Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got punched in the face about 5 days ago. It was an uppercut to the jaw on the left side. It wasnt until yesterday that i noticed any clicking but i felt no pain. The only time that i would feel it is when i would move my jaw side to side. I just woke up now and it hurts a bit but nothing absolutely unbearable. When i open my jaw wide i can feel a slight shift on my right side. It also hurts now to open wide. ### REPLY: Thanks for your query, I have gone through your query. The pain and deviation of the jaw, limited mouth opening can be because of two reasons. The first could be because of the disc displacement in the jaw joint secondary to the punch on the face. The other possible cause can be a fracture in the mandible. So consult an oral physician and get it evaluated. You need to take a radiograph like OPG to confirm the diagnosis. Later it can be treated accordingly. Till then, do not open your jaw too wide, take soft diet. I hope my answer will help you, 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 mom is 79, approx. 5 9 , approx. 200 labs. she has tried thru her GP all known remedies for pain, as well as acupuncture and herbal remedies. now is on her final available option, medical marijuana. GP and my brother, also a GP don t have guidelines re dosage or how often to up the dose, so it s all very hit or miss and she feels discouraged and in the dark. we have a very good medical marijuana pharmacy here, and she has all forms, ie cookies, rub, ointment, lotion, oil. any assistance with dosage or timelines would be so helpful!! she just needs more guidance. very intelligent and no mental problems, age-related or otherwise. she will try anything for her neuropathic pain except smoking marijuana. thank you. ### REPLY: Ok, there are several standard medicines for neuropathic pain. Nerve pills such as amitriptyline, lyrics, gabapentin and dilation. There are nerve dampers such as lidocaine. There are nerve dampers that are physical such as tens units and neuroablation, Botox is also being tried http://www.medscape.com/viewarticle/860783and there are operative removal of the nerve or neural internal tens units. This would be most of them. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir madam my wife pargnant ni 9 month when i scane level 2 than found in reports i write here please give me salulatin for this single live fetus is seen in longitudinal lie and cephalic position .No dysmorphic developmental anomaly is delineated.Fetal kidneys shows dilated pelvicalyceal  system on both side measuring 12 mm on right and left 11 mm on left side with normal excretory function. urinary bladder is well seen. ### REPLY: Hi there, Do not worry. This scan is to check if everything is normal with the baby. And they are saying that the baby seems to be normal in every way except for a slight enlargement in kidneys. This would alarm you, but you just need to get a scan by a fetal medicine specialist and a regular follow up with them. It also says that urinary function seems normal that means, though the size they feel is slightly more its working seems to be normal. Sometimes things identified on ultrasound may be in not significant and any stress will not be good for your pregnant wives health. Only a re-scan with a fetal medicine expert is necessary. And after delivery a scan of the babies kidneys at 3 months of age. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a rib at the bottom of my ribcage that I believe is subluxated at the spine. I only have pain on the right side of my spine at that rib. This has been for over a year.  My doctor  pressed at places on my back but couldnt duplicate the problem. He sent me for general back therapy that didnt help.  I can be o.k. at times until I twist the wrong way. Rolling over in bed aggravates the pain. How can something like this be treated? ### REPLY: HIT hank for asking to ChatDoctorI can understand your problem look the exact cause of your pain is still unclear what I could guess from the history given here, in my opinion it would be much better to know the underlying cause treating the symptoms is not the ideal way, still I would suggest taking the Tab Acetaminophen with Ibuprofen three times in day with Tab Alprazolam 0.5 mg at bedtime, hope this information helps you, take care and have 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: my right side of the cheek is swollen a bit, i have a broken tooth underneath the swelling . i m working to get my status number and health number to see the dentist . I don t know if they will help me with the problem. it doesn t hurt as much today and the swelling went down a little. I m concerned it will get worst if i dont do anything about it. what can i do today to take care of it? ### REPLY: Infected broken tooth can lead to pain and soreness of cheeks and jaws. Constant cheek irritation by broken tooth can also cause pain and tenderness.  If tooth is broken, then you need treatment for your broken tooth. If nerve of the tooth is not exposed, then tooth can be restored with dental filling or crown but if nerve of the tooth is exposed or necroses, then root canal treatment followed by dental crown is required for the tooth. If tooth is badly mutilated, then post and core procedure is required after root canal therapy. If broken tooth is unrestorable, then tooth extraction followed by replacement of missing tooth with dental implants or dental bridge is required. Only pain meds will be of little help. Hot compresses are not indicated as they will aggravate the swelling. You can do warm saline rinses to reduce the swelling. You need to get treatment done for infected tooth. If you have cost constrains, then you can visit a dental school where treatment is done by dental students under supervision of experienced dentists. You can also look for free dental clinics near you or can talk to your local dentist if you can pay in installments for treatment. By the time you visit your dentist, you can avoid eating from side of broken tooth. You can also apply travel for some relief. Maintain good oral hygiene to avoid any secondary infections ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ve been having a lot of health problems lately. Symptoms: Crow s feet, enlarged Adam s apple with visible vein showing, pain in legs and groin area, pain in eyes, neck and chest and flatulence constantly. I smell too, not proud of it just haven t been able to do anything about it yet. ### REPLY: I would need to know more about you. Gender, Your lifestyle(Food that you eat, what work you do, Exercise if any), any medication that you are on, and if the pain you feel aggravates during anytime of the day. After that I would be able to answer your query better because then I would have a better idea what is wrong and what to do about it. Please get back to me with what I have asked, and I would try my best to help you. Thank you for your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been using Tobi in my Nebulizer for months. One week on and one week off. The side effect I have noticed is that texture of my hair has changed and it is falling out a little each day. My hairdresser noticed how different my hair is. Is there anything I can do? ### REPLY: Hi,welcome to ChatDoctorTobramycin is an aminoglycoside antibiotics which is used to combat infection....though textural change is not a well known side effect of the . . Take a protein rich diet and eat fruits and veges rich in all the vitamin and minerals... Exercise daily... Do frequent hair massage with tips of your fingers with lukewarm olive and coconut oil in equal proportion,this will increase the circulation of scalp and improve the texture of hairs too... Conditioning of hair is a must think after wash... You can opt for hair spas or use fenugreek hair mask to combat hairless... Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir who best hospital for kidney transplant in chandigarh,jalandhar,banglore and delhi.sir who paper i will ready for kidney transplane.sir i am very sad because my mother in suffer from kidney disies.sir if my mother will be not well then i am also died please sir help me please i am very sad. ### REPLY: Thanks for choosing . Your parents are lucky to have son like you. Any way you should consult a transplant surgeon and his team which normally consists of a social worker and counselor who will help you to prepare papers for this. They are used do it and also know the law requirements, so they are the best person for you to get help. All the cities that you have mentioned are bigger cities, so you can go either of them. If you have financial issues then go a government institute or else you can go private hospitals. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: On my inner thighs on the outside of my vaginal area, on both sides I have something that looks like a rash and it smells fishy.  Its not an odor coming from my vagina at all, just the area around it.  Im using a anti-fungal cream and its slowly taking it away until i wet it and it seems to flare up all over again. What is it and what can I get to treat it over the counter if possible??? ### REPLY: Hi, Looks like you have developed a fungal infection of the groin region. Do not apply any kind of oils or creams over the affected area. Keep it clean and . Wear cotton undergarments in order to decrease sweating. Use an antifungal cream over the affected area twice a day. You may take antihistamines for the associated itching. If this does not help, you might need a course of oral antifungals. You should see a nearby a dermatologist in that case who can check and guide according. 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: my 11 year old son had a nuclear renal scan with lasix done and results came back saying he has left pelviectasis. they have ordered a VCUG but not for another 3 weeks and then a follow up with urologist 3 weeks after that. What is this diagnosis and what is the treatment? Is it ok to wait so long for foloow up? ### REPLY: I need to know the reason why he had the initial tests - unless you tell me that, I cannot suggest if waiting for 3-6 weeks will be all right or not. Pelviectasis is nothing but a slight enlargement of the collecting system of the kidney (the portion inside the kidney that collects the urine from where it is formed in the other part of the kidney known as the renal parenchymal). It implies the presence of some obstruction to the channel beyond the pelvis of the kidney. This can be a structural block like a narrowed ureter, or a spasm of the ureter muscle either along its length or where it meets the bladder at the lower end.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Precordial Catch Syndrome and it is apparently not supposed to happen/wake you up during sleep. This has happened a few times for me and I am currently over 12 hours (including sleeping) when the pain has not been relieved. Should I be worried? ### REPLY: Well, it is mighty hard to diagnose primordial catch and not have it be possibly something else. Most of the other causes are similarly 1) non-serious and 2) treated with NSAIDs about the same. There can be irritation of the rib joints (Costco .  There can also be pneumonia, a tumor, angina, depression, anxiety, and probably many other disorders that can cause similar problems. Simple exam with simple tests can help eliminate some problems. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffered a recent loss of a family member and since then my hands, feet, legs and stomach are numb and i am unable to use my hands. my doctor says my body is stressed and protecting itself. its been 3 weeks today when will i be able to regain motor control ### REPLY: Hello, You are in Panic and emotionally imbalanced state. Do not be alone, and be with someone all the time, and you should know and accept this reality, everyone on this Earth will be dying, Deaths and Births is a Natures Process created by the Creator. We cannot do any changes in the laws of Nature. So, always be happy for whatever you are having with yourself. But do not try to achieve or think or deserve which is not reachable or attainable. Take following medications such as tablet Circa once daily for 15 days with syrup Activate twice daily for 15 to 20 days. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 10 a multi sport athlete and very fit. We just noticed a pea size hard bump on the right side of his neck on or near the large muscle that shows when you turn your head. It only shows when he turns his head fully to the left, but you can feel it when he is looking straight ahead by pressing a little. It is hard and seems to move up and down a little when rubbed. It does not hurt and he is otherwise very healthy. How concerned should i be. ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have lymphadenitis lump on the right of the neck. As your son is fit and healthy without any complaints about it, Just forget it. IF it troubles then only think of doctor opinion. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Ent-Surgeon for opinion, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to  and be comfortable to resolve your health issues. Welcome for any more query in this regard to . Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: a 65 year old man has a itchy red rash all over his body. His hands and face are swollen. His Doctor gave him someanti-itch cream but does not what is causing his symptoms. He is using the same laundry detergent, bath soap etc.I am sorry he is on disability we cant afford the fee. Thank you. ### REPLY: Hello and welcome to  I would keep a possibility of Acute Urticaria. It can present as itching and skin welts/swellings, which can be localized to a particular area, or they distributed all over the body. The lesions are evanescent, and they rarely last for more than 24 hoursUrticaria OR hives can occur due to various causes like(to name a few):--Infections(bacterial, viral, fungal)-- . --Cholinergic Urticaria: in response to strong emotions, exercise, spicy food etc--Autoimmune disorders like SHE, RA etc.--A few cases have no underlying cause and are known as idiopathic urticaria. I would advise you to get few basic lab tests like Hologram, stool for ova/cyst, Urine routine, Chest X-Ray. An oral antihistamine like Fexofenadine (Allegra 180 mg tab) OR Loratadine (Alaskan 10 mg tablet) once or twice daily for a week would be suitable. They are non-sedating and won't affect your alertness level. A topical soothing lotion like calamine would help you symptomatically. 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 mother is diabetic. Her FBS is 90 she is taking tripride2 tablet daily and her Bp comes 110/70.from last few days she is suffering from headache and progressive hearing loss. Is it beneficial if nurokind 1500 od dose will be beneficial for her.please suggest anything to overcome her problem. ### REPLY: Thank you for your query. Well there are mixed results of various studies that 21% of diabetics had hearing loss. For diabetic patients over the age of 60 the prevalence of high frequency hearing loss rose to 54%. All I want to suggest that kindly get your mother's ear evaluated by ENT specialist, as it will tell that which kind of deafness is it and what might be the probable cause of it. Once the ear has been examined the cranial nerves should be evaluated.  Radiography is more sensitive and specific than a tuning fork examination and thus is essential in most patients with hearing loss. Since the blood sugar and blood pressure is under control, so it is advisable to maintain it at mentioned level. Ask her to avoid straining and doing heavy works as it might aggravate the problem. For the time being you can start a combination of methylcobalamin and pregabalin. God bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Six years ago, my husband underwent a total hip replacement. Within a day after the surgery, he developed phantosmia and soon after developed paraguesia. He has suffered ever since with paraguesia and has recently begun experiencing daily headaches. He is on Lansoprazole 3x/daily and also takes temazepam nightly for sleep. He believes he suffered some type of nerve damage, but I was hoping you could provide additional insight. His quality of life has been severely affected. ### REPLY: Hello! I understand your concern. In my opinion the troubles with smell and taste may be related to a nerve damage. It may be central or peripheral. I would first recommend a brain MRI to rule out other causes and EEG for epilepsy. Phantasma can be a symptom of epilepsy. Treatment with Gabapentin has shown good results in these cases despite the cause. Irrigation of nasal nostril with physiologic .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 depo shot was September 27,2012 me and my boyfriend had sex December 20,22 an 23,2012 belly pain an vomiting that whont come up I took something an its not working what to do now an people don t beleave me when I say my belly hurt the doctor will say. Nuffin wrong with u its all in your. Head an its not it really do hurt ### REPLY: Hi and welcome to . Well, sometimes even doctors can't find the cause of your pain. This can because by nothing or by various disorders. Considering your info this should be related to your reproductive system so the first thing to do should be pelvic and vaginal examination and ultrasound. There can be ovarian or uterine pathology, std or endometriosis. ALso, demo shots can have side effects including abdominal pain. I am sure that it will pass soon, ish you are 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, Im 15 years old and for a while now Ive been having these cyst-like bumps on my inner upper thigh and butt. Sometimes theyre very hard to squeeze, but when something comes out of it, its usually like a yellow, white -mostly white pus that comes out it. And I get pimples on my butt. Recently Ive had a cyst like bump one on my butt and it was very hard and dark, though when I was able to squeeze it, a white cheese like substance came out. As well I have boils, but I dont sit on public toilets seats or anything. As well i have a lot of black heads on my inner upper thighs, and I can feel big nots-bumps under the skin that most of the time surfaces and I can see the cyst like bump, but then it may go back under after a few days or it may just go away. Also I have these dark dots on my inner upper thigh that are dark, hard dots. Oh and one more thing; these cyst like bumps on my inner upper thigh and butt sometimes hurts. Like I cant sit  down properly cause it hurts - but its not all the time. And sometimes they have like raw skin and it burns and hurts to touch them- especially on my upper inner thigh. And sometimes blood will come out of them when I squeeze them. I am not sexually active. I try to be as clean as possible. I just want to know what this is and whats causing it, and how can it be stopped. Its very aggravating, I cant wear shorts or anything, I only wear jeans. Please and thank you for you help. ### REPLY: Namaste Welcome to  Greetings of the day You are probably suffering recurrent folliculitis in the buttock area.  Other possibility I would like to consider if you are very hairy and sit for prolonged time is Colonial Sinus.  Both of them require assessment by General Surgeon.  It will require a course of antibiotics like Augmenting for 7 - 10 days., local ointment, hot sat bath.  If it turns out to be Colonial sinus/ fistula in ANO it will require further surgical intervention.  Any case you need to see a Surgeon. Do get back if you have any doubts. Take care Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 44 year old female. 52 about 144 pounds (yes..I know Im overweight). I have a history of heart problems. I had a stent put in 2 years ago. I take Asprin, Metoprolol, Plavix and Crestor. I do not have high blood pressure. It tends to run on the low side. For the past few days I have had a burning/cramping pain in my upper abdomen. Seems to get worse when I eat or drink. Now I feel like food is stuck in my esophagus. I am totally uncomfortable! ### REPLY: Hi, Pain specifically after eating can signify an inflammation of the duodenum. In duodenitis or duodenal ulcer, there is pain after taking a meal. The most common cause of gastritis and duodenitis is a bacterium called Helicobacter pylori. When large amounts of the bacteria invade your stomach or small intestine, inflammation can occur. It is best you consult a doctor and take treatment. An ultrasound scan abdomen should also be done to exclude causes in liver, pancreas and gall bladder for your pain. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 morning I woke up and had cramp like feelings in my beely then a sudden urge to go to the toilet (for a poo) this happend three times now tonight it has happend again but only once I am not pregnant so any suggestions at to what ths could be             Nikki ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. You are having symptoms of colitis (inflamed colon). The most common cause is infection. A stool test may be done to confirm it. You can take antispasmodic medications like benzyl for relief. If the stool test shows infection, then you have to get treated for infection also for complete relief. I hope that answers your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having lower abdominal pain from last 3 years. Pain is irregular. Pain used to occur around 3 -5 am , but for last 10 months it has started in the day hours also. Occurs a maximum thrice a day , lasting for 10 to 45 min. I have thyroid on the higher side and low vitamin B12. Endoscopy showed mild gastric. No vomiting tendency and no foul smell in stool and urine. No fever and no irritation urinary passage.  Please advice. ### REPLY: Hi. Thanks for your query and an elucidated history. Since you have been having this pain for such along - say 3 years and used to occur at 3 to 5 am but now for the last 10 months it occurs in day too, up to three times a day, lasts for 10 to 45 minutes.This may be related to your body clock initially since it occurred in the early morning only. IT looks this clock is disturbed and turned into IBS as the most probable cause. I would advise you to get the following:Blood, urine and stool tests, review of the thyroid functions, and B12 and to get corrected if yet abnormal. CT scan of the abdomen and endoscopies. IF all the investigations are normal this can then only be taken as IBS and get treated accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have booked and paid for a holiday to Kenya. However I have just found out I am pregnant. I have not yet had the relevant vaccinations. I m supposed to leave on the 23 august. I m now not sure if I should go/get the vaccinations. I ll bexreally disappointed if I can t go, as this was a once in a lifetime holiday. I d be grateful for any advice. ### REPLY: Hello, and I hope I can help you today. The main vaccines needed for immigration in Africa are yellow fever and typhoid. There are no studies of the use of the typhoid vaccine in pregnancy, but that doesn't mean that it is harmful. Regarding yellow fever, the vaccine has been shown to not cause any major birth defects when given in early pregnancy. In addition, malaria prophylaxis may also be recommended for you. There are types of antimalarial that are safe to use when you are pregnant. I suggest you see a doctor who specializes in travel medicine or infectious diseases. They can administer the vaccines, and if they do not feel comfortable they may be able to sign a waiver for you. I hope I was able to adequately answer your question today and that my advice is 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 read a lot of contraditory information on the internet. I am looking to validation. I ve done quite a bit of research recently on the use of cannabis but haven t found any solid information on it s effects on a post transplant kidney recipiant. Many public forums give mixed signals but the knowledge level of the posters is unknown, and WebMD claims that it could help prolong the lifespan of the transplant. What are the effects? ### REPLY: Hi, I guess you are desperately trying to use Cannabis but also are concerned being a renal transplant patient. I would like to inform you authentically to take this idea out of your mind forever. Cannabis is used for many medical conditions but certainly not in Renal Transplant individuals. There are all sorts of information/misinformation available, do not pay any attention to these half-baked stories. Please take your condition seriously & forget about all these addictive substances best of luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been diagnosed with vascular dementia. He is being encouraged to keep up with his exercise which he does five days per week. What are the benefits of exercise for someone already suffering with moderate dementia? Can exercise help reverse or delay the progress of disease? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern for your husband you have not mentioned the age of your husband this could be helpful, if this is the dementia then exercise won't be helpful here the underlying cause is the matter if this is because of age then nothing can be done, some neurological conditions are there which gives better results with the medicine, like dementia due to TIA = Transient ischemic attack" hope this information helps you, have 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: I have been to the doctor, on a Z pac I. Had congestion , a lot of mucus which has subsided. I do not have a fever, however my ears are very compromised.  I feel as if I am talking in a tunnel. My hearing is about 50%.I am also taking Advil sinus and congestion pill.  Is there something I can do without meds? ### REPLY: IIN case of upper respiratory tract congestion, the nasal congestion leads to blockage of a tube connecting nose and middle part of ear. This leads to heaviness and blockage feeling. You can use some non-medicinal ways to relieve this condition. 1. Steam inhalation is a good method.2. Blowing of air while keeping the nose closed by finger allows opening of Eustachian tube. Nasal instillation may be helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a kind of triangle piece of skin or gum behind my upper two front teeth that has been swollen and very red. Its very sore and has pulled away from where its supposed to be. Its been sore for a week. Im just wondering why its like this and if there is anything to worry about. ### REPLY: Hi. Thanks for the query. As per the symptoms you have swelling and inflammation of the Incisive Papillae that is a triangular structure present at the back of the upper front teeth. It commonly gets inflamed due to causes like trauma to Incisive Papillae caused by biting something very hard, burning with hot foods or chemicals, a habit of placing the tongue against the Papillae, tooth or gum related Infection in the respective area. In case if it is appearing to have pulled away from its place then it can be most probably due to traumatic injury to it. Do not worry s gradually as it will heal it will become firm. Nothing to worry as it will get resolved soon. As of now you can apply Lidocaine jelly over it. Take anti-inflammatory painkillers like Ibuprofen. Suck ice pops. Avoid hot, spicy and hard foods. You can also rinse with cold water and do warm saline gargles for reducing inflammation. In case of it does not get better in 3-4 days then an x-ray has to be done under supervision of a Dentist. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband stepped on a rusty nail last week. He cleaned the cut and applied neosporin. His foot has been hurting and today noticed an off yellowish/brown ooze (slightly thick) coming out of the cut. What does this mean? Should we get a tetnis shot for him?? ### REPLY: Hi, Thank you asking your query to ! When was the last time your husband had a TT shot? If it was within the last 5 years, then he need not take it. However, if he hasn't had a TT shot within the last 5 years, I'd strongly advice you to immediately get one. The discharge you are describing seems to be pus oozing out, which means the wound is infected and needs urgent attention and active cleaning and .  Hope this solves your query. Feel free to ask if you have any doubt. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just turned 50 last August. I was told by a neurologist that sometime in my life I ve had two mini strokes. That was 2 years ago. Just today I ve noticed my speech is slightly slurred and for over a month I ve had weakness and pain in my left hip and thigh . I thought the pain was maybe arthritis . I ve had an X-ray and was seen by an orthopedic doctor and my hip bones are fine yet I still have the pain and weakness. I am an avid bike rider and also walk allot. I walk or ride to work (6 miles a day total) 5 days a week. I can deal with the hip/thigh issue, my concern now is the slurred speech. I don t drink alcohol and I sound (to me only so far) as though I ve been drinking. I take one baby aspirin a day and cholesterol medication at bedtime. My cholesterol is at a normal level. Can you give me an idea of what could be going on? Thank you ### REPLY: Hi, Thank you for posting your query. Based on your symptoms we need to exclude a brain stroke. If possible, consult a neurologist and get a brain MRI done. Since you are already taking aspirin and statins, the risk of you getting a bigger stroke is minimal, so, there is no need to worry. Also, you can get yourself evaluated for risk factors such as diabetes, high BP, homocysteine, etc. I hope it helps. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had lower left abdominal pain for the past 5 months which has gotten increasingly worse. I had a ultrasound done both internal and external came back normal went to ER and no infections  Dr said to get cti could be irratable bowl syndrome . I would really like a anawer and some relief.Do you know what may be the cause.Alao doring exam said there was a spot on my cervix? ### REPLY: Welcome to  .1. A spot on you cervix, it could be Nathan cyst (as far as i understood from your words and which are generally seen in that region) for that you don't have to worry. 2.They are asymptomatic, generally incidental findings.3. If ultrasound has ruled out, The next investigation is for sure CT abdomen pelvis.4. Initially I would ask you to get a basic diet (avoid spicy and oily food) get in to salads and fruit diet, If it does not go on its own then above investigations are needed. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,My husband is 28yrs old.. He started with itching on his forearm & top of hand about a week ago and then followed tiny bumps you couldn t see unless you really looked closely..Shortly after his chest,arms,legs,tops of feet,and hands were covered in what looks like a rash of some sort.. His hands are the worst.. He has tiny bumps that are filled with clear fluid and come in groups or single spots.. He says they do not hurt just feels really gross.. I have had scabies before and they look NOTHING like that.. We went to the ER today and the doctor told him it looks like a food allergy and prescribed him prednisone and atarex .. I m not sure he is happy with the diagnosis so I am trying to get a second opinion ### REPLY: Hello, It is not common to develop a food allergy at this age although not impossible. If the rashes he had developed were definitely after eating a specific food (which must happen every time) then a diagnosis of rash secondary to food allergy is plausible. What you describe is something like cholinergic urticaria, a form of urticaria (this is not allergy in >80% of cases) that is triggered by temperature changes and mast cell release of mediators like histamine. Scabies is also a possibility that is intensely itchy and needs to be excluded with a careful examination, skin scrapings or a course of treatment if there is high clinical suspicion. Atarax is a strong antihistamine (sedative, so take at night) and prednisolone must be stopped after 5 days giving Atari a chance to work. You can switch to non-sedative antihistamines like fexofenadine or cetirizine. There is no blood test for a definitive diagnosis but thyroid disease or diabetes need to be excluded along with a complete blood count to ensure there is no infectious trigger. Hope that 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 my husband has CIDP and a cronic cough....he is currently hospitalized being treated for a infection.  His oxygen levels have been critically low and I am wondering how the CIDP affects the lungs?  He has had several chest exrays that show his lungs are clear. ### REPLY: Thanks for your question on . I can understand your concern.CDP is chronic Inflammatory desalinating polynuropathy. It is not directly affect lungs, but indirectly it affects breathing.CDP causes diaphragmatic palsy by affecting Phoenix nerve. Diaphragm is main muscle for breathing. So indirectly CDP can affect lungs. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pins and needles in my left hand, comes and goes all day long and left arm feels weaker then my right arm. this only started about 6 weeks ago but at the moment I have had an mri which is showing 2 protruding discs and a nerve issue which was giving me major pain in my left leg so am on lyrica at the moment which stops the pain but I can still feel the pain in the leg if I touch it but can at least function now that I am on the lyrica, my question is does the pins and needles in my left hand have anything to do with the back which is in the L3. Thank you ### REPLY: Hi, Thanks for your query. Due to compression of nerve root in cervical spine there is PINS AND NEEDLES SENSATION and pain associated with it. I will advise you to MRI cervical spine for better diagnosis. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalaminmedication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I last year in agust i had done abortion with tablets but it was not completely cleared after scanning we got to know that then complete abortion was done with the doctor,then doctor sugested to take ths tablet ovulov- ld i had taken for 17 days 17 tablets between i stopped i got bleeding for 4 days then i dnt tuk tht tablets but now we are planing for baby from 3 months we are not able to succced please help ### REPLY: Hi, I think if your periods are regular, you can try for 6 months to one year naturally.  Be in contact with your husband every 2 to 3 days after your periods stop.  It will increase chances of your pregnancy.  If you want to increase the chance of pregnancy, you can take some medicines for 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.  Also do a thyroid profile and prolactin levels for yourself.  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: yes , i had a kidney stone moving around, ann i had to go to my pain dr. for my monthly visit! well each month i have to take a drug test to get my medicine, and when i peed in the cup it was very redish, can the protines in the blood cause a test to show positive for like marjuana, since i dont do street drugs , or smoke that stuff, i dont under stand why the test showed up positive for this, ????? ### REPLY: HI, thanks for using  False positive results for marijuana can occur with some medications such as pantoprazole. In some tests medications such as ibuprofen can cause a falsely positive result. Protein in the urine would not normally interfere with a . The red discoloration of your urine may be an indication of blood which can be found in infection, as a result of trauma, stones, masses in the urinary tract, inflammatory disease of the kidneys. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recieved a letter from my Doctor that gave me my blood work and urine results since I just went in for a yearly pap. it said my Urine had 1+ Bilirubin so they ordered a hepatic panel to check liver function and the only thing they reported is the indirect bilirubin was .1 which was a tad low but PA said it was okay. They just didnt really explain what any of that could mean. Im 30 year old female, the only prescription drug I take is hctz 12.5mg. I read online youre never suppose to have Bilirubin in your urine so it just concerns me and the drs office is closed right now ### REPLY: Hi. Thanks for using .you have bilirubin in urine and indirect bilirubin is raised.this suggests conjugated bilirubin is increased due to disease in liver.you could be having hepatitis.see your physician for the investigations to know the cause for hepatitis.management is supportive. Change the diet with low fat, high carboy . . Multivitamins, liver enzyme preparations, and liver protective  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having severe pain under my left arm a and the left breast bone. I am short of breath and when I inhale it feels like tiny bubbles exploding in my chest, right at the left breast bone. I am also running a low grade tempo of 100.7. Extremely tired and can barely raise my left arm. In your opinion, what might this be ### REPLY: Welcome to , I want you to be physically examined by a physician before giving medications to you.  Do you have chest pain?  Do you have sweating?  Pain below the left arm may be due to enlarged lymph nodes or lymphadenopathy in that area do you feel any lumps in the breast on self-examination?  Is your breathing problem is associated with cough?  If so is it productive or a simple .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 51, female - non smoker, occasional glass of wine. I have been dizzy, unsteady balance, heart palpitations and short term memory loss with occasional loss for words.  My head feels like its swirling.  This usually goes away after 15-20 min but its been almost two days. Thank you,Pamela Schmid ### REPLY: Hello dear user of ! Thank you for sharing your concerns with us! I understand your situation in which you are in, and I'm sorry for that. Having palpitations, dizziness, unsteady balance, memory loss etc., make me think about heart or vascular diseases, like arrhythmia, heart failure, atherosclerosis, carotid arteries blockage and so on. So to determine the real cause of these concerns additional tests and examinations are needed. I would recommend you to go through following tests and examinations:- complete blood count-sugar and lipids in blood-liver and kidney indicators- electrolytes- ECG-Cardiac ultrasound-Carotid arteries' ultrasound- Cardiologist consultation and other further examinations if he asks for. I hope we will find the cause that gives you all these symptoms by these tests, and then we will be able to adjust the proper treatment for you! I hope you will be fine soon! All the best for you! .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, I am 35yrs old and my husband is 37yrs old, we dont have issues my husbands sperm count is low and I have irregular periods. we have tried enough medicine from past 8yrs. I have tried iui twice but of no use. I belong to a middle class family where i cant spend more on my treatment. now my husband has got rashes on his penis which hurting him from past two months , when we consulted a doctor he said it is due to virus which can be curable. sir my question , can i my husbands disease can be curable? can we get a child, what would be the cost of treatment.one of my doctor suggested to do laproscopic surgery , can i try thatpl advise ### REPLY: Low sperm count and the viral infection do not seem to be related. Low sperm count is even before your husband had this viral infection. What is the count? What about complete semen analysis? Has he undergone any investigations? The reports are needed. Does he work in a very hot atmosphere like near a furnace? This decreases sperm count. Please get him examined from a urologist to find out whether he is having varicose veins in the scrotum. That also brings down the sperms. Moreover, you are also having irregular menses. Your work up is very important. Please find out first whether you release eggs regularly or not. For that your hormonal estimations in the blood is required. Also study of the lining of uterus reveals so many things. Have you got it done? If the eggs are not released, GUI cannot help. Frankly, in infertility, unless all these investigations are done and there reports are available, correct guidance cannot be given. Please get these investigations done and ask me direct questions when I can guide you properly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,         I have been in a lot of pain in my stomach since the end of November and have seen my doctor and have had blood tests urine tests and have given a stool sample. All came back clear. Next was a ultrasound which also came back clear as well as a x-Ray. Pain is like a burning sensation and can last for hours. My bowel movements are regular but the colour has varied from black to normal but never loose. My weight has gone down a stone. Im so worried as I have a young family ### REPLY: Hi, Welcome to  forum.  The question is very vague,without the spot of the pain, it difficult to diagnose. If it is in upper abdomen may be hepatitis, gallbladder pain, peptic ulcer, or spleen pain from right to left.  If in the middle, may be kidney pain, on both sides, and worms in the intestine.  If in the lower part, urinary tract infection, or stones in the ureter, appendicitis,on sides, and U.T.I in the middle.  I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have gastrostomy, and M.R.I. for diagnosis.  I usually prescribe to my patient with such symptoms' omeprazole, risperidone, and antacid gel, and albendazole, till the results comes.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i AM A KNOWN CASE OF DEDIFFERTIATED CARCINOMA OF THYRIOD WITH METASTAS TO LUNGS . i HAVE SEVERE BREATHING PROBLEM AND FEEL OF SUFFOCATION . i  HAVE IN PARELLEL SEVERE RHUMATIOD ARTHRITES MANAGED BY PAIN RELIEVERS SUCH AS TREMEDOL +CROCIN +FANTYNYL 25 MICRON PATCH .I AM TAKING RAMIPRIL 2.5 MG BDTO MANAGE MILD HT  AND HUMAN MIXTRAD INSULING TO MANAGE DM. I AM  ON 24 HOURS A DAY NOIN STOP OXYGEN 4LITRE/MIN .PL ADVISE IF I TAKE BLUKOF OR ANY OTHER MEDICINE TO RELEIVE THE CONGESTION FROM THE CHEST AND THROAT PASSAGE , THE FEEL IS ALWAYS GASPING FOR BREATH AND SOFFOCATION . ( I AM USING BIPAP IN THE NIGHT AND DAY TIME ON SOS BASIS ) ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* As you are on highest doses of painkillers possible, still I would suggest for your case - preference of semi reclining position - intravenous or oral bronchodilators, corticosteroids - deep breathing exercises, meditations - positive thoughts - no smoking if doing Hope this clears your query. Welcome for further questions. 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 brother is having a depression from the last few years. We did different treatment, but he tends to not continue the treatment as soon as he starts feeling better. Even my parents are not understanding that the treatment has to continue for longer time. He was having issue due to work pressure and now blames the whole family for his situation. Now he refuses to do any treatment, and his condition is getting worse day by day. Initially he himself took the session without letting us know, but now he refuses to do so. He keep telling us that he will commit suicide . Not sure how i can help him, i don t stay with him and he stays with the parents in different country. We tried giving him medicine without his concerned after consulting a phychiatrist doctor, but he somehow found out and stop taking any food from other person. Any kind of guidance will help. ### REPLY: The diagnosis may not be depression what seems from your description It may be a psychotic illness or schizophrenic illness who are known to not take medicine and stop taking food from others because of auspiciousness etc. he has to be supervised for his medication by someone who is staying with him In European countries many NGOs or social services or suicidal help line do take care of such problems It is a psychiatric emergency and intervention is highly important without delay ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother is 73 years old. She had the flu and now has a  horrible hacking cough which she got from me because I was real sick. She was taking an antibiotic levofloxacin , very small dosage ,because she is so petite and cannot handle adult doses of medicine.  She took it for 3 days. She hated it. It made her feel wired.  She quit taking it.Can she  and should she start taking a different antibiotic, amoxicillin now to fight infection? ### REPLY: HI, thanks for using  Another antibiotic may be helpful if there is a bacterial aspect to her infection. Her doctor can assess her to see if this is necessary. In some persons the coughing, even if productive may be related to viral infection such as viral bronchitis or viral pneumonia. She may need a bucolic to help break up the mucus in her chest so that it can be expelled easily, e.g. bipolar, Mucomyst, guifenesinI hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: During the last during the last two weeks I have had difficulty swallowing. Food seems to get stuck in my chest. It has gotten worse in the last two days. I can drink and push the food down. There is also slight pain associated with this. I have no acid reflux or heartburn. Any suggestions. ### REPLY: Thanks for your question on . I can understand your concern. You are having dysphagia (difficulty in swallowing) solid food. This is seen with esophageal pathologies like1. Esophageal mass2. Andalusia cardia3. Esophageal strictures better to consult gastroenterologist and get done upper GI (gastrointestinal) copy and barium swallow to identify the cause for dysphagia. CT scan of thorax is also advisable if there is mass lesion. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 33 weeks pregnant and had a sudden spike in my blood pressure. It went to 170/110 but slowly went down throughout the day. Was feeling horrible (headache, anxious, very hot and flushed) during the spike and all symptoms except the headache have went away. All bloodwork came back normal except my liver function panel was a bit off. Awaiting 24 hr protein test results and am on bedrest until all tests come back. My BP s have stayed normal (110/78 range) since the spike. Is it possible to have preeclampsia with normal BP s, or is it possible to have random spikes that high and nothing be wrong? ### REPLY: Hello dear, I understand your concern. In my opinion there is no chance of preeclampsia with normal BP. Infact preeclampsia is a combination of high BP more than or equal to 140/90 along with proteinuria and with or without pathological swelling of feet. But at the same time presence of spikes of high BP might also cannot be considered as normal. Mild elevations up to 130/80 might be acceptable but not more than that. The BP should be recorded at 6 hours apart. If at both the instances the BP is high pregnancy induced hypertension(PIN) is said to be present. The presence of abnormal liver parameters, headache,high spikes of BP might suggest PIN .24 hour protein is helpful to diagnose if it is just PIN or preeclampsia. Avoid stress and relax. As there are medicines available which can control BP. Check your fetal movements and other symptoms of clamps like vomiting, epigastric pain, blurred vision, decreased urine output. These are called imminent signs of clamps. Eclampsia is a condition where preeclampsia is superimposed by fits. Take high protein diet and relax. You might not go up to that clamps level but just I am giving you the information. Hope this helps. Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is tina, my daughters friend this evening has just been told he has singles. My daughter is 23. He has been told to take nurofen and Panadol. My daughter from memory has not had chicken pox. I am worried for her. Is it possible she can contract this, and what can she do. Also is it advisable she stay away form me till she is clear if she contracts it. I am 52yrs old. I feel  a little helpless I cant help her and feel the need to protect myself as well being her mother. Thank you for listening, hope you can help with this.Kind regardsTina ### REPLY: Dear Tina Ma'am, Hi & Welcome to . Yes shingles can be transmitted from a person with active shingles to another person who has never had chickenpox. Shingles, also known as herpes zoster, is an infection of a nerve and the surrounding skin. It is caused by the varicella-zoster virus which also causes chickenpox. The main symptom is a painful rash which develops on one side of the face or body. The rash forms blister that contain the active virus. The blisters typically scab over in 7-10 days & clear up within 2-4 weeks. The person with active shingles can transmit the virus until the rash has developed crusts (scab). The virus that causes shingles can spread from a person with active shingles to another person who has never had chickenpox.  Once infected, the person will develop chickenpox, however but not shingles. So, I would advise your daughter to avoid contact with her friend till the rash has developed crusts. I also recommend Shingles vaccine for both of you as it reduces the risk of developing shingles and the long-term pain from post-herpetic neuralgia (PHN) caused shingles. Hope the suggestion given would be beneficial to both of you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi;My sister who is 20 years old has gotten a kind of hysteria...she is retelling her past memories and she has a sever headache. how can we help her(I mean psychologically) to back to her normal condition?....by the she has been recommended to use some drugs by a specialist physician...Best..Shwana ### REPLY: Hello Shana, Hysteria, also known as dissociative disorder is a condition which is often precipitated by stress. It can lead to various manifestations including episodes like seizures, motor or sensory loss, memory loss or as in your sisters case, regressing to past. I would suggest that you seek a psychiatric consultation for her. Medicines like Escitalopram might be helpful for her, but the larger part of her treatment will involve non-pharmacological measures. It is a condition in which more the attention is given to patients symptoms, higher is the chance of increase in symptoms. So, the first thing to do will be to reduce attention to her symptoms. It is important to understand what is she stressed about. It might be possible that the patient herself will deny being stressed, but it is important to be patient, give time and deal accordingly. She will also need to do some relaxation exercises. Your psychiatrist can guide you regarding all this. Hope that this information was 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: Hi Doctor            I got married on 11 july2013 almost its more than 3 months still I not yet concived. I am 29 yrs old. what to do yesterday I see a doctor she suggest me to take tab vitalin 800 once in a day for 1 month and cap goodova 100 once in a day for 5 days. she also asked me keep sex relation on 14 15 16 17 and 18th day of periods. it will help or not please suggest. ### REPLY: Thank you for consulting with . I don't think you have much to worry now. Follow the medications given by your doctor. The medications are indicated in a preconception period for the good health of your baby. The advice she gave about the dates to have intercourse is the ideal period which has maximum chance of conceiving. Have trust in your doctor. Revert with any further queries please. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a red rash/irritation on my scrotum. There are no bumps or hives. Its been 2 weeks now. It is ichy at times and also sometimes warm to touch. Ive had this before and my doctor gave me a cream to put on. This occurrence started to appear a day after a run. Any thoughts on why it continues to happen? ### REPLY: Hello I share your concernLooking at your description this could be STI or infected ulcer I would like further information to help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the rampart from. This blood sugar fasting and post radial and Blood for CBC and liver function test are also advisable. Maintain good hygiene Wash and clean it with antiseptic solution or soapbox can apply mupirocin ointment externally. Use condom during sex Hope this answers your question please feel free to ask for more clarificationThanks and regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 22 weeks pregnant and have for the past 5 days been feeling breathless with a persistant cough. I also had a panic attack in between too. My chest feels tight and my breathing feels a little strained. This happens several times in the day. Is this normal? ### REPLY: Hello, It appears as though you are experiencing bronchospasm according to the symptom description given by you. Several causes can be thought of-like an asthmatic attack, infection with lower respiratory tract involvement, severe anemia with fluid collection in the lungs as part of failure and so on. I would ask you to immediately see a chest physician and get proper help. You may need bronchodilator, steam inhalations, nebulization, antibiotics, enhancement of proper .  Wish you speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 66 year old male who is in relatively good health. following kidney stone surgery to break them up and a subsequent stent for 1 month, I have developed knots in the back of both calves, both ham strings, and both deltoids. The pain has become quite debilitating and is made worse by sitting, especially in the car. The best way to describe the pain is like a lactic acid build up after strenuous exercise. I do have a factor five blood clotting disorder that I have never had any effects from previously. Would appreciate any help as I am grasping at straws! ### REPLY: Hi.thanks for the opportunity to help you. From your description it looks to me like thrombophlebitis of the veins in the calf, hamstrings and buttocks. This has happened as a result of prolonged immobilization due to kidney stone surgery and stent insertion for 1 month and as you have factored 5 deficiency you have tendency for hypercoagulability leading to clotting of blood. Thus stasis due to prolonged bed rest, old age and factor 5 deficiency leading to hypercoagulability and clot formation can lead to thrombophlebitis. However we should rule out DVT which is a life-threatening condition in which there is formation of thrombus in deep veins.this thrombus can dislodge and block pulmonary vessels leading to pulmonary embolism and death. Though from your description it doesn't look like DVT.kindly visit a surgeon and get a venous Doppler of lower limbs and get a coagulation profile, genogram, Radioactive,I125 fibrinogen study done. If it shows thrombophlebitis, oral antibiotics, thrombophobe ointment for l/a and t.choral forte 1-1-1x5 days can be taken .if however DVT is diagnosed by Doppler of venous systems in. Low molecular weight heparin followed by warfarin as per surgeons advise. If surgery is required. These methods to be considered in case of fixed thrombus.in case of free thrombus fibrinolysins, thrombectomy using forty catheter or IOC filter can be used. Surgical options are:-1)Palma operation for tibiofemoral thrombosis2) May hung operation for popliteal thrombosis.t.saffron 500 mg 1-0-1x3 months to reduce viscosity of blood and congestion of veins can be use prophylactically in cases of both thrombophlebitis or DVT.hope the consultation was beneficial 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 mother is adiabetic patient for the past 12 years .she is taking pioglit for about 2years now sheis suffering from leg swelling and weight gain. her sugar level is 169 in pp. what is the alternateof using pioglit? my email id is  YYYY@YYYY ### REPLY: **1. Side Effect of piglet [pioglitazone] is weight gain, leg swelling [edema] even with diet and regular exercise, moreover since weight is not mention thus it can be one factor for high blood sugar due to Insulin resistance.2. Check with your Doctor for possible Echo cardiogram and Lung Function test to know the health status of heart and Lungs.3. Your doctor may Stop the medicine and change it with some other option since it is banned in many countries.4. One must see a diabetes specialist, who will look clinically for:. Weight. Blood pressure. Examination of peripheral pulses on the legs. Examination of the feet: especially the inter digital spaces and soles, for infections, ulcer and sensory loss. Say NO to: Sugar, all sweets, cakes, sweetened biscuits- . . Eat in Plenty: all leafy vegetables, tomato, cucumber, brinjal, cauliflower, ladies finger, soup [tomato/vegetable], butter milk, sugar-free  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 45 years old guy, i have been suffering from intermittent fever for the last 1.5 months, i get body pain with the fever. EVery kind of test has been performed however all the lab reports are normal. even the CPK and Brucella test are normal. i get relief from the fever when i take a paracetamol and at times im required to take pain killer for the body pain (mostly in the joints). Please advice ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of intermittent fever along with body pain which could be due to bacterial/ viral infection and due to underlying medical condition. It could be due to poor immunity of body. Need not worry. I would suggest you to take combination of Ibuprofen and Tylenol as it is safe combination, and you can take that for your present condition. As fever is of high grade at times, so you should do tepid sponging as well. Take diet rich in multivitamins, fruits and take multivitamin tablet as well to boost body immunity.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 for a week with what I thought was a head cold. My temp keeps going up and I m having trouble breathing. Sinuses are clear, ears are ringing but semi clear but hurt when swallowing along with sore throat. Non productive cough but lungs feel heavy and full. Could this be pneumonia I have developed? I have at it before. I must tell you that I do have asthma. Thank you! ### REPLY: Hello, In my opinion, you should definitely consult a pulmonologist. There are two main possibilities for your symptoms. 1. Lung infection (pneumonia).2. Worsening of asthma. So you will need a chest x-ray and PFT (Pulmonary Function Test). A chest x-ray is needed to rule out lung infection. PFT is needed to know the severity of asthma. You may need antibiotics, longer acting inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 27 years old. In 2012 december i went under Total Thyroidectomy  and found that i had papillary thyroid cancer. In january 2013 i got my RAI treatment and body scan and again another body scan end of june and after that the doctor said i was clear of cancer. My endo put me on birth controls and told me that i have to wait for at least two years before getting pregnant. I have two kids and i would like to have another ASAP. I am on 125mcg of eltroxin right now. i recently stopped my birth control pills and now I am not having my period. Can you please advice me how and when should i try to conceive? ### REPLY: Thanks for your question on . I can understand your concern. You should wait for at least 2 years from the date of your RIA treatment for pregnancy. After 2 years of RIA treatment, you can plan pregnancy. Since you were on birth control pills and not having periods, possibility of hormonal imbalance is more. So better to first get done hormone levels to rule out hormonal imbalance. Once your hormones are normalized and you get your regular menstrual cycle, you can get pregnant. So consult gynecologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 6 weeks and 6 days pregnant I started having cramps and some bleeding yesterday. I went to the doctor and they couldnt tell me anything. Well today I am still cramping some what not painful at all and still have some bleeding that is spotted to medium is this normal ### REPLY: Hello dear, I understand your concern. In my opinion there are various causes for bleeding during pregnancy like :-1)Thyroid abnormalities .2)Progesterone insufficiency.3)Abnormal pregnancy like miscarriage or ectopic pregnancy.4)Bleeding from cervix.etc. So all the above causes should be ruled out by physical examination and necessary investigations. Ultrasound helps to know the well-being of fetus. Thyroid profile helps to rule out any thyroid abnormalities. So I suggest you to consult doctor and get examination done to check for the cause of bleeding.Don't worry in some cases even though with the presence of bleeding everything will be normal and pregnancy continues till term and have good outcome. Relax. Avoid physical stress and intercourse. Take folic acid and progesterone supplements. Once the cause is treated it will subside in most of the time. Hope this helps. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I m 31 years old and taking infertility treatments. I m getting proper menustral cycle and everything seems to be fine in my part. Doctore advised me to take gestone 200mg(2 per day) once the egg in my ovary gets ruptured(normally from 17th day -27th day). I read in the tablet description paper that the side effects of taking this pill is to get early period. Is it true? I m taking this medicine for about 5 months, but also Im getting the period 1 week before than the usual timings. Please advise is it safe to take getsone 200mg tablet inorder to get pregnant? ### REPLY: Hi, Welcome to  Gemstone 200 is a progesterone.  Your gone has prescribed it for successful conception as you are being treated for infertility. Progesterone is a hormone, it will regularize your menstruation cycle if you had been suffering from irregular menstrual problem.  Progesterone aids secretion of hormones and proteins. It helps to prepare the endometrium for implantation of the concepts. Low progesterone levels reduces the chances of fertilization. Progesterone also aids sperm incapacitation and autosome reaction. Infertility treatment take time, have patience. Take the complete therapy, get your partners' semen analysis done for positive results. Both of you should take high protein nutritious diet. Avoid stress and addiction of any kind, 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...28 year old male...was bending over wheeling in my hose outside and all of a sudden had a sharp pain in my lower back on the left side. It hurt quite a bit, but the pain initially subsided. It s been 2-3 days and it still hurts a bit, and when I bend over it hurts a lot. The pain has also spread to my left testicle. ### REPLY: Hello, Thanks for your query. After going through your query I came to know that you are probably suffering from muscular pain back.  Treatment of it is rest and analgesics (ibuprofen) for nearly 5 days. Second possibility is mild disc prolapse. It can be confirmed by MRI scan. Rest in position of relief (generally lateral position with both hip and knee bend), neurotopics such as mecobalamin and analgesics are of use. There are two treatment options. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is XXXXX. i am anemic . And have been off of my iron pills for over 2 weeks started back today. My head has been pounding me for the last week or so in the back of my head, and often wake up with like a crook type feeling and has times when I cannot hold my head down for a long period of time. Only for seconds at a time what is this. And is it due as a symptom of anemia? ### REPLY: Hello, What was your hemoglobin level when you started the iron pills. Cerebral hypoxia due low oxygen penetration into the brain as a result of anemia. You could be having the headache not as a result of anemia but as a result of another illness. Antimigraine medication will be of use here (acetaminophen, ibuprofen etc.) to alleviate the headache. For the anemia, the treatment/cure will depend on the cause of it i.e. iron deficiency, vitamin B deficiency, folic acid deficiency, hemorrhage/bleeding, renal failure, septicemia, cardiac diseases, HIV infection, liver diseases etc. Your doctor needs to identify the cause of the anemia and treat/cure, then you will stop shorting blood (anemic) and with the associated supplementation of iron pills or blood transfusion depending on the degree of anemia, you will recover fast enough. So I will suggest you head to your doctor right away for a complete blood work to identify infection, liver and kidney functions/infection, malaria etc. If there is a notion of trauma or hemorrhage the doctor will do tests depending on your carefully taken medical history. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my 2.5 yr old son has fever since last 2 days and I just notcied he has a lilttle bump/cyst behind his left year. I think its a little painful for him because he touches his jaw and cries sometimes.  Ould the fever be related to this? He has been on neuron and panadol and his pain and fever subsides for a few hours after the medicines. ### REPLY: Hi, welcome to . Your child has fever for 2 days and now developed a painful swelling behind left year, this appears to be post auricular lymphadenitis. In post auricular lymphadenitis, usually fever is present, sometimes cough also present, and the swelling is tender to touch. In my opinion, an antibiotic like cefuroxime (5 ml= 50 mg concentration) should be given 5 ml three times a day for 3 days, and paradox and neuron should be continued. I hope this has helped you. Take care. Regards - .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir, fifteen dayes back i felt pain above right testicle. on ultrasound found.my prostate is 24grms and post void urine is 140cc.feeling burning sensation in urinary passage. my age is 64years.whether i have to go for long treatment or for a short period.height-5ft-6inch,weight-79kg,diabetic-but controled by diet. ### REPLY: Hi thanks for contacting . Here you are having high post Vidal residual urine... Here according to report it could be prostate enlargement with infection.... You have to consult surgeon for per rectal prostate palpation and subsequent investigation. Urine also should be examined which will mostly will show presence of pus cells ... For infection antibiotic given with more fruit juice and more water..... After controlling infection if prostatic enlargement there biopsy or PSA done to reveal nature of prostatmegaly... Then accordingly treated like with that of tamsulosin or prancing... Consult surgeon for proper examination and treatment. 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 me and my boyfriend had unportected sex on Saturday July 1st and I notice brown spotting you can on Monday July 3 day before 4th of July. Now on 4th of July my boobs was sore and heavy .after that on July 6 I notice my period came idk if that was that or what but that came early fast than I expected before my Af came I notice cramps but not that bad light cramps and backaches .idk can this be pregnancy ? ### REPLY: Hi there, I have understood your concern and I will suggest you the best possible treatment options. If you have unprotected sex activity in the fertile period of the cycle, then you stand chance to get pregnant. If you have crossed your dates or if you are worried about abnormal bleeding pattern then please get mornings first sample of urine tested for pregnancy. In case of any doubt blood beta  test and USG will be of help. I hope this answer helps you. Thanks. ### END