Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc, 20 years ago at age 17 I was diagonised with herpes zoster and though it was treated with hypoderma cream, it left ugly dark patches on my right thigh way down to my knee. Is there any lightening cream you can recommend that will reduce the appearance of these mark? Thanks,Cheryl. ### REPLY: Hello. Thanks for writing to us at  The dark patches are actually post-inflammatory hyperpigmentation (PIN); Post-inflammatory hyperpigmentation may persist long after the inciting condition has resolved. If I was the treating doctor I would have asked you to use a skin lightening cream, containing one or more of the following skin lightening ingredients like Comic acid, HY . These skin lightening ingredients act by either inhibiting new melanin synthesis Or by exfoliating already existing melanin Or by a combination of these mechanisms, when used in combination. These are prescription products. I would suggest that you visit a dermatologist in your region for the needful. An Oral vitamin C supplement once daily would help as well. 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: heelloo..yesterday me and my bf had a sex...but we both r with clothes on..he wear a night suit and i have wear a dress..he rub his penis around vagina .... i don t know that he get the sperm or not...bur my underwear get wet..so is it possible that i might get pregnant???? ### REPLY: Hallow Dear, Nonpenetrrative play with the genital organs; and that too with the clothes on is most unlikely to cause pregnancy. When woman is aroused sexually, she gets copious vaginal discharge to facilitate easy penile entry. Such increased discharge has made your underwear wet. Please do not be under the stress of pregnancy. The stress itself may delay the menses, even in the absence of pregnancy. I hope this provides you assurance.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 child age of 8, has a mild Sidenham Chorea, no signs of previous ARF. EEG, MRI scan, Videocardiogram dont show any damages. Is there a homeopatic cure or substitude of the penicillin he is supposed to take for at least another 10 years?Thank you, Svetla ### REPLY: **1. Since chorea is a delayed manifestation of rheumatic fever [Jones major criteria] and appears after a long latent period from the antecedent streptococcal infection, thus other manifestations [ARF/EEG/MRI] may be normal when chorea appears, thus regular supervision and follow up is necessary.2. Make sure that the attending physician examine the heat for any valvular lesion, search for exophthalmos, butterfly rash in face, signs of hepatocellular failure, K-F ring in cornea or polycythemia.3. Penicillin is the safest and .  In Ayurveda we along with Penicillin give Immunomodulators for increasing the immunity which will help him ward of opportunistic infections. [kindly consult in your locality] ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been experiencing dizziness and leg weakness for about 10 years now. I ve been checked by two different cardiologists and a neurologist and no one can tell me what is wrong. What ever it is it seems to be getting worse. It feels like my heart stops for a slit second and I lose control of all body functions except for my brain. As recently as last week I felt it and collasped while walking through Boscov s. I know that there is something seriously wrong I just don t know what. If you ve ever driven over a hill really fast and get that weightless feeling like you re in an elevator that s the feeling I get over and over. Like I stated earlier this has been going on for over ten years and it has become a lot more frequent. If there is anyone that has any idea of what this might be please help. Sincerely, Desperate for answers ### REPLY: Dizziness has different meanings for different people, but from what I understand from your description of these feeling it seems like lightheadedness. Lightheadedness causes are many, but the most common ones are heart conditions like an arrhythmia, anemia, low blood sugar, postural hypotension, deny .  As you said the cardiologists have excluded heart disease, but I would suggest having also a rhythm holder and blood pressure holder. These two examinations lasts 24 hours to 7 days, checking the parameters i mentioned above. You should have a blood study regarding cell counting and also blood sugar and hepatic and renal functioning tests. Vertebrobasilar insufficiency can present with dizziness (vertigo, balance impairment or headdress) and also weakness in the legs when it progresses, to diagnose this condition you should undergo an MRA. Sometimes lightheadedness is caused by stress or anxiety.  Also, this symptom is common in people that play wind instruments. I would suggest to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 undergoing fertility treatments, and I am now in the two week wait. I had an Ovridrel shot on the 15th, and starting on the 23rd, I have been running a very low grade fever (99.1 to 99.8) continuously. Could this be because of the Ovridrelm, or could this be an early sign of pregnancy? ### REPLY: Hi, Thanks for writing to . Low grade fever is not a common side effect of OSI .  Common side effects are abdominal discomfort, pain, nausea, vomiting , breast pain. Low grade fever is not an early sign of pregnancy too. Early symptoms of pregnancy include fatigue, vomiting, nausea, increased urination, breast enlargement or pain.Don't loose hope you can be pregnant without these symptoms. I would suggest you to consult your doctor for your fever as it could be because of other diseases. Hope I have been helpful. 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 there. I m 15 years old. I recently found out that if I put my tongue on the roof of my mouth a LARGE lump comes out under my chin. It kind of feels like a muscle. And it only comes out when i put my tounge on the roof of my mouth. Should I be concerned about this? ### REPLY: Hi dear, The symptoms you mention in query are probably due to a muscle or mucous cyst. This occurs when a duct of salivary gland duct get blocked due to injury or action like sucking. Treatment is based upon the severity of the mucous cyst. Sometimes cysts may not require treatment and will heal on their own over time. Superficial cysts often resolve spontaneously. If it doesn't go away in few days the consult oral surgeon for proper diagnosis and to rule out condition like tongue sore and herpes. There are treatment options like laser therapy, cryotherapy and intraluminal corticosteroid injection. Maintain proper oral hygiene. Hope your concern has been resolved. Get Well Soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello , my jaw was broken in December 2011 I had two plates inserted into my jaw , they were never removed and when it gets into the chillier months as it is now I experience almost unbearable pain from the area around the plates is that going to continue for long ? Also my teeth do not line up when I relax my jaw , should any of this worry me ?Thanks. ### REPLY: Hello and welcome. Thanks for sharing your concern. According to the history posted here it appears that there is some MAL alignment in the jaw due to which you are unable to feel comfortable while closing your jaw. Upper and lower teeth should touch each other when in function like eating chewing, speaking etc., but normally there is 2 to 3 mm gap between the upper and lower teeth when at rest. This prevents unusual wear and tear. Our jaw is basically designed like that. I Have explained to you the normal phenomenon but if you find changes then please revisit your dentist for clinical evaluation. Secondly please mention how long it has been since you got the plates inserted in the jaw? It takes around six weeks and more to heal completely. Hope I have given you the answers to your query. Please let me know for further doubts. 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 21, female, 2 months ago I had a tyhoid fever, due to that I loss my hair almost and started growing after few weeks. I would like to know whether the hair loss in me till Ill get bald or my hair will grow as usual which I use to had in my previous life. Kindly reply my issue becoz, I am engaged and about to marry in 6 months. Very Urgent. Reply needed as soon as you can. Thank you ### REPLY: You are dealing with condition called Halogen effluvium.... Telogen effluvium is a reactive process caused by a metabolic or hormonal stress or by medications which in your condition is typhoid infection... It presents as diffuse hair shedding, often with an acute onset... Generally, recovery from halogen effluvium is spontaneous and occurs within 6 months on its own provided you main a good nutrition... I advise you a nutritious diet, with plenty of protein, fruit and vegetables...thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got diagnosed  with hepatitis b today. All the nurse told me was that I am positive for Hepatitis b. After reading up on the disease I  dont know what type I have or if I need further treatment. What  would you suggest I do because I am  very disapointed in the way  the nurse informed me of the diagnosis. ### REPLY: Hi welcome to  ... Don't feel shy in diagnosed as bag... Your work up needed with... -Serum bilirubin -Sept and got estimation This to rule out acute hepatitis.... You have to repeat your bag test after six months... If still positiver than you are a chronic carrier which remain for lifetime... For such bag nothing done actively. In acute hepatitis b infection 95% approx. Cleared from infection... Take less fried food, fruits more... Regular exercise... Avocados, lemon juice, spinach, Indian gooseberry, onion are good for liver... Take care.... Advise: Consult physician and get your examination done.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im really worried as i dont know if this is serious! I have recently developed a painful lump on the outer lip of my vagina and it seems to be getting bigger and more painful! It hangs down and is very embarrassing. Does anyone know what it could be? ### REPLY: Hi, Welcome to . Based on the facts of your query, You seem to have Cystitis of the Barton Gland Cyst / or could be Boil, which is going to form an abscess. If it is troublesome Check with Surgeon and get Second opinion on this. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m experiencing a lump in my throat, although not sore like a cold is coming on. My heart plods in its beating and I feel short of breath as though I m experiencing an asthma attack. I asked my doctor about COPD, but he pinches my fingers and tells me I have good circulation. However, the symptoms persist. ### REPLY: Hi.it is best if you consult with a doctor, preferably a general or an ENT surgeon, for physical examination and clinical evaluation. Thyroid problem must be ruled-out as your symptoms (lump and palpitations) are suggestive of it. Diagnostics (neck ultrasound and thyroid function testing)and management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother was paralized in July 2011 her right side affected in that attack and she had also lost speaking power during this period she is also having fitz after one to two months duration Last attack of Fitz made couple of days before after that she has been hospitilized and doctor has started TEGRAL tab. twice a day which causes drousiness i just want to know is there any permanent solution for fitz and is there any chance of recovery ### REPLY: HelloThanks for the querying such cases it is very hard to have any permanent solution of fits, but still we can have some preventions like always give antiepileptic medicine to patient in proper routine time as prescribed by neurophysician, get routine checkup with neurophysician. Few investigation which might can help you are following, do it after discussing with your neurophysician.1)REPEAT CT-SCAN HEAD2)S.SODIUM3)S.POTASSIUM4)S.CHLORIDE4)S.MAGNESIUM5)S.PHOSPHORUS6)S.CALCIUM Hope I have answered your query. If you have any further questions I will be happy to help. 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: Im suffering from the disease alopeciaAnd all my body hair fell from about 5 yearsCorticosteroids have been used for several sessions and suspended himI am 25 years oldAnd 160 linearWeight 52I hope to visit any specialist in any place in India for treatmentI am from Saudi Arabia ### REPLY: Hi, welcome to , you are suffering from alopecia universalism. As a treating dermatologist I used steroid mini pulse. Potent steroid (Clobetasol lotion) for topical application. Minoxidil 5% once daily for local application. Tab biotin 10 mg + PBA + ca pantothenate once daily. Most importantly I rely on intro lesional injection of triamcinolone acetone in sessions. This gives very good result.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: from last night my 19 month old son is twisting and turning taking off is diaper and scratching is bottom it seems like sometime the itching get intense because he cries and wakes out of his sleep,i figure he has worm should i take him to the doctor or go to the pharmacy. ### REPLY: Thank you for sharing your query on , I have carefully worked through your case and I think your son have some occurs infestation, You need to go to the doctor for an evaluation and proper treatment, but I can help you to prevent reinfection: The patient and family hygiene must be improved, the whole family needs to wash their hands before eating, your sons toys must be wash and disinfect, the treatment is much more effective if the children family are treated at the same time, washing sheets and all clothes help to eliminate pin worm eggs The Occurs should be treated 3 times at 3 weeks intervals. Fallow-up is recommended if the pin worm symptoms persist longer than 2 weeks or if signs of bacterial super infection occur. Please kindly rate if my advice has been helpful Wishing you a good health .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: me nd my girlfriend had sex almost 30 hours ago and we did not have a intercourse,we were just rubbing for each other nd i was humping on her with my underwear on, my dick dint touched her pussy,she helped me masturbatiing nd i ejacuated on her hands and then she cleand her hands first and than her pussy,she has taken an ipill,just want to know is there any chances of getting pregnant and what are the side effects of ipill. ### REPLY: Hello dairy understand your concerned not worry. There is no chance of the pregnancy becauseThere is no penetrative sexual intercourse. Just rubbing with underwear on does not cause entry of sperm into the vagina. Again you took the pill after the sex and it is highly effective in preventing the pregnancy if you have taken with in 24 hours of the sex. I pill cause following side effects:Delayed in period by 1-2 week, earlier period, heavy period, nausea, abdominal cramp, dizziness, sore breast, intermenstrual bleeding. So do not worry if period will delay by 1-2 weekAvoid stress, take healthy diet, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: First time taking novelon 21day pills, doctor told me wait 3-4days & my period would come. My period came till on the 7th day & it wasnt so heavy like my normal period & by the 3rd day it was finishing up.my normal period finish up at 4th day.also i had sex on the 3rd & 5th day while waiting for my period....could i have got pregnant while waiting for my period whicChatDoctore till the 7th day? ### REPLY: Hi, Welcome to . I am . I will be answering your concerns. The week following the 21 pills is safe period. As long as you have taken the pills correctly and started the new pack on time, there is no possibility of pregnancy with sex during this time. So don't worry. During the pill free week period bleeding can start anytime between 2nd-7th day. Pills cause the periods to be lighter and of shorter duration. This is normal. I hope this is helpful. If you have further concerns, contact me through . 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 Dr. I am married since 10 yrs now and i have an 8yr old son . We are planning for a child since10 months. My doctor prescribed fertyl 50mg twice a day 1month but it dint help. Then I was asked to go for a scan, in the scanning report everything was normal. Later, my doctor again prescribed the same medicine for two months. But still I did not get conceived. What should I do now? ### REPLY: Hi, As you had a natural pregnancy earlier, you should first establish if you are ovulating regularly. You should also get tubal patency tested. While on induction, you will need follicular monitoring. Please remember, it may take at least 6 months while trying with induction and the doses may need to be increased if there is no response. Please also get any male factor defects get excluded. If necessary, you may get hormonal assessment and glucose tolerance test. Wish you 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, Hi, 27yrs old, my weight is 62kgs & height is 5.1[ 158cmts] I am taking treatment for Infertility . In past 2 years my TSH level have been as follows - in 2011 it was 1.61, in Aug 2012 it was 2.7 on 2nd day of menstrual , again after repeated on 29 Dec 2012 after 20 days of period, it is 3.7ulU/mL. please tell me whether it is major problem & should i take the tablet daily , & if it is a problem then how to reduce TSH level, lastly what is the normal TSH level should for women like me ? ### REPLY: Hi Welcome to  Your TSH level done in dec-12 is on higher side. When you are trying to conceive TSH levels should be maintained between 0.5- 3 mid/ml. In your case you should start taking Thyroxine after consulting your doctor. Hypothyroidism is known to cause infertility by causing ovulatory dysfunction. Hope you have been examined thoroughly and other factors leading to infertility have been ruled out. Try to lose weight by exercise and diet.  All the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a medical student.i am having trouble with my studies now.i feel depressed all the time.i cant concentrate.I have recurrent suicidal thoughts.I hurt myself sometimes and it gives me some relief.i put on a happy face but i feel that i am tearing apart within me. I feel insecure to meet a psychiatrist.I fear if my peers come to know about it , i feel be humiliated.what should i do? i stay in Thrissur ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You are supposed to refer to concentration and attention as two. Attention span for any adult is maximum 30 minutes. Sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. Concentration is attention plus understanding. For this too, span OS below 30 minutes. If you are able to make your studies interesting and based on variable principle, your concentration level can be increased. Concentration comes only when you are interested in what you do. So please be passionate towards what you are doing or do only those things which you are interested in. It is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. You must talk to your friends about this. They will be able to motivate you. Moreover, you do not have any mental issues other than slight anxiety and apprehension. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6yr old son is getting blackheads on his face . He had quite a large one on his lip that popped and he is now getting them on this chin and cheeks . What can we do to get rid of them and stop them from coming back? ### REPLY: Your 6 yr. Old son has this problem that means his diet & lifestyle is mismanaged. Black heads on facial skin denotes ill health of skin & improper digestion. See carefully what the food he ingests is digested properly. Diet should include fibers, proteins, carbohy . Leafy vegetables, fruits,cereals, pulses, milk should be included. For enough liquid content 1 glass of water every hourly or fruit juice can be added. Removal of blackheads is necessary. Facepack of honey, rose water 1tsf,lime juice 1/2 SF, turmeric & Chaney DAL powder daily is a good remedy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Friends newborn is a 2 wks old platelet count is 42,000. It started to go up but dropped again today. She had what I though was purpura but family didnt call it that. Dr is concerned about liver function. What causes this. It was a high risk pregnancy requiring bed rest for several months. ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Need to get a repeat platelet count. If still low, to avoid risk of internal bleeding, platelet transfusion might be necessary.2. Blood culture to rule out septicemia is necessary. Would not expect ITP at this age. Need to look into possible DIC. 3. Liver function could be affected, however, it would not affect platelet count directly. PT, APT will confirm whether liver function is affecting hemostasis. Pregnancy would not affect platelet count unless, it has contributed to septicemia. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am in Canada had liver transplant 4 th of June 2014 things were we re working well last month I had CT scan my doctor said you have lungs cancer and it un treatable now because you had liver transplant and problem with kidney. Pls advise me what to do. Ali ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have lung cancer. You have already gone through liver transplant, and you also have kidney disease. So overall treatment is difficult. Still it depends on type and stage of lung cancer. Chemotherapy, radiation or target therapy are the treatment options. Consult your oncologist and start treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Have tendonitis in right ankle and wearing airboot for the past 4 weeks after PRP Injection. Have severe pain in left foot below the last finger for past 3 months. Doc says I have stress frature and suggested elevating the foot and icing. Didn t talk about any followup or treatment. what should i do? ### REPLY: Hi you had tendinitis in your (R) ankle and have stress fracture in (L) foot.  Stress Fracture occurs when uneven and unnatural pressure is applied on the foot for a prolonged period of time. It also indicates weakness in the bones. In my opinion it is unlikely to be related to Tendinitis in other ankle. I would suggest immobilization for 3 weeks and if required take calcium and it D3 supplementation. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc I am a 27 year old female happily married for last 4 years. My problem is one of a kind cause i have not had sex with my husband till date (although i know him since last 12 years as we had a love marriage). We definitely have physical intimacy without intercourse and masturbate to get discharged. However, i get very scared when we think of having sex and same for my husband. I definitely want to get pregnant but have a huge sex phobia. Should i opt for IVF or IUI? Can i become pregnant without sex involved? Anxiously waiting for an answer ### REPLY: Hi, Yes you can get pregnant through an GUI or IVF treatment without having sex. Your husband would get a semen sample by masturbation, and you will have ovarian induction therapy followed by aspiration of oocytes from your ovaries. Then fertilization will happen in the laboratory. The fertilized embryos will be transferred to your uterus after 3 or 5 days. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, I have a jock itch problem. I have to travel around 3 days in a week. So I can t avoid sweat in the groin area. I have ring worm on abdomen and bums as well. I have used ring guard, clotrimazole + neomycin cream but none of them was effective for me. I can t stop itching as well even after knowing that it irritates the skin :-( Please suggest me what should I do? ### REPLY: Hello, Welcome to , Jock itch or Tina courts is nothing but a kind of fungal skin infection. From your history it seems you have got Tina infection. Therefore, I would recommend proper course of highly effective antifungal .  Itraconzole 100 mg capsule to be taken once daily for one month after lunch. Along with oral antifungal, local application of ketoconazole cream over affected areas twice a day will help to reduce the symptoms. Take oral antihistamines for itching as required. Use antifungal dusting powder while going outdoors. Avoid tight undergarments and use cotton clothes as far as possible. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son was having cold for quite a while so the doctor placed him on augmentin but he was also having fever while on the medication so they examined him and found that he had an ear infetion in both ears and that was causing the fever so he was placed on denvar and given drip because he was becoming dehydrated the denvar took 10 days to be completed and a side effect was diarrhea t three days after the denvar was finished he began having diarrhea so it was recoomended he took a stool test whicChatDoctore back normal but now he has began having diarrhea again and he has a cold so he is taking dph cough and cold i am worried should he be haing diarrheang and i fear he might become dehydated because he refuses to take the pedialyte or coconut water ### REPLY: Hi, 1. Your son have got diarrhea that might be because of antibiotics e.g. AUGMENTING. As this medicine cause antibiotic-associated diarrhea. These medicines suppress normal flora of the gut there giving the opportunity to other bacteria to grow up and case the symptoms.2. Tablet Denver belongs to Cephalosporin group which also causes diarrhea in kids.3. So just give him tablet lac.4. You need to treat diarrhea as this is the main problem now with your kid. So give him ofloxacin -ornidazole combination syrup.5. Give him lots of fluids including oral rely .  Give him some rest. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my vitamin d was extremely low in a physical exam and my doctor said my blood counts were fine, but asked for a copy of my results and my wbc as 4.9 which seemed low to me. I am worried that something mybbe wrong with me, what could be the cause of this? ### REPLY: Thanks for contacting . Dear patient please take calcium and it d supplements to correct it d deficiency along with diet rich in it d like milk and milk products, fish and fish liver oils etc., along with exposure to sun for at least 15 minutes a day, as low it d levels can lead to low WBC counts although as, yet you do not have a cause to worry as your WBC levels are within the normal range. There is nothing really much wrong with your body so just relax and chill. 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 Dr, I am 23 years old and I have been married for 1 year now. Since from November last year in 2013 up to date I have been trying for a baby with no success. After making love with my partner 2-3 weeks later I would have some cramps and always feeling tired, feeling like vomiting and painful breast. I always have a hope that I am pregnant but few weeks later I would see my period. What should I do to increase my chances of getting pregnant? ### REPLY: Hello, thank you for posting your query to . Have you been continuously trying since past ten moths or did u give breaks in between? If you tried continuously since all these months, then I'd suggest you to get your scan done for POD, ovarian and uterine physiology along with a detailed checkup for thyroid and other hormones, And blood tests. Your husband also needs to be investigated in details at the same time.  You could come back with all the reports to us, or you can see a doctor, with those reports. Meanwhile, do not lose hope and keep trying, as there is no hard and fast rule for the ratio of success rate to the no. of attempts in this matter. Some couples are first time lucky, and many others take much longer to get that positive on their pregnancy test. Also, don't stress over it, as it hampers one's chances of conceiving. Both you and your husband must follow a healthy lifestyle, that includes a combination of healthy mind, body and soul (exercises, healthy diet and peace of mind). With this, you should also keep in mind the basic pointers like keeping your waist slightly elevated with a pillow after intercourse, and not immediately visiting the toilet etc. All the best! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am F 38 in good shape work out (do triathlons) regular but have had back pain from different reasons throughout my life now I every so often wake up with severe lower back, hip pain for no reason. today the pain is almost taking my breathe away when i move. It is a dull pain when i am just lying down but the moment I make any sort of movement I have sharp and sometimes shooting pain down my legs. ### REPLY: Hi, From history it seems that you might be having degenerative changes in your lower back spines giving pinched nerve pressure. There might be having osteomalacia or osteoporosis as well. Go for x-ray lumbosacral region for osteoarthritis. Physiotherapy like back extension exercises will be much helpful. Take B1, B6, B!2 shots or medicine. Take calcium, vitamin A and D supplements. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 2 weeks after a hard fall on my bike, the road rash has heeled but I have a large swelling on my upper thigh (back and side) that makes the skin very tight and sometimes painful on the skin when I turn my leg. It is getting better gradually. I have regained mobility and notice no other symptoms. Does this need a doctor? ### REPLY: Your symptoms suggest that you have soft tissue injury of thigh muscles. As the maximum bulk of muscle lies at thigh so It's very common to have these injuries at this site. Rest, icing and anti-inflammatory analgesics such as ibuprofen will decrease pain and swelling. It will heal in next 1-2 weeks. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my baby girl is suffering from urinary infection.i consulted a doctor.she prescribed mefanic acid and antibiotic.i gave 7 ml calpol(150mg) and mefanamic acid 5ml (100mg) in 30 min duration.after that i realized that both medicines have the same function.Does this harm my child(2 year old). ### REPLY: Hi...for fever, Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. You can give antibiotics for urinary infection if it is proven after urine culture. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid 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 i seem to have a rash that resides along the inside of my legs like jock itch, bu im not sure if thats what it is. its dry and itches but i have used some cortizone cream and its not as itchy anymore. however today it feels like there is a rash along my butt crack that itches as well ### REPLY: Hello, Thank you for posting on . It seems you are suffering from Tina courts, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal .  You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have bronchtis.A few days ago, when I cough or sneeze, my whole upper body gets extreme burning and needle pain that is intolerable. I have been taking ibuprofene every 2 hours to try to remedy it, but does not always work.Started the same day I started on the antibiotic. ### REPLY: Thanks for your question on . I can understand your concern. Chest pain (needle type) on coughing in bronchitis patient is mostly due to pleurisy (inflammation of pleura). And most common cause for pleurisy is infection. So possibility of lower respiratory tract infection (LETI) is more in your case. So get done chest x-ray to rule out LETI. You may need antibiotics too along with ibuprofen. Better control of bronchitis is also needed. So start inhaled bronchodilators and inhaled corticosteroid (ICS) for better control in bronchitis. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i had my first depo shot january and im due my next one in april i had sex with my partner two days ago and noticed light pink bleeding a few hours later when i went toilet only there when i wiped then it went away i have been pregnant before and the month i concieved i had this same problem could i be pregnant again even though im on depo ? ### REPLY: Hello and welcome to , The hormonal preparation used in contraceptive pills and demo shots prevent ovulation and/or fertilization. Technically it is not possible to get pregnant when one is taking demo proves shot. The demo proves is effective for a period of 12 weeks, so it should be taken again after 12 weeks of 1st injection. The injection should be taken within 5 days of onset of menstruation. Some side effects are commonly seen with the use of demo proverb. Irregular menstrual bleeding is a common side effect. This light pink bleeding may be due to irregular bleeding. You can take up pregnancy test if you want to rule out pregnancy. If you get pregnant despite being on demo proverb, the effectiveness of the . Thanks and take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: DOCTOR I THE MORINIG I EXPERIENCED A JERK IN MY NECK NEAR TO MY BACK TOOTH AROUND MY TOUNGE.AND I NOW I FIND MY NECK HAS SWELLEN ON THE RIGHT SIDE AND THERE IS A LITTLE PAIN ALSO  I THINK IT IS BECAUSE OF COLD WETHER CAN U SUGGEST ME WHAT TO DO OR IT WILL WE OK AFTER SOME DAYS ### REPLY: Hello, Thanks for consulting  Read your query as you have jerk in neck pain and swelling in neck region can be due to trauma don't be worried so much I will suggest you to consult oral surgeon for examination and evaluation. Inmeantime do warm saline rinses 2 - 3 times a day and and take soft diet, and you can apply ointment like Relay gel local application on region of neck. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am experiencing some numbness on one side of my face. It started about 6 hers ago and soon after the numbness appeared I got a bad headache. The headache disappeared but after I would loose track of what I was saying and I would be thinking one thing and I would say something different not realizing it. Is this normal? ### REPLY: Hello! I read your question and understand your concern. I think that these symptoms may be caused by a small stroke. Furthermore, I would like to know if you have measured your blood pressure. Do you suffer from arterial hypertension or diabetes ? The headache is not a common symptom in stroke, but it may be related to migraine, high blood pressure etc. I would recommend consulting the neurologist, have a good neurological examination, a full blood work, a blood lipids analysis and a brain CT scan. Further, tests like cardiac check up and Doppler ultrasound of the carotid vessels may be needed to establish the cause. Hope to have been of help. Best wishes! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had a problem with coughing up clear foamy phlem for over a year, I have seen the doctor a few times and also seen an ENT consultant. So far I have been given an allergy test and put on antihistamines and A beclonase nasal spray. Neither is having any affect. I also have almost constant mucus running from my nasal passage down the back of my throat that is causing me to gag a lot and be sick. Another thing I occasionally get is soft white chunks that I also cough up. This whole this is causing me to put on weight as I am eating to mask the taste in my mouth and to clear my throat. Do you have any ideas? Thanks ### REPLY: Hi, Thank You for giving us the privilege to answer you here on . Impression: Post Nasal . You need to be evaluated by a ENT expert. Treatment involves surgical correction of the abnormality. Persistent cough nonetheless needs' evaluation to rule out other causes. A Chest X-ray and sputum culture along with blood counts should be helpful. If you complain of breathlessness to any degree a spirometry needs to be considered. Take Care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my name is naveed, age 30 married for 2 years and no child . i want to have some suggestions on my semen reportabsistance 5 days, quantity: 3 ml, reaction: alkaline, consistancy:liquid, liquification time: 20 min, total sperm count:30 millon, active:20%, dead:60%, pus cells: 20-25/HPF.  i have an antibiotic treatment for pus cells for a month before this test and was also advised treibulus terristis (frectill-s) for  a month . before this test total sperm count was 35 million, active sperm in my report was 25%, dead were 45%. please adivse me what should i do . my wife is diganosed with polycystic overives. she has iregular periods and during this 2 years time period many a times she has vignal infection for which she was advised a medicine which help her for limited time. doc can we have babies plz adivse us that can antibiotic decrease my pus cells . my wife took homeopathy treatment for 8 months which improved her periods problem but now when she has left the medicine her periods are irregular again ### REPLY: Hello, Welcome to . Thanks for writing. I am .  I have read you question completely, I understand your concern and will try to help you in the best way possible.we your report indicate that you have a bit of infection and that is wits basically causing poor semen quality and sperm count, so you are taking treatment and hopefully this win resolve and get better but trust me SM times its all in the hands of god because ppl can get pregnant with even little percentage of alive sperms but in your case even if you have full alive and a very good sperm count nothing can happen unless your wife is fully treated, and she is having polycystic ovaries which is a treatable condition and people conceive after treatment take your wife to gynecologist she will prescribe treatment and your wife will be alright and meanwhile you take your treatment too and soon you will have babies.... I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, I am 15 years old and an weird rash has came up on my arms and legs about 2 days agoit went down a bit but I went out today and the rash has came up worse on my arms and moved onto my hands I have recently came back from Italy on a school trip and im not sure what the rash is I am having some Piriton for it but its not doing much good, would mean so much if you could help,thank you amellia ### REPLY: Hitwo common things we have to think of are purity and sun allergy. How was the sunexpopsure during the trip?currently do the eruptions itch on sun exposure?the answers to above will help us guide you further.in the meantime topical application of mid potent steroids and oral anti histamines can help. Why don't u visit a dermal so that you can b guided about appropriate medicines for the desired period. Hope it helps. Feel free to ask further. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad has just had bronchoscopy and although he is awaiting his results he is coughing up black bits in his phlegm....Is this as a result of the bronchoscopy, dried blood etc or something more serious. Its not all the time only when he coughs heavily. Some times its black specks or grey cloudy phlegm. ### REPLY: Thanks for your question on . I can understand your concern. These black, Grey phlegm is nothing but clotted blood particles. Bronchoscopy is an invasive procedure. It can because iatrogenic (procedure related) damage to airways. This damage can bleed. No need to worry about such bleed as they are self limiting and self-healing. So nothing should be done for this black phlegm. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i just got surgery in my mouth. my grown up tooth wasnt growing it so my dentist did oral surgery for that and i have stitches in my mouth this was done exactly a week and 2 days ago but for the past 2 day my jaw is hurting very badly i cant chew or talk and it hurts when i open my mouth i got the surgery done on the right upper of my mouth and my jaw is hurting on the left side what could this mean? ### REPLY: Hi, Thank you for your query kindly tell if you have had a history of any pain and clicking sound while opening and closing of your mouth before the surgery.Also, the pain could be of muscular origin due to excessive opening of mouth for a long time so I would like to know did you experience any excessive force while the dentist was extracting the tooth and if so then the pain could be originating from your joint. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 friend is suffering from koch s abdomen and the doctore has advised to take AKT 3 tablets but after taking the tablets he is complaining of pain in the stomach.Then other doctor has advised to take AKT 4 Tablets but then the same pain in the stomach is continuing.please give your suggestion ### REPLY: HI. It looks that your friend is a diagnosed case of abdominal tuberculosis. Since the dose of AKT3 or AKT4 is causing pain in abdomen, it is possible that a particular medicine in this combination. I usually advise my patient to take the Rifampicine, Isoniazid, Ethambutol and Pyrizinamide in a separate preparation at different timings, Rifampicine to be taken on empty stomach. Once all the ingredients are taken at different times, it becomes easy to know which medicines are causing the problems, and we can stop that particular component. If required that particular medicines is stopped and Streptomycin injection and / or Levofloaxacin. You're treating Doctor knows the best. I hope this will solve the problem and ATT has to be continues in whichever form it suits. He has to take 2 + 4 months treatment. High protein diet. Multivitamins, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Gud evening sir, myself M.venkata rao (visakhapatnam,andhra pradesh , India ) suffering from ca.Nasophaynx pathological diagnosis : LARGE CELL NON- KERATINISING SQUAMOUS CELL CARCINOMA sir, i am taking treatment from last two years . i had completed 3 chemos and 35 days continues radiation at Mahatama gandhi cancer hospital ,visakhapatanam, Sir, i am having problem in my throat , i cant swallow the food directly without water and a contionous saliva is coming out from my throat ... pls suggest us any solution for us ### REPLY: Hi, ca hypopharynx can be treated by chemoradiation with adjuvant chemotherapy. many times during radiation if parotid gland received more dose .  Hope you have treated by intensity modulated radiotherapy. Your present problem is little contradictory. Swallowing problem may be due to lack of saliva but continuous saliva hard to explain. Some form of mouth wash may be helpful. Consult your radiation oncologist. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. Iv been getting a throbbing/aching feeling around my heart. I am only 42 and am generally fit, but my back hurts inbetweeners My shoulders. But it s my heart muscle that s hurting and I feel uncomfortable. Please could you tell me what I need to do? ### REPLY: Hi, This can be as simple as musculoskeletal pain, yes... and manipulation of your middle thoracic can help but if the pain is sharp in your chest and referred to arms, shoulders and jaw, or it is like pressure on your chest then you should check an ECG to rule out any other problem. Hope I have answered your query. Let me know if I can assist you further. Amman Darragh, Physical Therapist or Physiotherapist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 celluitis on my jaw neck area a week ago it was swollen red and a big bump ER took a cat scan and said there was no puss or blood 3 days later it started draining but lump is still there im taking antibiotics theres no pain now the hole closed and i still have this lump what could be going on ### REPLY: Hi.it is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation and checkup. It is possibly resolving and what you are feeling as a lump could be the healing/fibrotic tissue on the inside. Complete your antibiotic regimen even if you're afebrile and not feeling the pain anymore. Maintain a good hygiene and keep the area clean and . Hope this helps. Good day!!~ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 39 yrs old, in good heatlh.  Was eating popcorn balls over the weekend and Monday noticed that teeth were sore and the roof of my mouth was a little swollen.  Today I woke up and the roof of my mouth is swollen more but the teeth do not hurt as bad?  Got any ideals? ### REPLY: HI, THANKS FOR POSTING THE QUERY, The swelling could be in relation to the infection tooth, the infection in the tooth might have spread to the periapical area leading to swelling. I would suggest you to get an x-ray done of the region. A root canal treatment has to be performed. Take a course of antibiotics and analgesics. . At home take lukewarm saline and antiseptic mouthwash rinses. 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 a pain in my urtethritis constantly and hurts more so when erect. This developed immediately after unprotected sex with a stranger 3 days ago. I went to STD clinic yesterday and was prescribed Zithro (4 pills 500mg) one dose. I took this yesterday but still in pain ! Any suggestions what it could be?? Thanks ### REPLY: Hello, The urinary tract infection or Atlantis or STD can be possible in your case. I suggest you investigate with urine routine microscopic examination and culture for primary work up.  If urine report shows any abnormal finding than it should be treated with further antibiotic according to the culture report.  .  Don't take excess spicy foods. If any ulcer, sore or blister present over penis than Kindly mention it. 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 been smoking a pack per day for 3 years am 20 years old now i have a lot of pain in my throat that comes and goes its been on for 5 days i also have problems breathing when i sleep but like 1 time per day it feels like i cant swallow like only once i dont have blood in my spits no pain in the ears i still have m apetite is that throat cancer am really scared ### REPLY: Hi Moe.Hadley, Thanks for writing your query. Smoking has many adverse effects in our body. It can cause chronic obstructive pulmonary disease, lung cancer heart attack, etc. Throat and oral cancer is more commonly seen with persons chewing tobacco. You should get yourself examined and investigated by an ENT specialist to rule out any cancer. Following investigations can be done :-1. Throat swab culture.2. Chest X-Ray PA view.3. Sputum examination. Smoking can result in breathing problems as it can cause bronchoconstriction- narrowing of the air passage. You should gradually decrease the number of cigarettes smoked per day.  Medicines, if needed, can be planned according to your clinical examination and reports of the investigations. I hope this is helpful to yo. 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: Hello,Ive had terrible toothache last night from the tooth, on which Ill go in a month or so, for a root canal treatment. Last night it pained terribly. I somehow remember, during my childhood, my father gave us potassium permanganate solution to get rid of pain. Is it worth giving a try. Im 29 now. ### REPLY: Thank you for your query, The toothache is usually due to caries exposed tooth in which the infection has reached the pulp tissue (living part of tooth) and hence causing inflammation of the same. Due to inflammation you are experiencing excruciating pain, along with sensitivity to touch, cold and hot things. It is advisable to take proper antibiotics (to control infection) along with analgesic (to control pain). I am not sure whether potassium permanganate solution will work!!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, m trying to conceive since the past few months n did every efforts but failed. My cycles are regular n last were over on the 6th of Jan so whats the best time to conceive? also me n my husband are under the Lycored tablets and me also taking Folinal by cunsulting a doctor.Question is: Whats is the best time to conceive and what else i can do to be pregnant. ### REPLY: Hi, Thanks for writing to . The best time to conceive is you should do intercourse during fertile period. It is day 12th to 16th for a cycle of 30 days. If your cycle is longer then you need to consult your doctor and get details of your fertile period. To increase chances you need to sleep in same position after intercourse for 30 mins with pillow under buttocks. This prevents spillage of semen outside. If you are trying for more than 1 yr or your age more than 26 than discuss use of ovulation inducing .  This helps multiple follicles to mature and rupture and increase chances of pregnancy. Continue Scored and final as it helps in producing good eggs in you and healthy sperms in your husband. Hope I have been helpful. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 5 year old, his wt is 12.5 kg & ht.is 3ft sir his problem isthat when he is 1y old he got suffered from high grade fever its 105 &he had seizers and this month again same situation had happened this time doctor suggest us to EEG in EEG we found Epelepsic discharge from left side .sir, i want to know that fever is related to that problem only ### REPLY: Hi...by what you quote I feel that your kid is having simple febrile seizures. It is common for some kids to have this during very high temperature. 4% of normal kids in general population can have this type of seizures form 6 months to 6 years of life. For just one episode there is no need to do an EEG or any other brain scan. The EEG will obviously be abnormal if performed within one week of any seizure. This doesn't mean that the kid will require anti-epileptic . All the treatment that is required is using of Cloacae for the first 2 days of any fever. This is a prescription  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: an operation was done by a gynecologist on 20.06.2010 i.e. Hysterectomy. Soon after the operation the problem of cough was started and still she is unable to recover from this problem after so many treatment in Silchar, ASSAM. She is my mother of 42 years age. So. for that what should we do? Please suggest us. 1) problem is cough 2) Dr. Samuel.N.Grief. ### REPLY: HelloThanks for posting here. I have gone through your description. Since she had an abdominal surgery, sometimes, the lung bases tend to collapse after surgery. This is called post-operative atelectasis. This may lead to cough. Treatment for atelectasis is breathing exercises and incentive spirometry which requires you to blow in and out on a spirometer for 3-4 times a day for 10 mins duration. Other infective causes of cough should also be ruled out. Please get a chest X-ray done to see if there is any pneumonia patch. If despite these symptoms persist, a HRCT chest should be done, which will definitely give an answer to her issues. Wishing her good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 m rahul madaan from mzn. 3 years back I had root canal on my front tooth of upper jaw nd removal of infection or pus from the tip of tooth and consumed lots of antibiotics for so many dayz..but it didnt work nd i m having same problem nd pain nd pus in it ### REPLY: Hello, Thanks for consulting , Read your query, as you have pain and pus discharge from tooth it indicates infection is still present at root tip don't be worried so much I will suggest you to consult your dentist and go for Iowa X-ray and re act of tooth. In meantime you can take antibiotics like Amoxicillin or Ofloxacine and painkiller like eugenic plus or petrol DT. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My daughter will be 23 in 2 weeks. She just went to Urgent Care because she was having pain in her hip. The doctor told her she had acute arthritis and needs to see an orthopedic doctor. He also told her she needed to lose weight. She called me hysterical, and thinks she will never be able to do sports related activities again. She is 5 3 1/2 tall, and weighs 160 pounds. She loves kayaking, rock climbing, and just about any other type of sport. I m trying to figure out if her concerns are warranted. Can you give me any advice for her? Also, she is in college. ### REPLY: Hello! Welcome to  !  The arthritis is likely early. It is possible that its progression can be slowed down or halted somewhat. If it does progress or worsen than. Unfortunately, it can affect not only sports but activities of daily living. As the doctor suggested, weight loss would help because it would reduce the stress and pressure on the joints. Stress and pressure on joints can cause or worsen arthritis. Diet changes would help. Hope this clarifies your concerns. Thank you for the query. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ok I went to cardiologist did an echo and told me I had a small leaky valve. Nothing to worry about come back in one year. This was in June today I called cause been having shortness in breath with work I talk to nurse and said in my file it said I had mild pulmonary hypertension. Now I m scared cuz I m 34 and never said anything about this wouldn t he have put me on meds ### REPLY: Hi, Pulmonary hypertension is increased BP in pulmonary blood vessels. It is generally associated with underlying lung disorder like Asthma, COPD, Interstitial Lung Disease & others. It can also be because of some cardiac abnormalities. Mild pulmonary hypertension generally does not require treatment & can be controlled by treating the primary cause. It can also be present in obese individuals where controlling of obesity is the primary treatment. Specific treatment for Pulmonary Hypertension is required in severe form or moderate symptomatic form. So follow the advice of your physician & you will be fine. Mild leaky valve will not cause many symptoms & can be normally present in some individuals. 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: Hello. My son is three years old. For the past 15 days, he has had GI issues which include intermittent severe ABD pain, occasional vomiting, diarrhea alternated with constipation that is yellow and green in color, and lethargy/weakness.... He had had episodes of pain so severe that he is doubled over, and is unconsolable. He has been seen on four occasions, the first of which intusuception was ruled out. WBC looked ok on Sunday, and both CDiff and parasites have been ruled out. I KNOW there is something wrong with my son, and the doc is not listening to my concerns, but is blaming constipation. He was up from 10pm last night and could not get comfortable enough to go back to sleep... he vomited once last night, and had three pretty normal looking BMs, but that did not seem to eleviate the pain. He is now dry heaving. please help... what else could this be? ### REPLY: Thanks for putting up your query at . I understand the cause of your concern and have gone through the details carefully. I would give you some suggestions. Try to follow them.1. Give the child rice based diet. Avoid any wheat based product altogether. The abdominal complications could be result of a condition called celiac disease. Try this for a few weeks and see if the child gets relief.2. Avoid milk based products. Curd or yogurt can be given. Lactose intolerance could also be a cause.3. You may give demonic syrup SOS in order to relieve abdominal pain as and when it occurs.4. Constipation needs to be kept in control. Increasing fiber content of food is a must. Include green leafy vegetables in the diet. Fiber supplements like Isabel can be given on regular basis. Greenish stools indicate rapid transit through the large intestines and is not a cause of concern.5. Using lactulose syrup (available in brands like lively, cephalic) will help in keeping the stool soft. I hope that helps. Take these measures and feel free to revert with further queries if 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: I get a stomach/abdomen ? cramp after I get up to urinate in the middle of the night. It takes about 1/2 hour to pass. I try to eliminate salt from diet but have had this for 1-1/2 year. Had ultra sound, cat scan and did not show anything severe. Some small stones in gall bladder and small stone in kidney. What is causing this? Thank you. ### REPLY: Hello and welcome to .  As a Urologist, i can understand your anxiety.You've not written your age, gender and if you're taking any medication. Your symptoms aren't due to small stones, seen in kidney and gall bladder. You need to do certain blood tests and an endoscopy if needed. Tests like :1. Blood routine, RBS,LFT, s.proteins, A/G ratio, platelets,creatinine, lipase and electrolytes.2. OGD (endoscopy test).3. Uroflowmetry. According to reports, the cause and treatment can be advised. Send the reports to me, as a direct question, for an expert opinion. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: last summer ,on vacation at the river, i jumped from a 30 foot rock I didnt cross my arms over my chest and i am bigger on top. I had a lot of discomfort for about a month afterward.Off and on I still experience some chest discomfort shouldnt this be healed by now? ### REPLY: Thanks for your question on . I can understand your concern. Possibility of musculoskeletal pain is more in your case. Usual time for recovery in such cases is 4-5 weeks. But if don't follow precautions, this discomfort can be seen for prolonged period. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father is suffering from prostate cancer stage 4. recent ct scan shows it growing towards bladder and rectum.  he already had orchidectomy 1 and 1/2 yr back and was on flutamide, was respoding well until recently. his psa is 15 and his histopath was poorly differentiated adenocarcinoma ### REPLY: Hi, Thanks for writing in. The PSA is calculated from baseline before treatment. A level of 15 is high but not too high. Stage 4 cancer prostate can have survival of more than 2 years with recommended treatment. Surgery cannot be done and other forms of treatment needs to be thought of. It will help to discuss chemotherapy and radiation therapy with the oncologist and plan the treat. Pain relief is most important for him and this should be stressed up on. Please see that he gets enough pain relief and depending on the discomfort he is given medicines adequately. The bladder function also requires assessment, and please see that he does not develop urinary infection which can get complicated. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am 30 years old, live in Brazil and more than 10 years living with rates of high GGT and ALT, and they come and go frequently. The GGT reaches 700 and 500 the ALT. Actually I was already in various medical and match any of them can tell what it is! What do you think about it? ### 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.GGT I sliver enzymes usually increased in liver damage, especially alcoholic liver damage. If other findings bilirubin and AST and ALT are fine then alcohol is the most common cause. So the next step is to look for certain liver damage and most common cause is fatty liver disease beside alcohol. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello i am suresh i am 36yers old i got married recently two months ago but i am not able to perform sex because my organ is not errect properly and if it errect also it errects for very short time and very early ejction so make me out of this problem ### REPLY: helloThanks for query. You are recently married and facing problem of Erectile Dysfunction and Premature Ejaculation. The problem of ED at young age is mostly due to one of the following two reasons 1) Psychogenic in origin 2) Vasculogenic due to vascular insufficiency (Reduced Blood flow to erectile tissue in penis) You need to consult qualified Urologist for clinical examination and get following basic test done to establish cause for your ED 1) Blood tests for sugar, Testosterone.thyroid hormone assessment 2) Ultrasound Scanning of scrotum 3) Color Doppler ultrasound scan of the penis to rule out any vascular cause for your Ed Further treatment will depend upon result of these tests and final diagnosis. Taking Sildenafil (Viagra)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: I have a large abdominam hernia along my entire csection (last one was 8/2010)) incision. I am feeling burning pains, nausea, and tenderness now. It was a slow onset, bit Ive been coughing due to a cold. Do you feel this is something that warrants a visit to an ER? ### REPLY: Hi. Thanks for your query and an elucidated history. Yes, The incisional hernia (as it is called) can have multiple openings and can be palpated and / or seen by high resolution ultrasonography. Secondly if they find that a part is obstructed, you may need immediate reduction of the contents or emergency surgery. So a visit to ER is a good thing. You need a treatment for your cough and cold, which is imperative otherwise it will increase the hernia or its complications. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 rather large painful lump on the right side of tailbone. It started out as a small painless bruise the size of an eraser two weeks ago. I simply forgot all about it. Now I woke up to pain on the right side and reached to feel the area and there is an orange sized lump that is causing me pain while siting, bending and walking. I am having pain in my right leg. Last year I had an epidural done in the area of my tailbone. Could this be an issue..or related? ### REPLY: Hi, Dear,Good Morning. Thanks for your query to my ChatDoctor-virtual clinic.After in depth study of your query, I understand your concerns. In my opinion-diagnosis -is -Bruised boil with abscess on tail bone?or a colonial abscess ? Or may be-Peri-anal abscess. Pain in right leg is due to the irritation by inflammation, leading to Sciatic neuritis. Treatment-is 1-Consult an ER-Surgeon-Investigate for Diabetes with FBS/PPS and if it there starts anti-diabetics, 1-a-Start Tb NSAIDs, b-start Antibiotics.Once the swelling is calmed down then, Excision with debridement of the infected mass needs to be done ASAP. Epidural done last year has no chance of it cause and has no connection with this tail bone painful swelling on its rt.side. Hope this would relieve your worrisome query. Wellcome to  for more queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Seen a dentist for effective third molar wisdom tooth! Was advised it needed extraction dental office opposed doing the procedure do to my on going disabling medical history with non recovered residual bells palsy, trigeminal neurolgia and MS as it involves the opposite facial TN nerve connected to the ineffective teeth as it to be to risky causing bilateral damage. What should I do? Should the tooth stay in and should I keep on treating the effection with the antibiotics? Please help! Your input is greatly appreciated! ### REPLY: Hello, Well, if it is not possible to get the wisdom tooth extracted, then treating infection is an option. However, it depends on what kind of infection you have, that means that is the infection present in the wisdom tooth in the form of decay or is it due to inflammation of the gum flap over the wisdom tooth. If it is due to decay in the wisdom tooth, then root canal treatment can be done if other conditions are stable and under control. If it is due to inflammation of the gum flap, then antibiotics and localized cleaning of the gum can help in the resolution of infection. So it is better to once consult an oral surgeon and get evaluated. Hope I have answered your query. Let me know if I can assist you further. ### END