Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 age 3.8 years. For last 2months regularly he is falling sick some time fever some time loose motions. I consulted many Dr but no progress in his health.later Dr told for diagnosis. Every report OK but inblood check up htc count is 36.6 RBC count 4.9 Wbc count 9.700 Pl suggest me wt I hav to do next ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor...I am Simratpal kaur uncle from US ..She has been suffering from bone cancer and gone through chemotherapy and radiation under your supervision... Lately sheis going through immense pain and her parents suffer a lot... what would you recommend doc if she is your daughter... plz advise, and we appreciate a lot..... Thanks a lot doctor ### REPLY: Thanks for your question on . Bone tumors are very painful. And radiotherapy can cause more pain due to local tissue necrosis. In this type of malignancy, centrally acting painkillers are useful. Morphine and related . You can use transdermal patch of fentanyl as this gives 72 hour relief from pain. It is very popular option for excruciating pain due to bone cancer. Low dose sedative  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 taking Bactrim for several months with two other medications for lung inflamation. I have had a horrible taste in month mouth the entire time. I originally thought that it was from the Prednisone but I m off that now and the problem is still with me. I take 3 per week. It appears to me now that it s worse the day I take it. I am also still taking Azathioprine 150mg per day. I also have nausea. I can t stand to eat anymore because everything tastes the same, horrible. I am getting very depressed. My doctor said that it can t be the Bactrim. Please advise. Thanks, Romayne ### REPLY: Howell come to ChatDoctorI really appreciate your concern, "Bactrim" is antibiotic, and it works only when it is infection if this is not infection then it won't here, you have not mentioned the clinical symptoms anymore, taking antibiotic without any indication is not at all advisable, better wait for some time stop all the medicine you are having, no need to worry about it, everything would be fine, hope this information helps, take care have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my nan keeps complaining of having gas around her heart which resolves to her going light headed and dizzy.She is 77 and has had a operation on her heart and had a new valve.She tells her doctor but wont do anything and Im concerned as it makes her go dizzy and she is not stable on her feet as it is. Can you help what is causing this and anything what could help.Thank you ### REPLY: Hello, I passed carefully through your question and would explain that it is necessary evaluate her heart function and exclude possible heart failure, which may mimic this clinical situation.Gastroesophageal reflux may mimic this situation too, although the dizziness is not typical of this disorder. Coming to this point, I would recommend performing a cardiac ultrasound and NT-pro BNP levels to investigate for heart failure. Other tests to consider would be:- A chest X-ray study-Blood electrolytes- Kidney and liver function tests would also recommend trying an anti-acid or PPI (Omeprazole, Pantoprazole, et cetera). If her symptoms improve, a fibro-gastroscopy may be necessary. 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 6 year old daughter has been getting headaches and fever on and off now for about 2 months. She did have strep throat 2 times in Jan this year already. Since that she can not kick the fever, it comes and goes with headaches. could there be concern? ### REPLY: Recurrent fever with headache with history of 2 episodes of sore throat suggest your child is probably suffering from sinus infection, Otis media, post streptococcal disorder etc. Get your child examined by ENT specialist who will do detailed examination of hypopharynx and ear along with some blood tests to find exact cause of sucChatDoctorplaints. For further queries regarding this disease or its medications you may take my appointment at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had add and am starting to notice that when i talk to people with kids that have autism that I have alot in common with them. I have a weighted blanket and tend to be anti-social, that has gotten alot worse sense i have gotten older. its hard for me to be social and look at people in the eye, i have to make an effort to do so. When i was a kid my parents would hold me face to make me look at them. So now i just look at peoples eye brows and noses or teeth. I feel as if my brain never shuts off neither does my imaginiation. I sometimes carry on conversations when no one is there ### REPLY: Hi, Thank you for asking question on . Autism spectrum disorders is a complex disorder. Medications, behavioral therapy, speech therapy and several other modes of interventions are needed. One should be under constant supervision of psychiatrist. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am a smoker and do suffer from ashma but dont always use my inhalers unless i really feel i need to,past couple of days iv had a pain in well i think its cuming from my cheast wehen i breath in its so sore i havnt smoked past few hours it makes it worse do you think i might be getting a infection? ### REPLY: HI, chest pain associated with breathing points toward some pathology like pleuritic, pneumonia or even aggravation of COPD like asthma or chronic bronchitis. You should consult a chest specialist and go for complete physical examination. ECG and echocardiography should be done to rule out cardiac pathology, blood pressure should be taken, TLC, DLC, ESR, chest X-ray and PEER should be done. Avoid smoking and follow your physician, you will be ok very soon. Thanks for consulting . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: diagnosed with herniated discs at l1-l2, l4-l5 and l5-s1.  went through Physical therapy for six weeks, course of steriods and nsaids - was feeling great for about 3 months. did something the other day and im in agony...other than taking more nsaid and ice any other suggestion for alleviating pain? doc cant see me until later next week ### REPLY: Hi, Thank you for posting your query. The pain in your case is neuropathic in nature, due to compression of nerves in the lower back due to herniated discs. This pain generally would not respond well to NSAIDs alone. So, I would recommend using pregabalin or gabapentin capsules, which are specific for relieving neuropathic pain. In addition, if pain does not subside, epidural injections may be given. I hope it helps. Please get back if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is maria, I am 42 years old. I weigh 43 pounds, I live a healthy lifestyle and exercise at least 5 days a week. Last night, I woke up in the middle of the night due to a discomfort I had in my right arm. Half of my arm was completely numb, I could not move it and had to hold it with my left hand. This is the second time this happens to me, except last time the numb came all the way from my shoulder. The first incident was a year ago. I can still feel my arm somehow uncomfortable and I am scared it will happen again. ### REPLY: HelloSevere pain and numbness in the arm may be related to cervical spine. Your condition need proper clinical examination and investigations. You may need X-ray of cervical spine (AP/Lateral view). X-ray is basic investigation after clinical evaluation. You may also need MRI of cervical spine. Pain may be related to nerve roots compression, disc prolapse etc. Only MRI can evaluate in detail. Physiotherapy or surgery requirement depend upon findings. Get well soon. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My girlfriend and my brother were goofing around and she acidently hit the top of her head pretty hard on our carpeted floor. Her neck is now in bad pain and she is very sleepy. This happened roughly 10 minutes ago. Should I be concerned about her symptoms ? ### REPLY: Hi. Any head injury should always be reported to a doctor. But the neck pain should probably be due to the impact and her body weight causing some amount of compression i the neck/spine region. You can take her to a doctor, but it is a choice, but if she starts exhibiting symptoms like nystagmus (read about it), vomiting, nausea, visual disturbances, bleeding from any orifices (e.g. nose, ear, etc.), or loss of consciousness then it becomes mandatory to take her to the ER. 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: hello , i m from india .......this is for my father he is 47 ... ....my father sgpt level is 70 and bilirubin total is 1.5 ,,he has a fatty liver also ,,,,,,& have fever everyday ,,,,pain in body ,,,,,he is taking medicines but no effective ...plz tell me how to reduce the sgpt level and improve the fatty liver ? ### REPLY: Dear Friend.First we should find out the cause of raised SGPT, and Fatty liver. Common causes are :1. Alcoholic Liver disease2. Chronic Hepatitis B infection3. Chronic Hepatitis C infection.4. Autoimmune hepatitis advise you to follow tests :1. Liver Function Test (complete)2. HbsAg3. Anti HCV antibody. Once, we know the cause we can treat it. Which will further lead to reduction in his SGPT levels. Good Luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: doctor,for about a week I have had soreness at the base of the scrotum and 24 hours after sex my left "ball" feels like it has been flicked.  the soreness comes and goes and the feeling in the ball leaves a day later.  It does not hurt to urinate or ejeculate, can the vas deferens become infected? ### REPLY: Hello, Firstly, I need to know if there is any swelling or redness at the affected area or is it the only soreness? If you have encountered any fever along with soreness? Since you are urinating adequately, and it does not hurt either there is no need to worry about just keep your testis elevated by keeping a towel below, use ice packs for soreness and take rest, use OTC analgesics for pain relief. If these remedies won't work I suggest you visit your local doctor for detailed checkup and seek proper treatment if needed. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fractured my back over 15 years ago when I was 16 in a serious car accident. I am 32 and I have been an avid runner & always kept my core strong & exercised regularly. However, I have recently experienced back problems such as very tight low back after I run outside for 5 miles (this weekend), plus I had a memory foam bed that didnt support me & caused my back irritation.  I recently went to an orthopedic surgeon who looked at xrays & said hardware is fine & not to take it out. How do I know if I am experiencing arthritis? Is this pain & discomfort going to be common when I do different exercises? I love to hike long distances with my backpack weighing 40lbs, I love to run. Am I going to have to give this up? Is there anything I can do to strengthen my back? ### REPLY: Hi, Welcome to . After going through your query I think you are suffering from chronic backache. Treatment of back pain is exercises, NURSING GOLD ONCE DAILY and analgesics (diclofenac 100mgSR). Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation (On DK 60K weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up 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: Hi, I have pain in my right side of the stomach under my rib cage and aslso in my back, I also have Diarrhea and nausea I have been drinking aprox 70 units a week I have also noticed that my periods are very heavy and clotting and my stools are tar like, also very sleepy and headaches. ### REPLY: Dear friend, pain in stomach and tar like stool can be due to certain amount of hemorrhage due to stomach ulcer. Also excessive acid secretion can cause diarrhea like loose motion. So all your symptoms that you have mentioned here, are quite suggestive of due to excessive acid secretion in stomach. But SS far as your clotted blood in period is concerned this has nothing to do with acid peptic disorder. Either frank menstrual irregularity or hormonal imbalance can be a reason for this.a complete gynecological check-up with some relevant hormone profile assay will easily clinch the diagnosis. And to combat excessive acid secretion, regular taking acid reducing medicines like blocker or plain antacid is a good idea.it will help you to reduce your symptoms and lead a healthy life. Thank you for your patience hearing. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Mdm Lam here, would like to seek advice whether should i see specialist immediate with a high eosinophil of 38% and low lymphocyte of 6% in my differential blood count. Currently doctor has gave me allergy medicine and ask me come back for blood test again after one month. However , my leg still swelling although no ithiness . What should I do now ? Your soonest reply is much appreciated! Thanks & regards! ### REPLY: Hello, A very high eosinophil count plus leg swelling could indicate lymphatic filariasis and hence tests to exclude this is definitely recommended.1. Peripheral blood for filial antigen2. Or filial antigen test3. Total IGE (helpful, but does not tell what allergies, if you have any)4. Depending on other symptoms, such as skin rash etc.; you would need mast cell treatise levels. If MCT is very high, you must see a Hematologist straight away. I hope this helps. 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: When I was a baby my mom told me she came into my room and said my feet, palms of my hands and my tongue were as black as they could be. She started to shake me and rub me and I started to breathe again. This was 72 years ago. What is the side affect of this? Thank you Myrna ### REPLY: Welcome at  I have gone through your query and being your physician I completely understand your health concerns.  In my opinion it was peripheral cyanosis which occurs in variety of conditions like lung infections, heart problems etc. since u have lived 72 yrs of your life i don't think it should bother you a lot and it doesn't make any sense to co relate it clinically now.  Hope you understand.... Meanwhile stay calm Get well soon Hope your query is adequately ad .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had a small lump on my collar bone for a few months now (very small in size)....noticed within the last couple days that it has gotten larger (about the size of a dime)....I poked at it a little bit and some puss came out of it that had a bit of an odor....just wondering what are the possibilities of what that could be?!?! The lump is also not that hard and kinda hurts... ### REPLY: Hi, Dear thanks for the query to  virtual clinic. I studied your query in full details. I understood your health concerns. With whatever details are given by you, the lump on the collar bone seems to be Sebaceous cyst, as it was present for almost for few months with rotten cheesy matter giving bad pungent odor as you poked it out. Treatment-I would advise you to consult a Surgeon, who after proper antibiotic cover and anti-inflammatory . Hope this would help you to get rid of the anxiety with this query. Welcome to  in this regard by any further query. Have a good health and early recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Ive been experiencing severe lower back pain for a couple weeks now. Followed by an constant aching pain which is travelling down my right leg. This has been for 3weeks now and i ve just started getting abdominal pain. Mostly on the lower right part of my abdomen. Do any of the signs relate.. I literally started really randomly 3saturdays ago. I have a desk job at work and walk home everyday. I havent have any injuries or put any pressure to cause this. Please help. ### REPLY: Hi, If I were your treating Doctor for this case of back pain radiating to the leg, the most probable diagnosis is herniated disc. To confirm the diagnosis is necessary study imaging of your lower vertebral column (MR scan). Abdominal pain may be related to disc problem depending on the level damaged, or may be a different problem that needs further investigation. I suggest you to consult a physician and get an ultrasound of abdomen. You can consult your local Doctor to discuss a plan of treatment, leaving the problem unsolved may worsen your condition. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 facing seviere itching around the shaft of my penis and some small bumps of white colours like small pimples i feel very very itchy on these small pimples like layer around my penis and the skin covering penis is also very itching please provide some tube available for this in india ### REPLY: Hello dear, The symptoms as mentioned in your post suggest that you might be having fungal infection (Tina) in the region around shaft of penis. Management includes:1. Keeping the area . 2. Antihistamine preparations like cetirizine to reduce the itching sensation & provide symptomatic relief.3. Application of topical antifungal cream like Clotrimazole to tackle the causative organism. If symptoms still persist or aggravate further, then it will be better to consult a Dermatologist & get a proper examination done to find out the actual cause. So that appropriate management steps could be taken. Also avoid wearing tight undergarments & trousers...as it will cause sweating & predispose to fungal infections. Wishing you a Good Health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was on night shift for two weeks and this is my first week back on day shift I have felt dizzy and so tired and at every meal I get sick have thrown up once. I had three days to catch up on my sleep and everyday I feel more and more tired. I have hypoglycemia but I haven t gotten that checked in about 5 years. ### REPLY: Hi there... See first how can u see its hypoglycemia without even doing a sugar test... Hypoglycemia is said we blood sugar is less than 55 mg/DL with symptoms like sweating palpitation tremors or sometimes if severe may lead to unconsciousness or convulsions. But usually it occurs in diabetic patients on medications. I think your symptoms are mainly due to disturbed sleep cycle. Though get your blood sugar and hemoglobin level checked. 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, Im 21 years old, and Im fit, active, and in pretty good shape.  Last week, usually in the evening hours, I would get a really sharp pain in my chest lasting around 30 seconds.  It felt as though someone stabbed me and was twisting, I had to stop what I was doing, stop breathing and calm myself in order to try to relax until it went away.  I had this problem probably 4 days in a row, and now this week, every time I bend over I get an immediate sharp pain in my heart region and I have to become erect as quick as possible.  Is this my health, or what could the problem be, Im starting to become highly concerned.  Thanks for any help you can probide!   (Also, Im 52, 140lbs, 21yrs, and no medicaly problems except IBS) ### REPLY: Hi welcome to the  At such a young age cardiac problem seem less likely but still before reaching to other diagnosis it is better to do following work up to exclude cardiac causes like..... -Auscultation -Tread mill-EKG -Echo only if needed after EKG finding If no cardiac causes present than sometime such pain could be muscular pain from excess exercise (at such a young age by excess Jim!), bad sleep posture or stress related.... So according to cause specific treatment planned.... Meanwhile, avoid strenuous work and sleep in proper supine position... Avoid smoking if habit Take care Consult physician for examination with keeping all this in mind ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lots of problems. I always suffer from various illness every now and then i.e. bowel irritability , coldness, weakness, over or less sleep,depression, anxiety, almost no- sex- drive, nervousness together with frequent urination and bowel etc. which doctor should I consult with? NB: Few problems were found with hormone and I took medicine for that but no improvement. ### REPLY: Hello...... Thanks for your query. I understand your concern with a myriad of symptoms in various body systems. However, many of your symptoms seem to have a psychogenic origin i.e. either depressive/anxiety-related. Hence, I would suggest you undergo a thorough psychiatric evaluation first and foremost. For your information "irritable bowel syn .  Hope you found the information useful. 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: Is there a concern. I am traveling to France and will be ther two weeks. I have hep c. I don t splenomegally Abe the blood isn t back ink up from liver. My platelets are T 62,000. I know I need to see a hematologist but I probably can t get in before my trip. I have been a lactovegetarian for 45 years and a vegan because I get dick from cheese for the last year and a half. Is it safe to fly? ### REPLY: Hi welcome to . I understand your query and concern.It's not completely safe to fly in your case as even though you are currently asymptomatic, there is a high chance of bleeding manifestations at high altitude due to very low platelet counts. The normal range of platelet count is 1.5-4 lakhs/cc of blood.Also, a complete normal liver panel is mandate before you fly. A complete consultation with your hematologist along with correction of platelet count through platelet transfusion in mandate. A check on viral DNA levels is also mandated before you fly. A high level of viral load is a big contraindication to your air travel. You seem to follow good dietary pattern to protect your liver from additional insults. A clearance from your treating Hepatologist is must in your case before you set to fly. Discuss the same with your doctor. Post your further queries, if any. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY 2 yr old has just gotten over a bout of vomiting n diarrhea for about a week. He has been in the clear now since sunday with solid stools and he is eating good again. However ive noticed the past few dYs that his belly is overly extended and very firm. What is this and shld I be worried? ### REPLY: Hello have gone through your question and understand your concern. Post gastroenteritis the normal microbes present in the intestine decline in number as they get washed away in stools during diarrhea. Those microbes are responsible to keep off abdominal bloating, which can cause distension of abdomen and firmness. In addition to this, other factors like high sugar contents in diet (including fruit juices and fluids taken to replace loss due to diarrhea/vomiting) can also cause abdominal bloating. The other cause could be constipation as you mentioned solid stools in the query which can be hard, not semi-solid or soft stool. Most medications taken for diarrhea/vomiting have side effects of constipation. Both the problems can be taken care at home with ease by adding probiotics like yogurt, fiber rich foods like chia seeds and raisins and .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i had a right rear molar extracted about 3 years ago and in its location a hard lump or protrusion has appeared in the last week that is painful. Can this be a piece of bone the was left over from the extraction or a abscess .? Should i take any over the counter meds until I can afford to go to the dentist in about 2 weeks. Also what would be the most likely treatment for either? ### REPLY: Dear friend. Thanks for sharing your concern. The hard lump that you are experiencing over the extraction site could be definitely a bone piece or an out growth called exocytosis. It is better to get it clinically examined to avoid any cyst or tumor developing there. You can take painkiller for the time being, but please see your dentist soon. Also do warm saline rinses every day until you see your dentist and maintain very good oral hygiene. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a type 2 diabetic and my A1C runs 7 to 7.5. In October my doctor upped my glipizide from 5mg to 10mg and my A1c in January was 9.8. Can upping my medication have caused this? My liver enzymes are also elevated and I have never had that before. ### REPLY: Hi dear you have now uncontrolled type 2 diabetes Mellitus. Elevated liver enzymes are due to disturbed fat metabolism that is associated with diabetes. The action should be taken to control diabetes and I would suggest non-pharmacological measures such as jogging, yoga, Panama etc. Use stevia plant leaves for sweetening purpose. Liver enzymes would come to normal in due course of time without any medication. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my son developed a ache in his right thigh last night, he woke up at 4am in a lot of pain that didnt really ease with Calpol and couldnt weight bare so we took him to A&E who xray him (which was fine) and given him more pain relief to see if he could walk, when he did try his leg twisted and gave way. They sent him home saying to give him pain relief and to take him back on monday morning for ultrasound and bloods. His notes said ?? Perthes disease. he has been pretty much the same all day then about 1 hour ago he suddenly improved, he can now stand and can even walk with only slight ache. Would you think if it is what they think it can improve so quick, we thinking maybe a strain or something or do we still need to take him for tests on monday ### REPLY: Hello, I have studied your case. Another possibility of slipped capital femoral epiphysis or perches disease in early stage which can be confirmed by X-ray and MRI of hip joint. I will advise you to consult your doctor for clinical examination and if possible consult orthopedic surgeon. Perthes may not improve so fast, you may need regular follow up. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have acne on my face sometimes my face is clean then its burst out what can i use to balance these acne to make my face smooth i have tried clear active pro active and clearsil i try many other things my is still the same ### REPLY: Hello, Acne is a common skin condition occurring in the sebum rich areas likes the face, upper back, upper chest.  Acne could manifest in different forms like comedones, pa pules, pustules(pus filled) and cystic nodular. The pustular and cystic nodular ones are known to leave behind scars. Hormonal changes, puberty, excessive use of cosmetics, stress (The National Institutes of Health (USA) list stress as a factor that "can cause an acne flare.") Can cause or aggravate acne. A few things that needs to be followed-1) Avoid rubbing your face too hard while washing and wiping (pat . 2) Avoid make up, if you need to use make up go for water based products.3) Avoid pricking or breaking the acne as it increases the spread.(keep your nails short to avoid accidental pricking)4) Use a face wash rather than a soap as it prevents  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 47 year old man and I got my ECG done. I have been told that I need to see a Cardiologist because they detect a blockage. My Rate is 60, PR 180, QRSD 111, QT 432, QTc 432.  Under AXIS section it says P 63, QRS 42, T 39.  I wasnt told any other information other than to see a Dr. Can you give me any insight as to what is going on. Thanks. Steve ### REPLY: Unfortunately, this is not enough information for me to describe what is going on with your heart. From the results you gave me, it sounds like you have a good working hard. Anyway, if they recommended you to see a cardiologist for a heart block I would highly recommend doing that because occasionally these can worsen. In the meantime you should take aspirin, try to exercise, eat healthy, avoid fast food, avoid tobacco, avoid alcohol, avoid fatty foods, avoid foods that are high in cholesterol, and try to eat more mega threes. You should try to also control all your other medical problems if you have any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive recently (4 weeks ago) had a corenectomy of my wisdom.  I needed this because my roots are wrapped around the nerve, and I had an infection.The Dr. put me on Vicodin and Penecillin. I used all of my antibiotics, and felt okay for a little while. The surgery is not yet fully healed. I still have a small whole that needs to close. Now, the infection has returned. I was thinking its because food might be getting in that little whole from the surgery that hasnt healed. My Dr. thinks it might be an infection in the roots, in which case the chance antibiotics will work is small. He recommends going back in and removing the roots. However, due to their placement, there is a risk that I will have pain and numbness on my lower lip for remainder of my life. I really dont any more surgery. I leave for Africa in two weeks for vacation. Will the amoxicyllin work or should I get the second surgery to remove the roots and run the risk? ### REPLY: Hi, Thanks for asking the query, According to your clinical history I suppose that the Dentist had performed a carpectomy of your wisdom tooth as your tooth was in proximity of nerves to prevent any complications. I would suggest you to consult the Dentist and get the antibiotics and analgesics prescribed, take lukewarm saline gargles and antiseptic mouthwash rinses. If this does not subside your pain you need to get an OPG radiograph done to determine the exact cause of pain and the treatment plan. Hope this helps out. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I Inhaled Bleach & Power Germ Chemicals At My Cleaning Job Today About 45Minutes Ago. 15 Mins After Inhaling The Chemicals, I Started To Sweat, Struggled To Breathe And My Throat Is (Wheezy) Also Hurting When I Breathe. What Do You SuggestThanks ### REPLY: Hello. Welcome to , As you have inhaled the bleach while cleaning it will reach the lungs and causes irritation of the respiratory tract and the eyes. As soon as you are exposed to the bleach you should leave that place, and you should come to the open environment, so the symptoms will come down. The condition will improve in 30 -45 mins nothing to worry. The inhalation of fresh air will replace this bleach and make you comfortable, so nothing is required for your condition all these symptoms will improve. 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 42 year old woman and have been having intermittent chest pain for several months now.  The pain is noticeable but not severe.  The pain is mostly on the left side of my chest but is sometimes on the right and is sometimes on the far left near my arm and not the mid chest - it seems to move around. I do not have severe shortness of breath but just a little.  I went to the doctor a few months ago and they did an ECG and told me I have PVCs but not to worry it wasnt a problem. I sometimes get a little light headed at times too. There is no family history of cardiac problems and I am otherwise healthy. ### REPLY: Thanks for your question on . I can understand your concern. PVC (premature ventricular contractions) is not a problem if patient is asymptomatic. But in your case, you are having left sided chest pain which is intermittent. So we should not neglect PVC s in your case. So better to consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). You may need anti arrhythmia and other cardiac supportive .  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 have polycythemia and am hypoxic. My red blood cells and hematocrit (sp) are high. I smoke and I live in Colorado. Do you have any opinions on Chloroxygen? and Yes! I m cutting down on the smoking and will eventually quit. I m under extreme stress and my MD said to quit totally would not be good for my mental health at this time. 47, 5 6 165. Major depression, polycythemia, hypoxic, perio menopause, fibromyalgia. FUN! ### REPLY: Hi, It is not advisable while suffering from polycythemia. Chloroxygen (chlorophyll concentrate) is a natural supplement claimed to be effective for blood detoxification, odor control, wound healing, gut health, energy, immune system support and cancer prevention. However, its efficacy and safety has not been established for the treatment of polycythemia in fact it works by promoting healthy levels of red blood cells, thus raising red blood cell count (hematocrit) which can be serious while suffering from polycythemia. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have a medium sized white bump on my lower gum on the right side. no pain. just discomfort. but, I cant chew on that side of my mouth much at all. I have had trauma to my mouth and a lot of dental work. but, I havent been to the dentist in quite some time. what do you think it could be? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint a white bump over the gum that causes discomfort can be due to a few causes like :1. It can be a dental abscess in case if it is under the tooth that is decayed and the infection is reaching below the root tips of the tooth leading to formation of a US filled abscess.2. It can be a gum boil that can be due to trauma to the gums leading to impaction of food particles or foreign body under the gums leading to infection and boil formation.3. In case if there is generalized gum infection, it can be a gum abscess or a periodontal abscess. I would suggest you to consult an Oral Physician and get evaluated and treatment can be planned according to the cause. In case of gum abscess or gum boil or periodontal abscess, deep scaling of gums followed by antibiotics and painkillers and gum paint application can help. In case of dental abscess root canal treatment or extraction depending upon condition of tooth will relieve. Hope this information helps. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe pain in my left inner elbow with what feels like a knot/swelling over the medial epicondyl. I am an RN, and have had what they thought was golfers elbow in the right elbow, with a steroid injection, with little relief.  This is in my left. I am going to an Ortho hand Dr next Monday, but I am concerned if it could be fluid or a cyst, or just inflammation. ### REPLY: Hi, It may be golfer elbow, but to make exact diagnosis get X-ray of involved elbow done in AP and LY view and send me the report. For differentiating swelling or cyst you need to have physical examination by orthopedic surgeon as without examination nothing can be said. You may upload the picture if you can, I will help you definitely by seeing picture of elbow. Till then have tabbed.aceclofenac100mg +serratiopeptidase15mg thrice a day by prescription. 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 a skin rash that developed on my legs and now is on my arms and wrists, they can be very itchy, they look like red dots, my nuetrophilis is 9.9 my wbc is 12.4 hemoglobinn 115 and rdw is 15.1. could my blood work be a reason this is happening? ### REPLY: HIT hank for asking to ChatDoctorI appreciate your concern the rash that you are having is not because of the blood parameters, but this could be allergic rash that might have developed due to the hypersensitivity reaction, if I would be your doctor then I would treat this condition with the following medicine, 1) Tab Levocetrizine 10 mg three times in day if the symptoms persistence or appears again then this is to be seen by the dermatologist, hope this information helps you, have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have fibromyalgia and neuropathy. Here lately mainly in morning when I move (walk, pick up something,etc.) myheart starts beating really fast and hard. I feel like its going to jump out my chest and it makes it hard to breath. Could it be a cause of my fibro or neuropathy? I also take cymbalta and gabapenten. ### REPLY: Thanks for your question on . I can understand your concern. No, these symptoms are not due to fibromyalgia or neuropathy. Possibility of stress and anxiety related symptoms is more. But better to first get done ECG to rule out cardiac diseases. If ECG is normal than no need to worry about heart diseases. Stress and anxiety cause tachycardia, palpitation, chest pressure and heaviness. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. You may need anxiolytic .  Don't worry, you will be alright. But first rule out cardiac cause. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has problem of high blood pressure. It used to be very high in the range of 200/120, now it has reduced to 170/90, but its not reducing any further even after increasing medicine. The medicine being taken are as per the following at present: Stamlo 10 mg - 1 per day CTD 12.5 mg - 1 per day Telma 80 mg - 1 per day Arkamin - 0.1 mg - 3 per day (since 15 days) Please advise. ### REPLY: Hello, That further changes are needed to your therapy. In this regard, I would suggest increasing the dose of CTD to 25 mg daily and add moonshine 0.4 one tab in the evening.  I would also recommend performing some blood lab tests in order to investigate the possible causes underlying high blood pressure values: -complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance-kidney and liver function tests.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Our nephew has just been taken to the emergency room for bleeding from his penis...he is 11 yrs old and has had stomach problems in the past year and constipation but was doing better the last 3 months.  Not sure if he has had constipation problems recently or not.  He had just gone to the bathroom and urinated and had bloodcome out when he was through.  What could be wrong and is it serious ### REPLY: Hi, I understand your concern. It is probably problem s of lower part of urinary tract. I suggest ultrasound with kidney-ureter-bladder and then if it is necessary X-Ray of urine bladder-cryptography to rule out polyps of urine bladder, stones or other. Hope I answered your query. If you have more questions than don't hesitate to write to us. I am always happy to help you. Wish your baby good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi im 31 very healthy excercise about 2 hours a day.  I eat very clean with lots of fiber and protien.  I have abdominal distension right below my rib cage middle.  Dosnt hurt but puffy.  I have been bound up really bad for the last wek or so.  I had an enemaat the ER yesterday.  They couldnt see any organs in the x-ray.  Ive been taking laxatives to try and get it to move. Im afraid their is something elso going on.  Also they diagnosed my as being anemic with a 9.1 hemagloben. ### REPLY: HI. X-ray is not a good investigation for diagnosis of abdominal conditions, although it is best for intestinal obstruction, xenoliths and a great corroborative evidence to go for further tests. You have a problem for abut a week, distension right bellow the rib cage middle. This is more indicative of a stomach problem or a problem related to the transverse colon. I would advise you the following:Upper GI and Lower GI (colonoscopy) endoscopy. CT scan of the abdomen. Blood, urine and stool tests. Anemia typing to determine the cause of anemia and get treated accordingly. These investigations will lead to a proper diagnosis, and we can then plan a proper treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Joanne and I am asking for my mom.  She is jaundice since Saturday and I spoke with the Doctor that day and he said we can wiat till Monday, so I took her in to the dr on Monday and he ordered blood work and her bilirubin came back high, so then he ordered an unltra sound and that now shows an enlarged Gallbladder, the gastrologist is not available to talk till tomorrow what can this be? ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. This may indicate several benign or less benign diseases of liver and gallbladder or biliary ducts. In most cases this happens due to stone in biliary duct and sometimes there is a tumor as underlying cause. She should do ERCP or CT scan for further evaluation and then surgery can be planned to relieve biliary obstruction. I hope I have answered you query. If you have any further questions you can contact us in every time. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 21 years old, and for the past few months ive been loosing alot of hair and my skin is very dry on my face and scalp, i think its seborrhoeic dermatitis. im more concerned about the hair loss though, could it be a lack of iron, or over active tyroid? ### REPLY: Hello, yes, for a diffuse hair loss without a significant preceding history, u need a complete blood count and a thyroid profile done, if any abnormality appears on these, correction of those will rectify your problem. For the . Seborrhea dermatitis presents with itching and extensive flaking on the scalp, ears, nasolabial folds etc., if you have these problems, then consult a dermatologist for confirmation of diagnosis and appropriate management. ThanksTake care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with autoimmune hemolytic anemia and when I stopped taking Ginko Biloba it seemed to be getting better.  But then my heart was pounding and it looked like my dose of synthroid was too high, so my doctor told me to quit.  Since then the hemolytic anemia has been getting worse again.  Could it be that I should start the synthroid again but at a lower dosage? ### REPLY: Hi, dear you have autoimmune hemolytic anemia.  So your immune system is working against your own RBC and causes destruction of RBC. Steroid help to suppress immune system and prevent the destruction of RBC. You should start steroid according to prescribed dosage.  Consult your doctor and start treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ughh... so I typed this long question and it took me to another blank box. OK. So my concern is my two lower front teeth by the gum line. I have noticed that when I rub my tongue up against the back of my lower two front teeth it feels as if there is a ridge where the gum line meets. I feel like part of my tooth is exposed that is supposed to be protected by the gums. I need a dentist to either verify my concerns or hopefully tell me I have little to nothing to worry about. ### REPLY: Hello, Thanks for consulting , Read your query, as you feel ridge behind lower front teeth this is exposure of root that is gingival recession don't be worried this recession OS due to poor oral hygiene, due to deposition of sublingual calculus, due to trauma from occlusion. This is not a normal condition I will suggest you to consult oral surgeon and go for Scaling and root planning and treatment of gingival recession, in meantime do warm saline rinses, maintain proper oral hygiene. Hope this will help you. Wishing you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I sometimes find it difficlut in getting erceted and therefore cannot perform sex to my satisfaction. Could you please let me know the cause and how to treat it to make me perform better.<Your earliest reponse to my request will be very much appreciated.Jonathan Addy. ### REPLY: HelloThanks for query. The problem of erectile Dysfunction that you are facing is mostly due to what is called as Performance Anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Taking Sildenafil (Viagra) or Calls as on demand will help to get good hard sustainable erection and to have enjoyable sex. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 28 year old female, I dont smoke or drink alcohol to excess and my height and weight are in the recommended BMI index. I have nearly completly lost my voice and I have a tight burning pain in the middle of my chest, along with a headache and cough should I go to my GP or would I be wasting their time. Thanks. ### REPLY: Hi thanks for contacting . According to your complaint you have lost your voice. So you should examine your larynx by direct or indirect laryngoscopy... It could be laryngitis if inflammation... If growth seen biopsy needed... But mostly you will have laryngitis. Steam inhalation useful.... Decongestent can be taken... If needed short term steroid course given for inflammation relief... Suitable antibiotic like amoxicillin neededTake 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: Thank you. I had dental implant surgery last week for entire mouth. My bottom gums are very swollen and still with stitches until next week. Is there a natural herb or supplement  I can take to help the swelling to go down and help me heal at a faster rate?? ### REPLY: Hello, As per your query, you have symptoms of swelling in the lower gums which is very common after dental procedure or surgery, and it is mainly due to inflammation of soft tissue. It will get subsided in 7 to 10 days. Besides that, I would suggest you to:- Do warm saline rinses 3 to 4 times a day, they are very effective in reducing the swelling.- Do beta-dine rinses twice a day.- Take Ibuprofen . If the condition does not resolve in 5 to 7 days, then consult an oral surgeon. The doctor may give you stronger antibiotic,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter was treated with hives last night having had a shot of predizilone and benadryl. She returned home no problem and slept great. At about 5 a.m. she woke up very irate saying she was itchy and we discovered that the skin reacting had returned and it was all over the body. What should I do to ensure that this rash does not return or should we keep treating it with benadryl? Should we take her back to urgent care for an allergy test? ### REPLY: Hello. Welcome to ChatDoctorYour daughter seems to have developed an allergic reaction to something which she came in contact with at night. Was this the first such reaction or has she had similar allergies in the past? It is important to find out what caused the allergy, as re-exposure to it will cause the hives and itching again. Was there any contact with dust, pollen, outdoor plants, insects, pets, any possible bed bugs, mites, or new medication? Any history of eating out, especially seafood, nuts, etc? Did anyone else experience similar symptoms? The Ben .  Prednisolone may be needed if there is a severe outbreak of rashes. In case of severe symptoms like breathlessness, puffiness of face, lips, go to the ER immediately. Apply calamine lotion over the itchy skin. These are just temporary symptomatic treatments. To prevent further attacks, the trigger cause needs to be found. If this often happens, keep a note of any possible factors, as I mentioned, that could be the trigger each time. Antihistamine needs to be continued till the symptoms subside completely, maybe 3-5 days. Visit the dermatologist if they are persistent even on treatment. Your doctor may suggest blood tests if needed. Skin tests for allergy are generally not done during an active episode of hives. A later date may be given to you. You may be referred to an allergy specialist. For now, continue treatment as advised and observe. 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: Yes, I am a 54 year old female. I have type 2 diabetes and neuropathy. I also have muscle twitches that we suspect are from a statin. I am off the statin 3 months and it helps but does not stop the twitches. However, today I have had on and off a tingle as if a hair was resting on my nose at the tip. I know this is unusual and I have gotten used to unusual. I have had 14 hrs in one surgery for masthectomy and reconstruction with ovary and fallopian removal. I know all kinds of unusual feeling. I am going to Jamaica tomorrow and want to make sure I am ok before leaving. I have normal blood pressure with no facial drooping. I weigh 163 lbs. I do have high triglcerides and high liver enzymes. (Non alcoholic fatty liver) ### REPLY: Hi, For elevated enzymes when you know that you are having non-alcoholic fatty liver that is the cause for elevated enzymes, The treatment very simple you need to consider proper diet modification like less oily and fatty food as it will help both for your diabetes as well elevated enzymes. Next important thing is proper brisk walking for 20 to 30 mins daily Proper controlling of your sugars. Regular follow up every 3 months with LFT and other diabetes and dyslipidemia profile. You can start using tab Adílio 300 mg twice day with tab Evian once a day, This may help you in normalizing your enzyme levels. 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 have severe stabbing pain in my stomach area every 20 minutes. it lasts only about 15 seconds. A few days ago when it started my stomach was bloated and very hard. Not it is only a little bloated but the stabbing pains are still coming. Any thoughts? ### REPLY: Hi, The recurrent stabbing pain in the abdomen that last for 15 seconds and comes every 20 minutes indicates that this is a spasmodic pain.  The associated bloating indicates a possibility of sub-acute intestinal obstruction.  I would advise you the following in such a situation: Rush to ER or nearby hospital for urgent clinical evaluation and investigation to know the cause as intestinal obstruction needs urgent care.  X-ray of the abdomen in standing position can help to get an exact diagnosis aided by an Ultrasound and CT scan of the abdomen.  If there is an intestinal obstruction, you need to get admitted and may need a surgery for cure. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is it normal to feel a very tiny bulge under the last rib on the right side while standing? Is that my liver? I am 31 y/o female unmarried, no history of trauma, on and off abdominal pain before and after meals, +ve family history of pancreatic cancer , normal liver panel results, my period is delayed this month for around 4 days many thanks ### REPLY: Hi and thanks for the query, the commoner cause of delayed periods in a woman of reproductive age is pregnancy. It is advisable always to do a good pregnancy test to exclude this. However, it is not unusual to experience missed periods in non-pregnant women. Abdominal pain deserves a keen clinical evaluation. The location, intensity, aggravating and relieving factors, associated symptoms, past medical and surgical history are all important parameters in the evaluation. It would be interested in your case to have careful medical examination by a gastroenterologist. Blood tests like liver function tests, pan create amylase levels, fasting blood glucose, complete blood counts could be useful. An abdominal scan could also be very useful. I suggest you get an appointment with the gastroenterologist for a proper clinical evaluation. Luchuo, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 73 yr old diabetic (53 yrs diabetic, last A1C 7.4) in good condition (was walking 3 to 4 dogs about 2 miles twice a day but cannot now) prior to this problem and have had difficulty breathing for about a month. This came on suddenly (overnight) after a long day working in the sun. Due to a shortage of doctors (Butte, MT) I have not yet been able to see a pulmonologist (sp?). The problem is intermittent with some days being near normal and other days totally debilitating. Heart and MRI are normal. I recently move from sea level to 5500 ft but had 30+ days to acclimate before this happened. Any suggestions? ### REPLY: Thanks for your question on . In my opinion you should definitely consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test). In high altitude oxygen concentration is low as compare to sea level. So one has to inhale forcefully and rapidly to achieve proper oxygenation. If you are having underlying lung disease like bronchitis, then at high altitude your problem will be more. So in your case we need to rule out this first by chest x-ray and PFT. You can do deep breathing exercise to strengthen your lung functions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 22 years female.I wet the bed very often.i have tried out everything like avoiding fluid intake at night,holding urine for longer time , waking up periodically at night but nothing worked.It is very embarrasing.Please help me out in this n tell me a permanent cure for this. ### REPLY: Hi, I can completely understand your concern with your symptoms. Wetting the bed can be due to psychological as well as organic causes. I am not sure if you have undergone any investigations for the same. If not, you should consult a urologist and investigations like ultrasonogram PUB (Kidney, ureter, bladder), urine culture, uroflowmetry, etc. can be carried out to rule out any structural defect in the urinary tract. If you have undergone all these tests and no structural effect has been found, treatment wit medications like Migraine taken at the nighttime will help. The dose ranges from 25 mg to 250 mg/day. You should consult a psychiatrist for the same. In addition, it will be useful to continue with the behavioral measures that you've tried earlier like avoiding fluids in evening, waking up periodically, etc. Hope that the 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: I think I maybe pregnant but I received a negative HPT result at 13 DPO. I have irregular periods and I am currently on a 45 day cycle. I believe I ovulated on 08/25 and I had sex on 08/24 and 08/25. At 11 DPO I had real bad lower back pains,which after a while transferred to my right hip..they were.so severe I had to go to a urgent care center for treatment, there they took my urine and blood and determined I was not pregnant (they did serum blood test) therefore I dont know numeric ChatDoctor value. She said I just have musoskeletal pain and prescribed me pain meds that I have not taken. Then at 12 DPO I started feeling bad like I was coming down with a cold..I could feel my sinus draining..and my throat was very sore and tender..At 13 DPO I really started feeling bad and I had a cold,,which I took robitusin and sudafed for...I was coughing up green mucus and sneezing ..then today at 14 DPO I noticed I have real bad acne under my chin ..like little white head bumps popping up everywhere.. Is it possibe that I could be pregnant..also is it possible that I am pregnant in my tubes and this is why the HPT or blood test was unable to detect ChatDoctor? ### REPLY: These are your hormonal imbalances you are case of animal protein allergies which causes these multisystem involvement stop taking all animal proteins like milk egg diary fish egg chicken honey and vitamins multivitamins calcium iron diet supplements all are animal proteins causing allergies and diseases related to hormonal imbalances get blood test for specific antibodies or above foods and other foods you take in routine like wheat and potato stop oily fat greedy and spicy foods take DOI 100 mg BD for 2 weeks to cover sinuses skin acne abdomen and sex organ stake singular 10 mg OD and Allegra 120 mg OD for covering allergies genus 2 SF slot of warm water apply Aureomycin h anointment in nose based water in each nose 2 .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is being seen by a neurologist for headaches. she previously had ALL when she was 6 months old. she is now 10 years old. her mri showed enlarged lacrimal glands, her eeg showed intermittent slowing of the temporal lobe and her mcv is 81. should i be worried? she had a conner s test which was negative and he is still wanting to put her on vivance for adhd which i said no too. ### REPLY: Hi, welcome to our site. I am , MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query will take on the reports 1 by 1First, enlarged lacrimal glands are nothing to be worried about unless she has excessive tearing from her eyes. Second, EEG changes- I need to know of she was sleeping during the changes. Because then it may be normal. Else its abnormal and she has a potential of developing seizures and medial temporal epilepsy. Repeat MRI would be needed periodically in this case. Third, MTV 81 might just be within normal range depending on the laboratory. We would need to know the labs reference range. As per me its normal, but at the lower limit. Checking hemoglobin would be advisable. As for Amphetamine, it may actually benefit her, but may trigger a seizure. So I will not recommend it unless advised by a neurologist who has examined her. I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site. You can upload them with the query, or if you have a problem, send them to attachments@ChatDoctor .com with Sub: ATTN Your Name. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me. Please do understand that some details could be extracted from a detailed history and examination. Please click on Thanks/Helpful if found useful. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. . MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 14 years old. And back in December I went to the doctor about the constant appearing of a lump(s) underneath my skin in my both arm pit areas. My doctor sent my to a specialized on skin growths and I forget what she called it,but anyway they scheduled my surgery for this Friday,and I go to see the doctor again on Tuesday,and I am completely scared because I have no idea of what they are gonna do really or what to expect. any advice? ### REPLY: HI, Dear,Thanks for the query regarding your daughter. I studied your query and understood your health concerns. Remedy-You seem to have Boils which converted Sebaceous Cysts in the armpit. Mostly they are planning Excision of the 2 cysts in the armpit,to avoid complications of re-growth of infection in it. Consult your ER Surgeon, who would check and do what is necessary treatment after investigations with Neurosurgeon. MRI of the brain would fix your problem. So Don't worry and act fast as suggested. Welcome for any query to  and me in this regard. 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: I have two tiny pea sized lumps in my left armpit, and one on the right side of my adams apple. And oh, theyre painless. Im female. 17. What can it be? Ive had the neck lump since a few years now, but, the neck ones formed a few months ago. One after another. ### REPLY: Welcome to . 1. The history suggest the lumps in the armpits are lymph nodal enlargement due to the glandular enlargement.2. The glandular / neck lumps which you say few months ago need to be evaluated.3. Get an ultrasound examination - that will evaluate the nature of the lumps, its source and extensions.4. An FNAC to confirm the nature of the cells involving in the process. I think you need to treat the neck lumps first the axillary / armpit lumps goes on its own.5. Suggest to get an appointment and get investigated and treated accordingly. Good luck. Hope I have answered your query.Anything to ask do not hesitatehttp://doctor. ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is taking ranitidine every night before bed and now hes throwing up and has diarrhea he even got a cough hes hardly eating and hardly drinking anything their will be times he looks a little aple and a little warmer than he should but it shows no fever what can I give him ### REPLY: HelloCough with vomiting and diarrhea in your son is most likely due to viral infection. Give him plenty of fluids(ORS) to prevent dehydration. As he is throwing up it will be difficult to give fluids orally. Give antiemetic like ondansetron syrup for vomiting. Give him syrup containing bronchodilator (albuterol/terbutaline) with antiallergic. Also give him some probiotic and zinc syrup. I would suggest you to consult a pediatrician for clinical evaluation as chances of deny . 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: Last Night I had wheezing while laying down to the point where I couldnt sleep, What triggered it is that I worked out for about 15 minutes after eating last night.  The only remedy I could use to get any sleep was to sleep at the end of a couch elevated. any ideas? ### REPLY: Hi, You have not mentioned your age and any comorbidities. The chances for the breathlessness may be due to cardiac or respiratory problem. Since this is the first time and the breathlessness relieved sleeping at the end of a couch elevated, this suggests more due to cardiac causes. You are required to get checked for ECG, Echo cardiogram and chest X-ray to diagnose/rule out any systemic cause. Based on the report we can decide the right treatment as the line of management differ in each pathological condition. Hope this helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: does the patch still be effective when it got very wrinkles and water gets into the wrinkles edge when showering? Would Miralax make the Evra patch less effective? I heard that if we have diarrhea while on the pill it would flush out the pill, but since the patch goes straight to the bloodstream, then does it mean I m still protected if throwing up or have diarrhea? Can I place the patch on my thigh in the back (under the buttock) and front? ### REPLY: The patch should be placed on your lower abdomen, chest (not breast), arm, upper back, or buttocks.  The thigh is not one of the approved places, so it may not work. You are correct that since it is not absorbed in the digestive tract, that diarrhea and MiraLax will not change its effectiveness. As long as it is still sticking on your skin it will work, but if the water washes it off you should replace it. I hope this answers your question, please let me know if you have any more questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My ekg shows sinus rhythm but also something called rsr(QR) in v1/v2 consistent with right ventricular conductor delay as well as Moderate st depression [0.05+ MV ST depression] should i hurry to a cardiologist ? the ob/gyn office I work for did it for me and said i need to go see someone to fund out if i am doing ok. i dont have any chest pain or discomfort. we were just doing them on each other ### REPLY: Hello, The report is suggestive of right bundle branch conduction abnormalities. These are usually age related change and not suggestive of any emergency condition especially if there are no symptoms. If possible please upload the ECG for better interpretation and opinion. So don't worry about it. However, you should get yourself evaluated from nearby cardiologist once to rule out other causes. You should one echo done and one stress test like stress thallium.  Hope this helps you and 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 hav a lumpjust below knee cap , it feels hard and the size of a golf ball . a week ago i had celilitist below the lump in lower leg . went on antibiotics , seems ok , thou still hav this painless lump. will it ever go away.i can still walk and run on it no problem, ### REPLY: Hi! Good morning. I am  answering your query. Even though it needs a physical examination to arrive at a diagnosis, from the history it seems to be a benign lesion. However, you might go for a FNAC (fine needle aspiration cytology) for a cytological diagnosis after consulting a general surgeon for his opinion. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im having upper respiratory tract infection .... and now third week started felling better but when we do some work felling bit hard to breath ... so im using ventolin if it gets worse ... does it take time to recover? and I would like to workout and need to drink protein powder does it good or bad ? and I had antibiotics for frist week ... ..... please help me ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, possibility of post infectious bronchitis is more. This is common after viral upper respiratory tract infection. And your breathing difficulty is also due to bronchitis. So better to get done PFT (Pulmonary Function Test) to rule out bronchitis. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). You will mostly improve in 1-2 weeks. And yes, you should definitely do exercise and work-outs as they are good in bronchitis. Protein supplements are good in bronchitis. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 16 year old male and my shoulders dislocate soo easily, almost too easily. i have not been injured. the orthopedics say i have chronically laxed shoulders. I can dislocate them just by raising them up in front of me. There is no pain though. They relocate them selves if i just move them back down. Anyone know how to prevent this w/o surgery? Would shoulder stability exercises help? ### REPLY: Dear Sir/Madam, I thank you for having faith in  and for seeking help on your issue; I have gone through your symptoms, and in my opinion, you are suffering form what is termed as recurrent dislocation of shoulder. There are good treatment options available these days, but the procedure depends on the findings of your CT scan and MRI findings, there are options of both arthroscopic repair and open repair, you need to consult a shoulder arthroscopy specialist if you need correction of this nagging problem I hope I have been able to provide you with a satisfactory solution, if you want to clear any doubts about my opinion, feel free to contact. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. Thanks ### END