Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 swelling above waist on right side, not left...a little roll of fat? Not painful but but sensitive to pressing. ?? Also have gall bladder symptoms, got hida scan this a.m, sonogram recently showed no abnormality of gall bladder.....have family doctor who ordered tests....is swelling connected? ### REPLY: Hi! The right sided lower abdominal swelling is not related to gall bladder at all! As per your description, the swelling is flat, mobile, soft or fatty to feel, painless, but sensitive to pressure or tender.... Whenever I see this kind of lump, as per needle biopsy experience, I get following diagnoses:1. Lipoma2. Neurofibroma3. Hernia4. hemangiomaTherefore, this is not a thing for worries but should be checked by your physician!regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 30 year old female with a relatively clean health history and excellent blood pressure, other than a past history of depression. About 10 days ago I got out of bed with sudden dizziness that I couldn t stand straight, after that I started experiencing nonstop dizzy spells throughout the day with change of head positions. I have never experienced dizziness before this. Few days later my tongue started feeling fat and stiff, when I talk feel like I have to spend extra effort in pronouncing the words. Then last night when I was about to fall back asleep after getting up, I felt a sudden pain inside my right ear as if someone had kicked inside my head. The pain quickly went away then I turned to my body to sleep on my other side, seconds later I felt another strong kick inside my right ear. When I got up thus morning the pain on my left ear has almost disappeared, but I feel a persistent dull, sometimes tingly pain on the entire right side of my face radiating from the ear. I m now dizzy, talking funny, and has a hurting face. Please let me know what I should do? ### REPLY: Hello! Thank you for your question. I understand your concern. I recommend you see a doctor, have a good physical examination, followed by a head CT Scan. In my opinion all the symptoms you describe may be related to a disorder in your right ear or the right cerebellum poutine angle. Something is wrong with your cranial nerves located there. It may be an infection inside your ear causing these problems. Herpes virus infection can also cause similar problems. But it may also be stroked a tumor, although less probable, by your history. Hope to have been helpful. Thank you for using ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two large hard knots pop up overnight on my head and then last night two smaller ones pop up behind my ear where the bone is. These are not moveable or painful but are eraser sized to quarter size knots. Not sebaceous cysts. What can they be? I am caucasion, 43 years old, 147lbs  and in good health. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node. It can be due to reactive hyperplasia most likely. It can be some soft tissue mass or some cyst like lesion. You should take a course of antibiotics. If it does not respond to treatment then biopsy diagnosis is advisable. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: So I am an 18 year old male, and I masturbate (surprise surprise) anyways, Today when I was finished i noticed that on the shaft of my penis a little lower than half way (so towards the scrotum) there was a red bump. I dont know if it is from friction or maybe a pimple or what. It is red, it doesnt hurt unless i pinch like popping a pimple but even then it doesnt really even hurt much  or at all. It is on the right side of my penis. I masturbate with my right hand my hand makes contact with where the bump is. The part of the hand it touches is the palm right where the thumb starts to branch off the hand. There is only one bump and I have felt it and there is nothing hard underneath it, and there does not appear to be any puss on top. However I am scared because, 3 days ago my girlfriend of 3 months came over and we were naked and hugging each other and getting physical and are genitals touched but there was nothing more no insertion of any kind, and I just want to make its not an STD and just something from friction. It is on the top of the penis so her genitalia never, or should not have even touched there. Let me know if you need any more information. ### REPLY: Thanks for contacting  with your health care concerns. You eye experiencing a lump on your penis at the base that is not very painful and does not appear to be infected. From your description this is probably a sebaceous cyst which are very common on the penis shaft and scrotum. This is basically an oil gland that is under the skin and can be irritated from rubbing or squeezing. I recommend that you lay off the masturbation for a while and this area should reduce in size. It may become irritated again with masturbation. You also have no need to concern over an STD because you did not engage in sexual intercourse. I hope this answers your question. Please contact  again with any of your health care concerns ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hv addicted to do masturbation for long time.now my left leg getting leaning and reducing muscles also left arm.after i do basturbation starting to paining from inside left arm also left knee getting big.sm time im loosing memmorry also.im living with stress now.please help me to over come from this.thanks ### REPLY: Degree understand your concerns went through your details. Please understand, masturbation is natural and healthy if done in moderation. Let me clarify. Up to the age of 18 masturbation one per day is OK. After that thrice or four times a week is healthy. Masturbation cannot harm your health in any way. All these problems you are mentioning here could be due to the anxiety and obsession created by wrong and improper knowledge base about masturbation and sex. Please consult a psychologist for masturbation and sex related counseling. Take care. 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: I am type 2 diabetic can pee  but cannot poop.  their is a burning pain in my stomach as well. I am also a female but I had Urinary tract infections before this does not feel like one. But constipation is an ongoing thing and when I do go it is really huge and black. I am belching too. What can it be? ### REPLY: Hello, Long standing uncontrolled diabetes may lead to Gastroparesis where intestinal motility is decreased leads to constipation, however in your case stomach with black stools suggestive of Upper Gastrointestinal bleed probably peptic ulcer disease. Kindly get evaluated for the same with the physician or a gastroenterologist. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife, 35, is currently having sharp pains in her lower right abdomen . She said the initial pain started around 11:30 at night and has progressed ever since. The pain seems to come and go with stabbing like sensations during the most severe times. It does not appear to be sensitive to touch. She cannot get comfortable and says the pain appears to go across the middle of her abdomen when she sits up. She had an ovarian cyst removed 5 or 6 years ago, but has not had any issues since. Thanks for your time. ### REPLY: Hello, Greetings from  .com I have gone through the case scenario of your wife and I do believe we need to rule out gall bladder pathology primarily for her though any pathology from intestine, liver, pancreas and heart may present in this fashion. I do believe she has to undergo an ultrasonography of the upper abdomen (please take a note-- the interpretation of the exam will depend exclusively on her preparation) to see if there is gall stones, sludge or muscle of gall bladder. Women in late thirties who are over weight and sometimes who are not over weight too can land up at the Emergency with pain in right abdomen either radiating to upper abdomen or the lower abdomen due to gall stones. Surgery is the treatment of choice for gall stones. Long term patients with gall stone may suffer from gall bladder carcinoma, so please do get an appointment with her physician at the earliest. Hope my information is useful to you. Take Care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I had unprotected sex on April 13 and took plan b on April 15. I had withdrawal bleeding for about three days starting on April 20. My last period was started on April 3 and last around 5-6 days. I haven t gotten my period yet and I m a little worried. My periods are usually 28-30 days apart. Does this bleeding mean it worked? ### REPLY: Hello, I have gone through your query and understood the concern. The occurrence of with .  The high hormone content in the pill disrupts the hormone milieu and therefore delays the next natural period by a week or two. Please see a specialist for further evaluation if you become overdue by ten days. You will need a sonogram of the pelvis preferably in the trans-vaginal route to clarify the situation and induction of a period is done to restore hormone balance. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started out with a sinus infection on 1/2 was on amoxacillion for 6 days then minute clinic switched me to augmentin due to no improvement, after 10 days on augmentin i still was feeling bad so i took the remainder of my amox, went back to see my regular physician on wed 1/25, she put me on prednisone and the zpac, I am not noticing my chest is red, not a rash just red as if i were sunburned, other symtems include cough, headaches and still a lot of phlem, any ideas of wht this is? ### REPLY: Hello greetings I were your treating doctor I would treat your problem as upper respiratory tract infection (including sinus infection). I would prescribe you a course of penicillin group of antibiotics for a week and cough medicine. That you are already having I would like these details to help you furthermost all lab investigation was carried out?? Please consult your doctor for the investigations and an X-Ray paranasal sinuses, continue with the medicines as advised to you, it will take some time to heal you adequately do some steam inhalation and deep breathing excercisesHope I have answered your question. If you have any further questions I will be happy to help wish 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: i used to work between 2012 - 2014 when i think that i may have hurt my heel, i ordered a pair of work shoes from my workplace. within months, i noticed that my feet hurt, mostly my right foot. i continued to wear them, they were non slip rubber work clogs with a low heel. ever since, my right heel has been in pain and i am starting to limp and walk very slowly, i am afraid to step down on my right foot. there is a small lump on the back part of my right heel that is tender to the touch. it is getting harder to walk about. ### REPLY: Hello, As per your symptoms, there is possibility of calcaneal spur along with plantar fasciitis. It is advisable to wear low heel shoe to maintain center of gravity of whole body. You may need an x-ray heel to see bony overgrowth. Start plantar exercises consulting physiotherapist. Use soft insole in shoes and take calcium supplement with vitamin D. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I went to urgent care today, haven t been feelin well. Extreme nausia, loose stools and headaches . A few months ago I had What I believed to be gallstones, the pain was severe but after an hour or two pain subsided so I never sought treatment, now I get dull pains upper right abdominal under rib, but not as painful as I had experienced before, I also had some blood in my stool for 2 days which has currently stopped. But I had a UA done about a month ago that came back with abnormal WBC when culture and sensitivity was done it came back negative. At urgent care today my Bloodwork came back fine but my UA showed 500 count leukocytes. I m going to have ct done of gallbladder . I am a 20 year old female , any idea what could be wrong ### REPLY: Hi young lady, you do have both gastrointestinal and urinary problems from the information provided. The CT scan will give us some information about how your kidneys and gallbladder look. Are you having any white discharge per vagina which is contaminating the urine? Infection of the urinary tract is the most common cause of pus cells in the urine. Repeat the culture. If repeated cultures are negative and there is no kidney stone on CT scan, you will need tests to look for causes of Sterile Syria. Blood in stools is not due to gallstones nor urine infection - it needs further assessment. Most commonly it is due to hemorrhoids (piles), but a doctor (surgeon/ GP) should examine you to confirm or negate this. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 boyfriend dislocated his knee 4 weeks ago, and found out today he has also damaged all of his ligmaments, they took the cast off but his knee is in a brace for the next 7 weeks .. we fly to turkey for a cruise in 8 weeks .. can u fly with torn ligaments ? ### REPLY: Hello, If the ligaments are torn completely than a reconstruction of the same will be needed based on the MRI scan. Due to immobilization of the knee, there will be a reduced range of motion of the knee and needs to achieve the complete range of motion with the help of the CPM machine or the Physiotherapist. He can fly anywhere he wishes to without any much trouble but then as you mentioned that all ligaments are torn than I will advise taking an MRI and see what ligaments can be repaired or needs surgery to repair. Once his ROM is full and enough strength he can fly without much pain. 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: Hello, I just had fibroid emolbilization surgery about a week ago. I am having a lot of pain in the leg they put the device in to do the procedure. The nurse is saying everything if fine since she checked for a pulse throughout that leg. However, I do not feel fine. It s been 10 days and I cannot not walk over 25 feet before the pain is almost unbarable in that leg. please let me know what I should do. I feel like there is something wrong with a nerve. ### REPLY: Welcome to  I have gone through your query and understand your concern. You can take analgesic such as ibuprofen for pain relief. For condition of arteries of lower limb you are advised to do your color Doppler study of both lower limbs. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hlw, I m 19(unmarried). Normally,I have this problem of likoria(no itch in the area) but for last three days ,I m observing thick white yellowish likoria.I have anemia ,taking medicine.l also have vitiligo slightly in my face ,I m taking medicines for that.I have a habit of drinking less water.do I have any infection / do I need to go to doctor for this problem(likoria) ### REPLY: Hi welcome to ChatDoctorI have gone through your query regarding anemia and vitiligo. Dear, all your problems are outcome of increase in the levels of toxins in the body and poor eating habits. In other words , your low immunity is the root cause of all your problems.  Anemia occurs because your body doesn't make enough red blood cells due to poor eating habits and faulty lifestyle. Bleeding causes you to lose red blood cells more quickly than they can be replacedYour body destroys red blood cells causing you anemia and anemia causing vitiligo, leuchorrhoea and others. Vitiligo is a disease in which the pigment cells of the skin, melanocytes, are destroyed in certain areas.  Is also a lifestyle disease. Leuchorrhoea also known as vaginal discharge, is a very common condition that has been experienced by most women of all ages, at some time or the other. It is thick white yellowish color most of the time. Is mainly experienced during puberty, when sexual organs are developing in a woman. It can be very irritating and damaging if left untreated This is because the female genitals are highly prone to infections because they are moist and covered at most times. Moreover, women do tend to sweat a lot in that area, which increases the chances of infections and inflammation.  Some of the most common causes are Anemia and Hormonal disturbances and increase in the levels of toxins in the body and poor eating habits. Modification in your lifestyle and food habits -including regular exercise, yoga, Panama and meditation for proper blood circulation and balanced diet having essential nutrients - fiber, Vitamins, minerals antioxidants in natural form - lemon juice, turmeric powder, honey, aloe vera juice, AMLA regular intake will help gain health in 6 months. All the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a sharp pain in my lower left lung, around what seems to be the perimeter of the lung. It worsens when I lay down on my left side and I cant exhale without pain erupting. Last fall I was diagnosed with Pericardial Catch Syndrome. But now I think it may be something more. ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, possibility of pleurisy is more. Pleurisy is inflammation of pleura. And it is seen mostly with lung infection. So we need to first rule out lung infection in your case. So get done clinical examination of respiratory system and chest x-ray. You may need antibiotics, antihistamines and anti-inflammatory .  Application of warm water pad on affected areas is also helpful. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi 3 days ago I had a hair drug test off my chest .its been about four to six months I have a kidney stone they gave me morphine I didn t say anything to the doctor about going in for kidney stones.do you think this will cause me a problem or should I call Monday to find out I need to do.I forgot all about it.I do not do any drugs at all.I think I ll be ok ? ### REPLY: HelloThanks for query. You have severe pain in abdomen due to kidney stone, and you were given In morphine. Since already there is long period of 6 months after giving Morphine It has been eliminated completely from your body and can not be detected in . As regards stone in kidney it will be traced out in Ultrasound Scanning of the abdomen if it is still present there in kidney.However, this can be ground for making you unfit in the test. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 student doing my engineering at Bhubaneswar, Odisha.One week back I found that I am suffering from Hepatitis-B .Some of my friends are also suffering from it now.I have under gone blood examination & my blood sample report is.Serum total bilirubin-5.50, Direct bilirubin-4.18,Indirect bilirubin-1.32 ,SGOT(AST)-466 ANDSGPT(ALT)-262.Pl. suggent me the medines and the Diet.Thanks ### REPLY: Hello, I had gone through your question carefully and I will try my best to resolve it.  In most cases of acute hepatitis, no treatment is required. Just take enough rest, proper diet and fluid, glucose water, avoid alcohol and let your bodies immune system to fight with the infection. Repeat your SGPT levels and if it's on the decreasing side, then you are recovering and wait for few more days.  In case you are diagnosed with chronic hepatitis, then you require few medications to avoid liver injury and transmission of infection to others. You require antiviral medicines like lamivudine. You can also have interferon to fight the infection. As all these are prescription medicines, you need to consult your doctor and let him decide which is better treatment for you.  Hope this will help you and feel free to ask any of your follow-up questions, I will be happy to guide you in right direction. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hit my wrist on something I think my dogs paw she was welcoming me home. The area around the vein swelled up. I am doing the cold compress 15 on 15 off but should I be concerned about anything else. The swelling has gone down but the touch is sore to the touch ### REPLY: Hi, thank you for providing the brief history of you. As you have this doubt about the mechanism of injury as the paw of the dog I feel this should be a muscular injury which led to swelling. Also depending upon how the paw was, and the pressure things can be understood better. Even if there are any tooth marks or such needs an examination. Swelling will be a protective mechanism and things should be fine in 3-7 days of time. Regards 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: I was diagnosed with systemic lupus that effects my blood. I am prone to blood clots and my platlets drop when I am flaring. I am currently taking Benlysta infusions at 120mg 1x per month. In fact today I go in for my infusion. I am also taking plaquinil 200 mg 2x daily and doxycycline 1x daily(night). **I was sitting at my desk and suddenly, I got dizzy, extreme cold sweating(dripping) all over, nausiated and very shakey. I placed my head between my legs because my eyes felt like they were sinking in the back of my head. I eat every 2 to 3 hours and I doudbt it was for low blood sugar , but I guess it could have been. I am freezing right now, because all my clothing is damp. I ate a candy bar and I feel better now, though still shakey and cold. ### REPLY: Hello, It is possible that you have an occult source if infection, usually a urinary tract infection that can cause these symptoms. So please get a urine dipstick done and ask them to send for culture sensitivity studies as you are on immunosuppressants. Normally if the urine dipstick was borderline abnormal, they won't send but ensure this is done due to the medications you take for lupus.Also, a thyroid function, complete hologram, CRP, Uses must be done at the same time. Best Wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i found 5-6 bites on the side of my torso and they were very very painful. I felt a constant sensation on the side of my body like numbness but my skin was very sensitive to touch. At one point I had severe pain in my arm and some pain in the side of my breast . It eventually went away though I have dark areas where the bites were. All the symptoms disappeared after several weeks. Just 2-3 days ago I felt a painful itching sensation on the inside of arm in the wrist area. I thought it might be exzema flaring up on that arm. It turned out to be another bite. The bite began swelling , was very painful, discharge is clear. The skin around the bite looks as though several layers were destroyed as there is a round slightly sunken area. In the middle of this area is a bulge and is the source of the weeping. The area around the center is very angry and red. I found 5-6 hairs/splinters/something and I pulled them off and after that the pain lessened considerably and the skin began to dry out and looked like it might be healing . Now I think I might have a red streak on my arm. Help. ### REPLY: Hi, Thanks for writing in. The symptoms that you have described are suggestive of a poisonous insect, tick or bug bite. This needs to be treated with the following:a. You would need a course of oral antibiotics to prevent and treat the super added infection (if any)b.  .  Analgesics would help with the pain The red streak in the arm suggests that an inflammation of the lymphatics. I would suggest you see a physician for the same. Hope this helpsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Please can you tell me if mouth ulcers and pimples are a side effect of Giardia.  I was diagnosed with Guiardia about 3 months ago.  I was treated with Flagyl.  6 weeks ago I had a second outbreak, but milder.  I now have white pimples inside my upper lip and ulcers in several places.  My throat is also inflammed and there are a few spots on the back of my throat as well. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No, pimple is not caused by the Guardian at all. But mouth ulcer can be caused by it. Giardia stick to the intestine lumen and suck the nutrition particularly fat and vitamins related to it. So ulcer can occur because of nutritional deficiency. You should take the complete treatment for the Guardian. Otherwise, it will recur and cause infection again and again. It is transmitted by Eco oral route means either the food or water is contaminated with such parasite is consumed by you causing the infection to you. I advise you should maintain hygiene in the future otherwise contaminated food causes infection again. In order to combat such effect you should take multivitamin particularly the vitamin A and others. This will help to treat the ulcer. 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: I have had an epidural injection in my lower back it seemed to only hlp the numbness and tingle sensation going down my left leg for a very short time and the pain is back I just recieve te same inctions on my neck that seems to be helping my arm right now, I am tring to figuire out if the pain will stay gone what are the chances. I am a 45 year old female who was hurt in a boat accident and have several problems I have had a total of 6 epidurals and cortison shots I am worried about having more if they do not last fro more than a couple weeks. ### REPLY: Hello, I have studied your case. You can't take so many shots of epidural. You need permanent solution now. 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: There are purple veins and yellowness in the back of my mouth. They dont, it just freaks me out. I have sores forming on the bottom of my gums on my lower teeth. They hurt a lot. I dont smoke because Im only 14, but Im around it a lot. What could it be? ### REPLY: Thanks for your query, I have gone through your query. The purple veins in the back of the mouth can be a dilated sub lingual veins, nothing to be panic, it is harmless. Regarding the soreness in the gums, it can be because of the gingivitis or periodontitis(gum infection) secondary to the deposits over the teeth. Consult an oral physician and get the teeth cleaned. Meanwhile do saline gargling or use mouth each. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had a small stromal Tumor removed from my fundus area of my stomach. In the procedure the wall of my stomach was punctured, the doctor put staple in the area to seal it back up. I went home immediately after the procedure, what should I do or not do to recover? ### REPLY: Hi ! Good afternoon. I am  answering your query. If I were your doctor, I would have admitted you for 24 hours for observation, with IV fluids, and nil orally for complete rest to the GI tract for proper healing. Further management would get influenced by your recovery in the first 24 hours. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good afternoon doc.may ask a question regarding to my condition,i have a kidney stone both left and right measuring 0.5x0.4 while the other one is 0.5x0.5 wthe best remedy for my health problem i cant afford to have a long time medication even operation can you give me tips on how to cure my illness without taking medicine?thank you so much ! ### REPLY: Macrotyloma uniform is a legume and is widely used across Indian subcontinent. Its popularly called Multi or horse gram. If you boil it with or without rice in semi liquid form and eat, it helps to dissolve renal stones. Its decoction can also be . You can also mix Pomegranates seeds crush and holy basil leaves extract or crush Tributes (Gothic) powder in this decoction for better results. A lot of water to be  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 very ichy, stinging, rash on my butt crack. It bleeds a lot if I do scratch it and I have had this problem for going on 4 years, I ve been to doctors several times and nothing works! It s so painful sometimes that I cannot even sit down normally! Please help me it really bothers me at night! ### REPLY: Hi, Thank you for your query. I can understand your concerns. You seem to have atomic eczema/ atomic dermatitis in crack of your buttock. Eczema is recurring skin rashes, characterized by redness, skin edema (swelling), itching and . A corticosteroid ointments, creams or lotions e.g.clobetasol application will help. It will reduce the chronic inflammation. Once the lesion has healed up .keep the skin moisturized to prevent its recurrences. 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 name is rison and i am 47 years old. now my creatine level is 1.6  and all other lab reports normal. ultra sound scan my kidney size is 9.8*3.5and 9.9*4.1.    .  my bp is 130/90 and no diabatic background. sir, wht will be my life span in this stage of ckd ?  and can i stop the progression? ### REPLY: Hello, your kidney sizes are pretty much in normal range. S creatinine is borderline raised. You have not mentioned whether you have been diagnosed with having CKD or you are saying it yourself. If you're all other lab reports are normal and this are the 2 reports I would say you are doing pretty well. You mentioned you don't have diabetes and have only hypertension. For now only thing for you to do is keep control on hypertension by taking medications properly. Avoid excess salt and oily diet. Exercise regularly. And i don't see any problem for you with at least your kidney point of view. Just keep regular follow up with you doctor. 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 baby is 2 months old and having cough and cold I consulted pediatrician who gave kufril, sinarest as medicine now when the cough has gone he is passing watery stools every 4 hours... why is it so? Em asked to give him Isomil instead of Milk for 2 days and renitol syrup... is it diarrhoea? ### REPLY: Hi Read your questions W month old baby may pass 10 to 12 stools daily with small to moderates quantity and yellow color which is normal. If it baby playful and taking soil and tolerated, and also he is gaining weight then u have to not worry Your baby is passing watery stool for I have to ask few questions 1 your baby stool is yellow color?2 stool I'd foul smelling ?3 is it watery with some semisolid yellow? If not foul smelling with some semisolid with watery then it's not diarrhea U have to give him regular feeding If u have some about the shoe your baby to pediatrician ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ahve used 60 mg, 40, 20,10,5 omanacortil pills at different courses from last septemeber for a skinn allergy as prescribed by a doctor. Now i ahve agained about 4-5 kg and face become large now. i would like to know how long it will take to diminish the side affects ### REPLY: Hello, Welcome to , As you a tapered the dose of steroid over a period of time, it will not cause any a . The facial edema and weight gain will come down in 1-2 months, if it is not coming down you need to test your blood. The steroids will only reduce the symptoms of allergy, but it will not cure the condition. I would suggest you to find out the allergen causing these symptoms by Skin prick test (SPT) and try to avoid the allergen causing these symptoms. You can choose immunotherapy for treatment in longer run. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having pain in my sight side more towards my back when I lay down I don t notice it as much when I am sitting or walking but at night it really bothers me I usually lay on my right side stomach and I have not been able to do that for about a week. ### REPLY: Hello, Thanks for your query. After going through your query I came to know that you are suffering from muscular pain in your back towards right side. Treatment of it is rest and analgesics (diclofenac three times a day after meals). Muscle relaxant such as thiocolchicoside can be taken. Vitamin B-complex and vitamin C supplementation can be used to promote healing. Omeprazole decreases acidity due to analgesics. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had Cystitis on Christmas Day and could not get anti biotics until later in the week.  I took a course but because of the timing my sample was not sent to the hospital and the cystitis came back and was really bad.  I took a second course of antibiotics and the Cystitis has gone but I have tenderness across my abdomen. ### REPLY: Hi and welcome to . Thank you for your query. Yes, such tenderness may be sign of prolonged cystitis, and it should be better within 4 weeks of treatment. If not then it would be good to do cystoscopy and pelvic Ct scan since some other issues may persist such as ovarian cyst or MoMA of the uterus. In every case it should be treated with fluids intake raspberry tea and antibiotics. I hope I have answered you query. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,i want to know that is there any chance of my wife getting pregnant bcoz sheis getting delayed in her periods regularly upto 3-4 days.we have done pregnancy test negative and our doctor prescribed ovacet twice daily,i want to know is this medicines have any side effects and is this correct. ### REPLY: Hallow Dear, It seems from the medicines that have been prescribed to your wife that she is having Polycystic Ovarian Syn .  In this condition, the eggs from the ovary are trapped within the ovary and they're not released; hence any cysts are formed. This leads to irregularly delayed heavy menses with infertility. This condition also is characterized by high insulin and high male hormone levels. Due to this, there is obesity, hair on unwanted areas like face, chest, abdomen, legs, etc. Medicines like Metformin and/or MYO inositol help reduce the levels of these hormones. For achieving pregnancy in such cases, some medicines have to be given for releasing eggs from ovary (induction of ovulation). To start with, usually Camphene citrate is used. This medicine can be used for maximum 6 cycles. If it fails to give desired results, BMG/ combination may be tried. Concomitant use of Metformin and/or MYO inositol give better results to Camphene citrate. Valet Tablet contains L-Methylfolate, Myo-Inositol, and Vitamin D3 as active ingredients. Therefore, it helps to achieve ovulation by Camphene citrate and usually does not have any ill side effects. However, this medicine should be given along with Camphene citrate. In addition to the medicines, please pay attention to her weight and BMI. Please maintain her BMI under 23.9. I am sure this will clarify your concepts about the treatment she is receiving and the ideal treatment for such condition.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fungal Infection on my gruin from last 10 days. I have been applying Betnovate-10. It though has reduced but has not gone completley. I feel that I need to take some antifungal tablet. Also, I need some ant-icthing tablet, since at night I coudnt contro itching. Pls hepl ### REPLY: HIT hanks for posting your query to .  If it is very much sure that it is fungal infection then renovate will not help.  You need to use Candid-B cream twice a day for 2 weeks. It will take care of Itching also.  The best would be to consult a Physician or a dermatologist and confirm that it is really a Fungal infection. Hope this information was useful to you. Any clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 small lump under my chin. I did not notice it until I a few hours after I screamed as hard as I could a couple of days ago. It doesn t really hurt unless I push on it and then it feels like a bruise. I m wandering if this could be some kind of muscle strain? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You may have submandibular lymph node enlargement, or you may have inflammation of submandibular gland.  You should take a course of antibiotics.  If it doesn't respond to treatment then go for biopsy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. Don't forget to click, thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having lower back pain that comes and goes. It feels bruised when I touch it, but there isn t anything visibly. I have not had any trauma. 5 feet 6 inches, 160 lbs and moderately active. I work in the dental field and am on my feet slot at work. I gave birth to twins via cesarean 16 months ago and have noticed an increase in intermittent back pain since. ### REPLY: Dear patient Intermittent back pain for last one year and not relieved with .  This needs to be investigated with X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities.  MRI of lumbosacral spine anteroposterior and lateral views is also required as it gives detail information about disc and nerves and even bones. Visit radiology center nearby you and get it done.  You need to consult expert orthopedic surgeon with report. Meanwhile, start tab diclofenac plus thiocolchicoside combination twice a day for pain relief. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I feel like theres a bubble in my heart sometimes and Ive been out of breathe a lot lately. I had to stop going to the gym bc my heart rate was too high and now anytime I simply get up to walk to a class, my heart races and I get light headed. Im only 21, whats wrong with me? ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that this bubbling sensation has to do with a rhythm issue. There are some electrical impulses that generates in some part of the heart different from normal sinus rhythm. They cause a premature heart contraction that it's not a normal one. It might be just an extra systolic beat or a chaotic arrhythmia. In these cases you might experience palpitation, flattering or bubble sensation, anxiety, difficulties in breathing deeply, dizziness etc. There might be different causes of this rhythm issue like simple stress, coffee and alcohol consumption or pathologies like anemia, hyperthyroidism or electrolyte imbalance. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze to exclude anemia, hyperthyroidism and of course a holder rhythm monitoring to evaluate your rhythm tendency. Only after this we can better understand what we are dealing with and how to treat it. Hope I was helpful. 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: my son is suffering from nasal drips and running nose, has a fever and cough. He is taking medications alre ady, but i have noticed he has a loose stool with little threadlike bloods. He has a history of amoebiasis when he was 3 months..he is now 1 year old and 5 months.Could it be that he is suffering again fron amoebiasis or just because of his running nose? ### REPLY: Thanks for asking on . Generally the conditions are caused due to certain viruses and are self-correcting unless associated with bloody diarrhea. If the stool is blood stained, it is more likely to be caused due to invasive bacteria like Shell and certain variety of E.cold. Amoebas is a condition caused by certain parasites like Amoeba or Guardian. These are less frequent. In fact, viral causes are more frequent but are unlikely to be associated with steaks of blood as in this case. It is unlikely that unless backed up with definite investigation that the previous cause was amoebic (since other causes are more likely). Even in case it really was, chances of it being due to the same cause is very low. Runny nose, fever and cough are likely to be unrelated to the cause of blood streaks in stool. It is generally due to certain viruses. Runny nose would not cause bloody stools. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 work for a hospital and get EKGs annually. I am 48 and a little over weight. Not taking any meds or OTC drugs except for Prilosec. The last couple of nights I have had MAJOR heart pulps, flip flops etc. Last night was the worst...lasted about 20-30 minutes without easing. I was finally able to fall asleep. This morning I woke up and my chest was sore (stiff feeling). I had my GP order a EKG and this time it showed some PVC. My doctor does not seem concerned. Told me to continue the Prilsec and start taking an asprin a day. This is not normal for me and starting to get worried I may have another night tonight like last night. What are your thoughts. ### REPLY: HelloWelcome to . By Heart pulps, flip-flops etc. I suppose you are talking about palpitations. Palpitations can be caused by extra beats or PCs. It can also be caused by thyroid abnormalities and anxiety. These are the three most important causes of palpitations. Other causes are also there but are not considered here. As you have described your ECG shows PCs or extra beats. PCs are usually incidental findings in many subjects and usually require no treatment. However, if you are having symptoms like fainting, dizziness, breathlessness then they should be evaluated. Since you have not mentioned any of the above symptoms, I suppose they don't trouble you. Therefore, I recommend you a thyroid profile. If you still have persistent nagging flip-flops or palpitations, then a 24 HR Holder monitoring can be done. In this test a device and some wires are attached to your body (below your clothing) and you are sent home. The device constantly records your ECG while you do your normal day-to-day activities. After 24 hrs, the readings are checked. It will document the number of PVC's you have, their character, morphology and whether they are life-threatening or can cause complications. Please do a thyroid profile and a Holder monitoring (only if persistent symptoms) and revert with results. 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: I am 49 years old. I have been getting pains shooting in different areas of my body (arms, legs, back) for year 1/2. all blood work fine, rhematologist checked for Rhematoid Artritus and Lupus was negative. a few months ago, i started getting pains in my shoulder blades and rib cage under the breast area, especially on the right. Had ultrasound of abdomen done and no gallstones, everything looked fine. could this be from my hormones and or pms? Pains in shoulders get worse when ovulating...pain all over body becomes less while ovulating! ### REPLY: Hello, I have studied your case. I will advise you to do PET SCAN so that activity and reaction around bone can be identified. PET scan will differentiate between simple or with metastatic lesion if any. Many of my patients of get improvement in morbidity by yoga Panama so you can also do that. 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: Hi,4 7may I an sweyr yoeuar rhesal th queroiles ridght now ?  Please type your query here...my father is 47 years old and he is suffering from jaundice which is mild now but he is feeling weakness too much nowdays. which kind of food should i give to him? ### REPLY: Hi & Welcome to . Incomplete data like the lab tests, the cause of jaundice (hepatitis A, B, C, or E)??? I appreciate your concern for your beloved father. Assuming that he is suffering from Hepatitis Virus type A or E infection (confirmed by serological tests), I would suggest the following:1. Complete bed rest till the liver function test come to normal2. High carboy . 3. Clean and boiled water for  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 little boy is 8.5 months old and for the last 3 days his stool has been like mush, kind of green, and smells very acidic. When you first smell it you would think it was vomit. We have yet to experience this and are not sure what might be the cause? ### REPLY: Hi...this looks like viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had lower spinal fusion surgery about ten tears ago. a couple of weeks ago my back started getting painful in the area of the operation. it has become progressively worse each day tot the point that it takes a half hour to feet out of bed and I m able to walk with great pain.I don t know what kind of doctor I should consult. I don t want more surgery ### REPLY: See acute back pain can be of due to many reasons, it may or may not be related to your previous surgery. But pain is severe and also radiating to your legs or thigh, you might need some investigations for that you can again consult to orthopedics surgeon. Check your lifestyle too-daily bike or car .  Don't be afraid, but just visit the nearby hospital so that your doubt gets cleared by some investigations. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, a month ago I had tonsillitis and was given antibiotics. I then got a funny taste and white tongue, Dr said suspected oral thrush but treatment did not work, even fluconazole. My tongue is still white will not brush off and is sore, I seem to be getting a lot of mouth ulcers (I do get these sometimes but this is more often) and inside my lips and cheeks sometimes looks red or almost stings. What could this be? Swab that Dr did for thrush I think came back negative ### REPLY: Hello, Welcome to ChatDoctorIf the KOH smear for fungus was negative, and the lesions did not respond to Fluconazole, then it is not oral thrush. When you are on antibiotics, it also destroys the friendly bacteria which are involved in maintaining the health of the mouth. The fissure of the angles of the mouth is suggestive of Riboflavin (a B vitamin) deficiency. Please take B complex vitamins and a multivitamin for other subclinical deficiencies and your oral health ought to improve. 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: Dear Mr.Malpani,  I have been married for 1.9 years and me and my wife are trying for children from last 1 year. I am just concerned about my sperm count as its around 26 Million  and it varies from 24 to 28 million all the time. I have been taking medicines like Fertyl M, Oligocare, Folvite and Zincovit. I was also advised to take Aquaurinon injection weekly once. After continuing the above treatment for 4 months my count has been still the same. Our family doctor says that i need to have atleast 40 to 60 million count to conceive. She feels there might be some hormonal problem that she has to check.  Following are the details of my semen test report: Quantity - 4 CCColour - WhiteAppearence - HybridViscosity - NormalReaction - AlkalineTotal Count - 24 Mil CCActivity Motice - 50%Non Motive - 30% Do you think there is something wrong in me ? My wife has a proper menstural cycle and the egg also releases properly. Earlier our doc said 20 Million is sufficient but now she says i have to increase it to 40 to 60 million for IVF or any other thing to go on.  So kindly suggest me what to be done, thank you.  Regards, Farooq ### REPLY: Hi, Thanks for posting in . I have read your description and understand your concern. Based on the semen analysis report, the following things can be concluded. 1. Physical characteristics like color, appearance, quantity and reaction are normal. 2. Total sperm count is slightly towards the lower side than normal, but acceptable. 3. Sperm motility of 50% actively motile seems to be less than normal. Hence, the fertility index seems to be less than normal. However, what medications have been given is right, and it would certainly aid in improving the features of sperm quality and quantity. It can be known after a repeat semen analysis after taking the medications for a month or more. In case you are planning for Invited fertilization (IVF) procedure, sperm count does not seem to matter much but only requires sperms to be of good quality. In case you are planning for Intrauterine insemination (GUI) procedure, both quality and quantity of sperms matters. You can plan for the procedure according to your needs on consultation with your treating doctor. Hope the information provided would be helpful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had severe pain in my left side back area last week. Lasted approx 5 hrs. My husband thought I had a kidney stone. I drank over a gallan of water and finally the pain subsided. MOnday I called my dr and she decided to have me get a CT.  Today the diagnosisi so far is 1 swelled lymph node, she is order CT of abdomen, pelvis and some blood work. Other that that 1 evening of pain. I feel fine. However now I am so scared.  Have you heard of a swelled lymph node from a passed kidney stone? ### REPLY: Hello dear, Such a pain usually results from a UTI or renal/ureteric calculi. But these conditions usually will not cause lymph node swelling.a urine examination and USG usually clinch the diagnosis. The significance of your lymph node enlargement and its association with your pain is to be determined with detailed clinical and radiological assessment. Your doctor will guide you. Hope my answer will be helpful. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is turning 38 yr soon. He was attacked by 3 guys last year and was assaulted. Soon after the incident he started wetting the bed. He blames it on drinking beer, but he never ever even as a chikld wet the bed.He does not want to go to the dr. I think he is embarrased. He is not on a medical aid. ### REPLY: Hello. I have reviewed your query and here is my advice. For child .  But for adults, it is different. Any of these medical issues can also cause bed wetting in adults: diabetes, urinary tract infection, urinary tract stones, neurological disorders, anatomical abnormalities, urinary tract calculi, prostate cancer, prostate enlargement, bladder cancer, or obstructive sleep apnea. I suggest you to get professional help in person to determine the cause and then for treatment. Hope I have answered your query. You can contact me for treatment options. 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: SGPT :41 (0 ~ 40),  SERUMTRIGLYCERIDE 188.6 (30 ~ 170),  HDL Cholesterol 28.50 (30 ~ 70), VLDL Cholesterol 37.7 (10 ~ 35), CHOL : HDL CHOL RATIO   5.7 (3 ~ 5)  --- these are out of spec results in my periodic routin medical check up. Rest all test points in this Biochem are within range. No remark by doctor who checked. What is the meaning?Age 47, wt 78 kg, Height 166cmNo mediacl hestory (No known problem or illness) -- over ### REPLY: Hi welcome to ... Noted your triglyceride value is high here... Sgpt is not high...it is borderline.... So don't worry.... Still two condition should rule out....-fatty liver -gall stone USG will be helpful.... Here by diet modification your cholesterol will come normal.... No need for . . Low fat diet. Regular exercise. Junk food, non veg, fried and excess fatty food limited.... Fruits and green leafy salad more.... Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have 4 children a week ago the oldest started complianing of dizziness, which was followed later in the week buy chest pains, upset stomach as well as a constant cough. His dr put him on an antibiotic and it seems he may be getting a little better, but in the last two days my other children have developed the chronic cough along with watery eyes and running noses. I recently discovered that my attic is covered in mold. Could this mold be making my kids sick? ### REPLY: Hello and thank you for your question. It is true that some people have an allergic reaction to molds, so it would definitely be good to try a get rid of the mold in the attic. The time course of their illnesses makes it sound more like one of them got an infection and then spread it to the others. Upper respiratory infections can be spread by contact, coughing or sneezing. It is very hard when you have 4 child .  I hope they are all well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a bee sting yesterday i did a homeremedy it did swell,red & itches a homeremedy was tooth paste did work however it continue to get red, itchy with the hot weather so i had some triamcinolone acetoniide creme which did relieve itching, redness decreased but wonder if this will take the actual sting of the bee out- toothpaste was to take out the verma- please confirm its on my left arm strated infront of my elbow moved up near under my arm pit- ### REPLY: Hello, Welcome to , The bee sting is an acute emergency condition which should be treated vigorously and adequately, because it will release the poison which will cause all these symptoms. It will release mediators like histamine which will leads to all these problems. The leftover sting should be removed carefully with the help of forceps. The symptoms are reduced by1. Parental Avil2. In HY .  Oral Antihistamines4. If there is excess of itching Cold pack over the itchy area. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI i have been feeling unwell for a long time with extreme tiredness and difficulty concentrating.  I have had problems sleeping and waking up constantly through the night.  I have low IgA levels and high MCV and MCH.  I suffer with constipation and bloating also esspecially after food.saran ### REPLY: Hi Saran, Thanks for asking. Based on your query, my opinion is as follows.1. High MCV and MCH is usually due to It B12 and folate deficiency. Your hemoglobin will also be mildly reduced.2. Vitamin deficiencies can cause low levels of antibodies, like low IGA levels. Associated protein deficiency can also be contributory.3. Improve your nutrition with protein rich diet and also take It B12 and folate supplements. Your diet can be enriched with fish, red meat, pulses to improve both. You can notice changes within two weeks. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my baby is 20 mths old, i have been noticing that her foot shakes/tembles soemtimes. This was happening till she was 14-15 mths and thne it stopped.But it has started happenign agian since yesterday and that too very frequently. Also, i have noticed that she trembles sometimes when she wakes up suddenly. ### REPLY: Hi, Welcome to , Trembling is very non-specific in most child .  If its frequently seen then following possibilities I would consider and evaluate in those lines if I were your pediatrician .1. Hypoglycemia - low sugars which is very uncommon in this age, however needs to be kept in mind.2. Seizures- if trembling is associated with loss of consciousness. If consciousness is normal then seizures can be ruled out completely.3. Hypocalcemia- is the most common possibility here in your children case and needs to be evaluated by doing a blood calcium level. Hope I answered your query completely. Let me know if there is any clarification. Takecare. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I recently(about three days ago I believe) bitten by a neighbors dog on my left calf, near my ankle. It was a small dog, had all it s shots, but I m a bit concerned. I feel no pain or really, anything, slightly around or the actual bite site. The bite it self is not severe, however there are slight puncture/gash, that have a sort of black, soft scab like over them. It s not hot or warmer, but it did sort of get a small like pocket that oozed a bit when I went to clean my bite. It was blood colored more or less(maybe push, not sure it s some what dark). My question is, should I seek medical help? I m rather poor as well, and normally I can t/won t go to hospital/doctor unless it s severe enough for them to have to treat it, however, since this the first time I ve been bitten by a dog and I m worried. I m also not diabetic, if that helps any. ### REPLY: Hellos the important point is that dog was vaccinated for rabies vaccine i.e. no any chance of any rabies. While on your calf muscle it has bitten, but this is not a cause of concern. Only get one tetanus shot, and that is all. Since only mild wound (bruise) is there, so take Tylenol 10 mg /kg body weight 2-3 times in a day, only for 2 days. Local antiseptic . In my opinion no need of any concern or consultation. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sprained my ankle almost 2 weeks ago. There is bruising on the top of my toes and on the side of my foot. The top of my toes are bruised worse though. I still can t walk on it without a pretty bad limp. The problem is now my toes have a burning sensation. ### REPLY: Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have injured your bone or soft tissues that might be causing pain and inflammation take rest. Elevation analgesics and anti-inflammatory tablets. Ice packs.I suggest u get a X-ray done to find out what's wrong. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got the Depo shot and had alot of negative side effects. I bled pretty much everyday after I received the shot, my migraines increased, which also triggered a couple of seizures. I was severely depressed and exhausted all the time and still had cramping. I decided not to get the next shot. I was due to get the shot Dec 18th. I stopped bleeding around that time and have not gotten a period. Pregnancy tests are negative, but I m very fatigued, lightheaded and dizzy, nauseau, and migraines starting again. Could this all just be from the Depo shot? ### REPLY: Hi, thanks for using  Demo proverb can be associated with breakthrough vaginal bleeding like you described. It can also potentially cause headaches, depressed mood and weakness. These side effects can occur while on the medication. Since you were due a shot in mid-December, it would be almost 2 months since that shot was due and almost 5 months since the last one. It is unlikely that the demo would still be contributing significantly to your symptoms. It may be best, if possible, to visit your doctor for review. 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 18 year old son was companing that his heart was hurting. he randomly will complain about this. I felt his chest and counted 130 beats per minute. it felt like it was pounding outside his chest. I gave him some water and it slowed down a bit. hes on no meds or cafeine. should i tke him in to a doctor ### REPLY: Hello! Welcome on ! I understand your concern and would explain that his symptoms could be related to anxiety or musculoskeletal pain. It is very unlikely (considering his age) that these symptoms are related to any cardiac disorders.  Besides, the increased heart rate could be related to anxiety and also muscular pain (normal autonomic reaction). But, if this problem repeats, I would recommend consulting with his attending physician for a careful physical exam and some tests: - a resting ECG- a chest X-ray study-complete blood count for anemia- inflammation tests (PCR, sedimentation rate)- thyroid hormone levels for possible thyroid dysfunction. If all the above tests result normal, you should consider anxiety as the main cause of all this clinical scenario. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband aged 69 years, in his scanning report shows cerebral and cerebellar astrophy. his height is 175 cm and weight 67 kg.mild sugar and cholestrol.He burssts with anger without any proper reason also slight memory problem.Is there any medicine in ayurveda/homeo.also suggest food items which helps the patient.He drinks alcohol once ina week.pl.suggest a solution ### REPLY: Hi there is no treatment in any form of medicine for the cerebral and cerebellar atrophy it's a natural process but u can further slow down the process by maintain and stabilizing your way of life simply life style modification and some simple exercise. As u complained that he burst out very anger u can help in by encouraging him to do yoga which keep him calm .keep in mind that it's not a simple it's the difficult task, and it would take AA minimum of 6 vmonths for recovery.in my opinion usage of any kind of .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have patches of red on the sides of my tongue, some are raisied. I suffer with a severe sneezing allergy all year round. I took a mouth spray from my doctor for a while, but I noticed that my tongue swelled and painfully pressed the roof of my mouth. It still happens a bit, also my tongue is slightly swollen, and I cant seem to be able to relax it. Thank you, kind regards, K ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have red patches on tongue with swelling. Well there can be many reasons for symptoms you mention in query like candidiasis, lichen plans oral, erythema migrant, authors mouth ulcers, viral infection (cold sores) , iron deficiency anemia and vitamin B12 or folate deficiency anemia. I would suggest you to do warm saline rinses and Betadine rinses alternatively 2-3 times a day, maintain proper oral hygiene and avoid acidic food and juices and food like seafood and nuts that can cause allergy. If condition doesn't get improve in a week then consult oral pathologist for proper examination. Doctor may examine physically, take sample for lab test and take history. Doctor may prescribe antifungal or anti-viral depending upon the diagnosis along with anti-inflammatory and vitamin B12 and foliate supplement. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 33yrs old and for past few months I have had increasing right abdominal pain that goes up to my shoulder and in my back. Also severe nausea after I eat and now even when I dont eat. I am also really fatigued. I had an ultrasound done and it showed a 5mm polyp on my gallbladder.  Im going to a GI doc but am wondering if this is cause ton remove my GB or not? ### REPLY: Hello Thanks for writing to ChatDoctorGallbladder polyps are growths that protrude from the lining of the inside of the gallbladder. Polyps are rarely cancerous. About 95 percent of gallbladder polyps are benign. Small gallbladder polyps (less than 10 mm in diameter) are unlikely to be cancerous and generally doesn't require any treatment.However, you need follow-up ultrasonography to look for changes that may be an indication of cancer. 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: Hello my sister uses meth about twice a week a very small amount less than one gram. But still not exceptable, anyhow baby started coughing few days ago right after feeding and it continued every feed. I want to get her some help do you think that s the cause ? Please help thanks ### REPLY: Hi, Welcome to , Cough in a breastfed infant especially after every feed means there is something to do with her feeding technique or swallowing issue. First mother should feed with proper position of the baby, head slightly above the plane of body and not hanging down which can cause slight aspiration and cough. If position is perfect and cough continues the possibility of gastroesophageal reflux should be considered and for that you need to consult a pediatric gastroenterologist if you feel it's a significant problem.However, smoking is not at all acceptable in a breastfeeding mother, it can surely cause Ill effects in babies lungs. But hard to say if that's the direct reason for this cough in baby. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir , I am unable to ferget my feelig regarding a girl , whom i met once officialy as marriage match, but unfortunatly lost her and she ot married with some one else,trying to become busy with one or the other task , But even tough unable to take out her rememberance from my brain,, before bed and early morning as i wakeup her thoughts are around me , how do i forget her,, please guide me And i am lost interest towards my rotine ,, now am unemploye thats reason i dint reacted to her when her parents made a marriage praposal ,,i know i shouldnt think of her now any more,,but still,,, ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are quite distressed about the feelings for a girl you had come across recently. Though it is fairly normal for persons to have emotional attachments / feelings towards someone they like, this becomes a problem if it starts affecting your life and daily routine. Moreover, it is not rational to keep thinking about her and having feelings for her when you know that she is already married to someone else. So, I would suggest that you go for counselling in order to help you overcome these thoughts and feelings. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: both of my legs hurt in the upper legs and hurt along with tinglingin my calves and my feey burn and tingle.I have DVT in my left thigh starting behind my knee up over my pelvis and down my rt thigh.could this be a cause of my problems? It really bothers me after playing golf .and lasts a long time. ### REPLY: Hi there. It is possible you have a slipped disc causing nerve pinching in the lower back which can cause radiating pain from the back to the calves and tingling and numbness. DVT can cause similar picture if it causes compression of the nerves surrounding the knee. Take Tab. Pregabalin 75 mg + Methylcobalamine twice a day for relief from the tingling and numbness. Take painkiller and muscle relaxant. Get a consult by your Vascular surgeon for your DVT. Keep well HY .  Avoid pressing the calves or massaging it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 14 and I have this one little bump on my penis head and quite a few on the penis shaft. Ive looked up Pearly penile papules and that isnt what it is. I havent made sexual contact with anyone. I am to embarrassed to tell my parents about this. Can you please help me? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern looking to your age this is very likely that you are hesitating to show your problem but if you really have such problem then you should discuss this with your parents, this could be warts most probably due to the viral infection, and this will come around for that you have to see the dermatologist, but first inform to your parents, hope this information helps you, take care, bye. ### END