Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 this uncomfortable feeling on my right side of the chest. it feels like there is pressure in the right side of my chest. sometimes when i carry something with the right arm i feel strain inside the right side of the chest. sometimes when i lift my right arm i feel some heaviness in the chest and a strain. what could this be? ### REPLY: Thanks for your question on . Your symptoms like chest heaviness and strain especially after carrying things by right side, are mostly due to musculoskeletal cause. But better to rule out pulmonary causes first. So get done chest x-ray.  If this is normal than no need to worry. Your symptoms are mostly due to muscular cause. Try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby is 11 months old and she was having cold and fever 1 month back , then it was given antibiotics and she got well in 7 days. Now again she is suffering from acute congestion and cough for past two days and doctor has advised us to go for asthalin and budecort inhaler with Spacer.Is it safe to use this at this age and i mean she should not be getting addicted to this inhalers .I am concerned about this , please suggest ### REPLY: Hi, As mentioned by you baby had acute congestion (i.e. bronchospasm) which is an emergency condition which must be treated on urgent basis and def requires bronco dilator with steroids. Through inhaler these .  As baby cannot co-ordinate with inhaler so spaced is prescribed. Once your baby is fine doc may taper it n stop.  So have faith in your pediatrician and continue treatment. Thanks n regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello dr,my baby with 4 months old and having a weight of 5.9kgs and she is getting loose motion 3-4 times daily for last 2 days.Iam a medical representative in a pharma company,what medicine and what dose should be given to my baby to control suffering situation.My son with 4 years old getting motion very hard once in 4 days,what is the medication for him.So please solve these problems to my childs having by giving your reply. Thanking you Regards T.Madhu Krishna Kurnool ### REPLY: Hi... Regarding diarrhea - Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&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: My 13 month old daughter has been getting teeth and has had a fever on and off for about 4 days. Yesterday I noticed her lymph glands were terribly swollen and she was having a hard time swollowing. She also had a small white sore on her tongue. I took her to urgent care and was told she was teething. They said her nose, ears, and throat were all clear. Today I attempted to brush her teeth and blood went everywhere from her gums and she screamed. As much as I can see, her gums look very red and swollen. They look like they might be infected.. They look painful. Any help would be appreciated. Thanks. ### REPLY: Hello, Thank you for posting your query with , First, I would like to appreciate you for taking your daughter to urgent care in order to make sure, things are under normal circumstances, Also, I would like you to know that during teething period it is quite common for kids to have fever, swollen/red gums, if you could offer your daughter cold teething toys(keep it in fridge for some time) in order for her to chew on it which will sooth her gums down. Also, giving your daughter Tylenol for fever will help her a lot. If she has any known allergies, kindly see the pediatrician before giving her Tylenol. But if you feel, there is an infection in her gums, I will advise you to see pediatrician again, because kids are prone to infections when their immunity goes down, as they are not eating well during teething period. Bleeding from gums while trying to brush, could be because they are sore/swollen right now.  Don't worry, kids do go through this phase which is temporary, I wish your daughter healthy day, If you have any more questions feel free to right us back. Thank you with warm regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having foot pain for almost a week and a half. It been getting worse to walk on it everyday. I have to walk on my toes sometimes to keep from it hurting so bad. Its swollen some and have a red line on thw arch of my foot right under the pad. It runs diagonally from the second toe from the end all the way down under the pad on the arch under my big toe. What could this be? What can i do til i can get to a doctor if i need to go to one? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have foot pain while walking. Well there can be many reasons for symptoms you mention in query like soft tissue injury, gout, arthritis or muscle strain. I would suggest you to keep your feet in hot water tub with Epsom salt for 15 minutes twice daily, take proper rest and do not stand for long time. If condition doesn't get better than consult general practitioner for proper examination. Doctor may order kidney function test along with heart test and check vitals to confirm the diagnosis and treatment. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi am Bhagya my sister is 25 years old unable to walk she s sitting from more then 10 years by sitting f long period she got bed sores n cysts in her lower back also she has a chronic tail bone pain n fever we took her to orthopedic doctor n they hv prescribed bandages f wounds n ring pillow f tail bone pain n 2 tablets zerodol p and taxim o by which she s nt getting any relief from d pain so can u pls help with this n suggest her any good medicine to get rid of d pains am very much worried f her so am requesting u to pls help with this. ### REPLY: Dear patient First I want to know why your sister is not walking for last 10 years?is she suffering from neurological disorder or myopathy? Is she having bed sores? As per your history she seems to have neurological disorder with decreased sensations and so due to prolonged sitting she had got bed sores and coccydynia. Initial treatment is to take off pressure on sore area by using air inflated tire tube. Daily .  Sleeping in lateral decubitus position also helps. If there is no improvement opinion from plastic surgeon for skin grafting should be taken. For pain relied on she should take tab diclofenac sodium 50 mg twice a day and tab attract once at night. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 made sex with one lady on 8 th oct , then afterwards i fill very bad, &got tested for rapid hiv test for both of us on 8 th nov, its comes nagative , again i had done  Elisa test for both after 6 weaks, its also come negative, pl tell me how i came out of situtation ### REPLY: Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Your main concern is regarding HIV diagnosis. After six weeks of exposure fourth generation ELISA testing can be done to effectively rule out HIV. It is advisable to repeat test again after three months of exposure. So repeat test after three months of exposure. If you want to rule out HIV earlier than western blot like molecular testing can be done. Western blot is confirmatory test for HIV as well. Hope I have answered your question. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am looking for possible insight as to my son s medical problems. At age 12(2 yrs ago) he had appendectomy for perforated appendix. Adhesions noted in surgeons report. After surgery he had upper left abdominal pain . 3 weeks later (surgeon ignoring pain post op) he was hospitalized with bowel obstuction. After 2 weeks in hospital he was released still having the same pain. He has been seen since by Gastro . Symptoms continued with constipation. Now-3 doses daily Miralax. Having daily bm. He is on a high fiber, lots of fresh foods diet with plenty of water and exercise. Chronic pain is affecting daily life. Testing has never shown a root cause :endoscopy, colonoscopy, xrays, gastrograff in enema. Even when bowels totaly empty after gastrograff, pain in left abd. remains. When the pain is the worst he hunches over, not able to stand straight. Recently tried anti-spasmotic bentyl, did not help pain at all. Any insight would be greatly appreciated. They have said IBS-C could be cause. My concern is that all syptoms started post-op. Seems like there is a correlation. ### REPLY: Hello! Thank you for the query. It looks like your son is suffering from partial bowel obstruction. And it seems he has been diagnosed but not treated. This condition is very probable due to abdominal adhesions. As this can be partial only, there are times when stools flow freely and times when it gets blocked. Such blocked stool keeps accumulating and causes increased pressure what will sooner or later cause its passage. Such condition is very hard to visualize with tests. In my opinion, when no other explanation has been found, you should contact a surgeon and ask him about laparoscopy. Laparoscopy is a kind of surgery where the camera and tools are inserted into abdominal cavity through small holes. Laparoscopy will tell if there are any adhesions (probably there is a lot of them) and if so, surgeons will be able to remove these adhesions. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor, my boyfriend was bitten by a dog a month ago. Upon the accident, I took him to the clinic where the wound was disinfected and he was give the rabbies injection. I do not have the name of the injection. The doctor also prescribed antibiotic which he took correctly and finished it. We are wondering, does he need supplementary injections to avoid rabbies? Are there follow up treatments that we should follow. Thank you for your answer. ### REPLY: Hello, thank you for sharing you problem with us. It is good that you visited the doctor immediately where the wound was disinfected this is the first thing that should be done post exposure of the bite. After this there are 4 doses of vaccine-First on the same day-Second on the 3rd day-Third on the 7th day-Fourth on the 14 day think it will be better that you should visit that doctor and get confirmed with the doses. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 seborrheic dermatitis and was recently placed on retin-a  cream but it causes excessive dryness so i got a moisturizer. However, the retin-a is to be used at nights. Is it okay for me to put on the moisturizer with the retin-a at nights, or should i use it during the day to replenish ma losses ### REPLY: Thanks for asking via , Seborrheic dermatitis is a common skin condition that mainly affects your scalp. It causes scaly patches, red skin and stubborn Dan .  Seborrhea dermatitis can also affect oily areas of the body, such as the face, upper chest and back.Nowhere in dermatology retina A cream (topical Retinoid) is prescribed for seborrhea dermatitis. Treatments includes -Creams, shampoos or ointments to control inflammation - HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... yes Im female and I used nair instead of a razor to get rid of unwanted pubic hair. But now I have these bumps on oneside. They are raised and wont go away. Is it the nair? ### REPLY: Thanks for contacting ChatDoctorYes the bumps in you pubic area could be related to the use of Nair. The Nair is a depilatory agent the breaks down the hair molecules and the hair breaks off but the hair follicle stay intact. The as the hair regrows it may grow into the skin or the hair follicle may become infected. I would recommend possible shaving but be sure to shave with the grain and not too close. Hope this answers your question. Please contact us again for any of your medical 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: I am having pain in my left leg between my hip and knee. It started Wednesday night while asleep. The pain woke me up but I just changed positions. Thursday morning my leg felt sore and heavy. It s been hurting ever since. I had pain in my calf and now up to my buttocks area. It feels most like a deep bruise with a burning sensation. I have fatigue and I feel like I can t caught my breath. Should I be concerned? ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there is pain in your knee and Achilles. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. You may need to consult orthopedic surgeon. 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 had sex with with my girlfriend last week(which was in between 12-16 date before her next period).my semen hadn t entered in her orgasm,...only pre ejaculation occured.can be any possibility of getting pregnant?i m worry about it...so plz give me proper answer ### REPLY: Degree understand your concerns went through your details. You had penetrative sex with your girlfriend 12 to 16 dates before her next period. You are sure that no semen entered but pre-cum did enter. In truth, pre-cum do have some sperm cells, but those cells are not enough to enter the vagina, meet with the ovum and fertilize it. Still, there are chances for pregnancy. Please consult a gynecologist for pregnancy test. 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 detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got pericornitis around my lower left wisdom tooth 10 days ago and i got the tooth removed 7 days ago and I have just finished my course of antibiotics 2 days ago and I have healed from the wisdom tooth extraction but the pericornitis is still there the gum where the tooth used to be is still red and swollen and it still has little white puss pockets around there and it is still very painful and tender. should i give it another week for the infection to clear up on its own or do you think I may need to get stronger antibiotics or maybe get antibiotics through an IV directly in the area or do you think i shoulg go to a periodontis an get the gum in that area cut off??? ### REPLY: Hi, Thanks for writing, Puss pockets state that the infection has not subsided even after an antibiotic course. As you did not mention which antibiotics are you taking, I cannot determine its effectiveness. I recommend you to visit your dentist once in case he wants to increase the dose or days. Also tell him about the pain so that he also prescribes an anti-inflammatory analgesic.  Meanwhile, you can rinse your mouth with warm saline, which will give you symptomatic relief. Also use an antiseptic mouth wash 2-3 times a day. Don't let food accumulate in that area and flush your mouth after every meal. Do visit a periodontist in case the newer dose of antibiotics does not solve the issue.  Stay healthy, 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: Hi me n my fiance have beendating for 8years n almost been like a couple n now planning for pregnancy...and whenever we get intimate we opted for i pill as i was unaware as to wat do. But touch wood my periods have been very normal. So wud i hv any complications in pregnancy? ### REPLY: Hi, Sometimes frequent use of I-pill cause hormonal imbalance, menstrual irregularity and infertility issue. But you have normal period suggest you have no any hormonal imbalance. It does not cause any difficulty in pregnancy in your case according to above information. But use condom rather than I pill to prevent unwanted pregnancy. You can go for reproductive hormone analysis, USG scan and ovarian follicle study for further confirmation of any problem. Avoid stress, take healthy diet, . Hope this may help you. Contact further if follow up needed. Best regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had baby 3 weeks ago , had sex Saturday night used pull out method, had high fever when I woke Sunday mornin at 7 and went to doctor Monday I have mastitis now on antibiotics, took the morning after pill at 62 hours after the incident from Saturday night.how high are my chances of being pregnant ### REPLY: Hellothanks for trusting the  doctors for your health related issues. Chances of getting pregnancy after emergency contraceptive pills is very less, if u had taken it within 72 hours after the unprotected sex. It is more effective if it is taken within 12 hours of unprotected sex. As u told that u had 3 weeks baby n he/she on breastfeeding than there is rare chance of getting pregnant. So don't worry, relax. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump behind my right ear where my ear meets my head in the center. I have also been having dizzy spells. I went to the ER 3 days ago because of dizziness. Blood tests, CT scan, and EKG were all fine. Blood pressure was fine. Yet, Im not functioning well with this dizziness. I dont have insurance, so the ER is all I can do. Any suggestions? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have lump behind your ear, and you are experiencing dizziness. Well there can be many reasons for symptoms you mention in query. The lump behind ear could be a sebaceous cyst, swollen lymph nodes and ear infection also known as Otis media. I would suggest you to consult ENT specialist again for proper diagnosis, because if left untreated the infection can spread to surrounding and can cause further complications. Doctor may perform certain test like audiometer test, rotatory chair test and check with horoscope to rule out conditions like acoustic neuroma and deniers disease. For now keep your ear .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 5 days ago....I tripped and fell, with my chin bone hitting a piece of angle iron (on a trailer)...with most of my weight behind it. It was, of course, extremely painful and left what looked like a cut, but never bled. Although it doesn t look that bad from the outside, barely bruised, it is still extrememly sensitive to the touch and now feels as though it has fever...this is probably 2 inches below my knew, with the blow being directly on my chin bone....should I be concerned...seems silly to go to the dr. for a bruise. ### REPLY: Hello, It is quite common after a trauma, and it will settle by itself. As of now you can use analgesics/anti-inflammatory combination like Diclofenac/Seratiopeptdase for symptomatic relief. You can apply ice packs for faster healing. If symptoms persist better to consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i delivered my baby boy on 29th of oct. i.e. 2 and a half months back.... still ,me and my husband hv not made love... so which is the best time to insert copper t.... after my 1st periods or any time????my age is 32 and this is my 1st kid... is copper t safe???? which is the best one??/ ### REPLY: HelloThanks for writing to us with your health concern. It is best to abstain from sex for 6 weeks after childbirth. You can have the Copper T inserted straight after birth. You can alternatively have it inserted 6 weeks after childbirth, irrespective of whether your period resumes or not. It is quite safe. Many women now prefer Multiload which avoids side effects of copper T and has hormonal content. All the displease feel free to discuss 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: hello doctor,i am 27 years old and my weight is 39kg, am planning for baby thtsy am taking treatment from last 5 months. i have done laproscopy surgery.doctor is saying tht thr r so many eggs.so in january and february i had take contraseptives(ovral)and caberlin 0.25.in this month i have done folical and i dont know its conceived or not,but doctor gave me lupigest-200.so can u tell me why doctor suggest me this tablet_and is thr any major problem? ### REPLY: Hi, Lupigest is a progesterone hormone containing pill, taken after the ovulation, to maintain the lining of the womb favorable for the embryo to implant (stick). Taking medications for the egg to grow can sometimes affect the lining of the womb, for which progesterone hormone containing pills are given to help the growth of pregnancy, if at all fertilization has occurred. I would like to know the results of the laparoscopic surgery and why Caroline was given to you, did you have high prolactin levels?Also, what is your height as, at 39 kg, you may be underweight, which in itself is a cause for an ovulation. Hope this helps. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: a little over a yea ago I stared a new job which had me standing in the same place for hourd.  Ihave always worked on my feet but never without moving.  My back when into the worst back spam anyone could ever imagine and I ended up at te ER.  Several days ater it did the same ting but by this time the spasms were covering my whole body. After 2 MRI and every test imginable I got no anwers.  Now I live on pain meds. I am a 60 year old woman of 125lbs and take12, 10miligram methodone dailey and 4.5 1milg oxicodne a day and I still hae modeate pain. he only way I can work is to take this stuff and since I am a alone have no one but me to count on. Is there anythng I can do besides this? ### REPLY: Hello, Thanks for your query. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time. You might need to consult your orthopaedician for a detailed physical examination and appropriate investigations. It might help with few medications and physiotherapy for a few days. Physiotherapy particularly lumbar traction for a week and back strengthening exercises after pain relief work well. Remember that medicines usually don't play a role in long term treatment, what does are exercises. Few exercises that the therapist will teach you must be done for lifetime. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What s the best products to use on poison ivy? Ive used calamine lotion, Benadryl, oatmeal baths, and rubbed bleach on the rashes. The bumps are spreading. My daughter is also going threw the same thing, hers is scattered threw out her body. She was put on steroids to help it, since it spread to her face and neck in just 24 hours. (I did not put bleach on my daughter skin,just mine. Her skin is very sensitive.) ### REPLY: HiT hank you for asking . I have gone through your query. In case of such severe allergic reaction you and your daughter both need a short course of steroids. Initially steroid and anti histamine shots also will be needed. It will gradually decrease the severity and completely resolve within 5 days. If there is any discomfort like breathing problem or throat swelling then approach ER. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have upper back pain and tingling accompanied by sweat.  It feels as if its the spine but my Doctor says its my muscles.  Ive had this issue for 5 years and is progressively getting worse..  Also, my sweating Is very abnormal and not controllable.  Please help ### REPLY: Hi, The symptoms you describe in my opinion require that a proper spine exam be done. It is not rare for spinal TB or Potts disease to present as such. X-rays and erythrocyte sedimentation rates, coupled with biopsies and Intradermal reactions are generally diagnostic procedures used. Check for other causes of chronic fever like Salmonellosis, acidosis or come tumors. The opinion of an internist would be most welcome under these circumstances. Kind regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Mark and I am a T5 parapalegic with pain in my left elbow. My balance isnt the best so I lean on my left elbow commonly. I am fairly active and I need to know what I can do to correct this pain I have been having. I have done some tens and other various therapy but no improvement as of yet. Please advise what you might recommend to correct my condition. Thank you Mark. ### REPLY: Hi Martha you for your question to . Overuse related pain in the upper extremity joints is a common complaint and occurs as you need to put all your body weight on the arms during transfers. Try to exactly locate your pain whether it is coming from the joint itself or the attachment of the tendon or some other structure around the joint. An examination by an orthopedic surgeon can help to find this out. Triceps tendinitis is one of the causes which is an irritation at the attachment of triceps tendon. This is caused by repeated heavy weight lifting which is the case when you transfer body weight frequently. To start with if the pain has lasted for long time a X-ray of the elbow joint and if X-ray is normal then MRI is recommended to find/rule out any structural cause. Ibuprofen, tramadol, local steroid injections and physical therapy will help keep pain under control till triceps tendinitis resolves if that's the cause as it is usually a self limiting condition. Hope this is helpful. I would be happy to answer any questions you may have. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 served in the US Marines during operation desert storm and returned with a leg rash that looks like small pimples that are recurring.  If popped, they take about a month to heal.  They are about 1mm in diameter and will produce a small elongated white mass when squeezed.  The discharge is solid about 3/4mm long and .25mm in diameter and tapered to a point on 1 end.  3/4 of the way down its length, is a small protrusion.  Whats odd to me is all of the discharges are identical. ### REPLY: Hello, Thanks for the query to . Forum. As physical examination of rash (wound) and white substance (larvae) is very important so, if, possible upload pictures of wound with larva. May be due to, River blindness (cholera volumes), guinea worm, creeping eruption (ancylostoma Brazilian), Leishmania Tropicana. Scrapping tests and stool examination are very important.  Consult a physician and get in his opinion. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a four year who seems to have a horeshoe type of rash on lower leg. It looked ok a few weeks ago (just noticed it tonight) just looked like afew scrathes, a few weeks ago. Right above that horseshoe rash are a few more (4) little rashes . Slightly rashed,red slightly ichy. Really dont seem to bother him much but I am concerned. Oringally thought might be ringworm however do not really matchany of the pictures or symptoms of ringworm. I think I may take him to the dr. Any ideas on what it could be. Thank you ### REPLY: helloThanks for posting your query there are a couple of differential diagnosis for the condition you have described. The most common of these could be a ring worm because of age group, site of the lesion. The other possibilities are localized psoriasis, or lichen plans. These conditions can be differentiated by clinical examination. Thirdly, as the child plays outside IR could be an insect bite reaction. As treatment differs in each category it is better to consult your local dermatologist or a family physician. In case of doubt it is always tried a course of antifungals before other medications are appliedHave a good Prasad PVS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 26f 5 4 150lbs. History of Thyroid Disease. Currently hypothyroidism and take 150mcg of Levothyroxine daily. Also take 50 mg of Macrodantin daily for recurring kidney infections. Other symptoms I am having are frequent migraines in the back of my neck, numbness in arm, swelling in hands while I sleep. Incredibly easily bruised. Fatigue and trouble sleeping, almost a complete loss of appetite, full after a few bites. ### REPLY: Hi, Your frequent headache and numbness of the arms can be due to abnormal posture. Try to be careful about your posture especially while working on the computer and sleeping. Use a small pillow while sleeping. For improving your appetite go for a walk, take in a lot of fluids and a lot of roughage in diet - green leafy vegetables and fruits. Try to avoid tea, coffee, spicy and oily food. Make sure you take your medicine related to thyroid regularly because uncontrolled thyroid levels can also lead to navigability and swelling. If possible get some investigations done like repeat thyroid function tests, complete blood count, vitamin B12 levels, and X-ray cervical spine (neck). This will help in proper diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 7 yr old son is adopted from Guatemala. We have recently noticed a faint white line in the middle of his chest from just below his nipples almost all the way to his belly button. Is this normal? Anything to worry about? Any indicator of any kind of health problem? ### REPLY: Thanks for your question on . I can understand your situation and problem. This white line can be normal finding, but better to get done following tests. 1. CBC (complete blood count). 2. Vitamin b 12 level 3. Calcium and vitamin d3 level. 4. Thyroid function test. Anemia, vitamin b12 deficiency, low calcium and vitamin d3 and hypothyroidism can cause similar skin changes. So get done above-mentioned tests. If all are normal then no need to worry much. This line will gradually go away with time. And if any of the test is low then your child needs supplements. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Im having pain on the sides of my lower abdomen when I cough, sneeze, laugh, etc. It almost feels like after a good workout.  Im also experiencing shortness of breath. I have asthma, but this SOB feels different and isnt relieved with a rescue inhaler. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of pleuritic chest pain is more. And the most common cause for pleuritic chest pain is lung infection. You are also having worsening of breathlessness. Infection is also common cause for worsening of asthma. So possibility of LETI (lower respiratory tract infection) is more in your case. So better to get done chest x-ray to rule out this. You may need antibiotics, bucolic and expectorant .  So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son, who is 26 and a college student, was recently diagnosed with a PFO.  He has no symptoms and this was discovered as a result of a physical.  The internist heard a murmur and he was referred for a TEE.  The cardiologist said the hole is small and he was told to come back for another test in one year.  Interestingly, he was told that he has high blood pressure.  He is also a smoker and was told to cease. Question 1: Should he get a second opinion? ### REPLY: Hello, PFO is a very common occurrence and is present in as many as 2 % of general population, undiagnosed in many of the patients. Hence, most of the PFO require no treatment and hence should be left alone. Hyper blood pressure is not related to PFO, however it per se increase the flow through the opening causing the murmur. Yes he should stop smoking, consider low salt diet, omit junk food and consider anaerobic exercise to bring the blood pressure under control. Per se just a follow-up after a year to know if there is any increase in size and reassess other associated finding would be enough. I would Lastly advise strictly against any use of recreational .  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 37 year old male who has had a rash since Christmas that has not gone away they look like pimples as some of them if I squezze them pop.... they are itchy and uncomfortable and have gotten worse even after trying medicinal soap the only changes I have made since then are my diet... though it has been allot healthier... i did stay in a old minors cottage house and  in the morning i noticed it first i am going to seek medical advice though i am worried and its affecting my confidence i have not had chicken pox yet but my partner hasnt caught it from me, ive also noticed that ive been sweating allot more from this with any excertion that i do... ### REPLY: Hi, As per your query you have symptoms of red itchy pimple-like rash which occurs due to hair follicle infection and when pores of sebaceous gland filled with sebum, dead skin and bacteria get infected. I would suggest you start with the application of aloe vera gel and apply atelier acid containing cream twice a day as this is a safe and natural extract of cereals. You should apply topical antibacterial cream. Apply aloe vera gel to keep moist. I would suggest you consult dermatologist once and get it examined. You should go for antibiotics (Clindamycin), a corticosteroid ointment, and HY .  Do not scratch pimples as they will get infected. Avoid exposure to sunlight and keep areas clean 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: persistant intermittant episodes of chest spasms and trembling sensations around left lower pectorial region and upper rib cage....sometimes a week or 2 go by without symptons...then out of nowhere re-appear again...latest episode lasted 24 hours....had stress test 2 months ago and passed with flying colors...no history of heart problems ,am not over-weight and excercise regularly...I m 65 years old ### REPLY: Hi, thank you for providing the brief history of you. Since you mentioned the stress test was normal, and you are a regular exercises.it is perfect to hear that you are really conscious about your health. I appreciate your indulgence. I think this pectoral pain can be a muscular one. Furthermore, I see most of the geriatric cases and look forward will all small and big things and never ignore even a single complain by them. Why don't you look ahead to get the Pulmonary Function test as to check the lungs. Usually due to inefficiency of the lungs at times the pectorals function little up and down without a symptom at times. Doing regular breathing exercises like focussing on the costal breathing exercises should provide a good strength in the muscles or respiration as well as it will give exercise for the lungs with individual lobe as focussed. Also it will be good if you meet a physical therapist he might help you to modify the regular exercises you are performing and also guide the new program which will be of help. Getting a cardiac clearance from a cardiologist will put am additional benefit here. Seeing your attitude towards the health and working out regularly I am highly impressed from you. With the grace of God I wish you a good health and the best future. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had a 1 cm kidney stone removed by ESWL last month. Her one month Ct scan showed no residual stones, but mild right calicestasis. The dr. did not mention this. I read this in the report. Is this from the stone and will this condition resolve itself on its own?Thank you ### REPLY: Caliectasis means dilatation of calyx which is a cup-shaped structure at the apex of which the stone is formed. If the CT scan was positive that only caliectasis was seen without any stones, it means the stone has been completely cleared from the kidney and has passed on its way down the ureter into the bladder. If there has been a minor obstruction of the ureter due to the gravel, it could cause dilatation of the calyxes, which usually resolves with intake of fluids alone. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 madam/sir i am 24 yrs old 4 days back i had sex wit my fiancy i sapose to get periods on that day but i dint get yesterday i got only single drop bleeding i am getting fear can you plz sujjest me what best i can do now any tablets to get periods ...plz sujjest me thank u ### REPLY: Hello, I have gone through your query and understood the concern. Since you had the intercourse just around the time of your period, you cannot get pregnant as ovulation occurs two weeks prior to the onset of the cycle. The cause of this abnormal cycle most likely is stress. Please wait for a week after your due date and if you do not see a normal period even after this, get help from an expert to regularize your menstruation. There is no need for any medication as of now. In the future, if you wish to continue sexual relationship, please use regular contraception. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend was exposed to airborn black mold a few years ago initally she started c sinus infections c sores inside the nose & feeling flu-like, then she developed asthma & chronic URI s then numbness, tingling shooting pain & weakness in BUE which led to all-over weakness & now she has recently been DX c Divic s (spelling is wrong) it s got to do with optic neuritis & partial loss of sight in the L eye: & the L side of her body esp LLE is weak originally the Doc s thought she had MS but now think it s the Divic s & the pognosis c this disease is very poor, plus she has elevated protien in the blood & spinal fluid & she thinks that she may have this CIDP R/T prolonged exposure to this airborn black mold? What are the chances that this exposure is the cause of her illness now? ### REPLY: Respected user, hi I evaluated your query thoroughly.*Exposure to black mold dust is definite cause of her all illnesses now.*Reason for rest symptoms than Upper respiratory tract is her markedly diminished host immune response following this devastating allergy giving rise to all the mentioned symptoms. Hope this clears your query. Thanks for using  & keeping trust in our medical services. Wishing her healthy life ahead with less & less medical ailments. 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 Sir, I got menses on 27th May 2014. I went for Follicular study on 12th Day. Below is the report- 7th June 2014- Day EMT RO LO-------------------------------------------------------------12th 9.3 MM F1: 2.3 CM No DOMINANT F2: 1.8 CM FOLLICLE Could you please help me , how can I know that , which day will egg release..? ### REPLY: Hallow Dear, Usually, healthy egg is released by ovary when its size is around 18 mm size. Chances of successful pregnancy are more when the egg is released from the follicles of size between 18 mm to 21 mm. One of the follicle in left ovary is of 1.8 cm; i.e. 18 mm size. So it is very likely that this follicle will rupture any day. Hence, I would suggest you to utilize every day now for sexual relations. Another option is to get in.  5000 IU to induce the ovulation from this follicle of 18 mm size and start having intercourse every day; or at least every alternate day for better chances of conception. Please continue to have ultrasonography daily for few days to find out what happened to these two follicles. Also, please get the information about the thickness of the lining of the uterine cavity (endometrium) from the monologist. Endometrium of thickness between 9 mm to 14 mm is most conducive for the implantation of the fertilized ovum. I hope this provides you sufficient guidelines.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, i have a daily loss of sperm during night  while i sleep it is from 6 to 7  years and now my present age is 18 so give me a medicine name to stop this loss of sperm please help me out of this problem i have never said this problem infront of anybudy ### REPLY: Degree understand your concerns went through your details. The is nothing called loss of sperms. Your body is capable to produce healthy sperms even up to the age of 80 years if you are healthy otherwise. The term "loss of sperm" is a myth. Your body produces sperm cells whenever you are sexually aroused and stores it within your body. Such a stored product is a waste for the body. Body will try to throw it out. If you do not masturbate or indulge in sex, to ejaculate the stored sperm, body will find its own way to throw the waste product. Usually body throw out the stored sperm through nigh fall (nocturnal ejaculation) of through urine. This is a natural procedure, and you have no control over it. You are just 18. Please stop worrying about all these and concentrate on your education and career. 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. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i am suffering from psoriasis . my age is 42 years, female divorcee, with 4 children aged 19-12year. from past 2 years i have notices lesions without any itching. But after a few suggestions from friends i have started homeopathy treatment from past 6 months. But i have noticed that i have started itching and new lesions noticed all over my body. these have been spreading and i feel really depressed noticing that my condition is not improving. Please suggest if homeo is really effective medicine and why i m not able to improve ....... ### REPLY: Welcome to , Naturopathy & Yoga Treatments for Psoriasis Fasting: It is the best way to detoxify the body. Skin being an eliminate organ reflects the status of health of the individual. Long fast on liquids induces all the eliminator channels of the body to throw off the accumulated wastes. HY .  It should be adopted in accordance to the duration of the fasting. Diet therapy: Fresh fruits and vegetables, sprouts, fiber rich foods are recommended. Avoid the meat, dairy, processed foods, salt, sugar and refined carboy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, so a few days ago a felt extremely exhausted. When I woke up I had a light cough. Yesterday I felt terrible. I was coughing, had a sore chest and throat, runny nose, back pain, and a fever. I tried taking tylonel and nothing. I feel weak and getting progressively worse. What should I do? ### REPLY: Hi, thanks for posting your concern in the . The symptoms suggest that you have got both upper and lower respiratory tract infection.  To rule out pneumonia you will need to have a complete blood count, CRP, X-ray Chest (PA view) done. A detailed clinical examination combined with investigations will help to specify a final diagnosis.  In case of a bad pneumonia, you may also need injectable antibiotics and in patient treatment. Taking only Acetaminophen will not fault the progression of the disease or development of complications. So, you should urgently consult your physician or a pulmonologist for further evaluation and management.  For any further information please write back to us. Regards.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had surgery on July 3rd for repair of my esphougus. I was released from the hospital on Tuesday of this week. I have a pain under my left breast in my rib area. If I yawn, sneeze or try to take a deep breath it hurts there. If I am just sitting it doesn t affect me. I see my doctor on Tuesday and there were no openings until ### REPLY: Thanks for your question on . I can understand your concern. Sneezing, yawning, deep breathing etc. cause movements of ribs and intercostal muscles. Your pain is gone when you sit quietly. So this suggests possibility of musculoskeletal pain more. So avoid movements causing pain. Avoid sudden jerky movements of chest. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im not diabetic that I know of, but I just had blood work done and my blood sugar was 56 (about an hour after eating).  My doctor referred me to a rheumatologist based on high anitbodies. . .is the low blood sugar related to mixed connective tissue disease (what she thought was causing the anitbody count)? ### REPLY: HelloWelcome to  Side effects of low blood sugar are headache, blurring of vision, sweating, consciousness problems etc. You must take sugar, candy or other sweet with you and take immediately. You should also carry a card written that you have a problem of low blood sugar. You should regularly consult your physician and do blood sugar test frequently. Take care and have a healthy life ahead. Thank you... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband suffered a stroke in Oct 2016. In the beginning his attitude was bad, he cussed at the nurses and physically fought with them, when he was in a acute hospital the Dr gave him Ridlin it helped, then he was transferred to a skilled nurses rehab place. The Dr there gave him SEROQUEL, he is better but looks and is tired and the therapist say he is sleepy and I don t think he gets a good session. The state of Ca will no let them use RIDLIN. Help! he is coming home and I would like a better mood med. Judie Denney ### REPLY: Hi and thanks for question. Many times we see that person with stroke will present with behavior disturbance.it is mainly due to lost control over emotion and due to disorientation. So during that time sedative will give for treatment. you are very much anxious regarding how u controlled when he will come home.I suggest u to continue Seroquel. If he has leg pain along with he has salivation more than prior than consult psychiatrist nearby u. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with lesions on my brain, after having a grand mal seizure. I have daily headache. This was in 2007 and also that year, after many episodes of chest pains, I was diagnosed with a flextion deformity in the arch of my aorta. My aorta is only 1/3 the size it should be, resulting in tachycardia, and almost daily chest pains. I also have severe hypertension. I had no insurance at the time, and moved to Colorado where I qualified for Medicaid. Over the last few years, I have noticed I can t concentrate on anything, and certainly can t finish anything I start. My mind is like a whirlwind. As a former nurse, I know something is wrong. I just can t focus. The meds. I take for my brain lesions is Norco 10/325 & Valium 10 mg. for headaches. For the other I take Norvasc 5 mg. HCTZ, & Lisinopril 20 mg. and Trazadone 50 mg. for sleep which does not usually work and I rarely take. This issue with my thought process is what bothers me the most as I can t think straight. I don t hear voices, but it seems in my head, I m telling myself to do 10 different things at one time. My lesions seem under control as I haven t had a seizure in years, but of course I take my Valium regularly. My flexion deformity of my aorta will always be with me, as a cardiologist in Birmingham, AL told me to go home and enjoy the rest of my life. I can t enjoy my life with my mind whirling around at 100 miles per hour. Any help for me? ### REPLY: Hello, I am afraid that more information is necessary for the nature of that brain lesion. A brain lesion can mean anything, it can be a tumor, an infection, a stroke, inflammation, trauma, hypoxic injury etc. It's impossible to make suggestions without knowing what it is. Some brain injuries remain the same, some may worsen with no available treatments, some may improve or even be cured, so It's impossible to make any prediction or recommendations for any lesion. The precise nature must be cleared out. So please look into your medical records about the precise diagnosis and feel free to write again. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, About a month ago I started going on birth control (Micrognyon), a couple of weeks after I developed a very painful kidney infection . When my GP put me on anti biotics it began to leave my body, however it still wasn t fully gone, so the doctor put me back on the same Anti Biotics ( Penicillin ). However, when I was off the anti biotics, I began drinking alcohol again and sleeping with my partner again and it has seemed to return again! Although it is no way near as bad as it was, my side is very painful and it stings a little bit to urinate. I first slept with my partner in August and through the August/September time I was absolutely fine when he was using protection with no problems. I am starting to think it is something to do with my birth control pills. Do you think I should come off the pill for a month and start to use protection? Or perhaps change to another pill? I would greatly appreciate your help Thanks, Katie Lillywhite ### REPLY: Hiring infections are sometimes very difficult to treat and require the right antibiotic. Firstly make sure a urine culture has been done and the antibiotic you are taking is the right one. Secondly intercourse increases chances of having a urine infection, so you are having recurrent infections using a condom would be a good idea. Lastly, birth control pills do not cause urine infection, so you might want to continue them for added protection. Please remember some antibiotics reduce the effectiveness of these pills and cause unintentional pregnancies. Let me know if you have any other queriesThanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been on Coumadin for over 2 weeks for stent placement in iliac vein (May-Thurner Syndrome). I have noticed at times a dull pain in back around kidney area. Last night it started becoming sharper. Just wondering if it could be due to the coumadin. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. It could be due to Coumadin of there was trauma that caused hematoma near kidneys however this i snot common. More likely this may be urinary infection or urinary stones, so you should do urinalysis, monoculture and kidneys ultrasound to rule these out.  In most cases this is self limiting, but sometimes antibiotics are required and more invasive tests. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. 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: Sir my child is of one and half month old.since last week my entire family is suffering from cold cough.so now my child had also some problem.he is not sleeping properly through all the night.have a slight cough and also breathing with mouth.also his chest is giving a sound while breathing.so recommend some good medicines and precaution s for him ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should consult neonatologist for your child. He is only 1.5 months old. In this age, immunity is low and possibility of lower respiratory tract infection (LETI) is more. He might have contacted infection through family members. So don't give medicines without consulting neonatologist in 1.5-month-old child. Get done clinical examination of respiratory system and chest x-ray if needed. He may need antibiotics, antihistamines, inhaled treatment in appropriate doses according two his body weight. Hope I have solved your query. Wishing good health to your son. 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! My big toe has been numb for the past 2-3 months, and I m starting to get worried. At first I thought it was my shoes, so I stopped wearing the suspected pair. I did have some improvement, but both big toes are still numb, on the outer side near the top of the nail. Any ideas if it s only shoe related? ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there is pain and numbness in big toe. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been doing some reading on ACV( Apple Cider Vinegar ) treatments for genial warts . What are your views on this treatment? I have been doing it for about a week now and I am starting to see some results. What is the reason that most doctors dont recommend this treatment for people? It seems to me that a lot of people have cured themselves like this. I am aware that the virus still remains in the body, but it seems to take care of the worst. I have had my warts for about 3 years now and have tried almost everything my doctor told me from freezing to burning it with acid. ### REPLY: Hi, Thanks for your query, There is no single effective cure for removal of genital warts. A number of treatment options exist; however, no treatment is 100% effective in eliminating warts and preventing them from coming back in all patients. It also is not possible to eliminate infection with human papillomavirus once it has occurred. Genital warts may go away on their own in about 10%-20% of people over a period of three to four months. Cryotherapy: This technique freezes the wart using liquid nitrogen or a "cryoprobe." It is an excellent first-line treatment because response rates are high with few side effects. Laser treatment: This treatment is used for extensive or recurrent genital warts. It may require local, regional, or general anesthesia. The laser physically destroys the HPV-induced lesion. Disadvantages include high cost, increased healing time, scarring, and potentially infectious viral particles in the air caused by the laser plume. Electrodesiccation: This technique uses an electric current to destroy the warts. It can be done in the office with local anesthesia. Of note, the resulting smoke plume may be infection ... with good health... regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a male 32 yrs, non smoker, non drinker, 178 cms, 76 kgs, borderline high BP and normal sugar, family history of high BP (dad and mom) and sugar (dad, granddad...).  I had a BP of 140/90 in a test taken about 6 months back and the doctor recommended I take Losartan 50 mg - which Ive been taking every day.  I recently started running again (1-2 miles per day - every day) and my pulse is going very high (as high as 190s) within 1 mile.  Do I need beta blockers or ACE inhibitors instead of/in addition to Losar? ### REPLY: Your "maximum predicted heart rate," the fastest your heart is expected to be able to go, is 220 minus your age, which is about 188.  If you jog or run, and your heart rate is going quickly up to 190, then it most likely is that, since you "recently started running again," you may be accelerating to quickly than what your body is used to.  Doctors or physiologists call it "deconditioning," others call it "being out of shape."  It just means that you should either run at a slower pace or a shorter distance for a week or 2, and then gradually build it up.  As your body gets used to the regular running, your cardiovascular conditioning will improve, and your pulse will not rise as quickly; also, you will be able to run faster and farther before your pulse gets up to 190.  Generally, when we advise people on an exercise program, we recommend aiming for a heart rate of 75% of your age-predicted maximal heart rate--in your case at age 32, that would be about 141.  When we do stress tests, we aim for 85% of that maximal heart rate, which in your case would be around 160.  Just take your running pace more slowly or a shorter distance, and make sure you prey .  Deny ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi ...I am 30 yr unmarried male. I have a problem related to musturbate. Whenever I go for maturbation no ejaculation occur.sometimes I have wet dream . I really worried about my future life.....Please give me some suggestion for which doctor should I visit. Is this problem treated. ...? ### REPLY: Degree understand your concerns went through your details. I can understand. If there is no ejaculation after masturbation, it simply means that your body is not sexually aroused. Masturbation results in ejaculation only when your body is sexually aroused. Otherwise, masturbation is painful. Because of the same reason, nocturnal emission happens you. I surely think, you are anxious about sex, sexual organs and related concepts. Your knowledge is false. I suggest you to consult a psychologist for sexual counseling. 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. 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: after sex on 06 i had pill on 7th and went out of state on 8thfor 4days ....... does the pill work while travelling by train for 24 hours.... and my periods delayed for 2days and started on 24th but not bleeding like before...... does it mean that i am pregnant ### REPLY: Hello dear, I understand your concern. Usually the pill is effective in 95% cases if taken within 72 hours of unprotected sex. As you have taken within time the chance of pregnancy is rare. The pill causes hormonal imbalance leading to effect on timing and amount of bleeding of the period. So the period which is different from the usual period might be due to pill. So relax. In order to clear the doubt a urine pregnancy test can be done. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, I have had horrible severe pain in my lowwer abdomen for about 3 1/2 years now. I ve had a laproscopy to check for endometriosis and my appendix was also taken out. They thought it was diverticulitis but after a colonoscopy they said my intestines were fine. I ve had Ct scans, ultrasounds, and they checked my bladder. They still can t figure out what my pain is coming from. It usually comes at night and off and on. I could go a month without it and then it re appears. Lately for the past 2 weeks it has been non-stop excrutiating pain which has never happened. I take Ibprhopen and it helps relieve it a little. I also have red streaks on my stool which the doctors tell me it s just from internal hemmrhoids. I m starting to wonder if it could be intestinal tuberculosis? I have had spots on my lungs during cat scans and my symptoms seem to match. I also am exposed to TB on a daily basis by working with inmates. Any information would be greatly appreciated! ### REPLY: Hi ! Good morning. I am  answering your query. Of course intestinal tuberculosis can present in any way, but with that there is weight loss, fever, and other associated features. Absence of these however does not exclude it either. If I were your doctor, I would have advised you with some basic blood tests like CBC, ESR and a manitou test. Also, I would go for a barium meal follow through and if all are inconclusive, would refer you to a gastroenterologist for a possible endoscopic examination of your gut with a possible biopsy. Further management would depend on reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is Connie. Last Saturday I was standing on the tailgate of my husbands truck and my left leg fell between the tailgate and a bean planter that we were filling. It caught on both sides of my knee and felt like it was on fire immediately. By the time I got down and into the house I had a softball size knot on the inside of my knee and a golfball size knot on the outside of my leg just above the knee. The burning continued for quite sometime afterwards. I didn t break anything but it is still swollen and is painful to the touch. Now my leg is swollen down to my ankle. I ve been walking on it but if I sit very long it is hard to get up and straighten it out and if I stand to long it is hard to bend. It s not discolored, other than the bruising. What can I do about the swelling? and should I have it examined? Thanks ### REPLY: Hi, Thanks for your query. From description, it seems to be soft tissue injury. Knot might be due to hematoma formation(collection of blood). You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory . I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor, I m suffering the desease from 8 months.now also there is no change for the condition. And for me APS is thriple positive. Different types of antibodies are there including anticardiolipid antibody...thrombocytopenia whoch reduce the platele t count etc.. Please advise me. ### REPLY: Hi there, Only if your platelet count is less than 20000/CMM you will need treatment in the form of steroids. Otherwise, there is no need to treat thrombocytopenia. If APA is incidentally detected, no treatment is need for that. You are at higher risk of developing clots in blood vessels. Hence, in high risk situations you will need thromboprophylaxis. Please consult a rheumatologist, and get tested for autoimmune conditions such as SHE. You may need a treatment, if found positive. With regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir , my father is suffering from prostate cancer and he is undergoing treatment at Rajiv gandhi institute where he is administer with LHRH hormone traetment and completed his IMRT as Radical prostectomy cant be done could you suggest any advice which could be helpful Age-60 diagonsed 1.5 yrs backGleason score 5+5poorly differentaitaed Bone sacn - -Ve I uge you to get me know any kind of complementary medicine /treatment et al  thanks 0000 ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has prostate cancer with Gleason score 10.  It is poorly differentiated cancer. Surgical treatment will not help.  Treatment options are radiation treatment, hormone therapy and chemotherapy.  Consult your doctor and plan according to stage and spread of cancer. 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 have had continuous mouth ulcers/canker sores for the last 5/6 years after having my gallbladder removals. Could there be a connection or is it just a coincidence. They can be quite large and often take at least 1/2 weeks but  by then I get a new one. Fran ### REPLY: Hi Thanks for the query. You are suffering from RECURRENT AUTHORS ULCER which is causing you the eruption of canker sores in mouth. It can be caused due to a number of reasons like Stress, Nutritional Deficiency [Iron, Vitamin B12 and Folic acid], hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, side effects of medication etc. You need to consult an Oral Physician or a general dentist in this regard to get evaluated and treated. For authors ulcer you can do warm saline garglesGargles with 1:1 solution of Ben . Apply numbing gel over the sore for relief from pain especially during eating. Take a multivitamin tablet for a period of 15 days. Avoid spicy, sour and acidic foods. Hope this helps. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My tongue is raw on the side and back. It has been bothering me for at least 2 months. I have been having a bad taste in my mouth. Sometimes feels like it is swolen. Dentist lasered it about a month or more ago, but it is just as bad or worse. He put me on acyclovir but told me to stop it after he put an oral medecine on there once. ### REPLY: Hi, Thank you for the query. Acyclovir is used to treat viral infections caused by herpes zoster (shingles). The soreness what you are feeling is because of the herpes infection. Viral infection reoccurrence rate is very much high. If you were asked to stop the acyclovir it might be because the infection is subsided and topical application of which medicine is not specified. Take vitamin supplements and Betadine gargle. I advise you to see your dentist and discuss the condition. Hope I have answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: mesenteric panniculitis....dangerous...???? what is that means. my ct abd shows that but otherwise unremarkable as an impression.no other findings was seen.thanks.i m really concern ### REPLY: mesenteric panniculitis is a nonspecific inflammatory and fibrotic process affecting the fatty tissue of the mesentery.-locate near intestine. The term retractile mes enteritis has been used to describe this process when the predominant component is fibrosis, and mesenteric lipodystrophy has been applied when the primary component is inflammation. Most cases are idiopathic. The age range of patients is wide with the peak incidence in the sixth and seventh decades. The male to female ratio is 1.8:1. Criteria for the diagnosis require exclusion of pancreatitis, inflammatory bowel disease, and extra-abdominal fat necrosis (Weber-Christian disease). Symptoms are variable and include abdominal pain, fever, nausea, vomiting, and weight loss. Symptoms often persist for a year or more. Physical examination may be unremarkable or may reveal abdominal tenderness or a palpable mass.  In your case there is no other significant finding. Is there so u don't need to worry ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my baby is 2.7 months, last 4 days back some antibiotic is given for cold and fever,inbetween last 2 days back he started with loose motion with greenish colour with more water, another doctor suggested to top tablets and given econorm, 5 doses are completed but condition not improved and not incresed, what to do further ### REPLY: Hi... Thank you for consulting in . It seems your kid is having antibiotic associated diarrhea. Once it starts it will take 3-5 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&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: I have a 1-2mm non obstructing lower pole calculi and mild heterogenous enhancement in my right kidney . Additionally Trace free pelvic fluid. I have been having on and off hestitancy, penile pressure, difficulties in starting urination , weak flow. When i say on and off, i mean Symptoms get worse in the evening or when i Exercise I am on rapaflo (taken in the morning). Ended a 10 day course of Cipro three weeks ago. Ended a month long naproxen several days ago. On avodart for 2 weeks nowa I am 47 and in fantastic physical shape. Low pulse, blood pressure, cholesterol ,weight, etc. symptons started after a memorial day after long workout sessions and outdoor sports in hi heat (dehydration?), and seemed to worsen over time despite medication I also had travelers diaherrea in December traveling in costs rica. Took three days of Cipro and it resolved itself after 36 hours. Could the small stones cause the symtoms? Any other ideas.... ### REPLY: HelloThanks for your query. Based on the facts that you have posted it appears that you have small non obstructing calculi in lower calyx of Rt kidney. The symptoms that you have are not due to kidney stones per Se, as they are non obstructing and located in lower calyx. Please consult qualified Urologist for clinical examination and detail investigations to rule out any other cause of other symptoms. Thanks and Regards. .  ### END