Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. About 6 years ago I had a head injury resulting from banging my head on a concrete wall (accidentally). It cause my whole face to swell and I had a large, bruised egg on my head for about 2 weeks, It is now 6 year later and I still have a bump on my forehead. No discoloration or anything, and it is not painful, but is quite noticeable. what is it and how can I get rid of it? ### REPLY: HelloWelcome to . I went through the history you have provided here. It seems from the history that you are having a bump on the forehead following head injury. This can be because of hematoma with damage to the underlying bones of the scalp or forehead. This needs to be evaluated by X-ray or CT scan to find out the underlying cause and treatment accordingly. Do consult your doctor for examination and treatment accordingly. Do write back to me for further questions. Wishing you a good health. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 7 years old and has had a bump on his upper gums (under his lip, right above his tooth) for the last 3-4 months. He has fairly healthy teeth and goes to the dentist annually. It does not cause him pain, however, I am concerned. What is it and how can I get rid of it? ### REPLY: Thanks for using . Read your query. The bulging of the gums can be due to few reasons for your son. If the front teeth of his not erupted, it can be due to this (pre eruption bulge). As the tooth starts erupting in the mouth, it will reduce. Second, it can be due to an abscess formation if any of the mentioned tooth is decayed or traumatized. If there is decay please get it checked with the local dentist. If it still persists, get it evaluated. 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 son is 7 and he has he says feels like sloshing in his brain he has nausea from time to time and he also told me just this weekend that he has a burning sensation on his arms and his face and his legs sometimes and that was right during the nausea so I m wondering what it could be ### REPLY: Hi...this could be type of migraine which the kid is unable to explain and express properly. Sometimes the symptoms of Migraine can be very non-specific like this. If there is a family history of migraine, all the more the probability increases. I suggest you give Paracetamol in the dose of 15 mg/kg/dose (Maximum 500 mg ceiling dose) every 4-6th hourly that too only if there is severe headache. I suggest not using combination medicines for fever, especially with Paracetamol. 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 child is suffering from loose motions past 5 days. he is 8 months old and i started cow milk at 6months. he was ok all this time .I then shifted to lactogen , stil his motions are non stop. Also giving him prowell syrup morning and evening. What is the cure. Also , did his stool tests where the PH result was 9 and positive , please help ### REPLY: Hi, Probably he is having acute gastro enteritis-infection of the bowel. In such cases, along with probiotics (like Powell syrup), I used to give zinc sulfate syrup 5ml once daily for 14 days (this can hasten the recovery). If it is not getting down by 3-4 days, fever comes or stool becomes blood stained, I would have given an antibiotic too to clear the infection. Kindly discuss with your doctor. Meanwhile, give ORS solution/salted rice water after each stools to avoid deny . Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Not sure if its lipoma or what ..but I feel lumps in open places right around where my muscles are and I found one right on my right calf that is itching like crazy. It s inside right on the middle of my calf. It is not externally visible and there s no redness. deposit cyst, lipoma, or some other kind of cyst? Or what? ### REPLY: Hello and welcome to , Lump on the calf could be due to cyst, lipoma or muscle swelling etc., However, itching is not associated with any of the above-mentioned swellings. Itching is usually associated with allergic condition or any skin condition. A clinical assessment of the swelling is required. Imaging of the swelling is also required to assess the site and origin of the swelling. Aspiration cytology is the investigation which will determine the site and origin of the swelling. Thus, consult your primary health care provider for clinical assessment and relevant investigations. Thanks and 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: 44 year old male noticed poor performance in bed starting over 10 years ago, Before that I was a machine. I have ed and pe have low T got checked out last year T was 312. Changed my diet and started working out again starting to feel better just not really getting better in the sack fast enough have recently had kidney/uti for first time in my life and my acupuncturist says my adrenal glands have been working to the point of exhaustion. Im type O blood 6 foot 172 ponds not diabetic not heart problems non smoker non drinker. Used to have high carb diet now high protein low card. taking all the male supplements pretty much everyday what else can I do does lifting really heavy like doing squats really build up your T levels. Have noticed a big increase in morning and night erections but non during the day. ### REPLY: Hi, The normal range of testosterone levels in healthy adult males is between 280 and 1,100 nanograms per deciliter (NG/DL), I can suggest some methods to improve your testosterone level and your sexual desire:- Lose weight.- High-intensity exercise like peak fitness (especially combined with intermittent fasting)- Consume plenty of zinc.- Strength training.- Optimize your vitamin D levels.- Reduce stress.- Limit or eliminate sugar from your diet.- Eat healthy fats.- Flax seeds increase testosterone in a men body. They also contain essential fatty acids that are necessary for maintaining libido. Flax seeds help in the proper release of all sex hormones, facilitating sexual desire. Taking one tablespoon of flaxseed every day will ensure your sexual health. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have woken up the past few morning with a mucus film all over my mouth. I have large red bumps on my tounge, and am experience pain  on the edges on my tounge. Last night I looked in the mirror and there was a white covering on my tounge, which I could scrap off, however white bumps remained. My  soft palet is swollan and inflamed. ### REPLY: Hello and welcome, The details provided gives an assumption of the lesion being pre-cancerous in nature. Such lesions are usually caused due to-Poor oral hygiene. Nutritional disorders. Antibiotic reactions. Fungal infections. Oral habits like tobacco/pan chewing. Chances of the lesion being acute pseudo-membraneous candidiasis or oral thrush is high. I would advise you to-Maintain oral hygiene well. Discontinue use of antibiotics causing allergy. Take vitamin supplements. Stop chewing tobacco/pan. Antifungal . Hope this hemisphere is more chance ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Name:- Ranjeeta Pawar Height:- 5.7 Age:- 26 Yrs Weight :-80.5 My T3 176.45 My T4 12.5 & my. TSH - below 0.01 i am having irregular period after marriage of 2yrs For thyroid i am taking tablets thyronorm 50mg,So can i conceived in this situation.Please Suggest Me ### REPLY: Hi, I think you should decrease dose of thermoform, because your TSH has become very low. Discuss with your doctor regarding this.  You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has been sick since 16th of March & she was dehydrated & recovered ok but still has a cough that wont go away. In the last few days she has been complaining of sore thighs but I asked her if she had fell down but no so have googled for some answers. ### REPLY: Hi, cough usually occurs due to exposure to cold environment. Preventive measures like avoid cold temperature of, avoid cold water and ice cream, avoid eating food from outside should be done. Give a cough syrup like syrup Chirico 3 times a day for 3 days. Please attach a picture of the shoe size so that proper diagnosis and treatment can be advised. It me or may not be related to the cold that your child is having. 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 doctor i have a concer im having chest tightness in my chest i went to two hart doc the first  one i had done the Eco and the treadmill stress test after that he said the test is ok but to make sure he wanted to do the Catheter just to make sure  because  i have a bad history in my family  so i had to make sure  i went to another hart surgeon he told me the test is fine and doesnt need just to take care of my food and work out  he took my blood pressure i was 130/90   i am confused and im  panicked im 32 year old i need help  sorry the treadmill my hart beat was 167 at stage 3 3.4 mile ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart related diseases because your cardiac reports are normal. Your blood pressure and heart rate response after TMT (trade mill test) are also normal. Sometimes uncontrolled stress, anxiety and panic disorder can also cause chest tightness. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Nothing to worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I will start with the fact that i had the mirena iud incerted feb 2011. A few momths later developed anxiety. Was prescribed prozac and anxiety attacks begab immediately. Suffered through that for a little over a year before finally requesting to be taken off. Ive been off for a few momths and had mirena removed last feb. I have had 2 periods since which were not normal. Pretty much three weeks of random spotting with each period. For the last week i have been experiencing nausea, a burning sensation in my stomach, lightheadedness and a low grade annxiety. I started spotting yesterday a brown discharge and then this morning a little of red but mostly just comes when using the bathroom. Took a pregnancy test a few days ago and came out negative. My question is whether this all sounds like side effects from mirena and post removal? Could it be a stimach ulcer? A combo of several thing? ### REPLY: Hello, thanks for the query. IUD removed, and that chapter closed now. Now we are talking about your problems that nausea, burning sensation in stomach, anxiety. Blood spotting is normal so don't think about that. This is the nature of an individual that how he or she reacts to things around him. Over reaction to surrounding is a form of anxiety and that is in your case. When IUD was inserted from day first you were not feeling comfortable with it and that was an anxiety. IUD removed and still you didn't come out from that dilemma and that is anxiety. Due to anxiety you are feeling hyper acidity (gastritis) like symptoms. So control yourself, if not, than consult a psychiatrist and take TT. You will be right within a short period. Regard  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 walk every morning and this morning my right leg at the knee started aching, then it felt swollen up my leg I made it to my house and ears were ringing and I felt like I was about to pass out, I m 66 year old female on 20 lisenopril, checked my blood pressure and It was 78 over 58, I drank some water and ate a bagel and felt better, feeling fine now just not much energy. Would it do any good to go to doctor now? ### REPLY: Hello, Your symptoms of ringing in ears might be related to the hypotensive episode you had. Blood pressure was too low in the morning. You should check with your physician as to correct dosage of lisinopril.  High dosage may be the reason for decreased blood pressure. Knee pain might be due to degenerative changes at this age.  I would advise X-ray of the involved knee to check for joint spaces and osteophytes. It can be done at any time you visit the hospital and is not emergency.  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 have been having pain and problems stretching my right arm above my head and reaching behind the back. It does not straighten out when I put it over my head, could this be from my shoulder or just my arm. Prior to this I had carpel tunnel, which went away, then I did a lot of reaching to paint and stain my deck. I am 62 years old. ### REPLY: Hello, Have you diabetes or met an accident before? Have you numbness or tingling sensation whole arm?actually it seems to me that there may be recurrent carpel tunnel syn . So It's must rule out the cause, but you can take physiotherapy for pain management and to restore the range of motion. Do isometric shoulder and elbow exercises. Take medicines as ibuprofen and naproxen. You can apply hot or cold therapy for 20 mins every 4 hrs. Rest your hand don't over strain it if there is arthritis on shoulder or elbow you can take steroid injection. If you don't get relief then consult the or tho or get X-ray of shoulder or elbow to rule out the exact cause. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Herniated disk L5 buldging disks L4 L3 L2 is this lazer surgery a good idea or not I have a herniated disk L5 that is prolapsed 30% and L4 L3 L2 are bulging. I have tingling/ numbness or a dead feeling in my left and right leg off and on in different intensitys and I have trouble bending and moving it starts to hurt and you can not bend to tie shoes or wash dishes I have looked online to see differnt options as the traditional back surgery they will only try to fix the L5 On line I found this site http://northamericanspine.com/ and i was wondering what your opinion is on the procedure is it something that will work and save on risks and recovery time or is it something that should be stayed away from.. ### REPLY: Welcome to  Since you have neurological symptoms of compression of nerves like leg weakness, it is a necessity to get surgery done to relieve the compression. Laser surgery is an option which can be inquired into with your Orthopaedician or Neurosurgeon. L5 seems to be causing immediate problem and others are earlier stages which will also cause problem, but you need to get Surgery done for sure. Also consult your Doctor about back exercises which can be done to reduce pain and other symptoms. Avoid lifting heavy weights, bending forward, bad posture. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 8 year old son sneezes / sniffles every morning and at night.  this has been happening for years.  what could be the cause? I have changed his sheets, given him a mattress and pillow cover. we have no pets, no smokers, no forced air heat/cold... thx ### REPLY: Hi, thanks for the query. Your is suffering from Vasomotor Rhinitis. Change in temperature, humidity, blasts of air or dust can cause sneezes. Avoidance of sudden changes in temperature, humidity, blast of air & dust. Start Steroid nasal spray with antihistamine. Certainly above treatment will give you much relief but if relief is not up to satisfaction level then consultation with your ENT doctor will become essential. Hope this information helps you, take care and 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 this is juher pathan looking for answer the treatment duration for my abnormal seminal report ### REPLY: Hello her;welcome to  Please write the full semen analysis report or at least what is abnormal. If the motility of sperms is a problem then you need to get treated. The best person to guide and treat you will be a Urologist. So please consult a urologist with the report of semen, and he will see it and advise treatment accordingly and depending on your response to the treatment he will tell you about the duration of treatment. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My son is 13 yrs old active swimmer and has come to me about his heart beat. I have listened to it and it seems to be hard and irregular. I checked his blood pressure and it was 127 over 89 with a 66 heart rate. He has also told me that when he takes a deep breath he has a little discomfort, some pressure. Any idea as to what we should do. Thanks mike ### REPLY: Hello, An irregular heart beat could be related to physical straining or emotional stress. Anyway, I would recommend consulting with his attending physician and performing some tests in order to investigate for other possible causes that may trigger this clinical scenario:- A resting ECG-Complete blood count for anemia-Thyroid hormone levels for thyroid gland dysfunction- Blood electrolytes for possible imbalance. Hope you will find this answer helpful. 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: At my three week follow up office visit, following aorta Valve and stem replacement, ex rays showed fluid in the chest. My surgeon tapped into the chest at the office and removed 2 and half pounds of red fluid.  Can the fluid return?  How does one know?  Do I need a follow up on this? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely do follow up for this problem. Because this fluid can reaccumulate in pleural cavity. So follow up with chest x-ray and ultrasound examination of chest is needed. Collection fluid in pleural cavity after aortic surgery is mostly due to leak in the repair. So if leak is not repaired, possibility of recurrence is high. So better to consult your operating surgeon and discuss possibility of surgical leak and get done investigations for the same. First treat leak if present. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother have chest pain last two weeks  consult doctor he told 1st done ecg  but there was nothing then again done echo  doctor told some thing wrong  also he give some medicine for 10 days after he suggest angiogram  am not in kerala  am gong next week to home plz give me a advise ### REPLY: Thanks for your question on . I can understand your concern. Angiography is needed to rule out coronary artery disease (CAD). So doctor is suspecting cardiac chest pain in your mothers case. Normal ECG is seen in many patients with underlying heart disease. In my opinion, she should undergo stress test (trade mill test) first, before going to angiography. If stress test is normal, no need for angiography. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. 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 39 yr female that has always been healthy. I havent felt good for about 2 months and I went to the doctor Thursday.  My symptoms are body aches, tight chest, cough, tingling in the throat and chest, tired.  He did a chest x-ray and said everything looked fine and sounded fine.  He took 3 vials of blood and I am waiting for the results but definately unnerved about everything.  Any suggestions? ### REPLY: Hi. Welcome to . I have gone through your query and can understand your concerns. As per your complaint body aches, tight chest, cough, tingling in throat and chest can be due to a number of causes like chronic viral infection/upper respiratory tract infection, bronchitis, lung infection, acid reflux etc. I would suggest you to wait for the blood reports as it can help in further diagnosis. You can also go for repetition of chest x-ray and also get an upper G. I endoscopy done. You can also get evaluated for cardiac issues and get investigations done like ECG, TMT etc. Treatment will be planned once the diagnosis is confirmed. In case of infections antibiotics will help. Acid reflux will be treated with proton pump inhibitors like Pantoprazole, omeprazole and antacids. 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: Hello Doctor, in my test I have sperm of 3ml, 55 millions/ml, 25% Active, 35% Sluggish and 40% Immotile. In Morphology is 60% normal and 40% abnormal. But my biggest worry is that Pus cells are 15-20 HPF. I have also been diagnostic of Varicocelle in one testicule. Do I have also any Sexual Transmission Disease due to Pus cells?. Can I have children?, if not what is the treatment?. ### REPLY: HelloThanks for query. Presence of pus cells is suggestive of infection of either Seminal Vesicle or Prostate and needs to be treated with appropriate antibiotic. Get get your semen culture done to trace out the organisms causing this infection and antibiotics to which they are sensitive to and start taking appropriate antibiotics as per culture report. Since all other parameters of your semen being normal there is no reason why you should not impregnate your wife. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with mono 3 months ago. I drank out of a cup and emptied all the contents, orange juice, and my younger sister a few minutes after I set down the cup. She picked it up, filled it with orange juice thinking it was hers and drank from it. My question is will she now contract mono or is there a chance she wont??? ### REPLY: Hi thanks for asking question. Infectious mononucleosis transmitted through saliva of infected person. Using the beverage or food through same utensil or container can transmit the infection as saliva can come contact. So here cup can transmit infection to your sister because of contamination of cup. Coughing, sneezing can also transmit virus into surrounding air. So can be transmitted. So observe whether your sister develops any sign and symptoms of it. Make her immunity well with nutritional diet and fruits. From the next time take that utensil, cup should not be shared with you for few days. I hope I have solved your query well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sister was diagnosed with stage 4 lung cancer with mets to the brain stem in June/July 2012. The Brain Stem tumor has gotten bigger since radiation. She is said to be a long-term suvivor and also in the final stages. What type of symptoms should we start seeing? she has lost a lot of mobility, speech, already. this has happened very fast - will it continue at this rate? They tried an infusion treatment called Avastin but it seems to have not worked. She was sent home from Dana Farber on this past Monday with Hospice. Is there any way to find out how bad she will get ? what will it look like? ### REPLY: Hello. A lung cancer stage 4 with brain metastasis is a pathology of very poor prognosis. The symptoms that she has (loss of speech, loss of mobility)means that the brain metastasis continues to progress. It is possible that with pharmacological treatment (for example corticosteroids) your symptoms improve but unfortunately his sister can only receive palliative treatment and not curative treatment. I'm sorry sincerely inform about state of his sister. I wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My right leg started shaking suddenly tonight and I don t know why. My legs have been feeling very stiff and achy for the past week or so. I am also experiencing some cognative problems. I cannot focus and it feels like my brain is just fuzzy for lack of a better word. Any ideas? ### REPLY: Hello, As there are sudden stiffness and pain it is related to never pathology or higher motor functions. We need an assessment on a clinical basis. Since you mentioned the cognitive problems it's better to have a word with the same neurologist regarding the same. As online consultation has some limitations for diagnosing the conditions based on symptoms we would be happy to let you know that a clinical examination is a must. For now, you can do hot water fermentation to the lower back and see if stiffness and pain are reducing. If so then it's related to the peripheral Nervous system. In case if this fails then we need to look out for the higher motor functions symptoms and treat accordingly. 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: My last period was on d 17th of last month I had unprotected from d 28th -30th of April nd today is 11th of May, am a Mother of a 4yr old nd avin a 6month baby at hand,I am so scared of getting pregnant cos my kids were delivered tru a cesarean section,av being feeling sick nd uneasy using d bathroom frequently to pee ,plz could i be possibly pregnant or maybe it s my fear of being pregnant,I really dnt need anoda baby now plz help me out can I get a pill now? Wat pill can I use ### REPLY: Hi there, After going through your question, my opinion is that:1) There is always a chance of pregnancy after unprotected sexual intercourse.2) You have a good chance of being pregnant as you had sex during ovulation period.3) Emergency contraceptives are effective only if used within 72 hours of unprotected sex.4) Now, the only thing you can do is wait for getting periods or get a blood test called serum beta  which can detect pregnancy a week after unprotected sex.5) Sometimes, the symptoms you are describing could also be due to anxiety. I hope this helped. 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: yes. I have trigeminy and bigeminy plus I have suffer a mild heart attack @my upper left apical wall. because of all this I also from time to time have a heart rate that dips into the 40 and the 30s.what am I suppose to do when my own heart dr wont believe me? ### REPLY: For this bigeminy and trigeminal need to inspect ECG...if these are not producing any symptoms then no need to worry... Doctor can keep on some medication that will keep these under control... If at heart rate 40 is common only during sleep time if you are getting that means need to evaluate... Simple holder test will giver so much information about your heart rhythm. So you can do it... And your doctor also believe it ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: During a normal blood draw I had an immediate sharp pain in the upper part of by arm, from approximately one inch below the needle insertion to approximately one inch above my wrist. When the needle was removed the burning subsided but an hour later there is still slight residual pain. I am not concerned but curious as to why this happens. I had this happen several years ago when I donated blood regularly. Could it be from scar tissue? ### REPLY: Hellos per the description of your clinical symptoms it seems that there had been mild injury to the nerve which is in anatomical relation to the vessel where needle was inserted. As the symptoms subsided automatically the nerve injury was Neuropathic type, this is mild degree of injury and self limiting. The main neuronal supply of the upper limb is through Radial, Ulnar, Median nerve or their branches. The involved nerve depends on the site of injury. If symptoms persist for long I would suggest you to visit your doctor (Nanomedicine or Neurosurgeon) for further evaluation and management. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was told I have a hypodensity in the upper right pole of my right kidney that appears complex along with other multiple ones that are too small to characterize. And a decompressed bowel , and a 3cm ovarian cystic lesion and L5 spondyloyses. I haven t been able to eat much if any or drink much for two weeks. The results are from a ct scan . Both the ovarian lesion and the hypodensity in my kidney suggest follow up ultrasound on the radiology report. My side hurts a lot as well. ### REPLY: HelloThanks for writing to ChatDoctorYour doctor has suggested you right things. Both conditions require follow-up ultrasound to see its progression. There are much differential diagnosis of hypo densities in upper part of kidneys. If you have any problem like pain, hematuria then it needs further investigation like FNAC. Cystic ovarian mass at this doesn't require any treatment. If size increases, or it is associated with pain then surgery can be considered. L5 spondylosis is age related degenerative changes. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What is Syncope event and how dose this effect a person and the family? HOW DO WE HELP OUR LOVE ONE ON A EVERYDAY LIFE . THANK -YOU Dr Samuel. N. Grief. What is the best treatments for someone with this fainting event? Are there other symptoms we need to watch out for? Thank yo Mabel Larkin and Teresa Hopkins. email address is YYYY@YYYY ### REPLY: Hi, Syncope is the sudden loss of awareness resulting in a brief loss of consciousness.  This is commonly referred to as fainting. Syncope must be diagnosed as to cause such as excessively low blood pressure, cardiac arrhythmia, lack of proper diet and HY .  You should have a doctor exam your loved one in order to systematically rule out certain conditions before treating. I recommend a doctor's appointment as soon as possible for the patient. 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: Hello. I m a 23 year old female. I just went to the gym two days ago. Yesterday in the middle of a lecture, I had a sudden pain that is very hard to pinpoint in my upper chest area. I ve been able to deduct that it is (sorta) around the right shoulder, collar bone and spreading slightly to the middle of my chest just above my breasts. I had a pain like this last week, which stayed for about three days. It finally went away until yesterday when it came back. It s been almost 24 hours now and the pain has not gotten any better. I ve noticed the pain intensifies if I am either breathing deeply, or if I lean forward on a desk as opposed to leaning back. I m not sure if I should be concerned if these are warning signs of a heart attack or not. If it helps, I was diagnosed with Lupus about a month ago. ### REPLY: Respected madam, see your age is young, in this age usually heart attack may not come unless very bad food and lifestyle. Here I want to rule out few possibilities that you need to undergo chest x-ray, ECG and auscultation by Cardiologist, if they say you don't have any heart problems, even I believe same. Then we can continue with our protocol. in my opinion, this just overuse muscle injury. In medical terminology we use term known as DOM's, it happens due UN accommodated exercise to muscle. If you have not done proper warm up exercises then you may have this problem. See your physiotherapist and take ultrasound and IT modalities for pain relief for 15 days twice a day if possible. You will be recovered fast. I hope you have satisfied with the answer. Thanks 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: I fractured my ribs two weeks ago and also have bruising to my sternum. I have a couph ever since and very Flemish and low grade temperature. I have diabetes and high blood pressure. No medication because my doctor says flen not dark green,has been light green. Just rest for 8-10 weeks. ### REPLY: Thanks for your question o . Rib fracture causes pleural breach and pulmonary contusion on lungs. So due to this inflammation is present in that part of lung which gives you phlegm and chest pain on coughing. Better to start anti-inflammatory and broad spectrum antibiotic to prevent infection. Also wear chest belt for minimal mobilization and thus rapid healing of fractured ribs. Avoid heavy weight lifting and strenuous exercise. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im recovering from flu, ive had it for 2/3 days now but i have really swollen gums, but i have to wear retainers at night. but only on the 3rd day i have discovered that my retainers cant fit around my teeth, i have to really force them in and it draws blood, what should i do? i dont want to have crowded teeth again ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have mentioned that you have retainers placed as you are under Orthodontic treatment what happened is when patient is under orthodontic treatment there is difficulty in maintain of oral hygiene, so there is bleeding gums now and as you said that you feel like retainer doesn't fits, for this you should consult dentist again and go for Examination, Do warm saline gargle two - three times a day Do chlorhexidine mouthwash 2 times daily Hope this will 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: my ob gave me a neo penatron for my vaginal infection then i didn t use it because its gone for a fee days then i feel like its going back again but not really itchy and just white discharge but doesn t have a bad smell should i buy the suppository that she recommend for 7 days? ### REPLY: Hello, As per your clinical history is concerned, please take medication as per your Doctors advice and discuss [fluconazole] orally and follow lifestyle modifications like this:1) Avoid baths, hot tubs. Rinse soap from your outer genital area after a shower, and .  Don't use scented or harsh soaps, such as those with deodorant or antibacterial action.2) Avoid irritants. These include scented tampons and pads. Wipe from front to back after using the toilet. Doing so avoids spreading fecal bacteria into your vagina.3) Don't douche. Your vagina doesn't require cleansing other than normal bathing. Repetitive douching disrupts the normal organisms that reside in the vagina and can actually increase your risk of vaginal infection.4) Use a latex condom. Both male and female latex condoms may help you avoid infections spread by sexual contact.5) Wear cotton underwear and if you feel comfortable without it, skip wearing underwear to bed. Yeast thrives in moist environments. 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: since last 5 yrs i am suffering from alopecia type hair problem . circular baldness or disappearness of hair centre of head and the circle area is increasing day by day. I used Dr reddy s minoxidil solution 5% many days. but not solved. Can you please help me , are there any possibility to regenerate lost hairs centre of head because it looks odd. my age 35 yrs, height 6 ft., weight 78kgs ### REPLY: Alopecia which you are describing is called male pattern alopecia. It progresses in all individual and depends on the testosterone function on the hair cell. Minoxidil is the treatment of choice for this alopecia. In 1-2 months new hair will start to grow from beneath and few old hairs will fall. When new hair grows about 1-1.5 inch. You will feel the response which takes about 3-4 months more. So in 6 months you will see response and in 12 months you will see complete response, and then you have to continue applying minoxidil. Apart from it, you should have healthy diet rich in green leafy vegetables and fruits. You might also need multivitamin supplements. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: While sitting in my office my tailbone started to sting and ach..along with that it has hurt to have bowl movement and urination. I have dealt with this before associating it to my hormones with pcos but now my tail bone just started to sting, how should I go about this? And im twenty eight. ### REPLY: Hi, As you mentioned that you get pain in the tail bone. Also, it appears with the brief history you have an office chair and table job. First question to ask? Are you having big hip muscles or thin? This will help you answer many questions. Also, As you are sitting in office may be for a long time, this may be a pure weakness of the pelvic floor muscles and hip muscles. Strengthening the Core muscles, Pelvic floor muscles and hip muscles will help you ease. If the nature of the pain is like - numbness, burning, tingling, etc. you may have to take an MRI of lumbar spine to rule out any spinal pathology. Any more question, you can ask me personally. I will be happy to assist you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 63 year old women with a history of pancreatic cancer and liver cancer. I have had lower right pain in the soft part of my back. Sometimes it is just sore and sometimes it is a bit sharper. What could this be.? I have exercised regularly for years so I son t think it is a pulled muscle. ### REPLY: Hi three. The lower back pain on your right lower side could be either a trigger point over a muscle which can be treated easily with manipulation and massaging. Now the nature of pain is what is more important. If you are having a lower back pain which is radiating all along the side then it might need some evaluation, as that is a red flag sign; given the prior history of liver and pancreatic cancer. A trigger point is a relatively small localized area of tenderness in the soft tissue. So go for a trigger point release from a physiotherapist and see how it helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I bumped my head last month and immediately I got a large lump on my head.I went to the doctors and they said it will go down and heal well. However its been a while now and I still have a little painless lump on my head which is as long as the tip of a finger. ### REPLY: Hi, Welcome to  Virtual Clinic. You seem to have fibrous post head hit with fibrosis hematoma. As I don't have direct information, Second opinion needed from your Surgeon, who would treat it accordingly.USG /So's CT skull would fix the cause of the head lump as above. For the cosmetic correction Excision and HPR study of the head lump is suggested under guidance of your Surgeon. This would help you to plan treatment with your doctor. Contact with Premium question to ME, if need be. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: greetingsi hav been experiencing coughs and colds since 2 months ago. been to the doctor twice, yet i see no improvement, except for my phlegm which has been gone for a while now. however, since last thursday, i started coughing out white, foamy/bubbly saliva... i thought it was just just because my throat felt itchy and all... but thrn when i lay on my back i seem to choke, and it scares me. i dunno what to do...  can u suggest ways to treat my condition? my sincerest thanks, aprylle ### REPLY: Hi, All these symptoms could be because of upper respiratory infection (pharyngitis, laryngitis, epiglottis) or bronchitis or allergic rhinitis or sinusitis. It is mostly due to viral infection like EB virus, adenovirus, but some time could be bacterial or parasitic. You may have some routine blood investigation with sputum tests as you had cough since 2 months and Chest X-ray to get diagnosed first. You may require higher antibiotics (quinolones or accolades) to prevent super infection with anti-inflammatory and other supportive treatment like bronchodilators if there is any breathing problem. It would be advisable to see pulmonologist and state treatment after that. 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: aneurysm on both sides of my family does that put me more at risk Hi, my grandfather on my mothers side died of a brain aneurysm at the age of 51 and at the age of 45 my father died of a brain aneurysm. my question is I know genetics play a part with this but are my chances even higher because it is on both my mother and my fathers side and is my brother more likely to have one because he is a man and so where they. ### REPLY: HI, welcome to  forum, aneurysm is widening or ballooning of a portion of an artery, due to weakness in the walls of blood vessels, the causes are still not clear, but there are many risk factors which raises the condition, high blood pressure, high cholesterol, cigarette smoking. Surgery is mainly recommended, but you can go for Homeopathy also which has good results in treatment for aneurysm and is safe effective and has no side effects. For more info mail us at info . Com or visit us at WWW. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I am experiencing some BP problem since las week. My BP remains around 140 / 90 or 130 / 90 sometimes 150 /100. lower one was constantlty around 90. should i take BP medicine . my age is just 37 years. if I do not take BP medicice than there is any risk. ### REPLY: Hello, I would recommend you to have your blood pressure checked by your doctor and if it is 140/90 or higher than you will need some tests to try to identify any cause of your high blood pressure or any possible complication or concomitant diseases. So, your doctor will need to check your sugar levels, lipids, kidney function, liver function, may need to order an ECG and heart ultrasound, an urinalysis, etc. If all these come out normal, your doctor may recommend you to just try lifestyle changes for 3-6 months (keep active, lose weight if overweight, healthy diet, stop smoking and alcohol, etc.). Only if lifestyle changes in 3-6 months do not help enough, the doctor may prescribe blood pressure medications. I hope this answers your query. I remain at your disposal for further medical assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I believe I was bitten on my lip 3 weeks ago it itched at first then it swoll up then it began t drain ( puss like ) I squeezed it forcing the puss out then put peroxide then alcohol .. When it finally healed and the swelling went down I have a lump on the inside of my lip .. It s not noticeable but I can feel it when I lick my lip and my teeth squeezes it when will it heal and what is it ???? ### REPLY: Hello and welcome to  forum, i am glad you posted your query, first I would like to inform you that the lump which is now formed on the inner surface of your lower lip, is nothing but a fibrosis, healed tissue. You have not mentioned its consistency or if there is pain associated with it, I assume it is painless and firm in consistency.I would recommend you to avoid biting over it, as healing will be delayed, if you bother it too much. Use an antibacterial (Betadine) mouth wash twice/day, practice this for a week. But, even if it does not disappear after a week, then kindly visit your dentist for a check-up., i hope I answered you query, i 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: Trying to save my scooter from falling the side foot step rammed into my leg.This happened a week and a half ago. The bruise is barely noticable now. i awoke this morning ,got up and went to walk and it hurt. I noticed when I rubbed my leg there was a knot that had formed. I am puzzeled because I now have a lump where the bruising was.I had blood clots years ago in my lungs years ago so needed to know if this is normal to have a lump form so long after the initial injury. I dont go to the Doctor much because my employer dropped our health insurance coverage.I have to pay cash each time I go and belive me I dont eat nothing but ooodles of noodles till my bill is paid. What do you think I should do Doctor? ### REPLY: Hi, dear thanks for the query to my  virtual online clinic.It's my pleasure to help you as you are without health insurance benefit. My diagnosis -it's an -Unresolved Hematoma-which you noticed. As you had lung clotting history, you should test your clotting factors if it worries you, but not needed for this lump. With the treatment this lump would get reduced in another 2 was time. You should not worry of it, but I advise you to Consult an ER Surgeon-on the safer side.Don't worry and act fast. This would solve your worrisome query. Hope this would solve your query. Wellcome to my  clinic once again. Have a Good 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: dear dr. can u give me the guidelines from where can get the curative treatment of allergic asthma and imunological defecency   .my preasent age 49s and ht 5ft 7inch wt varies frm 65kg to 70kg.problem start at the age of 11years.after supressing the skin disease like scabies due to flood effected poisionus water.skin disease supressd by peniciline injection.intialy attacks comes at spring and autumn.gradually problem increases in daily life and now last 6years taking inhailer. till some time hampering the daily life due to spasm. ### REPLY: Hello. Thank you for asking at . I went through your history and would like to make following suggestions for you:1. If despite using inhaler you are having daily symptoms, it means your asthma is not well controlled. Were I treating you, I would prescribe you daily montelukast for at least 2-3 months.2. I would like to know which type of inhaler you are using. If it is albuterol or levosalbutamol (which is a rescue inhaler), I would prescribe you a controller type of inhaler (inhaled corticosteroids) on regular basis for at least 2-3 months. If you are already taking inhaled corticosteroids, I would increase the dose.3. Personally I would suggest you to consult an Allergist-Immunologist who will suggest you allergy testing. This may identify substances you are allergic to and also measures to avoid them. An allergist may also suggest you Specific Allergen Immunotherapy which will affect your immune system to improve your allergy symptoms gradually.4. Please avoid exposure to dusts, smokes and air pollution as much as possible. Please do not smoke if you smoke.5. Regular breathing exercise and a healthy diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help you in a longer run.6. I would also like to know whether you have any other medical illness or you need to take any other regular medications. Some . Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the heath. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hii my gradma is suffering from kidney failure she has been asked to now either start dialysis or go for kidney transplantation her age :59 yrs her creatin is 6.2 and urea about 70 can u please advice me how to now proceed further with treatment and wht should be the next step. eagerly waiting your rply . contact:email:khushboodave18@yahoo.com ### REPLY: 1. You haven't told whether your grandmother is in stage of reversible renal failure or in End Stage Renal disease, (ESD) because if its reversible than dialysis is necessary till the renal function improves, while in ESD patient can have choice of maintenance dialysis or kidney transplant. 2. despite Urea and Great. Report you have not mentioned any other blood profile for which dialysis has to be started like: i. Electrolytes:Potassium, Sodium,HY . ii. low Hemoglobin level, BUN, urine examination, Blood sugar, Albumin level, Edema?3. Renal Failure told by doctors is Chronic or Acute, please specify?4. Renal Failure is a salt losing condition, so salt can be given but if BP is high take salt in moderate amount, i.e. less use of (papal, paneer,ghee, oil,pickles, pop-corn,Nasreen, namkeen biscuits.5. Because creatinine level is high, avoid Proteins in diet, however biological protein (essential amino acids) through intravenous line can be given if required6. Fats and carboy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i am 30 yrs old.i have not had intercourse for the past 8 months. i do not not masturbate. in the last 2 months i have had nightfall twice. i have low sperm count problem. my semen report says few motile sperms are seen. having nightfall does it mean my sperm count is improving? ### REPLY: Greetings Night fall has nothing to do sperm count. During REM sleep there will be erection of and possibility of night emissions since you are not doing masturbation or intercourse. So the semen is finding its own way out. You can try intercourse or masturbation weekly twice minimum .so that the frequency of night fall comes down. There is absolutely no harm in night emissions. Hope my answer helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my son is 12 years old. I just realized that his chest bone is coming out or increased. I think it is kind of pigeon chest. Kindly tell me the doctor who treat this in Pakistan and also what the doctor called for this kind of disease (like pediatric, detmatologist etc. ) thankyou ### REPLY: Thanks for your question on . I can understand your situation and problem. Pigeons chest is rib cage deformity and mostly developmental defect. But can be due to vitamin D and calcium deficiency. It is usually asymptomatic. So treatment is not required.  Many patients have cosmetic issue with this. In such patients' surgery is indicated. For this you need to consult pediatric orthopedic surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello my name s khaled and i 26 years old I have some questions ? could u please help me ? 1- I have a Masturbation 3 times in a day ? is that any problem ? 2- my friend told me , the more increase your semen the more enjoy sexual pleasure ? is that right ? ### REPLY: Hello, You have excess masturbation frequency. The masturbation is safe and pleasure giving procedure, but the excess frequency can lead to social anxiety, groin discomfort, premature ejaculation like problems. The climax can be achieved by masturbation, and it can be a safe and enjoyable procedure. But restrict it up to 2-3 times a week. 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 have been sick since the beginning of May. I started Puva chemo treatment for CTCL a form of Non- Hodgkin s Lymphoma , only made it through 2 weeks before becoming very sick with bronchitis and a bladder infection . CTCL is basically a cancer of the immune system , but I have always been able to complete my treatment before. Every time I finished my antibiotic treatment the bladder infection came back. I have now had nine back to back, UTI s and doctor seems family Doctor seems to not care. I had two Mondays ago a abdominal ultrasound with inter vaginal ultrasound. I have been suffering from stomach bloating and pain. I was aware the past two months that something was interfering with my urine flow. Finally made doctor write the lab orders. Which show a mild plural effusion of my right lung. A 2 cm cyst in my kidney, and a 11 mm change to my endometrial lining in my uterus. He only asked for more testing of my pelvis by MRI, and told me to see my GYN as soon as possible. I will have the results sometime today. But the pain wakes me in the middle of the night like right now. ### REPLY: Hello Cindylanger, Thank you for posting your query through . As per your query, You have CTCL, Bronchitis, Cystitis, UTI, Stomach bloating, stomach pain, Pleural effusion, Cyst in kidney, Endometrial thickening, Some undiagnosed gynecological complaint, Sudden and severe pain that wakes you up in the middle of night etc. The sad thing about you is that you were and are treating all your physical complaints and none of these medicines cured YOU. I am a Homeopath and so speaking in a different language which you have not heard about so far. You are not sick because of all these diseases, but you get all these diseases because you are sick. By treating each one or other diseases you are in no way becoming healthier. On the other hand your health is becoming from bad to worse. This is because, so far YOU are not treated but only your diseases were treated. You got sick because your genetics made you sick. Your genetics made you to think, feel and react in a particular manner. These reactions made physical complaints along with your mental states. No doctor tried to explore your mind. Or for them your mind was not of any importance. In your long query you have not mentioned anything about your mind, your life situations, your mental and physical reactions to them, your family relationships, your social positions, your psychological conflicts through which you have traversed etc. These are the most important factors that made you sick. The chemical . It is not too late to come back to natural line of treatment. You are advised to approach an expert Homeopathic physician at the earliest. If not available in your reachable locality, you can confidently get back to me. I can send to you a case taking format in which you can enter your case in detail and forward it to me. I will help you with the right genetic constitutional remedy. If you are convinced and opt for Homeopathy, Contact me with the details. With Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My self Venkatesh.I had a leg injury and next day leg swollen badly and pus has formed.I took antibiotic and a injection for 2days.Things recovered for one day but it again started increasing leg is swelling.Can you suggest what could be the cause ### REPLY: Hi Heath symptoms you describe most likely suggests cellulitis, a skin infection that can rapidly spread as well as form an abscess, a localized collection of pus. The affected area is usually swollen, red, warm to touch, and painful. This infection typically occurs after the skin is broken from localized injury to the skin, the bacteria penetrates the area and the infection spreads, it is more common if you are diabetic or if you have swollen legs from any other cause. If you are already on antibiotics, I advise that you visit your doctor as soon as possible as you may require a change of antibiotics, usually a penicillin based .  If the infection is severe, you will require IV antibiotics. In the time being, clean the area thoroughly and keep it  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I feel a quick tightening in the middle of my chest and now I got a "chilly" feeling through my body, My chest stings, it does not "hurt" just stings, my left shoulder aches. I feel cold from head to toe. Now my heart beats quicker for like 2-3 beats and returns to normal. I have a history of anxiety, depression, I am type 2 diabetes. My total cholesterol is 102. I am 5 ft 6 inches tall 324 pounds, and I smoke approx 8-10 cigarettes a day. I am on Metformin, gemfibrizol, and rantadine, along with a birth control pill because I have disfunctional uterine bleeding. Should I visit the er? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely visit emergency room and rule out heart diseases. You have the following risk factors for heart diseases. 1.  Smoking 2. Diabetes 3. Obesity 4. Birth control pills. And your symptoms are more in favor of heart diseases like hypertension, arrhythmia, coronary artery disease. So immediately consult emergency department and get done blood pressure monitoring, ECG, 2d echo and coronary angiography if required. Strict control of diabetes and weight reduction are needed. And quit smoking as soon as possible. Don't wait at home, rule out heart diseases because without treatment these can be life-threatening. 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: My Dr. gave me a script for Norco 5-325MG Tab, take 1 tab twice daily as needed.  This is for my back pain.  Just wanted to no more about dosage.  Can I take more than above subscribed?  Will happen?  I wish I could get a permanent fix for my back!  Im 48 & I need a job, but my back worries me!  Look forward to hearing from you!  Thanks!  Kathy ### REPLY: Hello, I have studied your case. Excessive dose will lead to sedation. Dose increasing will not fix your problem permanently. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Hope this helps. Wish you a speedy recovery.  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 am 28 years old female,i have noticed a stiff round ball in left side of my neck.its slightly bigger than a peanut and moves when touched and it hurts too.I dont have any family history of cancer .What tests should i take and how can i know if its dangerous or not. ### REPLY: Hi!welcome to . All swellings need not be cancerous. Get a thorough check-up by a surgeon preferably to ascertain-type of swelling etc. An ultrasound will let you know whether solid-or cyst(fluid). If fluid most likely infection or inflammation. Biopsy can be diagnostic and therapeutic if fluid aspiration can be done in same sitting. Commonest swellings are lymph nodes from oral, scalp,ear infection. Take care. And let us know what you did. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 68 female 5 feet 170 pounds. Had red palms for about a year. Dermo said its nothing. Can you believe that.? Used many creams fungal and not. Seems like it is under the skin and very red, Not too itchy but hot. Worrying me alot. Coould it be serious. Had blood work done. Dr. changed my blood preasure meds cause said kidneys were a little off. Now it is ok with Amlodipine 5/40. Please help!!! Thank you ### REPLY: Hello! Welcome and thank you for asking on ! Your symptoms are compatible with a disorder called "Palmer erythema" in. This condition can be caused by various medical problems, each having its own range of severity. In a lot of patients, red palms have no identifiable cause, and they are presented under primary Palmer erythema. However, there are many cases in which the red palms are a symptom of another disease, being presented as secondary Palmer erythema. I would mention:-smoking and alcohol intake-high blood pressure-thyroid dysfunction-kidney or liver disorders-polycythemia vera-diabetes-rheumatological disorders, etc. I would recommend performing inflammation tests and thyroid hormone levels to exclude this possibility. Your renal function, may be related to it. But as, I mentioned before, in many cases, the cause can not be found even after a lot of tests. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having severe constant aching in upper back and chest area. Also, sporadic pains sharp pains (same place). I have had a CT scan, chest x-ray, MRI w/contrast, and I just had an abdominal ultrasound (yesterday-no news on that as of yet). My cardiologist does not think it is my heart. My PCP gave me PPIs. I have tried Prevacid, Nexium, and am now on Prilosec. Nothing helps. I am scared. ### REPLY: Hello dear, The symptoms as mentioned in your post suggest that it might be due to musculoskeletal pain. You can apply local painkiller spray like Diclofenac and take NSAIDs with muscle relaxants. Other causes of chest pain include:1. Any pathology in the cardiovascular or respiratory system.2. Costco .  Short-term, sudden anxiety with rapid breathing4. Pain from the digestive tract, such as esophageal reflux, it will be better to consult a Doctor & get a physical examination done to rule out other causes. So that proper management steps could be taken. Wishing you a Good Health. Thanks & take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 8 yr old daughter gets nose bleeds randomly. I have read some on the subject and most seem to say allergies or dry air. Neither of which we have a problem with. She is a fairly healthy child now. When she was a baby, under a year old, she did get pneumonia . Other than that nothing serious. My 5 yr old daughter doesn t have this problem at all. Should I be worried? ### REPLY: HI, Welcome to . It's very common in the age around 5 to 10 to get frequent episodes of nasal bleed this is due to weakness in a vascular area in the nose called The Little's area. This over time will develop well and surely will be alright. Need not worry, just take care you follow the norms when your baby is bleeding specially the first one which says bending the head down when it is bleeding to prevent aspiration and pneumonia subsequently. Wish you 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 was first diagnosed with poison ivy about 2 weeks ago. The first initial rash from that has started to subside. Yesterday I noticed my stomach region was starting to itch as well but no rash. Last night I woke up in the middle of the night and my stomach is covered in a red rash. It almost resembles a heat rash but it isnt going away. I also noticed a few new spots on my knee and arm that are itching and look like the poison ivy. I have not been around any poison ivy and everything in my home has been treated/washed since. I have also had diahrrea and stomach pain the past two days. I wasnt sure if this was all related or totally separate things. I was taking a 5 day dose of prednisone and my last dose was on Saturday. ### REPLY: From the information that you have given it seems that the two symptoms are different and due to different causes. Two weeks ago you probably had contact dermatitis to poison ivy, but the present symptoms suggest that you might be having some allergic reaction to some food products. Sometimes allergic reaction to food products can cause diarrhea, stomach pain along with hives over the body. You will need to take anti histamine tablets and apply calamine lotion over the hives. I would suggest you consume bland food for now, consume adequate amount of water to avoid deny . Hope it helps, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was standing in front of the stove and suddenly felt a hard spot under my toe.  I thought it was a piece of rubbish but it is a black lump that is a little painful when I put my weight on it. The lump is the size of a pea and makes it difficult to flatten my foot on the floor. ### REPLY: Hi! Good morning. I am  answering your query. From the history, it seems that you have got a corn in your foot which caused you such pain. If I were your doctor, after a physical examination of your foot, I would advise you for an excision biopsy of the lesion which possibly would come out to be a benign lesion giving it a cure. 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. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I am vikas khanna. I am 38 years old. I am heavy drinking daily from the age of 20. I am doing hand practice for more than 2 times a day.I have completely memory loss. I am suffering from depression. Is these mind problems due to alcohal and hand practice.Can this memory loss be recovered completely. ### REPLY: Degree understand your concerns went through your description. I suggest you not to worry too much. You are having depression and stress due to both of those reasons. Namely, alcohol dependence as well as masturbation. Alcohol dependency do have an adverse effect on health and mental health. But masturbation is not unhealthy if practiced moderately. Once daily is maximum. You are combining alcoholism with excess masturbation. Consult a psychologist for further therapeutic treatment. If you need more of my help in this regard, please post a direct query on this portal. I am happy to help you. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my baby is 10 months old, 7days before he had a fever dueto infection in his throat, he was advised with antibiotic. And fever was gone after 2days of medication. But after finishing the medicine. He again got a low grade fever with cough,occational vhomiting and lose motion ### REPLY: Hi, Welcome to , There is a possibility of viral infection in your child. Best thing you're doing is that you already started treatment for throat infection. However, recurrence of fever with other symptoms are suggestive of a viral illness similar to dengue. Pls continue same treatment but pay increased attention on his fluid intake. He should take as much fluid as he can. If symptoms doesn't subside in next 24 hrs, you need to get his blood tested and test for dengue also. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has a lump half way down her spine, she s been complaining of slight pain, and today the area looks bruised. She said the lump has been there for a while, but only recently started bothering her. We have an appointment tomorrow, but is there any information you can give me in the meantime? ### REPLY: Hi. Thanks for your query and proper history about your daughter. The cause of the lump halfway down the spine with slight pain and now bruising can be due to the following reasons :-Commonest can be an infected sebaceous cyst-More .  These are usually innocuous, bother less but have deeper connections hence missed. I would advise you to insist your Doctor for an MRI of the spine and the swelling, as this is the only way to get a confirmed diagnosis. If this is related to the spine, please ask for aspiration for the tests. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 65 year old indian woman and i had a serious hip fracture recently in which the top of femur was broken into several pieces as i also have osteoporosis.I have undergone surgery and they have put a plate over the fractured area.Do u think will i ever be able to walk on my own without a support? ### REPLY: Hi, Nowadays, we can fix most of the hip fractures and for the remaining that cant be fixed we prefer to replace the broken part. Since your surgeon prefers to do fixation over replacement it means there are high chances of bony union. Only aim of hip surgery in elderly patients is to make the patient walk, so there should not be any concerned regarding the bony union and ambulation. As far as osteoporosis is concerned it is a treatable condition, and doesn't pose to be a threat for fracture union. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My friend is having surgery Wednesday to fix a problem between L3 and L4. The doctor said this was the only solution. My question they did not tell her discontinue any medications that she is on sucn as asprin etc? I am having a knee replacement on the July 16th and I had to get off all my medication 2 weeks prior to that date? What would be the difference?? Thank you. ### REPLY: Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, you are intelligent that you noted this fact, if your friend is on aspirin or any other blood thinning agents, than stopping them before surgery is a must, spine surgery is even more dangerous than the simple replacement surgery, so ask her to talk to her doctor regarding this concern, and follow the advice given. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. ### END