is been going on for over 3 months no change... ### REPLY: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you need to figure out the cause of that bump, is it due to your trauma or It's something else occurring along with trauma, you will need repeat X-ray and other investigations, because normally in trauma there is blood collection which the body clears in 1 to 2 months time. I hope that answers your query. If your want any more clarification, contact me back. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i had a fall 2 years ago at work and after physio treatment and hydro therapy I came right (catching whooping cough as well) 4 weeks ago I twisted as I ran to help a child at work. I have had ct done today and it says that their is minor facet joint degeneration L5/S1.There is a shallow central and right paracentral disc protrusion at L4/5. ?Subtle compression of the right L5 nerve root. There may also be minor annular bulging at L5/S1. The foramina are all intact. I have problems standing for to long is this something that can be fixed and is it a result of my injuries or just age I am 45, please help ### REPLY: Hi, I have gone through your question and understand your concerns. These lesions found in CT are derived from both your age and repeated trauma. At this point, treatment consists on rest when symptoms are severe, warm procedures on your back, avoiding height lifting, NSAID . These measures should improve your symptoms. For NSAID treatment, you should consult your primary care Doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 child is 11years. she had asthma around 3years ago but was controlled with asthalin and wycelone 10mg. now recently she has got cold and cough and the family doc says she is weezing.. though we cannot see it. says its internal. n has prescribed duolin, defcort, deriphyllin, kasni and telekast-L. are all these medications essential? n shouldnt she be taking any vitams etc with these? ### REPLY: Welcome to . Active treatment is always required during episodes. Your doctor is on right way but according to me micronized dose of steroid is preferable by giving rota cap to avoid side effect of oral long time steroid therapy.levosalbetol/beclomethason rota caps is available. Inhaler is also helpful. Avoid triggering factors like cold . Multi vitamin, vitamin-c is useful to improve her general health. Keep in touch with your 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: hi I broke out with a kinda of weird rash it looks like a insect bit but then like a rash. it does not itch, I went to the ER and they said it looked like a allergy reaction but I am worried.it started with a small white spot then it swollened up and got hard, ### REPLY: Cellophane You for contacting . There is a possibility that rash is because of insect bite. It usually resolves itself in few days. If I were your treating doctor then I would have advised cetirizine one at night for 5 days. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing. 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: yes last few weeks i have been experiencing horrible anxiety/panic attacks that have caused me to not be able to leave my home.  if I do leave it is at night, during the day I have such severe anxiety my heart races uncontrollably and i feel paniced.  this is not me at  all ### REPLY: Degree understand your concerns went through your details. Panic attacks always happen due to underlying anxiety disorder. You need to analyze what happened to you and what is basis of your anxiety. Please understand anxiety is part of your bodies defense mechanism, and you have nothing to worry about it. The more you worry, the more problem it creates. You could be needing psychotherapy techniques as treatment. 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: My son did a cannon ball off some playground equipment and landed on his back. There is no bruising or swelling the area, but he was in a lot of pain after the incident. He is complaining of some back pain, but he is having a lot of pain to the touch behind his belly button and slightly above. Is this something that needs immediate medical attention, or is it something I can just watch for a few days? ### REPLY: Hello, I have studied your case. If pain remains persistent then I will advise you to further investigate I will advise you to do X-ray and Ultrasound of back. You may need medical attention if pain persists. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am eight weeks pregnant the father of the baby doesnt want me to have the baby. yesterday he came over he said to talk but he eneded up bringing extacy and pressured me into doing it so i would feel bad and have an abortion. now i feel horrible and i dont think i want the abortion and i dont know if i harmed the baby. im scared!!!! ### REPLY: Hello, and I hope I can help you today. Ecstasy, or MDMA, is a kind of stimulant . So if you want to keep the baby, there is no medical reason why you need to worry about the pregnancy.  You may need to re-evaluate your relationship if the babies father pressures you into doing things that can harm you or the baby, but for now, there is nothing to worry about.  You should begin taking prenatal vitamins though, any brand is fine, and they can be purchased at your local pharmacy. I hope your situation gets resolved, and I wish you the best of luck with the rest of the pregnancy, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive noticed that on my penis I have newly formed ugly veins under the skin that almost look like varicose veins. I only masturbate once a day on average, but I suspect this is what its from. Is this a dangerous symptom? Or will it go away if I resist the urge to masturbate ### REPLY: Dilated veins over the surface of penile skin is a normal happening. Yes, it can be aggravated by excessive masturbation. I would advise you to decrease the frequency of masturbation to once or twice a week and the vein size would decrease slightly. The engorged veins, however, would not cause any problem to you in the long run. Do let me know if you have any other queries, and also, please mention your age, height and weight when you do. Take care. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I AM DIZZIE WHEN i GET UP AND I HAVE BEEN TOLD I DO NOT HAVE VERTIGO. THE EXERCISES THAT DR. COHEN GAVE ME TO DO DONT SEEM TO WORK. IS THERE SOMETHING ELSE I CAN DO ? I STILL GET DISSY DURING THE DAY BUT NOT AS BAD. I HAVE HAD A MRI BUT NOTHING WAS FOUND. IT HAS BEEN 6 MONTHS. ### REPLY: Welcome to . If your local clinician is pretty sure that you are not having vertigo and the brain MRI has also turned out to be normal then there may be some reason for your dizziness related to your cardiovascular system. Please get yourself checked by a local physician for postural hypotension and also get a 24 hours ECG monitoring that is called Holder monitoring to analyze if you have any cardiac arrhythmias. Also get fasting and postprandial blood sugar levels to detect whether you have any blood sugar levels abnormalities because frequent hypoglycemia can also lead to such dizziness spells. All these problems will need to be ruled out. I hope the advice will be helpful for 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 32 year old son has had high blood pressure since he was 18 when we found it. Yesterday 9/30/14 he called me and said he was dizzey .when I got there he was on the floor and I could not wake him up. After about 20 minutes while we were trying to get him to the car to go to the doctor he came to. he refused to go to the doctor because he was afraid he would be put in the hospital and he cant afford insurance. his blood pressure was 214/184. after about thirty minutes he said he was fine. He is stressed because his job has cut his hours to 20 a week. should we try to force him to go to the DR? ### REPLY: Hello there, Thank you for relying on . The condition you described is an emergency which definitely needs medical care, or it might be fatal later. If he was diagnosed at an age 18,was he on antihypertensives?. If not then he should be immediately be on one. Left uncontrolled, he may wind up with a disability, a poor quality of life or even a fatal heart attack. High blood pressure might cause damage to his heart(Coronary artery disease, Enlarged left heart, heart failure), brain(Transient ischemic attack, mild cognitive impairment, stroke), kidney(failure) and a lot more if not treated. So I would suggest you to force him to see a doctor. Nothing is worth a life. In the meantime, he should follow strict diet plan like;1)Low salt and low fat diet2)eat fruits and vegetables which are rich in potassium and magnesium3)Exercise at least 30-40minutes a day to lose those extra body fat. Hope it helped. Feel free to ask any more queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have several health problems but cannot be operated on until the 3 aneurysms around the heart are fixed. As a result my immune system is overactive and I have a terrible skin rash which is very itchy because of it. Is there anything I can do to ease this itching? ### REPLY: Hi, I believe that the use of moisturizers to 10% urea-based can help reduce itching. Furthermore, I believe that the itch should not be directly related to the existence of aneurysms. We should check if your skin is . . In addition, we must rule out the existence of contact allergies or even scabies. So, I suggest you see a dermatologist for diagnosis and guide treatment. Until then, the use of moisturizing creams to 10% urea base can help ease the discomfort. Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i just got out of hos i still cant keep my pain meds or nausa down either i finished my cancer treatment april 1 and know lymphoma free what is elevated alk phos they did so many test my pail is still a 10 it only got to 8 in hosp, for 5 days what should i do , im in denver vist my 86 mom to help her i dont leave to go home till 26 help karen cant type sorry ### REPLY: Hi Karen. What your current doctors tell you about the cause of pain. Sometime after cancer treatment stem cell in marrow show delayed recovery and this may cause pain. If this is the cause then be assured. You can take acetaminophen on as and when required basis. Any other cause of pain will need further evaluation. But since you already been evaluated for lymphoma I personally don't think that there could be any other cause. Moreover describe your pain on detail next time. Site duration radiation and any other special characteristic. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a viral infection of some sort since January 1. Diagnosed with flu, bronchitis, costrochondritis, low grade fevers, fatigue. I also have fibromyalgia. I broke out in a rash for about 2 weeks, and was given medrol dose pack and topical steroid cream. I still feel flu like off and on, and am still breaking out it hives - although it does not get on my face. Mostly my neck chest, back, and arms. Some areas on my lower legs. What else could it be? What else should I do? ### REPLY: Hello, welcome to , The repeated flu episodes are may be due to allergic reactions following viral infection. The virus itself can stimulate the mast cells to release histamines to produce the symptoms of generalized hives. The symptoms are suggesting me that you may be having allergic reactions. I would suggest you 1. Cold Packs over the hives2. Oral Antihistamines with Mast cell stabilizers3. Topical Antihistamines and Steroids. If there is a secondary bacterial infection it should be treated with oral antibiotics. 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: Bump on lip I had a bump on my lower lip like a cold sore about three weeks ago and now for the past week I have had a bump on my top lip. It looks as though its going away but is dark like it will leave a dark mark. Iam 36yrs old, Male, I smoke ciggarretes daily and I drink beer twice a week. I also drink coffee every morning and I have a dog. ### REPLY: Hi Dear, Welcome to . Understanding your concern. Thanks for your query. The probable reason for bump on your lip is canker sore or cold sore. There can be many factors responsible for canker sore like stress (very common), irritation of mucosa due to food, fruits and . They usually go away by their own without any treatment in week or two or by avoiding trigger factor. I would suggest you to apply some antimicrobial ointment, start multivitamin supplement containing vitamin B12 and folic acid, quit smoking and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi there i just got diagnosed with pityriasis rosea and i spend alot of time at my brothers and his wifes and she is about 5 months pregnant im just worried is there any way that she could pick up the virus cause ive heard its not good if a pregnant woman gets pityriasis rosea ### REPLY: Thanks for contacting ChatDoctorI can see you are concerned about spreading satyriasis rose (PR) to family members. We are not sure exactly what PR is or how it is transmitted, but we do know that women who are pregnant have a higher incidence of PR. Some studies have had women who contract PR in their first trimester having higher spontaneous abortion and early delivery. These studies were very small, and no real conclusions can be .  Since your exposure to the wife of a family member is already in her late 2nd trimester she and her baby are relatively safe. I hope this reassures you and your family. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 30 years old married female. I have 1050 ml or above prolactin level it is not controlled by any med and i have a normal result of MRI brain. my blood pressure remains low to normal but some times i behave like hypertension patient which is amazing for me and others. i have permanent running nose and sneezing and headache problem. I have no children instead of all o.k reports. please suggest me some test or treatment. ### REPLY: BELIEVE ME I HAVE TREATED MANY PATIENTS LIKE THIOATUALLY THE HORMONAL LEVEL IS DISTURBED WITH ANIMAL MINIMAL MILK LIKE COW MILK HAVE BOVINE FEMALE HORMONES AND OUR BLOOD HAS HUMAN FEMALE HORMONES WHICH ARE NOT COMPATIBLE WITH EACH OTHER STOP ALL MILK AND MILK PRODUCTS AND COMPLETE DIARY PRODUCTS YOUR HORMONES LEVEL WILL COME TO NORMAL WITHIN 6 MONTHSSOMETIME WHEAT ALSO CAUSES INFERTILITY RECOMMEND YOU TO GET BLOOD SERUM TEST FOR WHEAT SPECIFIC ANTIBODY IF IT COME POSITIVE THEN ELIMINATE WHEAT ALSO FROM DIET BUT MILK IS NECESSARY TO ELIMINATE TO BRING BACK HORMONES TO NORMAL IF SPECIFIC ANTIBODIES ARE HIGH FOR WHEAT ELIMINATE IT OTHERWISE NO NEED TO WORRYING THIS IF GOD WILLING ALL YOUR PROBLEMS ARE SOLVED THIS IS REAL TRUTH I HAVE SEE NIN MANY OF MY PATIENTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 arms and my legs and even parts of my back are falling asleep no matter if I am standing, sitting, or lying down. My muscles are fatigued by the smallest of work. I am also getting random spasams. This situation has progressed rapidly in the last 5 weeks. ### REPLY: Hi, since you mentioned you are feeling fatigue and get muscle spasms it could be related to lack of physical exercise. Usually human body reacts to the metabolism functioning of the cells. When the Cardiorespiratory endurance is low there leads to a fatigue and muscle spasm. Also, related to work profile, if its more of a sedentary lifestyle or more of an office table work. Body needs to have enough metabolic functioning as to get the output of the functions. Also, performing regular breathing exercises, meditation, body conditioning will help reduce the spasm and also the fatigue. If the symptoms are progressing then it is on a safer side to get the laboratory tests done. As it will help to see if any vitamin deficiency is leading to the symptoms and can be fulfilled by supplements. With the grace of God I wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,Since January 2011, I have been restricting what I eat, binging and purging on and off. Recently I have noticed clumps of my hair falling out and it is a lot worse when I have a shower. I have been taking specific hair supplements but they dont seem to be helping. In the last couple of weeks I have been eating healthily but the hair loss has not stopped. Do you think that my hair will stop falling out and eventually become thicker again and if so, how long will it take?Many thanks,Sorcha. ### REPLY: "Hi! Welcome to . Com. I have read your query in detail and do understand your concern." Daily shedding of up to 100 hairs is normal. Excessive hair fall can be due to male pattern baldness, physical or mental stress, anemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Avoid routine application of gels or frequent blow .  Use a sulfate free shampoo for your hair twice a week. Biotin containing hair supplements can be taken for 3-6 months. Hope this helps! Good luck!" ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has fluid on the brain. He had a spinal tap yesterday to drain excess fluid. He has been hallucinating with mood swings and agitation. He also has short term memory problems repeating the same questions over and over. Picking imaginary threads off his clothes. Is this all related and I just need to wait it out or is more going on. He has many health issues going on. No changes in medications. ### REPLY: Hello, Do understand that the person undergoes a lumbar puncture (LP) as an investigation modality. There is a possibility that the symptoms occurred after the LP but the fact that the test was ordered prior to the symptoms suggests that there was some neurological problem going on before the LP was done (details of which are not available on the query). So, I think the symptoms are related to ongoing problem, not LP. As for the cause of the symptoms, it would be inappropriate to comment on the diagnosis without clinical details and other investigations. One of the reasons why LP is done is infection and severe infection-called meningoencephalitis- can cause the symptoms. As for the excess fluid .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had a chalazion excised 3 weeks ago and been using antibiotic (with steriod) ointment since the surgery. My doctor asked me to stop using the ointment already, but 2 days after I stopped, I felt that the bump had formed in the same spot where it was removed. The bump is also swollen now. Whats happening? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. It is possible that infection has occurred there, so the swelling has occurred. I advise you to continue the treatment as there is possibility of infection. Please start the oral antibiotics as it also treats the infection. I advise you to take the definite 200 mg tablet under your doctors' guidance. Paracetamol with serratopeptidase helps prevent infection and improves the healing. Please take the above medication under your doctors' guidance. Please maintain good hygiene as it is equally important in treating infection as antibiotics do. You can wash the eyes with normal saline frequently. Wearing a goggle can reduce the eye strain. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I suffer from seasonal allergies, but when I blow my nose I taste metal....I have only taken OTC medication. My head hurts, and I am totally congested. When I blow, there is no thick green mucous just lots and lots of clear white...this has been going on for months. What do you recommend? ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to Allergic rhino-tracheo-bronchitis. Presented with similar complaints, I usually treat my patients with:1. Tablet Allegra 60 mg twice a day or Tablet Levocetrizine 10 mg in the evening.2. Tablet Montelukast 10 mg in the evening.3. Stalin inhaler (if there is associated breathing difficulty).4. Voice rest-avoid talking in loud voice & for a long time.5. Stay protected from exposure to cold, dust & other allergens.6. Steam inhalation.7. Avoid smoking, cold food & .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: OK so you see i have a pretty big bump on my gums ( not pus filled) along side a cavity and it s been hurting quite a it it s hard for me to eat anything and ive had it for a week now and suddenly ( with out me touching it ) it burst open with blood flowing this happened when i was brushing my teeth . and it has begane to shrink ever since. IS THIS GOOD?????? ### REPLY: Hello, Thanks for sharing your concern with USA ruptured abscess is a collection of encapsulated inflammatory material that breaks open, releasing pus and other fluids into the surrounding area. Depending on the location of the abscess, a rupture may make a patient feel better by allowing the abscess to . Most gum abscesses will heal quickly after three things happen: The area is cleaned thoroughly. The trapped pus is allowed to escape. The infection is treated. 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 im 36 with a history of polycystic ovary syndrome, for the last 5 years or more i have had regular periods on a 33 day cycle. Up until 4 months ago that is when my periods ceased. Almost 2 weeks ago our condom came of during sex so the following morning i had the e.C.pill but alao started my period the same mornin....does this increase the risk of having an extended period? ### REPLY: Hello, Thanks for the query to . Forum. Contraceptive pills don't interfere with periods(as its extension). This is the P C O S, causing dysfunctional uterine bleeding. Besides, you also have scanty menstruation with amenorrhea (as without bleeding for 4 months). If you are taking treatment of P C O S, well & good. Otherwise, please consult a gynecologist and get his opinion regarding your disease. 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: Hello Doctor, My daughter is 9 1/2 years old, from the age of 2 years she is been allergic to cold. She always breathes through mouth and her nostrils get blocked. When we force her to close her mouth and breath through nose she starts coughing and has continuous sneezing and running nose. We have approached many clinics, but the medicine provided was only nozil drops, cough cyrups lik biodryl, relent, quiet and sinarest. Due to which she is unable to concentrate on her studies and we are worried about her future and her health. Some doctors told that she will be fine when she is 12 years old, but some doctors told that there is nerve growth in her nose, which needs to be operated. Please advise ### REPLY: Hello, Thank you for asking at . I went through your daughters history and understand your concern. I would like to know more about her like - Has she had any CT scan of sinuses done so far? Has her nose been ever examined by an ENT surgeon from inside? If yes, what is her status of sinuses and adenoids? Does she snore while asleep? For allergies - What are the best and worst seasons for her? Has she ever had wheezing or breathing difficulty? Does she regurgitate or have heartburn, especially after hot/spicy foods? Does she have any other medical conditions? From your history, I would like to make following suggestions to you:1. Were I treating her, I would prescribe her an intranasal corticosteroid spray like mometasone or fluticasone propionate for at least 2-4 weeks depending on response.2. I would also suggest her allergy testing which will identify the substances that cause troubles to her and also to know how to avoid them.3. A detailed consultation and evaluation by an ENT surgeon is necessary to make suggestions regarding further management. If she has structural defects like deviated nasal septum, she may require surgery. If she has disorders like adenoids, chronic rhinosinusitis, appropriate medicines can be suggested, and if they fail, surgery may be advised.4. Please avoid exposure to dusts, smokes and air pollution to her as much as possible. Hope above suggestions will be helpful to you. Should you have any other query, please feel free to ask at . Wish your daughter the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was giving in PROVENTIL INHALER FOR A HACKING COUGH LAST YEAR IT WAS LIKE A DOG BARKING COUGH I USALY TAKE 2 MONTHS FOR ME TO GET TO THE DR,  AND I ALWAYS GET INHALER SHOULD I ASK FOR REFILLS.  THE INHALER NEVER HAS A REFIL COUGH SYRUP AND  COUGH DROPS DO NOT WORK MY SISTER HAS ASTHMA. IT SEEMS LIKE AFTER I AM USING THE INHALER,  FOR A WEEK IT SEEMS LIKE THE ONLY THING TO CALM MY COUGH ### REPLY: Hello dear, welcome to .come have evaluated your query thoroughly.* Guidelines for better outcome - Continue inhaler as per directions of your doctor.- Deep breathing exercises, YOGA, walking in fresh air would be the corner stone of management.- Gargles with salted lukewarm water added peppermint oil 3 times a day- Basil leaves, turmeric in boiled water, pure honey are excellent herbal supporters.- Avoid smoking or alcohol if using.- Avoid exposure to dust, pollen containing atmosphere ; if needed to use triple layered facemask wisely. Hope this clears your query. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a post polio man having had polio 61 years ago. I always have had problems with my bowels and for the last 30 years have had to use a water enema. Over the last 6 months bowel movements have been more difficult. Could post polio syndrom be an issue? ### REPLY: Hi, Polio affects only the anterior horn cells of the spinal cord which are responsible for movements. Bowel movements are not controlled by spinal nerves, there movements are intrinsic to the intestines and develops in situ. In polio, due to prolonged immobility these movements becomes week though not directly but indirectly. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has been having non-epileptic seizures for approximately a year now, minutes before the seizures she feels a tingling sensation in her face, breaks out in red splotches on her face and chest, and recently has been complaining that her chest is tight just prior to the seizures. She is a month away from being 15 years old, @ 5 2 tall and weighs around 145 pounds. She has had many tests ran EEG, EKG, bloodwork and all kinds of other tests. 95% of the seizures seem to be a couple days prior, during, or just a couple days following her cycle. What are your thoughts ### REPLY: Thank you for the query. By your description it is quite clear that its non-epileptic seizures. This usually appears at adolescence. Aggravate during premenstrual periods, due to hormonal changes. This is mostly due to psychological reasons. Depression could also be the reason, which is very common premenstrual. Some physical exercise on regular basis, psychological counseling and if needed Psychiatric counseling (this does not mean she has mental disorder) may help her immensely. One needs to be patient so that the child is able to cope in better way. To keep in touch with the neurologist is advisable. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, today I stared with a pain on the right side about an inch or 2 from by belly button. I feel it more when I walk. Last year I had the same pain put with more pressure and felt somethinig wanting to come out of that area. I had every test done, my doctor was in between gallblader and apendix but the test came out clear. ### REPLY: Hello thanks for choosing  well as you have mentioned the pain and region of pain it seems to be related to appendix or gall bladder, but you also need to look into the possibility of a ureteric calculus, you should get a urine examination and an x-ray PUB done & get a report from a good radiologist. Then discuss the report and test with a general surgeon after he examines you, hope that is helpful thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 18 month old son has no history of trauma to his teeth. But his top central incisors and lower central incisors seem a bit more mobile then the rest of his teeth.Is this normal or should I be concerned? He has all teeth but his canines all just poked through. Could this just be his teeth finding their place? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint during the initial period of tooth eruption the and along with erupting teeth the jaw also keep growing leading to movement of teeth and occupying their appropriate position. There are certain grades of mobility and the teeth should lie under it to be normal and healthy. A very slight mobility of front teeth can be seen as compared to back teeth as the front teeth has a single root and less Anchorage than back teeth with multiple roots. I would therefore suggest you to consult a Periodontist and get evaluated, and he can check whether the teeth are normal as slight mobility is not abnormal as teeth are surrounded in the root area by a cushion like ligament and not tightly bound to bone. Any abnormality needs to be further evaluated by x-rays and treated accordingly. As of now maintenance of good Oral hygiene and a healthy diet should be given. Hope this information helps. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had a physical last week and got my blood results today. My doctor said my cholesterol was down to 165 from 190 2 years ago. I should have asked him was the 165 he referred to as the total cholestrol. I was in a hurry to leave the office as I was there for 2 hours. He was happy with that and told me I didnt need any medicine. So my question is, is 165 my total cholesterol level?Claire ### REPLY: Hi, Welcome to , I am glad that you are taking preventive medical checkups. You have given information about Cholesterol which is reduced in 2 years at present it is 165 mg/DL. It should be total cholesterol. I presume all other parameters are within normal limits. Cholesterol testing actually requires complete Lipid profile which includes Total cholesterol. LDL, HDL and Triglycerides level. Out of this HDL should be high as it is good form of cholesterol and all others should be low. Even if total cholesterol is normal follow healthy diet and lifestyle including avoid tobacco use, and alcohol(If you take), regular exercise and taking care of your diet. If you have reports you can use premium section of this with uploading reports to get specific answer. Please continue to take medical check up periodically. Take care. Good Luck. . D. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc, my sperm test value are below pls let me know any problem to become a father colour : pearly white Appearence : Opalescent Volume :Viscoid Reaction : Alkaline Fructose : positive Total sperm count : 98 Millions/ml Avtine Motile 80% Sluggish : 10% Non Motile: 10% Normal Forms : 90% Abnormal Forms : Pin Heads Pus Cells : 18-20 /HPF EPITHELIAL CELLS : 3-4 /HPF ### REPLY: HelloThanks for query. The report of your semen analysis is well within normal range of WHO standards for count, motility and morphology is concerned.However, presence of 18-20 pus cells is strongly suggestive of infection either of prostate or seminal vesicle. You need to take antibiotics like Doxycycline twice daily for a month and repeat your semen analysis after one month to confirm whether infection is completely eradicated or not . I think with this treatment and if infection is controlled you should not have any problem to impregnate your wife. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dr...this is my question.. That..iam 36 yr old. During my pregnancy 1month found my tsh level is 12.5 and my beta ChatDoctor was too low.dr.prescribe me thyronorm 75mcg od.after a wk i had miscarriage at that time my tsh level were 11.5 and till i continue the same dose.now 3wks i am taking this medicine. Now i had excess hair loss also.Dr..please answer me when i do next thyroid test..and tell me the exact dosage should i take..thank u. ### REPLY: Hello, Hypothyroidism (low TSH) can cause infertility and miscarriages. Before conceiving you should be in Synthroid. The optimal dose is 75 mcg, and it has to be monitored once in a month, whether it is adequate or not. If not again dose has to be adjusted, if TSH is normal, then repeat the test every 3 months. You have to take thermoform on an empty stomach early in the morning before breakfast. Before conceiving your TSH level should be normal. Otherwise, it will be dangerous to your growing baby. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom has been diagnosed with fatty liver, and she is up all night with dry heaves and no energy to move.  She ends up in the hospital every other month or so, feels better for awhile and  then it starts all over again.  Is this normal for her condition ### REPLY: Hi, Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from "Alcohol" - Low fat diet should be followed, avoid junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese- "recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Hope I have answered your query. Any further questions are welcome. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi there, i have various symptoms, i have irregular heart beats but no real heart diseases, i have very irregular and weak urination symptoms, very weak and tired, and have gained about 4 kg in couple of weeks even thoughi eat less then my 2 year old, lower back pain, breathlessness. I am scared that it may be heart failure or anemia with blood loss. My stomach seems slightly rounder then normal, is there distinctive signs for anemia with blood loss as the cause ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some anemia due to blood loss or some other reason.  It can lead to breathlessness and congestive heart failure.  You should go for ultrasound abdomen and anemia profile to search the cause.  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: Hi, I just discovered a hard pea-sized lump at the base of my skull on the right side. I have had 2 brain surgeries--one for a brain tumor and the other for trigeminal neuralgia. In the last month or so I have had some numbness and then tingling on the right side of my face and sometimes the numbness has lasted a while. This is the side of the trigeminal neuralgia. What is your recommendation? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your tingling and numbness may be due to trigeminal neuralgia.  Your lump has no relation with that.  Your lump may be enlarged lymph node or soft tissue tumor or cyst.  Consult your doctor and go for examination.  If needed go for biopsy of that lump. 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, I have had the implanon inserted for about 2 years now, I had a lot of spotting and so a couple of months ago I took birth control pills and that made the spotting stop. A couple of days ago I smoked marijuana and suddenly my spotting returned, could the marijuana have caused the spotting? ### REPLY: Thank you for your question and I will try to help. The most common complaint with these implants (they are progesterone implants) is breakthrough spotting.  Early on after their insertion, this is very common.  Later, such as after 2 years, the lining of the uterus becomes very thin (which is normal) and prone to bleeding.  This can once again be treated with birth control pills.  This has nothing to do with marijuana use.  Finally, make sure that you check a pregnancy test now and in 1-2 weeks. I hope that this helps and good luck! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9yo got hit in the cheekbone today with a very hard/fast thrown baseball. Didnt lose consciousness, never vomited... Put ice on it immediately.  Swollen a little, skin slightly broken, a little blue. Motrin knocks most of the pain out but still tender of course. Does he need to see doctor tomorrow or can we wait and see how it feels in a day or two? He is in great (normal) spirits but just doesnt want it touched. ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query, as your child had injury now he had bluish swelling and pain this can be due to formation of Hematoma in that injured area I will suggest you to consult oral surgeon for examination of teeth and bone for any discontinuity or step deformity or if any intro oral laceration is present. Advise him to take soft diet, No hard solid food is to be given for few days, Do Luke warm saline rinses and consult doctor tomorrow for extra oral and intro oral examination and of needed to go for investigations done OPG X-ray. Hope this will help you. Wishing your child 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 just had a banana a little while ago which by the way I havent had in a long time. Anyways I was falling asleep & out of nowhere I started to cough uncontrollably felt like something was stuck in my throat like I wanted to throw up/choking at the same time.. Is it some type of allergic reaction? ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. From your description, I would not think of allergic reaction at first. I would think it as a kind of "irritating" cough, may be related to rapidly swallowing of a food or inadequate water intake after food.2. As it happened for the first time, I would not suggest you to think of allergy to banana. Allergy to banana is possible but not that common. In the future, I would suggest you to chew banana slowly and swallow it well (avoid fast eating and swallowing) and if possible, have some liquid and stay upright after taking to food. Hope above suggestion will be helpful to you. Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sgpt level is 66 which is tested yesterday and 3 months back I found through scan that I have gall stones which were .2-.3 mm size. I am worried on this SGPT value as my husband got Jaundice recently 1 month back.. So this value of SGPT is due to Jaundice or due to gall stone problem ### REPLY: Hello Gall bladder calculus may cause jaundice and increase in SGPT. It may be due to obstruction caused by calculus. Your husband may need clinical examination and investigations like routine hologram, complete liver function test, urine RE/ME, latest ultrasound of abdomen. He should go for definitive treatment of gall bladder calculus. Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy). He may need tablet ursodeoxycholic acid 300 mg twice daily for three months. It regenerates liver cells. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have a question regarding my 3 year old son. About a month ago he was complaining that the right side of his abdomen was hurting a lot. We took him in for testing where they did blood, urine and xray and said he has pneumonia in the right lung towards the bottom which would explain the abdominal pain. However he was not coughing, no fever and even his pediatrician listened with a stethoscope the next day and said he sounds fine. I insisted on another xray which she did and then she appologized that she was wrong, and yes he has pneumonia. So he took amoxicyllin for 10 days, 6g twice daily. 3 weeks later we scheduled a follow up xray since she says that it takes a while to clear up. We did the xray and there was no change whatsoever. So now she says its probably not pneumonia and need to see a pediatric pulmonologist. The pulmonologist looked at all the xrays and says no pneumonia. He recommended a CT scan, whcich we did. Now he says good news, the CT is good, no cancer or anything however the right outer lung has thickened tissue. He says this could be due to a old infection and in any case he is fine. Now my question is is this thickening dangerous, will it pass and is this ok for a three year old. Also, what type of infection could have gone unnoticed by me earlier. I like this doctor, but I am a mom who is very worried about my son. Thank you ### REPLY: Hi, Welcome to this forum. Can understand your concerns. It is good that your child does not have pneumonia or any other things, the child only has pleural ticketing. There are many causes of pleural thickening like bacterial pneumonia, injury to the . However, since you have already done CT scan and x-ray chest the chances of injury to chest, bacterial pneumonia, pleural effusion are less. There are some diseases like tuberculosis which have a higher chance of pleural technique, the child should be investigated for tuberculosis. I hope this will help you. Take care. Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I want to enquire if you think I need to go see a docter or will Brufen work...From Tuesday I have suddenly not be able to walk in the back part kf my left foot, then I have a sharp almost sprain like pain down the left side of my foot(almost under die ankle knuckle ) if I sit for a while its fine, but as soon as I start walking it hurts, but there is no pain when sitting. I walked on my toes so far, but now even that gets painful when walking, now I try to walk on the inside of my foot to prevent it from hurting. Do you have any suggestions ### REPLY: Hello, I have studied your case and I think that you may have sprained your muscles of the foot. It can be due to standing for long time or sudden movement which you might not have noticed. So I would suggest you to continue with Broken twice daily. You can also apply compression bandage and volition ointment. Hot water fomentation will also help. If you feel that pain is not decreasing even after 5 days then you should get an x-ray done.  I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END