Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I had a colonoscopy today and work up from the anesthesia sneezing and developed a runny nose...feels like I just caught an instant cold. I have great before the procedure. The nurse told me that the oxygen was the cause. ( I immediately needed a napkin to wipe my nose before I could sit up. ### REPLY: Hello. Thank you for asking at . If you have not had any chronic allergy problem like allergic rhinitis, I would agree that oxygen is a possibility. Sometimes oxygen works as irritant for nasal mucosa and this irritation causes immediate sneezing and running nose. Mostly it is self-limiting. There is nothing serious in that. You need not worry at all. If you have an allergic condition like allergic rhinitis in the past, there are many possible allergens in a hospital environment like latex, .  In that case taking medications like levocetirizine & montelukast helps. Hope this will be helpful to you. Wish you best of the 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: Hi, We recently changed our 2 and half month old daughter s infant formula.Initially it was a lactose free formula and we changed it to one which has lactose. She has started passing yellow-green stool with lots of white curd like residue in it. This did not happen with the earlier brand.It was quite a lot of curd like substance, is there a chance that I might be over feeding her or may be she is intolerant to the lactose/milk protein ? and would it harm her if I continued with that formula feed. ### REPLY: HI...this is completely normal - DO NOT WORRY. It is very normal for both breastfed and formula fed babies to have such greenish stools, and it is definitely not a sign of disease or bacterial infection. 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. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have lower back pain that comes and goes and it sometimes radiates to my leg and flank areas. Today I experienced floating stool in addition to my back pain being a bit uncomfortable. Also, I had intense gas and bloating toward the end of the week last week. My back pain started, off and on, in late December. ### REPLY: Welcome to  I have gone through your query and understand your concern. You are suffering from chronic backache. This may be related to muscles and bone weakness. There may be deficiency of vitamins and trace elements. You can take supplements of vitamins and trace elements. Back exercises are helpful in muscle strengthening. Analgesic such as ibuprofen is helpful in pain relief. You can get vitamin D and vitaminB12 levels and if found low you can take its supplements (vitaminD3 and mecobalamin). You can further investigate it by MRI of lumbar spine. Your floating stool and gas and bloating may be unrelated to backache for this you can take omeprazole empty stomach. It may be amoebas, and you can get stool examination or take antiamoebiasis treatment for five days. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. 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: hi ive just found out that im pregnant.i last had sex with my ex partner on the 18th september before we split up.i met someone else and i had sex with him on the 25th september.i dont know when i would of concieved and im really confused.i done a pregnancy test last week which would of been 2 weeks after i slept with my ex partner and it said negative.i done another test about 2 days ago which was nearly 2 weeks after i had slept with my new partner and it said positive ### REPLY: HI, I understand your concern.  - Urine pregnancy test is reliable after 8 days delay in periods/ 3 weeks after the sex.  - You can calculate according to possible ovulation too. Usually ovulation is 14 days prior to expected date of menstruation....provided menstrual cycle is regular. & conception is possible 3 days before & 3 days after the ovulation You can calculate fertile days using above information & guess the possibility.  - Chromosomal analysis is the perfect way to find exact father.  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: a person of interest claims overactive bladder or underactive is caused by kidneys. I suggested she cut down on liquids during late evening might be helpful. She also feels the kidneys cause diarrhea and constipation also causes the problem with the kidneys. no diabetes. 78 years ### REPLY: Hi, Thanks for writing in. An overactive bladder is usually due to the muscles at the bladder mouth, though anxiety and the autonomic nervous system in the kidneys can give rise to an overactive bladder. Though kidney function is not directly connected to diarrhea and constipation, it is possible that decreased water intake can cause constipation. However, taking slightly larger amounts of water and fluids will never cause diarrhea. Studies have reported that natural changes in the urinary tract may account for some apparent increase in lower urinary tract symptoms with increasing age. The sensation of bladder filling is reduced, and bladder capacity falls, leading to an older person having less time to respond to the call to urinate and perhaps explaining why many older people complain of severe urge. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 total knee replacement on 12/11/14. I fell off a tandem bike onto to concrete 5/22/2014. Went back to surgeon, they took xrays (saw the PA only) said everything replacement wise was ok, badly bruised & swollen still, PA tried to aspirate swollen bursa last Friday with no success. I want to see a doctor (my surgeon is out sick) PA messaged me back after asking a MD in the office & they want to try antibiotics. Should I pusChatDoctoring in & skip the antibiotics? The PA said the MD said they would have to operate to remove it. It is very painful ### REPLY: Hi their understand you have a post-traumatic bursitis. Over your knee. One thing you must avoid at all cost is introducing an infection into your knee joint which will infect your replacement prosthesis. An infected knee replacement is very difficult and costly to treat requiring many admissions to hospital. One thing that can cause such an infection is multiple aspirations of your bursitis. Please avoid this. If the pain is so bad that you can't wait for your Orthopedic surgeon to come back then it is probably infected, and I would then suggest that you see another orthopedic surgeon as soon as possible. If you are coping on pain medications and can wait for you surgeon that is also good. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yum not sure if it is a health problem but it could be as its about my son as he is lying about his dad and I know its lies because my husband idolises my son he is a good dad and good husband my husband was poorly when my son was 3years old and he collapsed and died with 3 purfatated ulcers and died but when the ambulance crew came to attend my husband they brought him back round but it was touch and go my husband still suffers health problems but I found out that my son as been lying about my husband he is 16 so people are going to believe him he as said that he had a fight with my Hubby and beat him up and my Hubby died but they managed to bring him round why is my son doing this he as lied at a young age but I put that down to over imagination but this would destroy my Hubby if he knew it came out lastnite as my son was wishing he was dead so he told a friend what I have told you and she asked me was it true but its lies I dont know what to do please help ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. During their teen ages, lying by child .  One reason is excess parental control or the children assumption that his parents are controlling him too much. Second reason is the child believes that everything need not be told to parents, whereas parents believe the other way. These problems arise because of opposite thinking style and therefore easily overcome by an expert psychological counseling session, for both parents and the child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i wear a false leg and have a sore that goes and always comes back after a few days as the leg rubs on my knee all the time,it also seems to leave wot i call the core whichover time time has turned into a little hard lump that doesnt go away and it is so painfull to wear my leg now,wot could it be please.dawn ### REPLY: Dear Patient, your amputation stump needs regular cleaning and inspection on your part to see if there is any ulcer due to pressure, If you develop one, consult your orthotist and get your leg corrected, But in your case there is a need of excision of the lump, on healing you can again wear your leg after correction from the person who prepared it. Seek appropriate help of an or tho surgeon first, and then you can walk pain free. 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 got hit in my lower leg by a baseball last night. Now my leg hurts in frront where I was hit but in the back as well. My left arm which is same side as leg is hurting like I ve pulled a muscle. No swelling of the leg or bruise. Just wondering if I should be concerned? ### REPLY: Hello, As there was a direct impact of the ball to the leg there will be a direct bone hurt by the ball.  Since tibia is one of the strongest bone of the body as it has to carry the weight of the whole body chances of any major injuries are less common.  But for a safer side, an x-ray will be good if any difficulty is faced because hairline fracture can happen but not a major one.  Also, the leg muscles in the anterior compartment are less bulk compared to the posterior compartment, so any direct impact happens it's majorly to the bone and fascia.  This will heal with hot water fermentation and rest. In case if any visual abnormalities are noticed an x-ray will be guided.  For the pulled muscle in the upper limb, allowing it to rest and doing hot water fermentation initially should help reduce pain. Most sports injury cases of the leg region over the tibia are conservatively managed and not much to worry.  Once pain comes down the exercises for the weaker group of muscles can be done to regain the strength. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi iam 25 years old, 80 kilos, i am trying to get pregnant for 2 years now i did ana IUI on Nov 2010 but it did not work and now i did it again on april2 & april 3 for 2 days with a lot of HMG shots i got 5 eggs i took these medicne till now:-folic acidcortropeduphastonbaby aspirincalciumcistomarsince i did my IUI i had lower cramps on & off till now i called my doc. and he said to take more of duphaston now the cramps is lesser but still i have them is that okay why does i have these pain is my medince i take safe what are my chances to be pregnant and if not pregnant "which i am praying not to have my periode this month" when i will get it since i am still taking duphaston and when i can do a pregnancy test thansk alot i am waiting your responseruby ### REPLY: Hello Ruby, Thank you for your query. If you have your usual period due date or crossed it, you can take a pregnancy test at home. If positive, congratulations, you are pregnant. If negative, wait for 3 more days and repeat test, if still negative, stop the phaeton. You should get your period in 3-4 days. Trying to conceive is a. Difficult & emotional journey but worth the trouble. Please do it lose hope. Minimize stress, exercise regularly, eat a healthy diet. Minimize caffeine. *why do you take cor trope? The rest of the medications are fine. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my baby is 10 month old yester he is having 100.7 fever...that last for near abt 14 hrs...gave crocin twice...suddent today i found a little blood string in her potty....stool was fine...(for last three months he suffered from loose motion with fever for three times) ### REPLY: Hi dear, I have gone through your question and understand your concern. Loose motion is sign of enterocolitis. I suggest going on Definite (taxi)4 mg/kg/dose twice a day for 5 days, Enterogermina1 sachet once a day for 5 days, Z&D syrup if diarrhea will not stop. Keep child HY . For fever repeat Cal pol with tepid sponging or warm tub, temperature will decrease. If you have more questions, then don't hesitate to write us, I always happy to help. Wishing you and baby good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having kidney stones for about the last year and a half. Ive had 2 basket retrievals and 4 lithotrypsi s. My most recent was on 19 july 2012. I had the normal blood in urine and pain for about a week after then a week of feeling fine. Into the 3rd and 4th weeks i started having intense pain and blood in my urine on and off then i felt fine for the next week or so (no blood or pain). In the last 2 days its started again (intense pain and blood in urine) What could be causing this? i have another follow up with my urologist tomorrow. When she spoke to me after the surgery she said the stones had broken up nicely. They were small 1-3mm but she has told me i have very small ureters and it seems the tiniest of flecks cause me alot of pain. Could i have formed another stone already or could it be something else? Im debating on going to the ER tonight or toughing it out till tommorrow. They are limeting my cts because ive had alot in the last year and a half so i dont know if the er would even try one. ### REPLY: Hi, many thanks for the query! You should do- Metabolic work-up to know & to be able to prevent recurrent stone formation. Give 24 hrs urine sample for examination. For current pain, yes it can be due to another stone fragment. There is no need for CT, Do USG (PUB), Sr. creatinine, Sr. Uric acid. Take antispasmodics, painkillers, diuretics with your doctors' opinion. Wish you a good health. Take care. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 6 years she has skin energy as per Dr prescription I gave her wysolone 10 mg for 5 days temporary she reduce her rashes on skin but it started again after sm time . so I gave her same again for another week now I m seeing my daughter put on weight n she feels more hungry pls help me what should I do to reduxce side effect . will she get problem with her height growth? ### REPLY: Hi, Welcome to the ChatDoctorBrief. First she has to avoid triggering factors causing allergy. Detailed answer. Since rashes can occur recurrently because of hypersensitivity to some particular food products are other factors like dust, mites at bed, pollens or change of weather etc. First you should note down in diary what are the triggering effects and discuss with your doctor. Get a food allergy test (pin prick test) done to know what food products can cause rashes. Get C.B.C (complete blood count done) to rule out eosinophilic. To decrease allergy she may take tab.Belfast to avoid side effects of cyclone. For increasing weight encourage her for doing cycling and having plenty of fruits and vegetables instead of having junk food. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there me and my partner have been very uwell since sat. woke up aching with hot and cold flushes...same again sunday. today no achin but still hot and cold flushes...can u help wat this is? we have 3 small children under 5 and are very concerned they may get it? ### REPLY: Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that there is possibility of Dengue infection in you. Kindly do dengue investigation in nearby laboratory to confirm it. Do not worry as it won't spread to the other except by mosquitoes. If you have mosquitoes near to you kindly use insecticide to cure them. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, aged 11, weight 30kgs, has a terrible ulcer infection that stared in her throat and are presently on her mouth. She started on last week Wednesday with a high fever, vomitting, dizzy and throat glands that are swollen and very tender to touch. On Friday I have taken her to the GP, only to be diagnosed with Larengitis and 11ml of Augmentin EU. The ulcers in the throat seems to be cleared up, but her mouth is getting worser.She can not eat even yogurt. ### REPLY: HiT hanks for posting your query.  Your daughter is having upper respiratory tract infection. It might have been due to bacterial infection of throat that's the reason your doctor started on augmenting.  But the response to augmenting seems less in your daughter. If I was her doctor I would have done a throat swab culture sensitivity test and started on azithromycin. Consult your doctor ask him about the way.  Let her do salt water gargling 3 times a day for few days.  Any clarification feel free to ask Happy to answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, Im 43 years old and I noticed that before my mentruation, I have this heck pain..if not, I experienced headache.  My blood pressure awhile ago is 160/100.  The last few days, the ringing of my left ear is loud than before.  Sometimes, my arm is also aching.  I already take paracetamol awhile ago and massage the back of the neck with ointment.  What do you think., is being 43 already means I need to have doctors checkup at least twice a year? ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that at your age you should start having periodically scheduled check-ups every 6 months. Your headache seems to be related to high blood pressure. You should know that it is one of the most common symptoms of high blood pressure. Regarding back and shoulder pain, it may be related to a cervical disk problem or to chronic degenerative changes to your backbone. I recommend you to closely monitor your blood pressure, different times during the day at home (in sitting position, after 15 minutes of total relax) and refer these values to your GP. It is necessary to perform a complete check-up by your GP including: a careful physical examination, a resting ECG, a chest x-ray study, a service -thoracic spine x-ray study and some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, inflammation tests, etc.). If your blood pressure is above 130/90 mm Hg most of the time (and non-episodic), you should discuss with your doctor the possibility of starting an antihypertensive therapy. Meanwhile, some modifications to your lifestyle would help reduce your blood pressure: - a balanced diet (low salt intake, avoid caffeine)- physical activity (walking, aerobics, recreational activity)- weight loss. Hope to have been helpful! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been having pain in his back and bloating, nausea and gas. Sometimes when he eats nuts, he gets these symptoms but he only had a few nuts this morning but his back is hurting and he is nauseated and very fatigued. He is sleeping now. He also has diarrhea. He thinks he might have gallbladder problems. I am not sure but would appreciate your opinion. ### REPLY: Hi, I had gone through your question and understand your concerns. Pain in the abdomen radiating to back and bloating can be due to acute pancreatitis, gall stone disease, peptic ulcer disease or hepatitis. It would have been great had I examined your husband on my own. Do not worry. I would suggest you to ask him to- Have a soft, bland diet-Avoid oily, spicy food-Get an abdominal ultrasound done to look at the exact pathology-Get a complete blood count. Hemoglobin, Liver function test, amylase, lipase, urea, creatinine done-Stop smoking, stop alcohol- I would start tablet Pantoprazole. Your doctor can guide on the exact dosage. I would also suggest you to take your husband to a gastroenterologist. He/she can examine him and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your husbands 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: im really upset...ive been coughing for nine days now and it was so bad today ive been coughing nonstop and my head hurts.  I had a fever two days ago but its gone.  now i have no mucus in my nose, no fever, but just hardcore coughing.  my doctor decided to give me antibiotics today.  do you know how long it will take for this cough to go away?  I cant even sleep... ### REPLY: Unfortunately coughing after an upper respiratory infection can last for several weeks (4 to 6 weeks), although it tends to improve in the first 3 weeks. Symptom management is your best option at this point. You can take an over the counter cough suppressant or prescription cough suppressants. Your doctor may be able to prescribe an inhaler to help with bronchitis associated cough temporarily if the other cough suppressants don't work for you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a couple things going on start in low back down thru hip and in thigh it s a deep pain hard hard to get comfortable when I do dosnt last long also I have a pain in my lower abdomen when breathe in it a sharp pain and when I have bowel movement and pee pushing hurts I can push down and it hurts then gos away I have had this pain in adomen an leg 2 days now the pain is close to the bone that has like a ball on it coming into bikini line ### REPLY: Dear, welcome to ChatDoctoras I can understand from your complaints you are having low back pain radiating to thigh, a vague discomfort in lower abdomen.I Suspect following conditions1) herniated intervertebral disc, lumbar canal stenosis2) spondylitis questions for you are1) difficultly in sitting for long, pain on bending forwards?2) fatigue of legs on small distance walking?3) history of fall or injury on back?4) details of weight, height any medications, etcmy advice for you1) tab veteran 75 mg as a when required, max thrice a day2) a X-ray lat spine, it will help to know the cause and condition kindly follow up for further queries and detailed answer at me .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ty pe your query Hi, im 26 years old and I m sexually active, my last period was october 8, and its now december 5. I have taken 3 pregnancy test and all were negative, on november 22 I was having light cramping and then light pink spot when went to bathroom, then nothing else, now I have notice that the center of my nipples are white. Could I be pregnant but not show up on a test? I do feel sick at times. ### REPLY: HI, I understand your concern.  You have 2 months delay in periods, with slight spotting after 1.5 months. Pregnancy test done twice was -ve. This strongly suggests absence of pregnancy. Still if you are doubtful USG scan of pelvis would give perfect deciding result.  Absence of pregnancy is mostly due to hormonal imbalance due to- Being on Demo contraceptive/ POD/Ovarian or thyroid problems. Long-standing debilitating illness/ psychological stress.  * your symptoms of being sick, nipple signs are due to hormonal imbalance only.  * You need a gynecologists' consultation & needful investigations for pinpointing the cause. Followed by specific treatment.  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 feel a pulling or pinching under my right chest area about where my liver is at I suppose. It happen when I breathe or yawn real deep and sometime when I bend down. It has been going on since around April 1, 2012. The area is tender. I am a 50 year old man. ### REPLY: Hello, As pain is in the right upper qua .  Post which proper medical advice can be given. Also, a chest x-ray to be looked out for as you mentioned the lower end of the chest, and the x-ray will reveal if any pathology is present. Based on the clinical examination and diagnostic report the medical advice will be given. Hope I have answered your query. Let me know if I can assist you further. Jay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am. A 19 year old female with back pain sometimes im dissy and feel like I have to throw up especially when I get hungry. My stomach sometimes gets in knots even if my cycle isnt coming yet. And everyone in a while I think I feel like something is moving in my stomach. I take a pregnancy test like every other week and it comes up negative ive been getting my cycle every month. So idk what it could be. What does this sound like? ### REPLY: Hi, thank you for posting! I have gone through your query and I understand your problem. According to what you have said above, I think that you suffer from adnexitis, which is an ovary and fallopian tube infection. This condition causes hormonal disorder, which also causes the vomiting and dizziness. The back pain comes as a result of the infection. In order to find the right diagnosis, you need to do the following:- Clinic examination- Gynecological examination- Abdominal ultrasound-Complete blood count-Urine testate results of these tests will aid in determining the right diagnosis and treatment. Of course, you have to contact your gynecologist to discuss more about your condition. Feel free to ask for anything unclear. 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: Does my daughter give reason to believe she has Planters reflex? I have reason to believe my 2 and a half year old daughter has Planter s reflex. Any suggestions? Symptoms are: Unstable runner and walker Poor balance Falls with out reason at times Right foot points to the right unstable ankles Wreckless and cluesless stepping down stairs Walks on curled toes 30% of the time Appears to labor lifting or shifting her feet when climbing out of sitting position as one would if they had heavy ankle weights. Writes with entire body leaning down almost on the table. ### REPLY: Welcome to  This is possibly disorder of the musculoskeletal system. Since you said that her foot is facing to the right there could be congenital joint problem. Is there knock knees when she keeps her legs together. She should be examined by her Orthopaedician for corrective measures possibly by splints or operative procedure. Let her avoid doing much running for fear of her getting hurt. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe sunburn on the tops of my feet, they are swollen and the burns feel like typical over exposure to the sun. However, when I stand up or attempt to walk I have severe pain in my feet as if they were broken and feel like I m going to collapse, is this pain normal? ### REPLY: Sunburn over top of feet would not usually have pain on the soles. The pain in feet may be radiation from above top of feet but not to the extent as told by you. Its arthritis of foot bones or bony spurs is causing pain. It's a chronic condition which doesn't go easily. Combining foot exercises and medication for pain is the answer. Sunburn on top of foot is to be managed by different anti sunburn measures. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Fiber rich foods are ideal for constipation, its better than taking laxative. eat banana, beans, carrot, and more spinach. i also use cremadiet powder fo constipation. it has no taste, it bland, its very difficult to have it, do yu know any other suppliment that will be better than cremadiet. ### REPLY: Hi Thanks for posting your query As advised by a good number of users the best treatment for constipation is a high fiber diet with adequate fluids should be able to take care of the same Yet for your information a supplement with a good taste is available in form of Natural Hope this helps Am available for any followup queries there are no further doubts, do accept my reply and rate it Get Well Soon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I am really sorry to disturb. I have had a red , painfull when touched, lump, under my armpit. It goes away after couple of days, but after a while it comes back. It is hard on the inside as well as a bit swallen and red on the outside. Now i have it in a more private area. Same red, hurting when touched, lump. What could it be? I am really scared. Thank you so much for your time. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had two stents put in 4 weeks ago i n my arteries of the heart and since the stents have been put in I have been experiencing pressure in my chest like a book is sitting on it. I went to the doctors yesterday and he sent me today for a stress test and I will not know what the results will be for two weeks. Meanwhile since my stents placement I have extremely high blood pressure and I go to the cardiac rehab and they will not even let me on the bike or even take the bike test. Is this normal or do I need to worry about this? What could this pressure be? ### REPLY: Most likely its normal, sometimes patient may get a feeling of mild chest pain, heaviness in chest. However to be on safer side you can get yourself evaluated. However there is no direct relation between stent and blood pressure. However, get tablets prescribed for blood pressure like tab metoprolol XR 25 mg or telmisartan 40 mg. Also consume low salt diet and regular exercises. Also, healthy lifestyle and low fat, sugar diet will help ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having occassional pain in the lower abdomen. Below the belly button. It feels like cramps when I have period. But i dont have my mens right now and i am not pregnant. I feel it every now and then. Like if im doing something i have to pause cause it hurts alot. Sometimes i get the feeling like i need to fart but i couldnt. And it makes me feel hungry or very full like i need to vomit. Its been going on for tgree days. What is this? ### REPLY: Hi and welcome to . It can be functional bowel disease such as IBD or bowel disorder, but also there can be intra-abdominal pathology especially related to ovaries and uterus which are in close contact with colon. There can be ovarian cyst or pelvic infection which irritate rectum and cause urge to defecation and pain, it doesn't need to be related to your period. I suggest doing pelvic ultrasound and colonoscopy for further evaluation. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Sir, my uncle age 57 (from very week financial position) was recently having some trouble in breathing, after some tests dr. told us that as he is having high  blood pressure that was 180/110, and root cause is some problem in the kidney functioning, his blood urea is 80 and Cretan  level is 5.5, we have not started with any medicine til yet, as reports came yesterday only, I want to know what are the chances for him, can he be recovered with medicines or problem has reached to advanced stage. plz plz reply me as soon as possible. I want to know clearly what is his actual position right now and how we can cure him or which way to proceed for better treatment ### REPLY: Tithe reports do indicate that your uncle is having renal failure. The high BP & breathlessness are due to it. First you need to consult your Doctor and do few investigations like urine routine, sonography of abdomen, blood gas analysis. Whether the renal failure is chronic or acute-reversible has to be looked upon. He should be treated with antihypertensives, diuretics to begin with. If breathlessness, urine output does not improve he may require dialysis. Actual prognosis depends on the type of kidney disease. 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 ve been sick for three months Dr has had me on antibiotics or antiviral since August and I m not better!! She said I had water in my ear tube at first 10 days antibiotics. Still bad went back. Because not I started a chest cough! Then I got inhaler blood tests and more antibiotics and it still didn t help and now my skin hurts zero rash and my joints are so sore I cry! Went back cough.now deep in my lungs and lost 10 lbs ear hurts and throat sore! I went back for the dr to give me a antiviral and ear drops! Still feel horrible and it s month three and emotional state shaky because I m always sick!! My skin is so painful and sensitive I have no rash I have a ear ache throat hurts and cough and my joints are killing me! What s wrong and why isn t the meds taking away my bad ear ache? ### REPLY: Thanks to  I can understand you problem Ear pain due to sore throat along with cough are main symptoms here . I nstead of repeated antibiotic medication, I would like to suggest once the x-ray PNS and chest x-ray .to rule out the disease if possible do the CT CHEST ALSO .ok have check with once dentist to rule out oral pathology don't worry if proven use antibiotic of good choice like augmenting 625 for 5 days along with anti-inflammatory like diclofenac with paracetamol 500 mg .for 5 days Exocet 5 mg use full for your sensitive skin for 3 days daily once .don't . .joint pains also will reduce slowly take healthy diet, lead good life . Ok ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had my gall bladder and appendix removed quite some time ago. But this last week have been having real sharp pains feels like someone is sticking their finger in bellybutton from inside and pushing it out. At times it really takes my breath away hurts so bad. Is happening every day some days more than others. When I lay down can feel pressure there and hurts to touch or push there. Am recoverin from neck surgery so it s not that s I m doing or lifting too much as I m on a 10 lb restrictions ### REPLY: Hi. Thanks for your query. Read the history of removal of the gall bladder and appendix. This must have done by the Laparoscopy approach. The pain in the belly button where you feel like someone is sticking his finger in the belly button from inside. Hurts bad sometimes, and now you have undergone a Surgery for neck problem. My probable diagnosis is :You have got a primary or secondary umbilical hernia. And I would advise you the following:-First get investigated and clinical / physically examined by a General Surgeon. If the hernia is present you have to undergo the formal surgery for getting the problems solved. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 gallstones which have just started causing me pain but my problem is that i feel numbness in my left abdoman under my left rib. It also goes around to my back area. There is no rash. Is this related to the gallstones or something else. What could be causing this numbness that comes and goes? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have history of gall stone. Your pain and numbness may be due to that.  You should go for ultrasound abdomen to know the exact size and site as well as thickness of gall bladder wall.  Treatment depends on size of stone and whether you have cholecystitis or not. For abdominal pain you can take busulfan or dicyclomine.  If you have large stone then surgery is required. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my fingers and hands are numb on both hands. i can feel hot and cold but otherwise cant feel much from the wrist. i have had carpal tunnel surgery three months ago in one hand but has not brought feeling back. i am diabetic and this numbness has been coming on for a year. my a1c was 6.6 five months ago but sugars have been elevated lately from bronchitis i had recently. seems numbness is getting worse. what should i do? this is scaring me. i think its getting worse. ### REPLY: Hello As there is no relief with CTS surgery, there is possibility of associated tenosynovitis. Tenosynovitis is due inflammation and swelling of tendon.swelling on tendon may not reduce with medication alone. Local steroid injection can give good results added with physiotherapy protocols of machine can reduce your pain and swelling, you can ask your physio for wax bath therapy Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus].MRI cervical spine will help you. 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: Hi, I am 54 yr-old female who had oophorectomy on left side in 2007. The surgeon did the procedure leaving as small a surgical scar as possible, going through a previous laparoscopy scar in my belly button; about a half inch or so on each side of the naval area. It healed okay in about 6-8 wks. Today I noticed itching and burning, and was very surprised to see that along both sides of belly button and deep inside it, is very red, slightly swollen and very very itchy. I put some hydrogen peroxide on it, and it bubbled up a lot. Should I go to the er(don t have insurance yet, or a regular doctor) Thanks so much. ### REPLY: Hi, Welcome to  forum.  You had oophorectomy on left side through the laparoscopic scar in 2007.  Now it is seen that there is red, slightly swollen, and very itchy place along both sides of the belly button. It appears to be the surgical hernia.  I advise you to consult a surgeon for diagnosis and treatment.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods.  Wishing for a quick and complete recovery. 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 Doctor this is Ravi here... One of my relatives daughter, just 11 yrs. old is having a hole in her heart. The hole is increasing with the time. They have been advised to consult doctors in Sai Baba Hospital which has good facilities for the same. ### REPLY: Hello, As mentioned the condition I am sorry to hear about it. Coming straight to your query I think there might be a need of the surgery as there is no development in the case.  Since surgery is the only choice left the physicians must have recommended opting for SAI baba hospital due to financial constraints. Look forward with bravery towards the surgery as that is the only choice. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am mastrubating since 13 age. Now I am 17 years old. In middle of 14 & 16 I used to mastrubate 3 times a day. And came down slowly. I feel like a old man lost interest in everything. Now I am going to attempt 12th examination. But I dont have enough confidence. Please suggest me something that will stop mastrubation. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Let me assure you that moderate masturbation practice is not unhealthy. Every youngster indulge in masturbation and is natural. At the age of 14 to 16, thrice masturbation is also normal. As age increases, the priority is changed and masturbation naturally reduces. Up to 25, masturbation once a day, is considered healthy. Therefore, you have nothing to worry. Your lack of confidence is due to your negative feelings about masturbation. Forget the negatives. Concentrate on your education. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i dont want to overreact to this, but its a bit strange.  I have transient episodes of numbness and strange tingling in my feet and have figured this would just go away, but now i have a small area on my ankle that is completely numb with rough skin over it.  Also i have a lot of pain on the bottom of my heel on one foot--this is chronic and has been a problem for months, despite trying everything to alleviate it. Are these symptoms something to be concerned abou? ### REPLY: Hi, As you are not mentioning your gender, I'd assume if you were a woman, and keeping high heels. If this is your case, I'd advise not to use high heels, orthopedic shoes are the best choice. In addition, you are also not mentioning your age and if you are suffering from any other disease. This is to exclude arthritis or other skin conditions. I suggest consulting your physician as soon as possible to get the right treatment after physical evaluation. If you can send a photo of your current health problems, and ad . Hope it helped! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 have query about a biopsy lab report there is a impression (metastatic deposits of mucin secreting carcinoma/pseudomyxoma peritoneil ) at right inguinal region (measuring tissue 2.0*2.0*1.0cm) i need an explanation of disease and its treatment and whether it is curable or not?(age 74 male) ### REPLY: Hello sir, it is a kind of epithelial tumor usually originates from appendix, here I have no idea whether you have undergone appendectomy earlier.it is a very rare kind of tumor. As the tumor grows and occludes the lumen, mucus accumulates and the appendix ruptures. The peritoneum is then seeded with mucus-producing cells, which continue to proliferate and produce mucus. The progressive accumulation of copious amounts of mutinous fluid gradually fills the peritoneal cavity, and then it leads to intestinal obstruction, which is fatal without treatment.there are two types of treatment,1.best suggested one is aggressive type; it includes cytoreduction and intraperitoneal chemotherapycytoreduction means removal of as much as cancerous growth.intraperitoneal chemotherapy means administration of heated intraperitoneal chemotherapy after surgery. The survival rate is 5 years in 70-80%.I hope this information is helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... hi well i had problems with mt stomache really bad pains and i went doctors and they thourt could of been pelvic infection but results were clear.. pains stoped and now they have started again but when i drink after a few but it really hurts ### REPLY: The most probable causes are : Appendicitis, lymph node enlargement (tummy tonsils), nickels diverticulitis, and so on. A proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. This is most important to lead to a proper management/ treatment.Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. Ct scan of the abdomen and if required Diagnostic Laparoscopy are the best options for diagnosis and treatment ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend is in mexico, he suffers from stomach pain, bloatting etc constatntly, the dictors havent say that he has parasites, but a friend in mexico told him to take quinfamida just in case. Is it safe? I prefer to wait until he comes back to see the doctor, but he is very uncomfortable and needs to work ### REPLY: Hi thanks for posting your query on . Quinafamide is an effective . This is effective if he has documented parasitic infestations. But it is safe to use quinafamide as a presumptive management. I recommend your boyfriend to undergo upper gastrointestinal endoscopy to evaluate further. Meawhile tab Panto 40 mg can be helpful. Consult an expert Gastroenterologist for further assistance.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, My son is severely food allergic and had a bakery biscuit 2 days back. He vomitted and was wheezing, so we gave him 1 ml of benadryl and he was doing fine. Today we notice his inner lips and inside of cheeks to be black. Is it something to worry. What do you want me to do. thanks, Mani ### REPLY: Hello, Welcome to , Food allergy is an immune system reaction that occurs soon after eating a certain food. Even a tiny amount of the allergy-causing food can trigger signs and symptoms. The most common food allergy signs and symptoms include Tingling or itching in the mouth, Hives, itching or eczema, Swelling of the lips, face, tongue and throat or other parts of the body, Wheezing, nasal congestion or trouble breathing. In some people, a food allergy can trigger a severe allergic reaction called anaphylaxis. This can cause life-threatening signs and symptoms. There are skin tests and blood tests to detect the foods that your son may be allergic to. A specialist in allergy will be able to arrange that. 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, I have Lymes disease. I was bitten by a monkey 18 months ago in a zoo in Honduras while on a cruise. Everyone else was taking photos with the monkeys so they handed it to me and it bit me. I have been sick ever since then. I know Cats claw is good for helping eradicate the spirochete bacterial infection. Is there anything else that you know of that will get rid of Lymes for good. Peggy ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you should first diagnose yourself for the Lyme Disease before you got treatment. You can get tested yourself with ELISA, IFS or Western Blotting to confirm the diagnosis. If you are confirmed as having Lyme disease you should take doxycycline 100 mg two times a day for 14 days to cure the disease. The causative agent Bocelli burgdorferi a treponema bacterium is very sensitive to the . I will be happy to answer your further concerned can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 53 years old and high blood pressure mainatained 90 to 130 almost all the time but suffering from sexual deficiency since last 12 years used herbal and allophatic medicines but could not satisfied my wife yet can i have any medicines to use and get the positive results to recover sexual deficiency and also note i am taking evion tablets 400 mg since last two to three months but not yet any results for sexual deficiency please suggest!!!! ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you are known hypertensive and facing problem of Erectile Dysfunction. As your Blood pressure is well controlled and do not have any major health issue the cause of ED seems to be mind related and due to performance anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Take Sildenafil (Viagra) as on demand. Consult your family physician for prescription and advice regarding dosage and timing of the . This should help to get good hard sustainable erection to have enjoyable sex failing which you may need to consult Urologist for detail clinical assessment and investigations to find out the cause of your ED. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I have slightly elevated bilirubin levels (Bilirubin-Total by Diazo metho : 1.4 of which Bilirubin-Direct: 0.2 and Bilirubin-Indirect- Serum: 1.2). Also, i have low lymphocytes(18.0 as against normal range of 20.0 to 50.0 %). What could this be an indication of? ### REPLY: Hi thanks for asking question. Your lymphocytes are only very slightly depleted. Need not much concern. Your bilirubin mild high with increase indirect bilirubin. Here first rule out hemolytic jaundice. For it estimate serum LDH, Relic count and peripheral smear study . If hemoglobinopathy suspected in smear electrophoresis can be done. Secondly rule out fatty liver by USG as it can elevate liver enzyme and bilirubin. If you have alcohol habit then also such finding can occur.Meanwhile, if you develop anorexia, muscle ache, joint pain, headache with fever viral marker done to rule out viral hepatitis. I hope your concern is solved regarding cause for increase bilirubin. Take care.... .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am trying to determine if a doctor s visit is warranted or not (viral vs. bacterial). About a week and a half ago I began developing symptoms of a sinus infection (I have a severely deviated septum and these are a frequent occurrence) and these symptoms peaked on Wednesday, along with malaise, headache, and exhaustion from inability to sleep, but no fever. My nose became extraordinarily runny as well (mixture of green and clear). Today, Thursday, I felt better, but still had a running nose and congestion (though not as bad) though now I am coughing and feel congestion in my upper chest. (Like the last time I had an upper respiratory track infection.) Every time I lay down I cough like a crazy person, and cough stuff up. When I m sitting or standing symptoms are relieved. Can it be determined if this is viral or bacterial? ### REPLY: Thanks for your question on . In my opinion you should at least get done chest x-ray to rule out lung infection (pneumonia). If x-ray is normal than it must be upper respiratory tract infection(URI) only. Viral infection are more common in URI. Blood test can differentiate viral and bacterial infection. If total count is not much raised with lymphocytes predominant then viral is the cause. If neutrophil leukocytosis than bacterial OS the cause. Symptoms like fever, malaise, weakness seen in viral while high grade fever with chills seen in bacterial. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is very small for her age. My husband are very average. She complains of stomach aches every day. She also has dark circles under her eyes constantly. I just have a feeling that something is wrong. Am I crazy? Or is there something I should have checked? ### REPLY: Hello dear, I have gone through your question and understand your concern. It seems she has gastroenteritis. I suggest-Nitrofurantoin 1 tablet 3 times for 7 days after meal.- Syriac 1 capsule once a day for 1 month, for normal flora.- Flaxseed 1 tablespoon for 2 glasses water, take 1/3 glass 3 times before meal for 5 days,- Charcoal 1 tablet/10 kg for absorption of gases and toxins in the evening for 5 days ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 burning to sharp pain in the upper left side of abdomen. I have had CT of abd. by oral contrast, abd. U/S. XRAY, colonoscopy and EDG which was all normal but this pain has been present for 2 years. I had a robotic hysterectomy about 1-2 years prior to this issue. What could be causing this pain? It is not getting better. It is present most of the time. ### REPLY: Hi.... Welcome to  . According to your complaint you have problem of burning sensation in abdominal area that may be because of indigestion problem. More spicy food and alcohol . . Intestinal infection also cause burning sensation. Gastroesophageal reflux disease may rule out. Consult a gastroenterologist for further diagnosis. Endoscopy can be done if needed. Detail history and investigation give exact idea. I hope my guidance helpful to you... Take care. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor my 18 mnth old daughter has 101 fever and is alos teething . She has been v fussy abt food fr the last few days. But today she just refuses eat she cries at the sight of food. Can I gv her crocin on an empty stomach ? Plus hw do I get her to eat ? She s v irritable. ### REPLY: Hi, Teething babies often develop fever and refuse to eat due to the pain and discomfort. If a similar patient comes to my clinic, I would recommend feeding the baby with frozen, mashed fruits (like banana, etc.) and vegetables, yogurt, etc. so that they don't have to chew the food and also for soothing relief.  And no, Cronin is not recommended to be given on an empty stomach as it may cause gastritis and may irritate the stomach. If nothing helps, worsens, consulting the treating pediatrician may be the best option to consider for further evaluation.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 78 yrs. These days, i am diabitic,BP,and heart patient.I have 90-110 fasting and 160-190 after two hours of meal and my BP is 140/90. my doctor prescribed me istamet 50/500 after brekfast and after dinner.Doctor advised me AMLONG MT50+5 in morning and telma 20 at night.now a days my creatine level is 2,please tell me are these medicine is correct or wrong in this condition ### REPLY: Hi welcome to . I understand your query and concern. Yes absolutely all the prescribed . It's advisable to keep the blood sugar under 110 mg as fasting value and postprandial value under 130 mg.Likewise, blood pressure should be under 125/80 mg. Elevated creatinine needs dose reduction of Selma and a watchful observation. I advise you to have a periodical follow up in the form of 2D echo and ECG semiannually for better assessment. Consult an expert cardiologist for further help. Post your further queries if any. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello we are planning for baby and when we do intercourse after completing that sperms come out is there is any way to stop that or any suggestion please ### REPLY: Hi Chandra, Welcome to  Forum. It is absolutely normal for the semen to come out of vagina immediately after your Husband with .  The average volume of semen produced at ejaculation is 2 to 5ml and 1 ml would be enough to get you Pregnant. The normal size of Non-pregnant uterus weighs around 40 to 55gms as a result it cannot accommodate much of liquefied semen as a result it throws it out. So there is nothing to get concerned about. So keep trying it. If you do want to stop it, you can use a Tampon and place it inside your vagina immediately after with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had an ulcer on my lip which i bit and it turned into a blood blister. i went to the dentist who said it would go in a few weeks. A few weeks later it is still a hard lump but without the ulcer. I am self conscious of it as you can see it when i talk. Should i return to the dentist? ### REPLY: Hi Dear, Understanding your concern. As per your hard lump on lip is because of proliferation of blood vessels in that area. Actually the probable cause of lump on lip is mucocoele or mucous cyst. Mucocoele are usually the result of trauma in the mouth, which injures the tiny salivary ducts inside the lip. Injury or rupture of these microscopic excretory ducts leads to an accumulation of mucus inside the connective tissue of the lip. Lip biting or the sucking action .  I would suggest you to consult oral surgeon for proper examination. Doctor may order biopsy of cyst to rule out causes like cancer or lipoma. Doctor may prescribe anti-inflammatory medicines along with antibiotics. Doctor may also surgically remove the salivary gland or do marsupilization of lump. Hope your concern has been resolved. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doc, My name is Rana. I am doing a biology research in school about monoclonal antibodies, and I was hoping you can help me in it if you can. my questions are : How monoclonal antibodies can help in cancer therapy? and how does this therapy work? Since when this therapy had been used and how many people improved or were cured because of it? Thank you ### REPLY: Hi Reyna. All cells in the body have many receptors present on the surface and inside the cell. These are necessary for their normal functioning. Cancer cells utilize some of these receptors to enhance their growth and stay immortal. So we as oncologists have started to use these receptors for treating cancer by blocking these receptors. That is done by using monoclonal antibodies and is called targeted therapy. It was started in the 90s with a .  Now there is a plethora of such  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pines erriction problem Im just 22yrs old .. Im faceing this problem just 2weeks past... before that everything was alright. . I think its happing because of masturbation. . I have habit of  masturbation from the age of 14 years... need help to which doctor I should consult is it curable. ... ### REPLY: Dear user, Thanks for writing to . I have gone through your question and understand your concerns. Let me tell you young friend that masturbation is akin to sexual intercourse. What penis does in vagina during sexual intercourse, same it does during masturbation in your folded palm. This is a natural activity and I would say a healthy activity and does not either affect or deter sexual performance. It is myth that masturbation causes impotency in the future. Erectile problem is very common; it is simply due to anxiety about masturbation and semen loss. Just relax. I recommend psychological counseling with psychiatrist. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son went to an urgent care with a bout of vomiting and diarrhea . He went just to get a slip to return to work. They did a urinalysis and said he had 3+ bilirubin in his urine and need further testing. They recommended going to ED, however there was more than a 4 hour wait. What is the possible cause and how soon should further testing be done. Oh.... he is 21yo and otherwise in good health ### REPLY: Hi and welcome to . It sounds like typical biliary colic caused by gallbladder stones. It isn't very often in his age but definitely can be found. Other reason for it are acute hepatitis(alcoholic, toxic or viral). This isn't emergency if his symptoms doesn't progress, but it should be evaluated and ultrasounds and basic blood gets should be done. If he experiences repeated pain, vomiting and fever he must go to ER. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 37yrs old. I met with an accident 6 months before and hand 5 stitches beside my right knee The wound was deep but no bleeding was there. I still feel pain there.From last week I have pain in my thigh and feeling pain.in whole leg while turning aside during sleep. Pain.is also there while descending stairs n while sitting or standing. Can u.plz tell me the reason 4 that ### REPLY: Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you had an injury which was treated with stitches there will be a load shifting leading to muscle imbalances. Performing exercises for the knee joint will be helpful. Undergoing a proper clinical physical therapy assessment will help understand the muscle weakness involved and with guided exercise the pain will be avoided. On a longer run it is advised to undergo proper physical therapy rehabilitation of the knee to avoid future early degenerative changes in the knee. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i am now in mexico city(Guadalajara), i am staying here for past 4 months, due to climate change i have applied the moisturizing cream from walmart, after two day, i have rashes and hitching in my had part alone, i have visited the general doctor here, She put me the injection Celestone and the TABLET Clarityne. After having this injections and tablets it reduce little bit, could you please provide me any alternative solution, i have CANDIDERMA plus cream, can i apply that? please advice. ### REPLY: Hello, There is no need to apply another antifungal cream with probably a steroid in the Candide plus. The tablet clarity should be enough to control the heat rash. If there are any areas of low pigmentation and appears like a fungal infection, your doctor would have given the antifungal cream. Try a suiting ointment like Calamine lotion on the skin where it burns the most and sun creams with SPF of at least 30 before going out. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes , I have hard pain right side low back and in front , its going on 7 yrs now , had alot of test and exrays cts , dont remember all . but , it started out in 2004 and was on my LEFT SIDE  , have had UTIs so many times and within a week of taking my last antibiotic the infection is back !!!! They said my left kidney was smaller than the right . I believe the infection has spread to my right side  , what can I ask my doctors that I havent ask them already ???? ### REPLY: Hi, it appears to be there might be small stones in the ureter causing pain and recur ant infection. There could be a partial obstruction to the ureter may be due to the swelling of the surrounding structures.  The difference in kidney size could be due to HY .  Anyhow you tell your doctor only the difficulty you are facing, and how long. Rest of the things your doctor will decide what tests to be done. . Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir namste im40 years old in my abdomen in right side where intestine is ther feel pain again and again after eating food , after chillies junk food south dishes likedosa after drinking colddrinks and awaking in the morning i feel toomuch weakness in the night i wake up again again what should i dosir plzlet me clear about my problem i shall be highlyl obliged to youThanks ### REPLY: Hi! Welcome to . From your history it seems that you are having gastric ulcer. In my clinic, I prescribe omeprazole, ulcer healing agent like sucralfate, spy. Gelusil & more importantly advise not to eat all those things you mentioned you eat like chilies, junk food, cold- . Stress if any should be reduced, by measures like yoga & meditation. If still not relieved in 20 days with above measures, I do oesophago-gastro-duodenoscopy for further management. Hope this information is useful for you. Wish you good health. Thanks. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my husband had typhoid 3 weeks before for which he had taken the complete treatment. but now he has sexual problem like weakening in erection which was never before. Is this due to typhoid? when it was corrected and we gain our normal sexual life? ### REPLY: Hi, Typhoid is not known to cause erectile dysfunction. The sudden ED could be due to psychological problem like stress or depression. So just take next two week break. Give him more fruits and healthy diet. After next two week of still erectile dysfunction persist than you should consult him to nearby psychiatrist for counselling. 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: Hi there I had a Mri done the other day because of burning back pain and right side rib pain. My report reads as follows sounds like a lot of things are going on. Made an Appt to see my Doc on the 24th of this month. here is my report a mild upper thoracic levoconvex curvature. There is a mild kyphosis at the T11-12 level. The cord demonstrates normal size and signal characteristics. Mild acute, Modic type I endplate degeneration is seen about the anterosuperior endplate of T12. No suspicious marrow infiltration is seen. There is mild lower thoracic endplate degeneration including small Schmorls nodes. Multilevel disc desiccation is seen within the thoracic spine with mild loss of height.At T2-3, left greater than right facet arthropathy is seen without spinal canal narrowing. Mild left- sided foraminal stenosis is seen without nerve root impingement.At T6-7, a tiny right central disc protrusion is seen which flattens the right paramedian thecal sac without cord compression or foraminal stenosis.At T7-8, a tiny right central disc protrusion is seen which indents the thecal sac without cord compression. Facet arthropathy is seen without foraminal stenosis.At T9-10, a central disc protrusion is seen with an annular disc fissure. This indents the thecal sac and gently contacts the ventral thoracic cord without compression. Facet arthropathy is seen without foraminal stenosis.T11-12, a tiny disc bulge is seen with flattening of the thecal sac but no lower thoracic cord compression or foraminal stenosis.Review of the remaining levels reveals less prominent discogenic and facet degeneration without significant spinal stenosis, cord compression or nerve root impingement. In comparison to the 2009 study, degeneration has progressed.Evaluation of the paraspinal soft tissues is unremarkable.IMPRESSION:Progressive thoracic endplate, discogenic and facet degeneration including small disc herniations, notable at T9-10 where a central disc herniation and annular disc fissure contacts the ventral cord without compression or nerve root impingement. ### REPLY: Hi, Thank you for posting your query. I agree that the MRI spine report is long and reports a lot of abnormalities. However, they are minor in nature and there is no need to worry about them. These abnormalities are due to degeneration of vertebral bodies and discs (located in between the bones over back). As a result, there is mild compression or pinching of nerves in the back. This is giving rise to the pain. Treatment would require medications such as pregabalin capsules for pain relief. In addition, physiotherapy with back extension exercises would also help. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from fewer with cold for last abt 35daysi visited doctor and found that there was water in the left lungh also they hv tapped out abt 500 m.l. fluid from lungh. pls advise what decies i may have ### REPLY: Hello dear Warm welcome to .come have evaluated your query thoroughly.* This is pneumonia due to bacterial infection of the lung with vivid mechanisms.* Devices you may have should contain spirometer - which will assist you for pulmonary capacity assessment as well as lung exercises. Pulse oximeter - to check your peripheral circulation oxygen saturation digital thermometer - to check your temperature round the clock digital BP instrument - to check BP at intervals. Hope this will help you. Welcome for any further guidance. Regards dear take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my granddaughter was out playing in the backyard last night in Asheville, N.C. She looked as though she had a few bites in whelps close to each other on inner aspect of her elbow. Overnight the rash is speeding and now can be found on abdomen and legs. Any ideas. She has minimal itching. ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms of your daughter seem to be related to contact dermatitis. I recommend using an antihistamine such as Cetirizine to relieve the itching. I also suggest applying a mild steroid cream for local application such as Calamine lotion. Hope my answer was helpful. If you have further queries feel free to contact me again. 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 brother(23 yrs old) is attacked by polio during his childhood. His left leg is thin than the right one. We tried many Ayurveda method, but no effect. He is losing self confidence due to this. So is it possible to cure through surgery. If so let me know the best hospital and place ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you.Poliovirus attacks the Motor neurons and hence there is weakness. The weakness of the muscle cannot be cured butte can do muscle transfer surgeries or resection of contracturesNIMS Hyderabad is a good center, and it is a govt organisationHope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END