Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 39 yrs is chronic patient of Schizophrenia for the last 25 years and presently on Clozapine 400 mg doze. Due to weight loss and reduced appetite he was admitted in Hospital in Dec/Jan 17 for Gastro treatment. After thorough tests scan and EUS he was diagonised with TB of lymph nodes for which Rcinex 450 and Benadon 20 mg besides Combutol and PZide for a period is six months i.e. Upto 15 sept. However with start of TB medicine psychiatric condition aggravated and we find difficult to handle at times How do we know that TB has been completely cured and no further medicine for TB required? Under the circumstances invite suggestions/ advise for further course of treatment. ### REPLY: HAI* TB is an infectious disease. With adequate treatment patient will be completely cured. Give priority to treat it first. This case will fall under Extra pulmonary TB. There are specific RNTCP guidelines for the duration of treatment. A pulmonologist will help you more.* Schizophrenia --- Can be treated side by side. if you require your Psychiatrist can go for Injectable Antipsychotics or even Modified Electroconvulsive therapy for making symptom under control. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sorry to bother you so early in the morning. Good morning doctor. I am having very high fever since 3.30. I had 1 panadol at 3.30. Now again I am having fever can I hv 1 now. Fever was followed by loose motion. Think having stomach infection. Have to go to work today. Can I have any antibiotic medicine now from chemist. ### REPLY: Dear Friend. Welcome to . I am .  I have read your query in detail. Furthermore, I understand your concern. Fever with loose stools is a sign of Infective Diarrhea. If you have blood in stools, it might be Dysentery. I advise following in such conditions:1. A combination antibiotic of Ciprofloxacin and Tinidazole2. A combination of Pantoprazole and Domperidone3. Electron ORS to maintain HY . If you have persistent vomiting, you might require IV Treatments is my best advice for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have this chronic muscle pain in my upper back all the time, there are times Its ok. I was told its from stress . I need help. I ve been taking muscle relaxer at night and tremadol during the day. I job once a week to relieve stress, deep breather at least once a day, what can I do next to help me with the pain or how do I get rid of it. ### REPLY: Hello. Thanks for writing to us. The pain in your back seems to be due to a positional anomaly-commonly seen due to a bad posture during work. Taking muscle relaxants, doing hot fomentation and regular aerobics will help in decreasing the pain. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dear friend had a big op for pancreatic cancer a couple of years ago. She is 80 and has just had the bad news it is back and she has lost control of her bladder. She is on morhine for the pain and now waiting to see an oncologist. How long do you think we have here at this stage. ### REPLY: Thanks for your question on . I can understand your friend s situation and problem. Honestly speaking, pancreatic cancer is having very poor prognosis. Loss of urine control suggest spinal cord involvement. So better go for MRI spine to rule out spinal metastasis. If spinal metastasis is present then she is having stage 4 pancreatic cancer. Stage 4 pancreatic cancer has life expectancy of less than 1 year. So better to first rule out spinal metastasis in your friend s case. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a question about my heart.  Whenever I sit in bleachers or a chair for a while, and then I make a sudden movement to stand up or sit back down I get extreme pain in my chest.  Once I hold still for a few seconds it goes away.  While  Im sitting I feel pain in my lower back.  Is it related? ### REPLY: Thanks for your question on . I can understand your concern. Both may not be related. Also consult an orthopedic as it could be related to spine as well. Possibility of musculoskeletal pain is more. You will improve witChatDoctorbination of painkiller and muscle relaxant .  Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: On Friday, I took a blood test and my ChatDoctor levels were 793. they told me I was 2 and a half weeks pregnant. 48 hours later i did another blood test and my ChatDoctor levels were 3000. they told me this was good news, this is my first pregnancy and i have been trying to conceive for 4 years. Is there anything I should do to keep me on the right track? ### REPLY: Hi, ChatDoctor values are checked every 2 days and if they more than double since the previous value it indicates a normal, viable pregnancy. Since the value is more than 1000, you should go for an ultrasound scan which will accurately date your pregnancy and the visibility of fetal heart will be an added assurance for you. Please take/continue Folic acid and go for regular checks, avoid any heavy exercise or weights and hope everything goes fine. Regular follow up with your gynecologist is the key. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For years I have had pain in all the joints of my body and my back. They all hurt all the time and seem to worsen while relaxing.. My right knee and back have really been bothering me a lot while laying down...getting out of bed or standing after sitting for a short time is brutal... ### REPLY: Hi, The location and movement of a pain give clues as to what is going on. And a localized joint problem implies that particular joint(s) is damaged. This can be fixed surgically. Aspirin-like .  Mechanically, taking the weight off of the joint is helpful. Canes, walkers, braces are helpful exactly to the extent they take weight off. All will be more likely to have more effect than dieting which is unlikely to result in even a 10% change. Moving more gracefully through ballroom dance, tai chi or yoga will likely have the most effect on the strain on the area. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 27 year old male , im feeling worried as i have found an unconfortable lump in my bum . had it from sunday . but from today it has been bleeding alot , im just after a bath and had only been sitting down an hr and blood had leaked through my shorts . can u please help me thanks . ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some abscess or fistula or vascular tumor.  You should go for examination. If needed go for further investigation like biopsy.  Search for the exact cause and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! MRI of the brain of my father reveals tiny foci of ischaemic gliosis in white mattewr of both cerebral hemispheres. Partly empty sella is noted. What does it mean and how can it be treated? what are its preventive measures. Please suggest. Sudipta Sarkar, Advocate, High Court, Calcutta ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern looking to the given report of MRI of your father, you have not mentioned the age of your father neither you have said anything for what you have done the MRI test of your father because most of the time this need to be correlated with the clinical conditions, here I could say form the history given here that this is geriatric changes may be associated with the hypertension, hope this information helps you, have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 55 year old female and my current med s are high blood pressure & cholesterol medicines, which work just fine. I am on day 4 of these cold/flusymptoms.....headache, body aches, sore throat, deep, uncontrollable cough with mucous coming up. I went to the dr yesterday...she thought viral and no antibiotic at this time. Strep lab test came back today negative, and she said my lungs sounded clear. i probably gave a false impression of feeling better, as i was/am on x-strength tylenol and robitussin DM, and at the moment i saw her was feeling a bit better. Slept 12 hours last night...woke up still wiped out. Had to leave work at noon today.....really really feel lousy and just beat. I did have a flu shot this year. I have to watch my 6 month old granddaughter next week and do not want her to get sick.....should i request an antibiotic? she said if it didn t improve, i could call and ask for one. she never really said what she thinks i have....flu? bronchitis? just a cold? i never get sick, so this is new and i really feel lousy. any advice is most welcome. thank you ### REPLY: By all means you still may have viral infection, in many cases the symptoms you describe may be persistent for 4-5 and, and some soreness and tiredness may remain for 2-3. Week.  So still I would say no antibiotic Is indicated medically.  However, with consideration that you are meeting your granddaughter, you may take the antibiotic which may or may not cut short the duration of the illness.  Also, I would like to point out that Robitussin contains dextraminopen (codeine like .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father, age 80, has type 2 diabetes (treated with Novolog and Lantus), plus cardio vascular disease (Lipitor and he had open heart surgery app. 14 years ago), neuropathy in legs (Neurontin), Alzheimer s (Aracept), and dizzy spells, has just come to live with us. He takes a very long time to urinate (10 to 15 minutes), and now says he has worsening pain in his right testicle, which is spreading up into his back. ### REPLY: Hello, He is a diabetic so there's is a possibility of neuropathic pain that radiation to back from testicles. Other possibilities like infections like orchids or epididymitis due to sums or other bacterial Infections in diabetic. It is an immunosuppressed condition. Torsion or HY .  Until examination is done at the local site it is difficult to say what it is. Please consult your physician/surgeon he will examine the area and do ultrasound scrotum if any queries then create you accordingly. 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: hello i have twins they are going to be 2 months in 10 days they have been pooping green with white little balls they are very crancky at night they cry and cry they act like they are hungry i give them the bottle but they cry with it in their mouth like if something hurts ### REPLY: It is happening at child in different cases:taking formula, iron, hungriness, disbacteriosis, St. aureus enterocolitis, rapid transit, intake of colored vitamins, problems with bile secretion, malabsorption, allergy. If babies have cramps it can be infection also. So, we should find cause and do additional stool analysis, stool culture and sensitivity to antibiotics. At the first you can start to give them eco norm (saccharomyces) 1 Sasha 1 time 5 days, colic aid 10 .  Best regards. I will review you after 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: Hello, I wanted to ask a question regarding myself coughing up mucus/phlegm almost every morning that is black in color or is clear with tiny blackish/grey specs in it. I tried doing some research online but with little results. I do smoke marijuana on daily basis pretty much but I do not smoke cigarettes at all. On some of the sites I was reading on suggested that it is the tar/resin being expelled from your lungs and is the bodies natural cleansing method for getting the toxins out of the body. But Ive also read that it could be caused by a jaw infection which oozes out from in between the teeth and gums and trickles down the throat to the lungs and that the infection could be caused by having wisdom teeth removed which I had done a few years ago. I was hoping to get a little insight before scheduling a doctors and/or dentist appointment. ### REPLY: Thanks for using . Read your query. Removal of wisdom tooth followed by what is mentioned is not a relevant thing and if read somewhere, there are no such theories as such. Marijuana smoking is harmful. Black mucus and phlegm can include the tar from the burning process caused marijuana. The longer you wait, the worse it will get. It will affect the whole body and once addicted, it is difficult to quit. I suggest you to stop using it completely. Visit your general physician and have yourself evaluated for any lung infection and have it treated. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My grand mother had severe asthma. I am a 28 years old unmarried female and I never had asthma symptoms before. My father passed away 4 months ago and since then I am  under a lot of mental pressure/ stress. I work long hours and ours is a very polluted city. For the last 2/ 3 weeks I have been suffering from severe cough..both dry cough and productive cough, but no temperature or severe shortness of breathe. I had taken cough suppressants, but they didnt work. What might be the diagnosis? ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to Allergic rhino-tracheo-bronchitis. Presented with similar complaints, I usually treat my patients with:1. Tablet Allegra 60 mg twice a day or Tablet Levocetrizine 10 mg in the evening.2. Tablet Montelukast 10 mg in the evening.3. Anti-tussive preparations like Grillings 10 ml three times a day.4. Stalin inhaler (if there is associated breathing difficulty).5. Voice rest-avoid talking in loud voice & for a long time.6. Stay protected from exposure to cold, dust & other allergens.7. Steam inhalation & deep breathing exercise.8. Avoid smoking, cold food & .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 19 year old female and I have had a swollen lower back for the last six months. The swelling is directly superior to my sacrum and coccyx and proximal to the lower lumbar vertebrae . I have not gone to get it checked out, because I am trying to save money and it is not painful unless I over-excersize or do something to bother it. If i do that then I get a strange numbness in my quadriceps and extreme back pain to the point where i can hardly stand or even move at all. Any ideas to what it is? I am very confused and have studied up a lot, because i was a medical student for a while. ### REPLY: Hello Adela ;welcome to  You need to get examined the swelling on your lower back to find the reason as to what it is. Asyou said the swelling is painless till you exert but on exertion it causes severe pain and numbness in muscles thereby suggesting that there is some relation to your spine as there is numbness which is due to nerve compression. Waiting long can complicate your problem and may require more money. So please get examined and treated by an Orthopaedician. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My right little finger has a knot or node on the first joint on the end. That is the only one like that. When I looked close, I saw a scare where I mased it many years ago. I makes me wonder if it was hurt worse that I thought.I am right handed, so I thought that when I right that side of my finger rubs the surface. Could this be like a spur or one of those deforming little knots? How can I get rid of it? Is there a supplement that will help? ### REPLY: His have gone through your query. It seems like you have a calcification that is an extension from the bone. This can present as an outgrowth of the bones of the finger. This is usually not serious if there is no pain. In case there is any pain, using an ice pack and a painkiller gel containing ibuprofen can help. The bone spur can be confirmed with an X-ray. 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 fell directly onto both kneecaps about six weeks ago. There was initial bruising and swelling that eventually subsided. Six weeks later, it doesn t hurt to bear weight on it and range of motion is fine, but my right knee is still very tender to the touch. Suggestions on what might be going on? ### REPLY: Brief Answer:Require an MRI scan for suspected ligament injury and bed rest. Detailed Answer:Warm Welcome. I appreciate your trust in  and assure you are on best portal on the globe for expert online medical services. I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems. Based on what you said and your prolonged pain after fall, I suspect a ligament injury of your right knee. You should reach out to orthopedic surgeon nearby and get an MRI scan to detect the cause of injury which is likely to be a ligament injury. You may take tab. Naproxen 20 mg once a day for your pain. Best rest and decreased movement of your affected knee can improve you condition and usually require 3-6 months for recovery of partial injury to ligament. Hope I ad .  Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow-up to see how you're doing. 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, Every now and then I experience a dull pain just behind mt scrotum. It will last up to 20 min and feels very uncomfortable. It also appears to make one go to the toilet and try doing a poo. The pain will persist a little longer but gradually subside. This feeling may occur as little as once eevry 6 month or more. Recently I had 2 episodes within a month. I am 60 years of age and have regular colonoscopies eevry 5 years. All my results so far have been normal. Last Colonoscopy being 3 years ago. Could this be something series? ### REPLY: Hello really appreciate your concernLooking at your history this could be caused by infection or inflammation of the testis or epididymis, muscle pull following a trauma or varicocoeleSince I can't physically examine you to get more clues so in my opinion you should visit a general surgeon for clinical examination and a color Doppler study if need be. You can take ibuprofen for pain relief and wear scrotal support. Thanks for your question Please feel free to ask for more information I will be happy to help you wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have bitten by dog i have injected in my native place for 1st & 2nd dose..but now i am in delhi when i consoled with docter in delhi they asked what type of dose u have take in your native.after that they started from first dose.Please advice me whether it will cause problem? ### REPLY: Rabies vaccine can be administered with a delay of up to 5 days after the start of vaccine treatment without significant antibody suppression within the first month. You can start from third dose. Repeating an incomplete dose of rabies vaccination does not cause harm as long as you do not have any allergy. Since only two doses have been taken, you can start the course again under physician supervision. Hope I have answered your query. Let me know if I can assist you further. 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,earlier today I had 4 teeth extracted and I had a few needles to nb the pain. 12 hours later and a portion of my lip is numb and swolloem, the small area has also risen and is tinged white. No other part of my mouth seems to effected but this area on my bottom lip.what is it and is it a concern? ### REPLY: Hi. Welcome to . I read your query. After extraction, numbness of lips is quite common due to mild pricking of nerve during injection or extraction. Usually the numb portion seems like swollen as well. This is a temporary situation which goes away with time. Please do not take too hot or cold things as it may burn the numb area. Do not chew or bite your lip. Take multivitamin tablet for 2 weeks. Massage lip with gum paint to increase blood supply. Maintain good diet. In case the numbness persists after 2-3 weeks, consult your dentist. Hope the answer helps you. 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 baby is on holiday in India. He is 3 months old. He has got cough and flem, we visited a paediatrician and he had prescribed for ventolim 1.5ml 3 times a day. But our Australian paediatrician has us not to take ventolin until 6months old. What is the best medication at this stage ### REPLY: Hi dear, If he does not have fever or breathing difficulty, this probably indicates a viral respiratory infection. Ventolin contains albuterol/albuterol, a bronchodilator that will reduce cough if there is wheezing in chest. Wheezing in infants is better treated by nebulization, but this may not be feasible during a trip. Although Ventolin can be safely given to 3 m old baby in time of need, levosalbutamol will be more apt. You can give syrup Leveling(levosalbutamol 1 mg/5ml) 1.5ml 3 times a day. If the cough is not disturbing, and he is active and playful, cough will subside without any medicines in 3-5 days. If develops fever or breathing difficulty, or refuses to feed, kindly take him back to doctor. Hope I have answered your Quertle me know if I can assist you further .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had a low grade fever for the last few days ranging between 99.1 and 100.4 the only other symptoms is week and achky I havent lost my appetite. The top of my throat hurts a Lil but not like a normal soar throat. What could this be and should I be worried? ### REPLY: Hello didn't mention the duration of this low grade fever. Such type of fever may be due to these possibilities, these include:1 Typhoid fever, diagnosis can be confirmed by Tidal or serology test.2 Tuberculosis, diagnosis can be confirmed by PCR, tuberculin test with blood for CBC, ES R .3 Hepatitis, is another most common cause of such symptoms. Diagnosis can be confirmed by HBase for A, B C E. However, it is very difficult to establish any diagnosis with these symptoms, so physical examination is also important so consult a physician and get his opinion as advised. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got smacked across the face by a large plastic bungee cord hook about 16 days ago.  I received two small cuts on my left cheek (just under my eye) that needed to be glued shut.  I had a severe black eye that lasted afor about 10 days and still have a slight bruse to my cheek. However, now that the swelling has receeded, I have noticed a very hard lump (small marble size) under the area where my face was cut.  Should i be concerned about this, or is this most likily a lingering result of the bruse?  It not really painful, but can be a little tender if I press on it.  Is there anything i can do to help it resolve itself? ### REPLY: Hi, Greetings from . Since you had an injury on the cheek below the eyes is common to have black eye which will last for days and subside slowly. The hard lump you have noticed is part of resolving hematoma which can be felt like a hard swelling. You should not be concerned about this .you can try antibiotics with serratiopeptidase, trypsin-chymotrypsin tablets which will hasten the recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My fathers heart is at 13 percent. He is insulin dependant diabetic, and just recently had to call the ambulance I thought his difficulty breathing may have been because he was filling with fluid however Hus lung collapsed and when more tests were ran a tumor was found. What are the risks of chemo and radiation in a situation like this? ### REPLY: Thanks for your question on . Your father is high risk patient as his heart is only 13 % working, and he is diabetic.  So surgery for any cancer will be extremely risky. In my opinion you should first get done PET SCAN to stag his malignancy.  Treatment of any cancer is based on staging.  So if stage 4 cancer is found which is more likely in his case, than palliative chemotherapy should be given. No harm in this with diabetes or low cardiac function. So palliative chemotherapy should be started. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had a recent echocardiogram,and I saw it said mild tricuspid insuffiency with normal pasp,but it said otherwise normal echo,but I m very upset,I m not a smoker or drinker,I never smoked and I always had normal echo tests,till now,the doctor said it wasn t necessary to follow up with cardiologist but I feel I need to see one and I can t understand how can this happen to me ### REPLY: Hello, The tricuspid insufficiency means the tricuspid valve is not functioning normally as it has to be, and many parameters are there that all need to be correlated with clinical condition some time it could be nonspecific if not related with any clinical condition or patient does not have any valvular symptoms, second what kind of insufficiency is there is a matter of concern, in short, if you are not valvular patient, then it is nothing to worry. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good evening Dr, I have just found out that I have pernicious ananiema. i have had b12 injections but my count has not passes 230, i have had blood checked and within 2months it has dropped to 127. i don t feel any difference from having these injections. I have pins and needles in my toes so badly that it worries me. i feel exhausted when i wake up in the morning and my mood could be described as depressive to say the least. what should i be doing or who should i speak to other than my gp as nobody seems to take my condition serious. thank you ### REPLY: Hello, thanks for using . Pernicious anemia is a type of anemia that results from a deficiency in nutritional supply of vitamin B12 or from an autoimmune disease that leads to destruction of a factor in the stomach that aids in absorption of it B12. Autoimmune causes could be hereditary and in this case could occur in other members of the family. Diphyllobothrium datum a fish tape worm is also known to cause It B12 deficiency. It B12 deficiency usually presents with large red blood cells. However, It B12 deficiency is not the only cause of large red blood cells. Deficiency in folic acid also is a cause and if your diagnosis of pernicious anemia was made based upon your full blood count or blood smear results, then it is likely you have a folic acid deficiency. Folic acid is richly found in leafy vegetables, liver, kidney, egg yolk etc. and is also found as a supplement.  You need to see a hematologist for a better evaluation and for further tests like bone marrow smear and autoantibodies if necessary. If you have more questions, please do not hesitate. 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: How is it that a medical expert could use the 1990 ACOR criteria for Fibromyalgia in July of 2009, when was the preliminary available? I don t have any money, I am now disabled and not working, I need help and some answers. Is this questionnaire set up to help or to make money? Sorry about the attitude but I am tired of trying to find the truth about my case and because I am unable to make the living that I once made because of the Fibro, I am left in the dark. ### REPLY: Hi, thank-you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised.a little knowledge about the fibromyalgia is needed. Fibromyalgia is a condition where the pain is in the fibers of the muscle. Each muscle is composed of multiple muscle fibers and inflammation happening there will lead to the dysfunction in the circuiting of the muscle fibers to produce the contraction and relaxation. Also to understand here that the medication is a symptomatic relief and not a long term solution as the body is a medicine of its own and medication used acts as a supportive therapy to allow body to heal on its own. Also, in my clinical practice most Fibromyalgia cases we recommend physical therapy, meditation and breathing exercises. As physical therapy will help improve the muscle refunctioning and also improve the metabolism and immune system to reduce the inflammation. Also, Therapeutic ultrasound therapy and TENS therapy have been useful to reduce the pain, but importantly exercises are the choice. Meditation helps improve the control over the anxiety and leads to cooling of aggression. Breathing exercises helps to improve the oxygen carrying blood cells which acts as a fuel in the metabolism and reduce the metabolic waste as well. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I Have been Diagnosed with post traumatic arthritis in both ankle and also have plantar fasciosis in both feet which make walking painful in taking paracetomol and ibrufen everyday i find it hard to know what to do and what things i should be doing to improve things ### REPLY: Hi, Of course there are changes of post-traumatic arthritis. I would advise you to be conscious first with the ankle. Because ankle bears the whole body weight and this leads the joint to undergo maximum amount of stress and load. First thing I will advise you to start exercising for the core. Post which focus on the hip and knee region. Later look for calf / leg region. All this exercises will be induced in the lying posture, so no stress is applied to the ankle. Which will help joint saved from stress and strain. Next once you are assessed by a physical therapist or orthopedist than you can switch to balance board training. This balance board training is of good outcome to most ankle injury cases. As the exercises will focus more on joint proprioception and also to correct the muscle imbalance.  Once you start the exercises on balance board you will initially find difficult but as practice keeps moving you will find a lot of relief from the stress applied over the ankle joint. You will even have good changes in your plantar is muscle. Rest assured.  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: Approximately how long will surgery take to remove a kidney which has a mass inside it almost as large as the kidney...they are to remove the entire kidney...all other scans, of other organs,bone scan all are clean...we are just curious if they are able to do it lapriscopically (sp),or if they have to cut him to remove it...time frame is what we are wondering....not sure if the Dr. told him or not...seems I was told 3 to 5 or more hours? does this sound correct? ### REPLY: Good Day, and thank you for being with  ! For both laparoscopic and open procedures a radical neurectomy would take around 3-6 hours depending on the complexity of the kidney and the mass. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: white male, age 32, lower back injury in January with pain radiating down the LEFT leg. did physical therapy, and chiropractics with no relief. Dr practioner prescribed oral steroid and pain patch on Thursday of last week. Have not actually seen an MD. Also a history of Crohn s disease. Now am experiencing numbness and uncoordination of the RIGHT leg, no shooting pain down right leg. Also have not had a bowel movement for three days. MRI is supposed to be scheduled within the next seven days. I think this is getting extremely serious now and am worried about more serious problems. Medical advice would be appreciated on what to do next. Do I need to go to ER or wait to talk to someone in doctors office on Monday. ### REPLY: Hi I did review your concerns would advise you to get an MRI done as soon as possible. With a history of Crohn's disease, your condition could be due to associated arthritis of the back. It can sometimes impinge nerve roots and cause the neurological numbness you are experiencing. Shooting pain can be present or can not be present. The MRI will help to determine cause of pain. Also, a neurological assessment by a doctor will help in determining further management. Severe nerve compression may also need a surgery. I hope this yellowish you all the best. Thank you for using . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 3.5 yrs old. In his CT scan report shows (calcifed granuloma in posterior left temporal lobe). So please suggest is this serious? He is unable to walk yet but when he holds a furniture or walker , he walks properly but have fear to leave the hand n have balance for walking Please kindly suggest ### REPLY: The Temporal Lobe is an important part of the brain that contains some structures acting variety of functions, such as auditory processing, language comprehension, memory, smell, and the emotions. About calcified granuloma it means small nodular brain parenchymal lesion for long time to contain calcification, it occurs due to many chronic or old causes like congenital infections, difficult birth with decreased blood supply to the brain during labor, trauma, stroke, inflammations or warm infestations, anyway it is usually asymptomatic, but in some cases it causes headache and less evident epilepsy or neurological symptoms if it affects any of the fore-mentioned neurological centers, so you must consult your neurologist to assess your son neurological state and if there is any neurological deficit. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 symtoms: first week headache, pressure in ears and sinus, sore throat,  heavy congestion, back of throat red with white swollen small bumps veins showing.I have been sick with the flu for almost 3 weeks. I started the 19th of December and started taking Amoxicilin 500mg three times a day for 13 days ran out didnt feel much better. I am still conjested in the morning and still have pressure in my ears. How long does this flu normally last? Also I am being treated for RA at age 25 I am currently taking Methotrexate and Cimzia in shot form and the Cimzia is known to lower my immune system. ### REPLY: Hello and thanks for your question. Influenza typically last for about 2-3 weeks. Amoxicillin does not help because influenza is a viral infection and amoxicillin is for bacterial infections. It is tried that the medications you are on for your RA can suppress your immune function, so it may take longer for you to clear infections than normal. Since it has been going on so long, it is worth having a doctor check your throat and ears again for ongoing signs of infection there that may not have been cleared by the amoxicillin. Good luck to you and I hope you are feeling better soon. Take a multivitamin daily, some extra vitamin C and .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got up from my recliner and my knee would not bend and was painful. I attempted to walk, but only with a stiff leg. It had swelling on top of my knee and behind my knee. I have not injured it, what could have happened. That was two days ago. thanks in advance for your assistance ### REPLY: Hi, Thanks for your query. It seems that you had a muscle pull. Take proper rest. Hot fomentation and application of pain relieving gel will give you some relief in pain. You can take painkiller like Ibuprofen one tablet twice a day after meals with antacid Omeprazole 20 mg along with muscle relaxant like chloraxazone. This will relax the sprained muscles. If the pain persists, get yourself examined by your doctor do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 yr old daughter weighs about 50 lbs and is about 3 ft tall. She has a purplish circle with a hard whitish center. It looks like a bruise. The center is hard and seems to be pointy to the touch and has become somewhat larger than this morning. It is located beside her knee and she says it does not hurt. I can take a photo it and email or attach somehow. ### REPLY: Hi....by what you quote I feel that the kid might be having a bleeding disorder, either congenital or acquired... Mostly congenital, considering the age of presentation. The bluish discoloration you are noticing is a subcutaneous bleed or bruise and the small lump you are able to palpate is a subcutaneous blood clot. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link and post the photos and images there. Please find the link below - www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had UTI twice. Now on medication for 6 weeks. My urine flow is slow. Difficulty in starting wen I control too long. According to the urologist my prostate is slightly enlarged. I was born with a divetiiculum. I am taking Prostagard now. One softgel a day. Is it ok? ### REPLY: Hello and. As a Urologist, I can fully understand your concern. You should mention your age, and if you're on any other medication. You should've undergone the following tests :1. Urine routine and culture, with flow rate.2. Blood routine, creatinine, RBS, platelets, LFT, and PSA.3. Ultrasound-KUB, with residual urine and THUS(trans-rectal scan). According to these reports, treatment is advised. Diverticulum isn't an issue. Prostagard isn't found effective in most people. You may send the reports, as a direct question, for my expert opinion. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor I live in the city of Gastonia, NC just south of Charlotte. I have been suffering from (Diagnosis not yet correct) possibly seizures (Absent) or maybe the beginning of Parkinson s. My Father started to show signs just before he died. I m at a loss with this problem. I was at my Doctors for a follow up on Wed. and had four seizure and was 911 to the hospital, had four more in the ER and three more in my room tested and showed no results. It makes me look like what ever without any results. Have any Ideas. ### REPLY: Hello, I have studied your case. You may need to do MRI brain and EEG Brain to know for organic cause of seizures. If all tests are normal still you have seizures then those can be due chemical imbalance. Then you may need to continue anti-epileptic medication for long time. 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 16. I weigh 150 pounds and am 5 4! today i came home from school and i have a bad headache , nausea , my stomach is hurting pretty bad and i am dizzy and shaky and really tired! I have trouble with my stomach all the time so the stomach thing is normal for me but not everything else because i have been tested for many things for my stomach problems since i was 13 and they have found nothing! But i am just looking to see if i can find out something without having to go to the doctor! ### REPLY: Hi ! I would like to know your dietary and bowel habits. If you eat frequently from outside, and that to some junk food kind of thing, then that may be the reason for your stomach problem. Many kinds of parasitic and bacterial infection may arise for those who eat frequently from outside. Apart from this, some people react to a particular component, e.g., gluten which is found more frequently in junk foods from outside. This gluten osteopathy may cause all the symptoms of yours. Such eating habits can also be a reason for your being overweight if any other hormonal causes are excluded. Try to add more roughage and liquids in your diet. Get investigated for parasitic, bacterial infections and also for gluten sensitivity. Till that you can take a proton pump inhibitor .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is kathleen, i have just buried my gran aunt the 3rd family member in 2 years with ipf all siblings.  reading up on the situation i see alot of websites say its most common in men than women but iv lost 2 gran aunts and a grandfather.  do ye know if this hereditary? what could possibly cause this? there has to be some answers but afraid to be said? cancer is such an evil disease but yet there is answers how can this disease be so rare yet 3 in 2 years have died.  all 3 have been in there 50,s and only lived 2 years after being dignosed. there are 9 other siblings and my dad would be the eldest son of my late grandfather. i need help or more of an explanation for this horrid disease. ### REPLY: Hi, Welcome to , I have gone through your question and understand your concerns.  There are several factors (environmental- excessive smoking, alcohol intake, excessive sun exposure, fatty diet, dye exposure, industrial wastage). Hereditary-runs in families. Survival rate depends on the stage (stage 1- live longer, stage 4- less survival due to metastasis (other organs' involvement).  Early detection, early stage, early treatment - survival is good. Hope, I have answered your query. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 19-month old son has an ear infection and was prescribed amoxicillan.  This is the 3rd time that hes had this medication.  suddenly on the 7th day of taking this drug (the 3rd time) he broke out in hives and his face swelled up.  could he have just recently developed an allergic reaction eventhough this isnt the first time taking this medicine??  he also had chills tonight. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it seems that your son had an allergic reaction to the antibiotic given to you leading to rashes and swelling. It is one of the common presentation of allergy to antibiotic that leads to rashes and swelling. Many a time there is a delayed allergic reaction as the antibodies against a specific allergen are gradually formed in the body and once they are sufficient in concentration they try to fight against the allergen leading to the symptoms. You should also immediately give him the antibiotics and consult your treating physician and get evaluated, and he can give him anti allergic like Ben . . Doing cool compresses and applying Calamine lotion can also help. Give plenty of water to wean off the effect of the allergen faster by increasing the excretion through urine. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor, I am chandra shekar from bangalore. Sir my 1yrs old child is not eating properly at all he will take atleast 1 or 2 hours time to eat & in some times he wont eat anything pls tell any solution which makes every children eat s time to time properly. Thank you ### REPLY: Dear user about your question I would like to tell you that loss of appetite in infants has some causes, and we should find your possible cause of them....we have two common possibilities of that....first is psychological factor .if the infant has psychological or emotional troubles that will lead to loss of appetite examples of psychological troubles is being punished for eating...if you tried to force him to eat his desire for eating will decrease as there is someone always try to feed him even if he wants and so his sense of appetite decreased because of that......2nd cause is your infant may have iron deficiency anemia and this anemia always causes loss of appetite ...this anemia is common at that age as iron administration not enough in milk, so we always give prophylactic iron therapy to infant at age of 10 month as the anemia will begin.........wish your baby healthy life ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 trapped and I dont know what to do I am scared and I think I am going to do something that I am going to regret and I dont know were to turn I cant get in to a doctor yet please help ### REPLY: Relax first, there is nothing impossible in this world if one thinks so. Keep courage and think patiently. You are not going to do anything which a sensible person does not do. You may in trouble but there is no way you should feel low. Talk to your relative or a friend because at times they will help you find way of your problem. Take deep breathes and go to an open space and have good cup of tea or coffee, and you will feel better and then with big lions' heart solve the problem. Buy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2year old baby is having loose stools like yellow watery kind since yesterday like 3 times... doc suggested nutrolin b as well as tufpro liquid ...but after giving just once she still got motions twice...n greenish too.. what to do further?... anything serious... ### REPLY: Hi... It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a seizure the day before yesterday and spent the day in the ER. It was, I think, my second seizure in 4 mos. I have never had seizures before. I have a long history of an anxiety disorder, and severe migraines. I have a history of breast cancer, and a CT scan came back negative for tumor. The first time I thought I had a severe anxiety attack because at the time I was home along, but I still do not know what happened that caused me to cause an ambulance for myself. Very untypical of me as I would never go to the hospital for myself unless absolutely necessary. On a 1/2 of this past week it happened in front of my boyfriend and what he described was not passing out, not anxiety, it was a seizure. One minute I was sitting up at my desk talking to him, and the next thing I knew I was sitting on an ottoman in my house and he had called an ambulance. He said I was dead....I went into convulsions, I curled my hands and moaned, my body became rigid/almost hard, foam came from my mouth and my face was contorted, then I got very quiet. That is when he thought I had quit breathing. The ER person on the phone with him told him to feel my chest and check if I was breathing and he may need to begin CPR if I wasn t. He said they would talk him through it. Just when he went to check me I flew up off the floor and against the wall. He put me on the ottoman, which is flat, and sat there with me until the ambulance arrived. He said I was moving his fingers apart and pulling on them in a strange manner. I remember nothing....all I remember is he was trying to talk to me but I did not understand what he was telling me, what had happened, and why it seemed we were going somewhere but I couldn t figure out why. He held the picture of my niece/nephews up to my face (a picture I fell up against and hit with my head), and I had no idea who they were. I knew my name, but I did not know my boyfriend s name - and we have been together for 7 years. I didn t know where I was. I used to take medication for chronic pain management for something like 10 years (started with severe migraines in my early 30 s as well, then degenerative disc disease in my c-spine and l-spine. My Oncologist (who had treated me for breast cancer in 1995 and dealt in palliative medicine, was all too willing to write my pain medications until they started cracking down on them....now it is a lot more difficult and I have had to take Tramadol instead. Now I wonder if the Tramadol is causing this. ### REPLY: Hi, Thank you for posting your query. The description of the episodes seem like convulsions or seizures. Tramadol increases the risk of getting seizures. However, you need to be evaluated to find out the underlying cause of seizures. MRI brain-epilepsy protocol and EEG would be helpful. In the meanwhile, you should be started on anti-epileptic medications to prevent seizure recurrence and prevent injuries due to them. 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: My son is 5 and half month old, having loose motion for last 7 days.. 7 to 8 times daily which is not usual for him. It s only water and no lumps in it. First it was yellow with mucous and later became green. Had stool exam .. Dr told lactose intolerance.. Started enterogerma yesterday ... Had fever before two days... Requesting opinion . ### REPLY: Lactose intolerance at 5 months of age could be due to an intestinal infection causing damage to mucosa and loss of Lactase enzyme function. Stool test will reveal Acidic pH. As for its management, put the child on lactose free diet for some time(avoid milk and milk products). Continue with Probiotics like Enterogermina, Give him Syrup Incline 2.5 ml once daily for 14 days. Also give a course of antibiotics in form of Syrup Of lox- Ornidazole complex. Give ORS solution so that he doesn't deny .  Once the acute condition subsides, reintroduce milk into the diet slowly. If he tolerates it, well and good. Otherwise, keep him Off mil diet for a longer period. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 currently I am on the Master Cleanse its my 6 day out of 10 of the Master Cleanse.Today while in the shower I realized I have a few red blotches/rashs on my belly, back and on my armpits they do not burn or inchy. Is this normal or I m I having an allergic reaction? Please help. Thank you ### REPLY: Hi dear I read your problem of red rashes on your belly, back and armpits during master cleans. Although u don't have burning or itching in it, but there may be allergic reaction.Therefore, u can take anti-allergic tablet for stopping the further spread of red rashes like cetirizine 10 mg. U should bath with water in which salon is added. PREVENT TO TAKE SPICY FOOD AND OILY FOODS ETC. U CAN . U MAINTAIN THE HYGIENE.THANKS FOR QUERY. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had what I believe to be a cold for about two weeks. Then it seems to have gone away a few days ago. All of a sudden I began to cough(a dry cough), then a little while later, a cough with mucus, sometimes thick, and sometimes thin. My cough is persistent for a couple of seconds before any thing comes up. My throat has begun to hurt somewhat from the coughing I assume. I have a pain in my right side and it hurts constantly and when I cough, it really hurts more. I have to hold my side so it doesn t hurt as bad during my cough. Can you give me any idea of what might be going on with me? Email address is,you in advance for any information you can share with me.... ### REPLY: Thanks for your question on . I can understand your concern. You are having chronic cough, pleuritic chest pain (chest pain on coughing). These symptoms are more suggestive of lung infection and bronchitis. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotics, inhaled bronchodilators and other supportive .  Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 76 yr. old female and have been having upper right back pain for more than 1 week. My family dr. xrayed my mid section and told me they found nothing wrong. Told me to go home - use ice pack and take advil. I have been been doing that. The pain level has not changed. Can you help? ### REPLY: In my opinion you should stop worrying. For immediate relief have some painkiller along with a muscle relaxant and have proper bed rest for few days. Do not lie down on soft mattress use hard one instead. Sometimes with growing age muscles tend to get week. Do not strain your self or over exert. U can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am 31 yrs old and I have been trying for my 2nd child since 2 yrs but so far nothing worked out. I have my 5 yr old daughter born in 2008. I got pregnant in 2011 but since me and my hubby dint have a mindset to go for second as I was working we decided to abort by seeking family doctors help. Just a tablet and a scan to ensure nothing remained. All scan report was clear. But now  trying for the second child is so difficult. Though taking all ovulation dates into consideration nothing paid off....please suggest if any medical treatment is required or Dnc to be done. ### REPLY: Hi, Thanks for the query. If you have been attempting pregnancy for two years, and it did not work, evaluation is needed. For similar women in my clinic I suggest a husbands' semen analysis along with the wives ultrasound and ovulation study. Management of infertility is a slow and step-by-step process where future decisions are planned according to previous investigations and response to treatment. So a D&C [better still a laparoscopy with hysteroscopy] may be needed depending upon the above results. It is best if you have an infertility specialist guide you and help you through. I suggest that you seek help from a specialist in your area as repeated visits are needed sometimes. I would be happy to answer any further queries and help you. Thanks for using .  Have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my Gall Bladder removed May 2010 and was fine initially with no problems but shortly before Xmas I began to experience a dull pain just like the pain I had noticed which had led to my having my Gall Bladder removed. Like before it is gradually getting worse in that whilst not unbearable it is now there pretty much most of the time. I have had to stop drinking alcohol altogether as the pain gets sharper and is very uncomfortable and it sometimes spreads to the centre below my ribcage and is now often present in my side/back. I am a bit worried it may be something to do with my liver. I had to stay in hospital for a week after having my second child as my LFTs were elevated. I had to keep having them checked for 12 months before the Dr said they were fine. They were also bad when before I had my Gall Bladder out and for a little while after and the Dr advised it was the Reading that says you drink to much alcohol but I have never been a heavy drinker, perhaps having a 2 - 4 glasses of wine per month at most. Is this something I should worry about? Thank you ### REPLY: Hello, I have reviewed your query in detail and here is my advice.  Given your history and current symptoms, it is best to get a liver function test done to assess the current status of liver function. Please follow up with your physician to undergo Liver function test. Further investigations including Ultrasonography may be needed depending on initial results. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My name is Joni Hall I am 57 just during a routine check up, the Dr. found I had a HB of 39 upward to 42. Went to my physician today my heart beat was 62. The Dr. ordered some XRays & blood work up.. Found out I have low pottasium, he ordered a pottasium, should more testing be done such as an echo be done?? This is not the first time my pottasium has been low, so confused ### REPLY: Hello, Joni! Thank you for your question. I would recommend a therapy for potassium supplementation and a close monitoring of potassium levels, at least for some days. As about the heart beat, my opinion is that you should get a 24-hour Holder rhythm monitoring. This would help us to make a differential between low potassium levels and rhythm or conduction disturbances. As the cause of the low heart beat. I hope I was helpful. Take care. Feel free to ask again ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Due to hpylori positive doctor prescribed pariet20mg and dompy.Now i had gallblader stone (5mm) I consult the doctor,some doctor advising to do the operation.one of the doctor precscribed udiliv600mg.lit bit confused is it ok to continue the medicine udiliv600mg ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. Uiliv is medications used for gallbladder stones, and it dissolves small stones which then pass into the bowel. However, in most cases this is not successful and surgical treatment may be a better option.Adílio should be combined with changing your dietary habits first.  Need to avoid fried food, carbonated .  You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is 81 yrs old and has a large pulsating lump on the right side of her neck. She had a cat scan today to rule out an aortic aneurysm. It was negative. She is currently being treated for a ruptured ear drum, from an untreated sinus and ear infection. Could it be related or something else? Thank you ### REPLY: Hi, If I were her treating Doctor for this case of a pulsating lump, I would come up with only one and one possibility that is a hematoma or some vascular tumor! And it is not related to any infection... I suggest you to go for an FNAC test and Doppler USG of the lump for confirmation and to relieve your concerns! 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 her good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc im 33 yr old femail suffering from typhoid, i had low grade fever since last 25-26 days fluctuating between 99 - 100 degree, i hadnt diarrhea prob, from past 10 days im under treatment and taking cefixime n oflox, gramocef, azex etc medicines prescribed by doc, but still i have feverwhat do u suggest me should i go for vaccination? ### REPLY: HiReally I am concerned about your illness typhoid fever is usually caused by Salmonellae type or para type bacteria usually through contaminated water. Since you have already taken antibiotics, so I will advise you to go for stool culture, Blood test Tidal to know exact position of infections.  Since you already took so many antibiotics The next generation fluoroquinolone gatifloxacin are sometimes more effective in typhoid fever. Change your water source or go for boiled or treated water for some 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: Well I clipped the side of my big toe and now its infected red and swollen its better since I cut it Ive been soaking in twice to three times when I can and applying Triple antibiotic ointment and anti bacterial bandages but I think I need a clindamycin shot. I am not a diabetic. ### REPLY: Cellophane you for asking question. I am .  Bad method of clipping the nails is one of the causes. Remember, don't clip you nail in rounded form. Clip you nail in a straight line and don't clip the sides which may grow inside the skin. Diabetes is a risk factor, but it is a common problem seen in non-diabetic and young patients in the department of surgery. The first line of treatment is topical and oral antibiotics. More commonly augmenting (amoxicillin clavulanate) is used as a first line agent. If condition doesn't improve within 3-5 days of the use of antibiotics then surgical removal of nail is an option that is usually considered. Usually problem solves after removal of the nail. The nail regrows., and you should adopt the necessary precautions. Don't clip the nails in circular line, clip them in straight line. I hope, you have got my point. 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 i have had stomach pain for a couple days and it got alot worse today and i think i may have apendicites because i have diharea and if i push on my stomach it hurts and also i feel like if i pass gas or stool i will feel better but i just cant do it. can you help me find out if i have apendicites? please. ### REPLY: Hi ! Good afternoon. I am  answering your query. Any pain abdomen is not necessarily be an attack of appendicitis. As you have got this pain for quite some time which got worse now, I would suggest you to get it assessed clinically by a general surgeon, who might advise you for some routine blood tests, urine test, a stool test for ova and cyst and an ultrasound abdomen if considered necessary. Further management would depend on the results of clinical finding and investigation reports. Till then, you could take some mild anti-spasmodic . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I feel like a have some sort of bubble in my upper abdomen. When I stretch it sometimes happens ...especially if I am bending foward to far such as touching my toes. feels like it rolls up from the top of my adomen towards the top part of my rib cage and chest on the left side. It doesnt bother me really any other time but it almost hurts when it does and it scares me so obviously I just try not to bend foward. Can you tell me what this might be from. I have had Gallstones for a few years now so was wondering if this may be part of the reason? ### REPLY: DEAR SIR/MADAME GALL STONES PRESENT IN THE BODY, IT WILL CAUSE A LOT OF SYMPTOMS, THE SYMPTOMATICALLY VARIES DEPENDING UPON WHETHER IT IS SILENT GALL STONES OR WHETHER IT IS BLOCKING THE NECK OF THE DUCT. I SHALL DESCRIBE THE PAIN TO YOU1. IT START SUDDENLY IN THE CENTER OF THE UPPER BELLY THAT IS EPIGASTRIC AREA AND SPREAD TO THE RIGHT UPPER BACK OR SHOULDER BLADE AREA. 2. IT PREVENT YOU FROM TAKING NORMAL OR DEEP BREATHS3. PAIN WILL BE CONTINUOUS FOR 1 TO 5 HOURS AND IT IS COMMON4. BEGINS AT NIGHT AND BE SEVERE ENOUGH TO WAKE YOU5. OCCUR AFTER MEALS.EVEN GALL STONE PAIN MAY CAUSE OMITTING WHICH MAY RELIEVE ABDOMINAL PAIN AND PRESSURE WILL ALSO GET THE FOLLOWING SYMPTOMS1. YELLOWING OF THE SKIN AND WHITE PART OF THE EYES THAT IS JAUNDICE.2. DARK URINE3. LIGHT Colored STOOLS4. FEVER WITH CHILLS THESE YOU WILL HAVE IF STONES BLOCK THE DUCT.THANKS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have an upper abdomen right sided pain. I have had this pain for about 3 years, had CT scan and Ultrasound results showed nothing. I have to have B12 injections. Pain flares up more when I am stressed, it feels quite deep and feels like Im winded if I press on it. ### REPLY: Hi. Thanks for your query. Your history says the pain is more when you are stressed. It feels deep and like you are wounded. This is suggestive of an internal Hernia, which is not easily picked by the CT if this is not in obstruction. The simple test is : X-ray of the abdomen in the standing position when you are in pain, if you want the diagnosis. Enterocolitis done under fluoroscopy guidance can occasionally help. The possibility of IBS has to be borne in mind and discuss this specifically to the Gastroenterologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was exposed to a large amount of mold cleaning a duct, now he is sick about a week after doing that. Dr s keep saying he has acute bronchitis. Now his liver and spleen are enlarged found out when they did a ct scan of his lungs and that showed no fluid in his lungs. Can t seem to get the doctors to explore this possibility but they can not give any other explanation. ### REPLY: Dear spleen is a reticula endothelial organ. And it has few important function one is synthesis of antibodies and removal of antibody coated bacteria from the circulation. So increase in these function that happens in sickness may result in splenomegaly same thing is with liver also has cells that act as part of reticula endothelial system, so there will be some enlargement of liver whenever there is any infection in body. And as the infection will resolve it will be become normal again in size.so we can say its bodies normal response against infection. No need to worry about that if they have mentioned only hepatosplenomegaly only. Hope this 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 pain in my lower left side of my back.  It comes and goes over and over, kinda like contractions.  It will last a few hours to a day or so.  I can take pain meds and it helps.  It will go away for a few days then come back again. Can this be a kidney stone? ### REPLY: First get ultrasound to check if any stone is present. If report is not showing any stone than it can be muscle strain. I would suggest you to start Muscle relaxant like Moral or MySpace. Also, you should take warm water shower. You should also learn back muscle strengthening exercises from physiotherapist. It will give power to your muscles, so you would not have such pain in the future. Till than you avoid pizza delivery by bike. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 SIX YEAR OLD HAS A FEVER OF 104.I HAVE GIVEN HER TYLENOL BUT IT BRINGS IT DOWN FOR AN HOUR AND THEN HER TEMP GOES HIGH ONCE MORE .SHE WAS COMPLAINING OF HEADACHE AND NOW SHE SAYS HER STOMACH HURTS .SHE HAS NOT EATEN AND ONLY TAKES A FEW SIPS OF WATER.WHAT SHOULD I DO? IT IS NOW THE SECOND DAY. ### REPLY: Hi, You should give her Acetaminophen in alternation with ibuprofen syrup every 4 hours. This means you have given her acetaminophen syrup then after 4 hours you give her Ibuprofen syrup and so on. For stomach ache you give her an antispasmodic as Visceralgine. Offer her only small meals of soft easy swallowed food as soap, yogurt, and jelly. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 10 years old and he is having 2nd molar coming out. He is experiencing terrible pain since past one month. In between he had some cold , fever. He took medicines and now complaining about wrist and joint pain in both hands. Can you please tell us why is it so ? Can it be because of new molar coming out ? His blood test report for Rheumatic Arthritis and Rheumatic fever is negative....... please help ### REPLY: Good evening, the wrist and joint pains is unlikely because of arthritis or coming of molar. Some fevers also cause joint pains. However, if the fever has subsided and still the child is having pain it could also be because of calcium or vitamin D deficiency. A blood test for Serum Calcium/ Ionic calcium and vitamin D levels should be ideally done and started on appropriate supplements. X-ray of the involved joints can be done to support the diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor, I came across a device called ageless wonder . Electric stimulation of the muscles to tighten and lift the facial skin. It makes me wonder if muscles can be tightened and toned this way and what effect this will have on the skin. Will it positively influence the collagen and increase its production? Does it have a similar effect as photo rejuvenation or radio frequency treatments? Or is this electrical stimulation nothing but a a useless marketing campaign? I look forward to hearing from you. Best regards, Helga ### REPLY: Hi...dear Helga., Thanks for choosing ., There is no relation between electric stimulation.,and tightening of muscles and tone of muscles., But clinical trials and research are going on...not proven so for., So don't believe these., good nutrition diet., daily exercise will improve your muscle tone., and keep fit ., For wrinkling and younger looking., go for... Botulinum toxin injections, Dermal fillers and LAST technique., thanQ ### END