Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a rash on my penus that was very painful. I went to see the doctor three weeks ago and he gave me antibotics and a fungle cream. That did not clear it up, so I went back about a week and a half ago. He gave me an oral anti fungule. Slight improvement but rash still not gone, and there is a white /clear discharge from the head now. What is goin on?? ### REPLY: Hello I share your concernLooking at your description this could be STI or infected ulcer I would like further information to help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the rampart from. This blood sugar fasting and post radial and Blood for CBC and liver function test are also advisable. Maintain good hygiene Wash and clean it with antiseptic solution or soapbox can apply mupirocin ointment externally. Use condom during sex Hope this answers your question please feel free to ask for more clarificationThanks and regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Dr. Dinesh regarding with my chest Xray result Aug.17, 2017. Right upper lung fibrotic lesions and focal costopleural thickening with left upper lung nodulocalcific granuloma noted. TB residuals. year 2012, I already had complete the six months treatment. do i have a chance to work in Amman Jordan? ### REPLY: Thanks for your question on . I can understand your concern. I have gone through the x-ray report you have mentioned. Yoi are having old, healed Scar lesions in both lungs due to previous tuberculosis. Now for work visa in the Jordan, we should need to prove that these lesions are not active, infectious. So consult pulmonologist and get done CT thorax and bronchoscopy. If both these are negative for infection, you can definitely argue with visa authorities. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been getting sharp pain almost like a side stitch on my left side just under my last rib and on the side of my neck, same side at the same time when I breath in.. I went to a doc but they say it s muscle spasm... But I don t believe them... I have had this for 3 days now ### REPLY: Hello, If your symptom is because of muscle pain stretch exercises can be effective. However, it looks like Angina. Angina is the condition when the heart muscles get a reduced supply of blood flow to cause ischemia.  1. The patient may feel tightening(spasm) of the chest, pain or discomfort. 2. Pain/discomfort in the arms, neck or shoulders. 3. Shortness of breath. 4. Nausea & dizziness. Avoid smoking, alcohol or any kind of addiction. If diabetic maintain your blood sugar level to normal, maintain proper weight as per BMI. You are suggested to visit ER, get CBS, Urinalysis, ECG, Echocardiography, X-Ray chest done to rule out any developing CAD, coronary artery disease.  Get treated at the earliest. Your treatment will depend upon the diagnosis made(stable or unstable angina). Avoid taking larger meals, stay away from stress, exercise moderately. You may need medications. Take all medicines under your treating doctor. 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: My wife aged about 50,ht 5.3, wt 62kgs approx colour fair suffering from Mitral valve prolapse last 4years .she is taking following medicine at this time Before breakfast 1 Tab Naxium Nucart 8 M 1Tab after breakfast Calaftin 40 1Tab Zolent 1/2 Tab Ceefakind 250 1Tab After Lunch Calaftin 40 1 Tab After Dinner 1 Tab Califtin 40 Zolent 1 Tab Montral 1Tab Ceefakind250 1 Tab Please suggest me the HomeopatChatDoctoredicine with regard JPRastogi ### REPLY: 1. any family history or history of connective tissue disorder??2. Mitral valve prolapse is the commonest cause of mitral regurgitation which over the period of time (4 in this case) leads to CHF, any signs of swelling in feet/legs and/or shortness of breath on exertion??3. You haven't mentioned the cause/reason of the prolapse neither about any symptoms associated with mitral valve prolapse (till date) any symptoms of syncope, palpitations,dyspnea, numbness or tingling in hands and feet, anxiety??4. Treatment is directed towards preventing CHF and associated complaints:. Low salt diet, restriction of physical activity, fluid restriction, avoidance of caffeine and stimulants, relaxation and stress reduction techniques. Regular echocardiogram and consultation with doctor is recommended.5. Look/watch out for infective endocarditis, CCF,Arrhythmias, Pressure symptoms (difficulty in swallowing, hoarseness of voice) and recurrent respiratory tract infections.6. Ayurveda Decoction Arjunarishta along with Malawi Malayan are ideal and suitable preparations. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have had two bouts of my chest feeling crushed and tight in last 12hrs. first time it lasted only maybe minute and just at center front. had a second experience half hour ago and this time i felt in my back to in same kind of area. i decided to do my pulse whilst this episode went on my pulse was 114 and i was resting. however i am going through crisis of depression and stress. i know its not panic attack as i have suffered from them before. then pain also lasted longer than the first time. it has dropped to 108 now but i am typing?!!! i am 37yrs old ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of uncontrolled stress, anxiety and depression related chest tightness and pain are more. But better to first rule out heart diseases as you are having left sided chest discomfort. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. In my opinion, you should consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic and antidepressant .  Avoid stress and tension, be relaxed and calm. 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: Hello sir .I have very less facial hair.I consulted an endocrinologist and got the testosteron level tested .According to that it was normal.I am 25 now and still lack thick beard and moustache as other men do.can you please suggest me a remedy for this ?? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Bear and mustache depends on two factors one is testosterone and second is hereditary. Some people due to this factor receives late hairs. You are also in same category I think. They receive the late hair growths. But this condition is not abnormal. You can wait for some times to hair to grow. There are some cases where people receive a bear at 30 years. Minoxidil is the antihypertensive .  In some cases alcohol preparation of the minoxidil is tried and has grown some hairs. You can try its topical preparation under your doctors' guidance. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Ma am, I am 31 years old trying for baby. My tsh  .10 last month. i am taking tyronorm 50mcg as suggested by my doctor.My husband too is worried about me. we have being trying for baby for last 9 months. never had any abortion or any serious health issue. Still i am not able to concieve. please help me. ### REPLY: Hi, Thanks for writing to . You will conceive soon. Be stress-free. I would suggest you to get your TSH done once again. Normal TSH range is 0.5-5microIU. You can get your thermoform dosage changed accordingly. As per your last TSH report I.e .10 it is low meaning your thermoform dose is more.  So discuss with your doctor. I would suggest you to get your follicular study done to know you are ovulating or not and timing. This will help you to schedule your intercourse at proper time. I also suggest you to start on ovulation inducing . Thus increasing chances of pregnancy. If 3 cycles are unsuccessful I suggest next to go for GUI.  It is intrauterine ingestion of sperms. Here sperms are washed and processed and placed in uterus.  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: I have had stabbing pains mainly on the left side of my chest but also on my right and on the central upper part of my chest.  They come in waves.  I have had them for more than a month now, and I feel they are getting more painful.  I am a female 68 y old.  Just had a "fine" mammogram ### REPLY: Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weights. Ideally ECG and 2d echo should be done first in your case. If both are normal than no need to worry about heart diseases. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: This is rather awkward, but I am a 1st grade teacher and I have a female student who masturbates most of the day. The counselor and I decided I should tally each time I see her and need to stop her. Today alone, there were 92 instances that I documented. Is there a psychological problem umbrella that this could fall under? My research seems to point me to sensory disorder but parents don t think so. ### REPLY: Hello It is not very common but infants/toddlers or school going child .  This is a behavioral disorder when it occurs excessively, it should be evaluated and management may be needed. Here child do not exactly manipulate the genitalia. It is more common in females. Child can tighten the thigh with thrusting of pelvis. There may be sweating and abnormal breathing with flushing of face, just like what happens during orgasm. The frequency may vary from 2-3 per day to multiple episodes. I would suggest you to counsel the parents about the condition and get her to a pediatrician/psychiatrist for evaluation. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just got a tooth extracted 4 days ago. It was tooth number 15, the top left molar at the back of my mouth, but its really sore even after 4 days. I assumed it was because it was healing, but its just really sore for some reason. i was wondering if a triple antibiotic ointment could be put in the hole where the tooth used to be, to help with either the soreness or speed up the healing process ### REPLY: After tooth extraction you need to follow the instructions as your dentist says ,no spitting for 24hrs, keep the cotton in place for about 20 min, no hot and hard diet, only soft diet, the main intention is to preserve the blood clot formed in empty space so that it will develop a bone in sequence and prevents food collection in extracted site,in some cases the blood clot will not form or it's removed by means of washing your mouth forcefully and sometimes unknown reasons, this leads to food collection in the wound and infection to open wound and bone causes pain, this is the most common causes in your case, and treatment part your dentist is the best to treat the condition,and as a home remedy ,you can follow these,use antiseptic mouth wash, you can use Luke warm water with salt,gargle mouth after each meal,see to that no food is entering in to the wound,local anesthetic gel will help you for time being,take the medicine according to dentist advise ,,, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: just recently maybe a few days ago I noticed a dark red line at the bottom of two of my back teeth.  one of the teeth I had a root canal done several years ago.  I never noticed it until it became sore a few days ago.  the soreness didnt occur until after I found out I was pregnant.  I have a dentist appt. coming up but I would like to know now what it could possibly be. ### REPLY: Hello, Thanks for consulting , Read your query, as you have redness in root canal treated tooth after several years back this can be due to inflammation of gingival or periodontal ligament, may be due to pocket formation in tooth, or due to pregnancy induced. For this you should consult dentist and go for examination, investigation IOWA X-ray of tooth and its treatment Oral prophylaxis, in meantime you can do warm saline rinses. Hope it will help you.  Wishing you good health. 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 90 year old uncle and fallen and fractured the tibia and fibula. He also has advanced prostrate ca which is not being treated. He had surgery on the leg and it is casted . Now I m worried about poor circulation and infection. Is bone cancer a common complication of prostrate cancer? ### REPLY: Thanks for your question on . Prostate cancer can commonly metastasize to bones especially thoracic vertebrae and long bones like femur, tibia, humerus etc. Metastases from prostate causes osteoblastic secondaries in bones. This makes bone weaker. They cause osteoporosis and demineralization of bone. So bones become highly fragile and prone to fracture. Even slightest force can cause fracture. Bone metastases are very common after untreated prostate cancer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 question about pain that comes with crohns  disease . I have had a recent endoscopic, that indicated I have Barretts esophagus and duodenitis  that was inflamed. but have not been diagnosed with Crohns disease. What do I need to help with pain management? Some time the pain is unbearable. ### REPLY: Thank you for your question! Pain in your case is due to duodenitis. It will be burning in nature in the epigastric region. Pain is due to excess amount of gastric acid production and reflux of acid into esophagus due to low esophageal sphincter tone (which help preventing acid reflux into esophagus). Crohn's disease is a different entity. Your pain is not related to Crohn's disease. Take pantoprazole tablets twice daily for 10 days. It gives symptomatic relief. Avoid alcohol, smoking, caffeine and late night dinner. These measures will keep your esophageal sphincter in a good tone. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. Mia i want to get pregnant again after giving birth to my eldest 3years ago..but my menstruation is not irregular since i gave birth to my eldest..i will not menstruate monthly if i will not take provera which ,my ob prescribe..what i should take to get pregnant again? thanks ### REPLY: Hi, Your irregular period could be due to hormonal imbalance, POD, thyroid dysfunction, and endometriosis. I would suggest you to consult a gynecologist and undergo reproductive and thyroid hormone analysis, USG scan, ovarian follicle study for better management. You can use proverb for 5 to 6 months in second half of period to regularize period. Metformin can be useful for ovarian dysfunction.  .  Take these medication under advise of a gynecologist. Avoid 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: I am a Heart patient , Angioplasty done in  november 2012, taking deplatt A 150, Rosuvastatin Calcium 10 after dinner and Hopace 2.5 in the morning. My problem is i due to minor,  physical work at times shortness of breathing and dizziness, Is it side effect of medicines or do I have bronchial problem  ?Kamal , Greater Noida ### REPLY: Dear- first, you need to have a cardiac evaluation with an echocardiogram to find the function of the heart. Your symptoms could be secondary to congestive heart failure which needs to be diagnosed and treated. You had an angioplasty and your coronaries may have signs of obstruction.  I will recommend having a CXR to see the lungs and evaluate possibility of Congestive heart failure vs bronchial problems. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am going through some mental problems right now I was diagnosed with ADHD when I was younger and its getting to me now that Im older Im really confused cant concentrate also have back problems I think Im depressed I want a doctor to take me serious and wanna get prescribed adderall or vyvanse because they really help what do i do is there anyway you could point me in the right direction with the doctor around my area Wilkes Barre Pennsylvania thank you I appreciate the help ### REPLY: Degree understand your concerns went through your details. I can understand your concerns. Were you diagnosed for ADHD prior? If yes, psychiatrist will prescribe after assessing you.  The following doctors should be able to help you.1. Saxon Psychiatric Services, 480 Pierce St Ste 212Kingston, PA 187042.  Darrell Kristine MD, 562 Wyoming Ave Kingston, PA 187043.  Genaro Anthony T MD, 149 Dana St Wilkes Barre, PA 18702Please be as detailed as possible and don't exaggerate. Work with psychiatrists. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. 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: mine month old, protein A allergy,flu now hospitalized,sugar was high now normal,potassium high now and acid levels in stomach doctor just told daughter had hep c and polio 3 days prior they say viral flu 7 too 10 days holding no liquids in either way " Is there another possible diagnoses " ?? ### 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. No, these are not typical signs of hepatitis B and you should see endocrinologist for further evaluation since this may be sign of hormonal imbalance. Hepatitis can be easily ruled out by doing viral markers. I hope I have answered you query. If you have any further questions you can contact us in every time. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey I have theses spots on my penis. They re red and inside that red they have a really dark red spot. Some of Them hurt some Don t. No itch just a little pain. I went to doctor yesterday but they have no Idea what they are. They sent out testing but I gotta wait 3 days for that :/ ### REPLY: Hello, Welcome to  .com, Red spots over penis with pain are suggestive of having an infective lesion on your penis, most likely it is a genital herpetic lesion. Genital herpes is caused by herpes simplex virus, spread by urogenital route. Genital herpes is characterized by red lesions, painful erosion, vesicles present over genital regions specially over the mucus membranes. Associated with painful micturition, painful coitus. Diagnosis can be confirmed by ELISA to detect the viral antigen. Treatment involves antiviral medication such as acyclovir for 5-7 days. Chances of recurrence are high, precautions involves maintaining genital hygiene, avoiding unprotected sexual practices. I would suggest you to seek an opinion from meteorologist as well before starting treatment. 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: alright I fell off of my speeding horse uh two days ago and I landed flat on my back hes very tall horse so I was at least 10 feet up.I was taken to the emergency room where they x rayed my spine, and my neck. Luckily, I was wearing. Three days later and you can still see the black imprint of every vertebra of my spine in my back. My lower back is still sore. What is prognosis do you have for me and what should I be doing for this other than resting. And how long should I rest? How long before I can ride again? ### REPLY: Hi, You had diffuse backbone injury following fall. Soreness will be there for a week. Meantime painkillers and muscle relaxants will alleviate your symptoms. You need MRI Spine to know exact damage following injury. Treatment further to be planned based on it. Consult Neurologist/Neurosurgeon/Orthopedic for same. Take rest for a week. Wishing for a quick and complete recovery. 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: removed wisdom tooth 20 days ago, the hole is still bleeding I did a sugrical wisdom tooth 20 days ago. but the hole seemed that not very well. everyday I wake up, I can a little bit fresh blood in the hole. I take Clindamycin now, but it does not work for me. I don t know why it is still bleeding after 20days!!!??? ### REPLY: Hellobleeding at the site of extraction after 20 days is probably due to secondary infection where granulation tissue bleed spontaneously the secondary infection in most of the cases is due to lack of proper oral hygiene maintenance and infrequency in Luke warm saline rinses so what I would suggest is that you pay a visit to your dentist who will do a curettage of the socket and clean the socket with saline and Betadine and give Zoe .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Okay, well my name is Logan and I just found out today after football practice that my mom has breast cancer. Im terribly worried for her and have no idea what to do. How much of a chance is there for my mom to live? I dont know what I would do if she passed away! Please tell me everything about breast cancer so I can kind of know whats going on! Thank you! ### REPLY: Thanks for your question on . I can understand your situation and problem. First no need to worry much for your mother. Breast cancer if detected early is having excellent prognosis and near normal future life. First consult oncologist and determine the stage of her breast cancer. For this she needs PET scan. There are four stages of breast cancer. Stage 1 and 2 needs surgery (mastectomy) and post-operative chemotherapy and radiotherapy. Stage 3-4 needs chemotherapy and radiotherapy with subsequent debunking surgery. So treatment options are many in breast cancer but first determine the stage of cancer. Consult oncologist and discuss all these. Hope I have solved your query. Wishing good health to your mother. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...hey I m scared because my throat has been bothering me for about a year I m pregnant 6 months but before then I had night sweats cold and flu symptoms 6 weeks after my boyfriend cheated on me headaches rashes on my legs sides of face and arms 1 swollen lymph node under my chin scaly rashes on my breast and now I just got tested it was negative but I m still having an irritated throat and a little blood in my mucus and rashes under my breast ui have frequent yiest infections and I m scared ### REPLY: Hallow Dear, Please get confirmed from the Obstetrician or an ENT surgeon whether you are having throat infection or this is a complication of the rash you had, probably due to viral infection. Bacterial throat infection will have to be treated by some antibiotics. However, during pregnancy, certain antibiotics like Tetracycline are not advised due to their teratogenicity. Hence, take antibiotics only with the advice of Obstetrician. In addition, avoid cold and chilled food or .  Hot gargles with salt water or Listerine solution will help you. Half teaspoonful of turmeric powder and 2 SF of sugar in a glassful of hot water will help bring down the infection. Ignoring the infection may spread in the body through blood. It may be harmful to the baby also. I hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,Everytime i go to sleep,night or day, i am almost immediately awoken by a heaviness on my chest and an intense choking feeling in my throat,i have not been able to sleep for almost 2 weeks, my doctor is struggling to find out what is wrong, i also have a fast pulse,resting usually about 80 and about 113 when moving about,i had an echogram a year ago and nothing worng, and have had 3 ecgs recently, all to no avail, do you have any ideas what could be wrong? ### REPLY: Thanks for your question on . I can understand your concern. You are having characteristic symptoms of chest heaviness and choking especially in night in supine position. These are seen with 1. Congestive heart failure 2. Sleep apnea. You are not having recent 2d echo, so better to first get done 2d echo and stress test time rule out heart failure and coronary artery disease (CAD). Also get done sleep study to confirm sleep apnea. If you are obese then lose weight and stay fit and healthy. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 35 year old and i have been diagnosed with Fibrolipoma/lipoma on my left breast. prominent duct seen in retroareolar quadrant of left breast. Now i would like to know how dangerous is this and is there any chance of cancer occurence in future as my mother caught with breast cancer diseases. ### REPLY: Hello Breast lipoma rarely undergo malignant transformation and these lesions are not associated with increased risk of developing breast cancer. Lipomas are mostly asymptomatic and coincidentally noticed on routine mammography however some patients may present with a painless palpable breast lump. Mostly it doesn't require any treatment, but enlargement of lipoma is an indication for biopsy. Get well soon. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I hurt my knuckle on tuesday. It was very stiff and sore at first but after some ice that initial pain died down. Now however there is a pain there when I clench my fist or indeed touch the knuckle. I am just wondering if it sounds broken sprained etc and should I get it checked? ### REPLY: Hello, What I understand by your history is you have hurt the knuckles, and you used ice for avoiding swelling and reducing pain. Which is the good part you did. I appreciate you for this. Now since the pain has not come down, on a safer side I will advise you to take the X-ray which is always good to take for safety purpose. In case any fracture is noticed than casting might be done. In case there is no fracture and just a bone hurt then you should try this treatment. Dip the hand in hot water for few minutes and then slowly do finger flexion and extension along with wrist flexion and extension. Also, you may need to use the creep bandage for some days to avoid much muscular strain which can increase pain You should recover in 2 weeks of time maximum. Hope I have answered your query. Let me know if I can assist you further.  Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my baby is 22 months old he got fever for 7 days continuiosly then a widal test was done it showed she was o:180 and h: 1:80 a negative b negetive doc prescribed zo 50 for two weeks after that we came back to our home town and went to her regular doc hesaid there are no traces of typhond asked to do a blood test done we got that done and report says negative now doctor askd to discontinue zo 50 my question is the 2nd blood test was done wen she was on zo is that the reason the second reportcameas negative ? and should i discontinue zo50? my baby s weight is 11.2 kg and she is still gettinver in 12 hours duration .. fever is around 100--101 ### REPLY: Hi madam, The Tidal test is unreliable but is widely used because of its low cost. But is not specific and false positives may occur. Acute- and convalescent-phase liters are more sensitive than a single serum sample. The diagnosis is based on clinical picture, blood / bone marrow cultures. If you are living in area which is epidemic in typhoid infections, and no other diagnosis is possible by physical exam and history and blood and bone marrow cultures are not available I suggest starting on injectable 3rd generation Cephalosporin instead of ofloxacin (zo50) because typhoid has resistance to this antibiotic, keeping in mind that fever may remain 3-5 days even during the treatment. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my age is 19,height 53 and i didnt do sex but in my vagina i feel something like cervical cancer.what should i do?and my flow of period has become very slow.before i had period for 5 to 6 days.but now i am having it for 3 days.day by day its becoming very slow.what should i do? ### REPLY: Hi, Thanks for writing in. Symptoms of cervical cancer may include:(i) Bleeding from the vagina that is not normal, such as bleeding between menstrual periods, after sex, or after menopause.(ii) Pain in the lower belly or pelvis.(iii) Pain during sex in those who are sexually active(iv) Vaginal discharge that is abnormalHowever your symptoms might be more closely related to hormonal imbalance than cancer. This is a common occurrence in most women at your age, and it does not sound like cancer. It is suggested to consult your doctor and take treatment. 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: My blood pressure tends to be on the lower side, but I feel blood pounding in my face. I suffer from chronic tension headaches, but can have the pounding even when I don t have the headache. I recently was diagnosed with multiple levels of arthritis in my neck, could blood flow be comprised due to this? ### REPLY: Hello, Your low blood pressure and pounding problem has nothing to do with your arthritis at neck region. Arthritis can restrict your movement at your neck, it can lead to radiation of pain at your arms or at legs (If there is compression of nerves due to bones). Such type of headaches which arises due to arthritis of neck are labelled as cervicogenic headaches. These headaches arise after pain at neck & do not trigger generally with emotional stress. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello,wanted to ask that my baby is 3 months old n he has not passed stool from since last 3 days ,today hepassed little bit but  with lots of force n blood also came old ,still some stool left,m very worried ca u pls suggest me that what can i do/??/ ### REPLY: Welcome to the ChatDoctorI understand your concerns but don't worry.  Infants can have wide variation in poops in terms of frequency, consistency and color. It's not recommended to treat an infant not passing stools up to a week unless and until he has any other associated symptoms such as refusal to feeds, vomiting, abdominal distension etc. But since your baby has hard stools and has marked difficulty in passing stools along with blood stains, I would recommend you to use per rectal glycerin suppository to help it. Glycerin works by osmotic effects. Do not use it more than once a day. Also, try to establish exclusive breastfeeding as it has fewer chances of constipation in baby. If on formula feeds, mix it in a proper proportion. Give regular feeds to avoid deny . Hopefully this will help you. I would be happy to help you out in any future health related questions. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend has had a defib and pacemaker fitted, has a bad back problem and is overweight. My concern is he smokes a lot of pot (for the pain) , and says that his cardiologist said it was fine . he recently had bad palpitations and was taken to hospital. I m not sure he told them how much pot he smokes. Could the pot be a problem and should he continue.? ### REPLY: Hi dear cannabis, nicotine are by itself one of the most important cause of palpitations smoking is the sole risk factor for most of the cardiac diseases, keep all risk factor on one side and smoking(nicotine) on one ....they are equal smoking cannabis should be stopped as soon as possible he already had a defibrillator in his heart, any palpitation from tachycardia to a fib can be precipitated because of smoking so my answer to stop smoking as soon as possible try to ado[pt a healthy life styled 45 minutes of exercise daily and follow methinks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, may I answer your health queries right now ?  Please type your query here...I have 2 years and 3 months of my marrid life, but stil i am unable to concive, i had wisdom tooth pain 5 years back. And i have root canal treatment from my dentist. But stil hav big pain in tooth after eating suger spaicly, is my infertelity related to this pain bcz according to my docter i have everything normal, plz must answer me i am much worried ### REPLY: Hi welcome to . I have gone through your question. You had operated for wisdom teeth 5 year back and still having pain, so you should consult dentist for the same. For infertility your reports are normal. But you did not mention your husband s report. I would advise doing semen analysis to rule out any abnormality and ultrasound of scrotum for varicocele. Hope I answered your question. Would be happy to help 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: My daughter is 4 months pregnant. Baby due Feb 15. She just called me and she is having some sharp pains uncomfortable pains more on the left side. She is uncomfortable. Is it possible this is her gallbladder and is there really anything they can do. She told me that she called her drs. office Thursday or Friday and they said it was possibly a stomach virus. She is crying and when she tries to lay down she gets nauseated. Should she go to emergency room or wait until morning to call dr. office. She has a 2 year old at home and her husband is a fireman and he is on his 24 hrs. at the station. ### REPLY: Hello, and I hope I can help you today. It is doubtful that your daughters symptoms are due to a gallbladder problem, since the gallbladder is on the right side of the upper abdomen, and usually the gallbladder only feels pain after eating.However, there are many other causes of left abdominal pain, such as gastritis, a stomach flu, kidney stones... And if it is lower abdominal pain, it can be related to the uterus or ovaries.  Her anxiety about the situation probably is also contributing to the problem. So if your daughter is in so much distress she should call her doctor.  There is someone on duty for emergencies even at night for most OB practices.  Her doctor can make a recommendation of whether to go to the emergency room or come in for a doctor's appointment. Either way, as this problem has been going on for a few days, she absolutely should be seen by a doctor soon to make a diagnosis. I hope this answer and my advice was helpful. Best wishes to your daughter for the rest of her pregnancy,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pinched at work by a crate and it left a blister. I do not like blisters so i popped it. it scabbed over and turned into something almost like a bruise. A few months later it blistered again. I repeated the steps of popping it, scabbing, than bruise. Now it looks like a large bruise on the inside of my right lower part of my arm near the elbow joint. It will itch and when it does it get red and inflamed but when its calm it looks like a bruise. i have three identical marks on my lower legs. two on my right and one my left. I ve been to two different doctors and they both told me two different things. I tried the steroid cream and fungal cream they gave me and none of them has worked. Ive had this for almost a year now, can anyone help please? F.Y.I.: its always in a perfect circle! ### REPLY: Thanks for posting your query to . Aas I understand it could be because of some kind of allergy or fungal infection. Both condition leads to prolong duration of complaint. I suggest you to contact dermatologist and undergo skin scrapping examination for fungus. If fungal etiology is confirmed then start treatment. Steroid is helpful in relieving local inflammation and give symptomatic remain but having many adverse effects so don't use steroid without guidance of clinician. Hope it 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: I m having lower abdominal pain. The location is on the right, ditectly above my pelvic bone. No nasuea, no vomiting, no fever, missed period by 11 days, and pregnancy test negative. When i stand or walk the pain is severe, and raidiates up the right side of my body. I do have a history of cyists on my right ovary and right kidney. My entire abdomen is also swollen. Bowel movements are normal but I m gassy. Please let me know if this situation is serious enough to take myself to the emergency room. I have the young children that rely in me to provide for them. I m 28 years old. Just in case that info is needed also. ### REPLY: It is better to visit an ER than to say sorry. You may have one of the following problems:Appendicitis Torsion testisTubal pregnancy TO mass to name a few. IT is better to visit ER get an ultrasonography and blood, urine and stool tests done. They will start you on antibiotics and advise continuing medical treatment i s there e is nothing surgical. You can then certainly be with the young child .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was recently advised to changeover from Urimax 0.4 mg to Urimax-D along with Himalaya s Himplasia bpd. Since then I have been continously having mouth ulcers & dental infections. Is there any connection ? I am 66 years old and take Revelol Am 25/5 one per day. ### REPLY: Hello, There is no such side effects of Climaxed. Mouth ulcers and dental infections are commonly caused by poor hygiene. Vitamin B12 and iron deficiency. You are suggested to get clinically assessed by a dentist and get treated at the earliest. In the meantime, take Vitamin B12 and use mouth wash after every meal. You are suggested to maintain good oral hygiene. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 66 years old . I have been having problems with elevated WBC count for the last 9 months. Recently I have been feeling very tired and am having a fever with night sweats for the past 5 nights. No appetite also. Generally in great health with no medical history and no medications. Could this be symptoms of serious? ### REPLY: Hello and welcome to , A history of high white blood cell count along with tiredness, fever and night sweats is very much suggestive of leukemia or blood cancer. However, a couple of investigations are required before leukemia can be confirmed or ruled out. A complete hologram with peripheral blood smear examination are the first line investigations. Leukemia if present will be detected.Thereafter, bone marrow examination can be planned and thus management. 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: My left testicle has been sore for the last 24 hours. Ive also had weird feelings in my lower stomic and back. It doesnt hurt to urinate. I have taken aspirin and have put a cold pack down there to relieve the pain. I do play hockey and I was thinking that maybe I hit it some how and didnt realized it? I dont know. I have also noticed my sperm is greenish yellow. Ive had the same sexual partner for the last year and a half. Please help. ### REPLY: Hi, Considering the color, abdominal pain it can be urinary tract infection. Still, we can't exclude Sexually Transmitted infection (STI). You gave the history of sex. If it is unprotected sex we can think of STI and run a panel of STI investigation. Also, need to do urine culture sensitivity to rule out urinary tract infection. A pelvic ultrasound will help you diagnose the prostate related issue. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am diagnosed as tphoid woth type o 1:40 is this high or low typhoid ? the doctor gave injections five times each with metrogyl and now asked me to continue with azithro mycin is it a good treatment but now i am getting motion thrice aday is it a problem wat to do? ### REPLY: Thanks for your query at !In my opinion your titles do not show that you have typhoid. To make diagnosis of typhoid by Tidal test at least your title must be more than "O">100. So I suggest you get complete mammogram, blood culture, Tidal test (To see rise in title), Malaria test done. Kindly describe your queries so that I can guide. Azithromycin is good option for Typhoid fever. Sometimes patient get diarrhea while on antibiotics. If you are improving no need to worry. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father underwent a temporary dialysis to remove excess water from the body,his serum creatinine level increased from 0.7 to 4.3 and now after stopping dialysis it has reduced to 2.0 ,he is taking taxim o 200mg for past 2 weeks, and is having nausea ,vomiting,abdominal pain....please suggest ### REPLY: Hi. Thanks for your query and an elucidated history. It looks that the symptoms of nausea, vomiting, abdominal pain indicate that your Father is suffering from severe form of Gastroenteritis and the Maximo is not working well. This has lead to the renal failure. It is good that the dialysis has helped him to get down the creatinine. Be under their treatment and I hope by this time he must have been well investigated to get an appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Slowly my blood pressure is rising trend since last 2 years. Now it is 148/100 and I did heart check doctor said health is in good condition. He prescribe a medicine for a month to reduce BP. Do I need to take life long if I took those for a month? My cholestrol is 200 LDL 160 HDL 37 Please guide me. Do I need to worry at this stage? ### REPLY: Hello welcome to . You have got high blood pressure and hence your doctor has started you on medications for the same. BP medications are usually to be taken for a long term duration. The dose may be lowered or increased according to the BP. If your BP control is good, then the dose can be decreased. But most patients need it for a long term duration. Since you are newly diagnosed, you can start with diet, lifestyle modifications and daily exercise along with the medication. If your BP is well controlled a trial off medications can be given. Your LDL cholesterol also is higher, and you should also be started on cholesterol lowering medications like statins. Wishing you good health. 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, over the past few months I have found my moods swings becoming quite a problem which has effected my home life and impacts on my wife/son. I can become very short tempered and the samllest things piss me off. I have been suffering with headaches quite a lot recently and this weekend I have hit a real low. During a night out with friends on Saturday I  became real low and found myself staring into space in the garden for half an hour having bad thoughts. I went to bed got up fine but then dipped again and slept all afternoon, got up for a few hours and the slept all nigt again. Since going out that night I have electric shock feelings accross my chest, stomach and sides. I am pretty scared what is happening to me. What  should I do please? ### REPLY: Hi, I went through your query and from what you have mentioned, it seems that your having symptoms of depression. Feeling low, getting irritable, headache, feeling lethargic are all symptoms of depression. In addition, the shock like sensations that you are experiencing might be due to underlying anxiety. You should consult a psychiatrist and initiate treatment. Ant-depressants like Escitalopram or sertraline would be highly beneficial for you. You should also consider exercising daily as it will help you relax and feel better. I do hope that I was able to answer your query. Best wishes for a speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have for the past year been asking my dr for help with dizziness. Recently as  a month ago it changed to a lightheadedness it has not gone a way. My doctor say its from stress yet does no further testing yet I am at the point of can function or do a thing I lay down I get lightheaded thirsty feels like a fever head hurts neck hurts off and on. I cant do nothing plan nothing or go no wheres my dr to me is blowing me off my heart has been hurting off and  on I dont believe its aniety any longer I think its heart brain getting lack of oxogine . All the test come back wonderful but they refuse to do anything when I run to the office during one of these attacks. How do I get my dr to realize its more then just stress its debilitateing . Can anixty last for a month none stop for three weeks. If so if not treated cant that cause problems and my dr ignoring me like Im a hypocongeract ### REPLY: Degree understand your concerns As all the test results came wonderfully positive, there is nothing to worry about your physical health. But mental health is equally important. Your stress and anxiety level needs to be watched. Write down all the activities you do every day. Write down when the dizziness comes and when it goes. Try some relaxation techniques such as meditation. Do regular exercises which makes you sweat. Practice time management techniques. Learn to be happy always. For further advice consult a psychologist. Wish you speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor i undergoes self sex (masterbat) for last 7 year. Almost 3times a weak. My temperment of my pennis is reduced while i goto normal sex and i need to sex fast to make sperm out. Now next year i goto marry bit scary. How to over come from this? Is there any food or medic to help my problem? ### REPLY: HelloThanks for your query. You had been indulged in masturbation since many and now facing problems related to sexual activities.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Please get yourself engaged in social activities, sports , reading etc. so that you will not get free time to masturbate. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 32 years old,one year back i got semen analysis 50% motile,10% progressive motile,count 20 million,morphology 6%..after taking hucog 5000 injection every week it improved.now it is 40 million 90% progressive how long i can take..it does have any side effects..2.we are going for iui treatment and i am collecting sample at home and giving them( the process is 15min)is it ok...please suggest ### REPLY: HELLO LUCKY, I don't think you have to take those hormonal injections anymore since you are using them since long. I don't suppose your previous report was very bad, because the sperm profiles vary in a particular individual, and it is very difficult to comment on one single report. But the reports now are very good, what I can say. If you are smoking or using alcohol, please quit them, because they directly affect the sperm profile. Yah it's fine if you are collecting and providing the sample within 15 mins, but please Cary them n a clean airtight container and in your upper shirt pocket (close to your body temp ) and deposit early as you are doing it now. 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: About 3 weeks ago I I decided to use baby oil as lubricant while masterbating, I assumed it would be safe. A couple days later I noticed there was 2 red patches on each side of the shaft, both itchy and kind of swollen. I havent put anything on the areas to treat them, because Im unsure what is safe and usafe for whatever it is I have. Im still washing it in the shower evryday and keeping the proper hygiene just to see if it goes way itself, but no luck yet. I do have some 1% hydrocortisone cream but would like to get an expert opinion on what should be used in this case. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Baby oil in masturbation never cause infections. It will be some unhygienic condition that makes you infected. Second thing never apply steroid cream without any obvious reason. Because steroid can decrease the infections, but it will increase gradually thereafter. I advise you should take the Azithromycin tablet 500 mg for three days. This will cure all the infections. Please avoid masturbation during the treatment period. Please maintain good local hygiene. This will help cure the infections. Continue washing the shaft with clean water. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 19 year old daughter came home from work early, thought she d eaten something bad because of severe stomach upset & nausea . 3 hours later, had watery brown diarrhea , then puked once, got normal amount, but black-purple vomit . I saw some tarry black on the tissue when she blew her nose after. Now, she says the stomach pain is as bad or worse than she s ever had. ### REPLY: Hi welcome to  forum.  Thanks for choosing . F.  As you describe your 19-year daughter had stomach pain, watery brown diarrhea, black purple vomit, When she blows tarry black on the tissue.  The description suggests that there is heavy infection in the intestines, with probable blood losing in intestines, it happens when there is much cramping or more infection. Nasal discharge this coloration is secondary to the regurgitation of the black vomit.  If the infection is controlled effectively every thing will be cleared. So I advise you to consult a physician for diagnosis and treatment.  Wishing for a quick recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir,i have 10 months baby. she had upper respiratory tract. she took medicine for 10 days. now she is alright. but her forehead is always being worm. body temperature up down all the time. it is 100 f. when we told this to our doctor. he prescribed to cbc test for her. we think this is her teething period also. what should i do? ### REPLY: Hi. Welcome to  . As per your complaint mild fever can occur during teething that is generally due to the tendency of the toddler to take anything in mouth to bite on as they have itchy and sore gums and needs to gratify themselves. It leads to infections and can cause mild fever. But in case if the fever is persistent then it is not due to teethe bit some other causes and as your baby already had upper respiratory tract infection, it is indicating towards viral infection and not just teething. Getting a CBC done will help in ruling out the exact cause of fever and can be treated accordingly. As of now you can give her Acetaminophen in syrup form to reduce fever. Also get him clean and sterilized teething rings if she urges biting on and do not let her put anything else in her mouth not even her fingers. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I randomly get a tight feeling in my chest and it feels like I cant breathe, it only lasts for a few seconds then goes away but sometimes happens a few times within a couple of minutes, it has been happening for a few months but it went away for a month or 2, but now its back and it is happening more often it seems ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out coronary artery disease (CAD) for your random chest tightness. So get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. 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: i am a diabetic for the last 20 years. Now i have pricking like pain in toe og leg causing sleepless nights for the next two consecutive days after which the pain slowly disappears. this happens every month. kindly let me know what is the cause, which triggers it, is it permanently possile to prevent this pain by taking medicine or by other means.s.bhavanisankar, india. ### REPLY: Hi, according to your description it feels like you are either suffering from diabetic peripheral neuropathy, or peripheral vascular disease[PVD]. Considering you are a diabetic for 2 yrs you are more pron to both of above. For diabetic neuropathy proffer control of diabetic is important As well to relive your pain there are medicines which will helps you. For PVD there are surgical interventions and to confirm this you may need to see a radiologist and undergo arterial duplex scan of lower limbs followed by vascular surgical opinions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 17 and I have found out that I have sciatica. My pain isnt so bad, I can still walk, and sleep, and occasionally jog but j cant do too much or I have a lot of pain. I stretch and everything. The doctor at the Urgent Care told me that it goes and comes again, but that when I get better I will be as good as new. My pain is still there, and it occasionally bothers me but I try to ignore it. Is it true? Will this ever go away? ### REPLY: Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. If there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive pain in my left knee which only hurts when i do squats or climb upstairs or downstairs in two steps.Otherwise I have no pain in walking or running.I had no injury or possible known physical damage that could lead me to this condition, what possibly is wrong with me ? ### REPLY: Hello, What I can infer from your complaints is you have got mild degeneration of the patellofemoral joint. It is a joint involving the knee cap. Activities like squatting and climbing up the stairs usually result in aggravation of pain. I would suggest you physiotherapy sessions with muscle strengthening exercises and stretching exercises. Also, it would be beneficial to avoid squatting and climbing stairs if possible. 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 dr. I am 25 yrs old and married last one yr. Till i dont have conceieve. My husband age is 33. Last two months we have to treatment for us. Doctors said we have not any problem and My health and eggs also have good. But i dont know why i am not having. ### REPLY: Hi there,1 in 6 couples fail to conceive after 1 year of marriage and trying to conceive and need help. Could you please tell me what type of treatment are you taking for the same? Also, I would like to know what tests have you undergone up till now. As an initial part of investigating for infertility we need to get semen analysis of the partner and your pelvic ultrasound and hormone levels checked. Also, we need to make sure you do not have Thyroid or Prolactin issues. Have all these tests been done already or are you yet to get them. Also, I would like to know if you have regular periods or no?Also, would advise you to take Folic acid 400 micrograms while trying to conceive as this helps in proper development of the baby. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 28weeks pregnant .i am diagnosed having GDM.i am on insulin A week ago i had a vaginal discharge with a bloody tinge. I am also taking dupastone b.d. i was put on clingen forte .only once i used that but still some bloody discharge is there but minimal .what should i do for it ### REPLY: Hi, Thanks for your question. After going through your question, I can understand your concern. I would like to know your current blood sugar control. For better blood sugar control I will advise you -1) Discuss your diet with dietitian. You should take 3 major meals and 3 snacks distributed not less than 2 hrs and not more than 4 hrs apart. Starvation should be avoided in pregnancy.2) Continue exercise as you are doing currently (30 - 40-min walk), avoid vigorous exercise or efforts to lose weight. Weight loss in pregnancy is not recommended.3) Frequent blood sugar monitoring with using glucometer at home as follows- - Fasting (Before breakfast) - 2 Hours after breakfast.  - Before lunch.  - 2 hours after lunch.  - Before Dinner.  - 2 hours after dinner. It is usually advisable to do as much as readings possible from all above readings daily.Otherwise, at least 2 or 3 reading should be done daily. If required additional readings should be done in case there are symptoms of low blood sugar (hypoglycemia), in that case you should also note down date and time of incidence any change in meal pattern, increased physical activity on that particular day.  According to your blood sugar level chart your physician can adjust the dosage, frequency and type of insulin, if needed.  - Insulin is preferred over oral medications for diabetes in pregnancy. Regarding your bloody discharge-1) You should follow advise of your obstetrician.2) Keep using Capstone and Clinger forte as advised.3) There is need for close fetal monitoring. Hope this helps you, if so do vote as helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been under treatment for hypertension for the last 10 years. In October, 2013 the medicines changed and I was prescribed Eritel 40 CH in the morning and Selomax 50/5 in the evening. On testing, my creatinine level increased to 1.9. I Consulted my Doctor. He cancelled Eritel CH 40 and prescribed Selomax 50/5 in the morning. Then I was referredto Nephrology department. The Doctoro in Nephrology prescribed Dytor 10 in additioin to Selomax 50/5. I have been checking the creatinine level. It stays between 1.5 to 1.7 till date. Kindly advise the medicatioin is correct and whether the kidney function is normal. In October, 2013 Ultra Sound Scan of abdomen was also done, the result of which shows the kidneys as normal. ### REPLY: Dear sir/madam, long-standing uncontrolled hypertension can lead to microvascular changes in blood vessels supplying kidney and damage the filtering structures of kidney leading to protein leakage and fluctuation in kidney functioning which in turn affects creatinine level. Ideally blood pressure should be adequately controlled. Salt should be restricted in diet.  .  Diuretics (actor) should be cautiously used along with monitoring creatinine. Yes actor helps in reducing BP but in turn can worsen renal function. So monitor creatinine when on diuretics. Selma is good  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: About a month ago, my feet started getting numb, and tingling I had blood work done two month s ago and found nothing, I weigh 97 lbs. and am a smoker and a 6 year cancer survivor. I had Lipo sarcoma . I have 1 kidney, they removed my spleen , part of my stomach colon, and pancreas. What s wrong with me. Thank you Ada Diaz ### REPLY: Hello, The most common causes of numbness and tingling in feet is due to diabetic peripheral neuropathy, alcoholic neuropathy, hypothyroidism,lack of IT B 12,lack of calcium etc. You must get yourself investigated for the above-mentioned causes. The treatment would depend upon finding the cause and treating it, along with injections of IT B 12 for few days. Since part of stomach and colon has been removed, then most likely the cause is deficiency of essential vitamins and minerals. 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: Since Friday I have had a chesty cough, fever, aching, feel sick one minute and starving the next, getting stabby pains in my hands and feet and headache. I have also lost my voice. I have only had a couple of slices of toast since Saturday and am getting worried that I am not feeling any better.I have been taking Benylin cold and flu capsules which are paracetomol based and also ibuprofen.I had a hysterectomy 10 weeks ago but wouldnt have thought there was a connection.I would be grateful for any advice you can give. ### REPLY: Hello dear, welcome to .come have evaluated your query thoroughly.* This is in relation with lower respiratory tract infection with systemic manifestations.* Guidelines for better recovery-Gargles with salted lukewarm water added peppermint oil 3 times a day- . - Consume soft, light diet with avoidance of oily, spicy, chilled beverages excess sugar.- No smoking or alcohol if using.- Regular walking in fresh air, exercises, YOGA will support great.- Further antibiotic assistance with your doctor. Hope this will help you for sure. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I swallowed what I think was a chicken bone today. I could feel it in my throat and swallowed bread to push it down. I ate dinner tonight without any problems, but now I can feel discomfort in my chest. More so when I lay down. Is it possible that the bone is in my chest? ### REPLY: Hello, I have gone through your query. Thanks for using . Your sensation if discomfort is mostly due to friction and ulceration caused by bone to food pipe, most time such sensation lasts for few days. Since now you are able to swallow without feeling of obstruction sticking of bone is less likely.However, if your symptoms are persistent you should consult a gastroenterologist for endoscopy.my 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: My sister was operated yesterday. She was diagnosed with hodgkins lymphoma and lupus. she was really jolly yesterday, until she started feeling major headaches onthe right side. She told my mom she would die and soon after she started having a seizure. she was transferred to the intens care and later had an operation bc she had an hemorrhage. Docs said all went fine, and that she will be sedated for 5 days, can you please tell me if there are any future risks for her? (sorry for bad eng and abrev. Xbox user in Portugal) ### REPLY: Hello, Thanks for the query to . Forum. Hodgkins lymphoma since diagnosed and there are hemorrhages in brain after surgery. If hemorrhage in brain is minor she will regain consciousness soon, so need not worry as treatment is continued. Your query is that, if there is any further risk? Patients with localized disease are cured more than 95%,so need not worry. Treatment after Chemotherapy is radiotherapy, and please note one even in relapsed case of Hodgkin's disease cure rare is very high. (prognosis very good). Hope I have answered your question. If any further question I will be happy to help. Wish you good luck for your sister. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: methods to control esnophils in the human body. I am suffering from cold and cough very often. In particular it is severe in the winter seasons. Doctors said that the percentage of isonophels are high in my blood.Kindly suggest me the remedy to overcome the problem.My e-mail id :  YYYY@YYYY Thanks & regardsY.J.Reddy ### REPLY: Hi, Thanks for asking. Looking at the history and laboratory findings, I am of the opinion that it is due to allergy. Allergy causes increase in eosinophils, and you need to identify the allergen. Serum IGE level estimation might help. Also, you can get a skin test to check for specific allergenTreatment involves avoidance of allergen to reduce eosinophils levels. In present scenario, you can take antihistamines. You need to identify and avoid allergen for cure. If you have 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 was in a hot tub for about 45 minutes.  When I got out I had hives from my midsection to my feet.  My throat started to close up - scary but didnt affect my breathing.  Felt like cold-induced asthma which I occasionally get when I exercise in the cold.   Im a 61 yr old woman in excellent health.   Normal breathing resumed in about 20 minutes, hives are mostly gone, but a few remain.   Whats up with that?  Might it be the chemicals in the hot tub?  Thanks. ### REPLY: Hello, Welcome to , You may be having allergy to the detergents you used in the tub, that why the hives are predominately over the immersed part of the body. As your symptoms are coming down nothing to worry. But you should be careful regarding this in the future, identify the chemical responsible for the hives and try to avoid that. All the symptoms which you had been the classical effects of allergic reaction. 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: Reply Dear Sir I have a organs problem, My question is dos not about Semen analysis report, My question is if the analysis report is fine and my six is too low/weak. my organs is very weak, What should I do in this situation.???? tell me about this situation i m fine..? Or do I need treatment.?? ### REPLY: Thanks for contacting ChatDoctorYou are concerned about having poor erections. This is called erectile dysfunction and could have numerous causes including low testosterone levels. I recommend that you see a doctor and get a full blood work up and testosterone levels. If they are all normal then I recommend you start taking Viagra or Calls. These medications help improve erections and improve your sex life. Hope this answers your question. Please contact us again with your health care concerns and questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 37yr old female with no relevant medical history. I pulled a bed rail up and felt a very sharp pain in my lower back. I ve had this pain for over a year and have since experienced referred pain in my hips. I take naproxen and cocodamol regularly but this isn t helping. I ve see a physiotherapist and an osteopath but my pain comes on after sitting or standing for as little as 10mins. I ve asked for an MRI scan but have been told by my doctor that this wouldn t help. What else can I do? What tests would I benefit from? I feel pain even at rest. ### REPLY: Hithank-you for providing the brief history of you. A thorough clinical examination is advised along with MRI of lumbar spine. As your symptoms guides towards the pinched nerve in the lumbar spine due to disc pathology, it could be anything like - protrusion, herniation, prolapse etc. The best treatment for disc pathology is to understand the MRI, the pathobiomechanics of the spine and the muscle strength available. As disc is a jelly like substance which takes its time to shrunk due to oxidation reaction and the pinching of the nerve can be relived. Also, the pathology of the disc occurs due to weakness of the muscles leading to reducing the size of the inter vertebral spaces. Usually in my clinical practice I take cases of disc injury for a 12 weeks program. Along with the thorough understanding of the muscular factor and the Neurological symptoms. Many of the patients I have seen till date have been better with physical therapy. None of them had a recurrence and none had undergone for surgery as well.Also, there is a practice line of action for treating this kind of injury. Step 1 - Rest + .  Usually patients is restricted to step 1 & Step 2 only. Very rarely I have come across patients from Step 3 to Step 6. In case you need more information and assistance I will be happy to help you out with your injury. RegardsJay In ### END