Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 morning. I just had an MRI w/wo contrast and I am just trying to read and understand my results. The impression reads... No evidence of acute infarction or space occupying lesion . No evidence of demyelinating disease . Developmental venous anomaly suspected in the right occipital lobe and left cerebbellar hemisphere. Abnormal signal intensity in the diploic space of the left parietal bone posteriorly may represent an intradipolic epidermoid or prominent venous lake. The reason of this test is family history of MS and brain aneuryms. I have had lots of tingling and numbing in my hands, legs and feet. Also, I lost the use of my right arm about 1 mos ago - it just refused to lift up? Should I be concerned with this report? ### REPLY: Dear thank you for sharing your MRI result with us. As family history with cerebral disease I think it is more important to understand the lost of use of the right arm. The result of MRI isn't conclusive. I would recommend to discus with your neurologist the possibility of doing an Anglo MRI(venous phase) or much better a brain arteriographic which with show the complete brain basal structure. Hope my answer will help, 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: Hi,  I have  type 2 diabetes and have trouble controlling it.  I was put on Innovona months ago and after couple months my legs had gotten very sore and hurt bad, where i couldnt even sleep, well I stop the meds and within two days felt 90 % better,  but now they want me to take Farxiga, which i hear is the same thing. scared to try?  Wondering if they are the same or different? ### REPLY: Hi, Thanks for your question. Noted your concern. Invokana contains Canagliflozin and Foreign contain Dapagliflozin both are of same class of antipathetic medicine SGLT2 inhibitor. It acts by excreting extra glucose from body through urine by lowering renal threshold for glucose excretion. While excreting glucose there may be loss of water and some essential electrolytes like sodium, potassium through urine which may be responsible for leg cramps. Adequate water intake and regular monitoring for serum electrolytes may help in prevention of these symptoms. Diabetic neuropathy may also cause these types of symptoms. In such a case I may suggest-- Detailed physical examination to assess neuropathy.- Investigations Complete Blood Count HbA1c Fasting and Postprandial Blood sugar level.  Renal function test Liver Function test Vitamin B12 and vitamin D level Urine examination. Depending upon above evaluation appropriate changes in medicines if required may be suggested. Hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir, I am using lomela since 5 months. I am addicted to lomela cream can you please tell me that if i stop using it thn after how many days should i start using another creams like fair and lovely, borolin, garnier etc.. And shall we use cold cream while using lomela? ### REPLY: Hello. Thank you for writing to us at  The cream that you are using is a prescription product and is a combination of HY . Together this combination is gold standard treatment for facial hyperpigmentation.However, this combination should never be used without supervision of a doctor or dermatologist. It should in any case never be used for more than 1-2 months, regularly. Tretinoin and HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI I HAVE A SON THAT IS 2YEARS AND 10 MONTHS OLD, HIS PAEDIATRICIAN SAID THAT HE HAS ASHMA, BUT EVEN WITH THE PUMP AND MEDS HE HAS A CHRONIC COUGH THAT DOES NOT WANT TO GO AWAY HE WAS DIAGNOSED LAST WEEK WITH RSV AND WAS TREATED FOR IT HIS LUNGS HAS WHITE SPOTS ALL OVER THE PAEDIATRICIAN SAID IT LOOKS AS THOUGH HIS ONE LUNG HAS DEFLATED A BIT, EVEN AFTER BEING IN THE HOSPITAL FOR A WEEK AND STILL TAKING MEDS HE COUGHS SO MUCH THAT HE CANT SLEEP AND HIS X-RAYS ALWAYS HAS WHITE SPOTS. HE WAS BORN WITH ALOT OF WATER ON HIS LUNGS AND HAD TO BE KEPT IN AN INCUBATOR WITH OXYGEN TO HELP HIM BREATHE COULD THAT BE THE REASON FOR HIS REPEATED LUNG PROBLEMS???? ### REPLY: Hi, Welcome to the . Since a lung actually transfer oxygen from atmosphere to blood and CO2 from blood back to atmosphere. For this function it has so many air sacs called alveoli, and these alveoli keep increase in number till the child is 2 yrs. If a neonate gets any problem during neonatal (first month) period, there is almost damage to actual number of alveoli, so the function of lungs get disturbed (breathlessness, increase CO2 in body and increase need of O2 etc.). All these factors stimulate inflammatory response in lung tissues so recurrent breathlessness and infection can happen later in life. As respiratory initial virus is the commonest viral infection during this age, and needs to be carefully and symptomatically treated as chances of worsening of lung function increase having history of previous lung infection or aspiration or pneumonia. Make sure he is given all recommended vaccinations on time. And follow your doctor accordingly. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having an uncomfortable feeling right below the right rib cage. It s like something is there. I don t feel it all the time. I have a handicapped daughter who I pick up frequently. She weighs 100 lbs. Could this be a hernia? Thank you. ### REPLY: HelloDiscomfort below the right rib cage may be due to many causes like right lung or pleural cavity pathology, problem in liver or gall bladder, musculoskeletal causes etc. It appears that it is due to musculoskeletal cause, but it is important to exclude other causes. You may need clinical correlation and further investigations. Investigation includes routine hologram, liver function test, chest X-ray (PA), ultrasound of abdomen. Ultrasound of abdomen can exclude many conditions. Proper treatment depend upon findings. It is not a common site of hernia. 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 Dr. My daughter is 1.6 yr old, She never eat any thing we always use to force feed her.also visited all type of child spec., one doc suggested me leave her independent she will eat whenever she feels hunger. i tried one month same activity described by doc. she lost her 2.5 kg weight in month. doesn t eat any thing.as i can see 194 doc r online.any body can hv experienced such case .plz guide me. she is under weight.one thing i obesevd abt her she is very clean type of person .she dont want to touch any thing like mud,liquid food(Dal rice etc..) ### REPLY: Hi, How old was she when she stopped eating? force-feeding is commonly used by parents when they believe the child is not eating enough. When a child has been ill or was prematurely born a parent may consider her fragile and force her to take more food than she wants. Mothers can overestimate the quantity of food that a small child requires. The apparently small quantity which the child takes is enough for an average weight gain, but when mother does not realize this, she may try to force-feed her to eat more.  Most appetite problems begin between 6 and 18 months of age when the infant is developing independence and resists domination. I agree with the doctor who told you that all attempts at forcing her to eat must be stopped.  No persuasion, no coaxing, no bribing, no threatening and no punishment.  She will eat when she wishes. Place her in the high-chair and let her sit at the table with the rest of the family.  The food is placed before her, and it is expected she will take what she wants.  Encourage holding and .  Allow her to try placing food in her mouth by herself, and then help her if need be. If she does not touch her meal, she is left without any food until the next meal.  If she doesn't touch the next meal, again she should be left without food. She will soon eat when hunger overtakes her as long as no one makes a fuss about what she eats. A small child can eat some meat, then the pudding and return to the meat. Parent makes it clear that the food in front of her is all there is and that if she does not like it she can leave the table, but there will be nothing else. A child likes bright colors so make food attractive and of variety. As long as she has a poor appetite, give no more than a pint of milk a day. Allow her to feed herself as much as possible. As soon as your infant realizes that she cannot make more fuss and attract any more attention the food refusal stops. She needs outdoor exercise and over-fatigue should be avoided.  Normal amount of sleep for her age is 12 to 13 hours a day. Naps decrease from two to one at average age of 18 months. When parents carry out this treatment plan, the response is extremely satisfactory.  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: Recently had a stress test done. Had to stop after 6 minutes short of breath  blood pressure 220 over 110,  heart rate 87,  ekg ok  what does this mean?  Tak bata blockers and atacand since january, no other medication. No real symptoms other than tighness in chest, short of breath.  Age 47 female ### REPLY: Hi, Based on the findings given in the history you seem to be suffering from heart failure secondary to uncontrolled blood pressure. I advise you to consult a physician/cardiologist for further evaluation which may involve certain tests such as ECG, Echocardiography and routine lab tests. You may also need .  You must restrict your dietary salt intake, avoid smoking, alcohol, and stress. Hope these answer your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My mother has lived with me for the past 4 years. She was diagnosed with cirrhosis 15 yrs. ago at the age of 60, even though she didn t touch any alcolol until the age of 45, when my father died. She was never a heavy drinker, but was extremely obese and ate tons of white sugar right out of the bowl. She had a gastric bypass in 1986, and now weighs a svelt 225 lbs., down from 325. She was in a serious car accident 5 years ago, broke her pelvic socket, crushed her right hip, etc. (she d been having TIA s before the accident) and is now in a wheelchair. She has since been diagnosed with kidney disease and CHF, although no on has ever told us specifically. I ve made copies of her records in between transporting her from the hospitals and rehab facilities, due to falls and now cellulitis flare ups. She s had ascites on her legs for 4 yrs., and probably her abdomen (she s so heavy it s hard to tell). The muscles in her hands have atrophied, and her extremeties are now a deep red. Her sleeping habits are all over the place, and she is constantly falling asleep, and seeming confused consistently. I have given up work to care for her, but am also married, and raising a 13 year old daughter. I would truly appreciate some honesty regarding how much longer I ll have to endure caring for her. I have POA, and my 3 siblings have pretended that we don t exist for the last 4 years because they don t want to deal with her health issues any further. Despite all my negativity, I would like her to pass away in my lovely home, rather than a nursing facility. She s so fussy, I know that no on would provide her with the empathy that I struggle to continue to give. Your response is most appreciated. ### REPLY: Hello, Sorry about your mothers' health condition. She is suffering from CKD with cirrhosis of liver with hip fracture with cellulitis of limbs with altered sensorial. This condition you may just take supportive care. 1. Check urine output regularly.2. Use antibiotics and diuretics to reduce edema and cellulitis.3. Reduce fluid intake 4. Check serum electrolytes for altered sensorial.5.  Give low salt diet.6. Check her seem creatinine at least two times in a week.7. Physiotheraphy may useful. Please post me follow-up reports will guide you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 69 years of age having ED problem, tried viagra 100mg before sex but could not get hard errection, igot my testrone level checked and found low, my blood pressure is almost normal most of the time, iam suffering from BPH now a days PSA is 4.5 and creatinine level is slightly higher its 1.3 and blood uea is at the border line its 19, my height is 5ft 5 inches, weight is 67 kgs Overall i am active and take regular morning walk for one hour, please do suggest me the medicine to cure this problem of errectile dusfunction, thanks Rgards K. akbar ### REPLY: Hi Akbar, Thanks for writing to us. I can understand your concern. Thanks for detail info. You should be given testosterone but considering you BPH problem it is contraindicated. You can be helped by Tetra fol Plus. It is mostly over the counter vitamin medicine contains pyridoxine phosphate. Which helps in ED. it is to be taken two times daily after meal. Response can be seen after 15 days. Other options are trazodone or combine as well as tadalafil. You need to consult psychiatrist/sexologist or urologist/ for evaluation and prescription of the treatment. Hope I have answered your query, regards, hhtp://Bitly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir,i had fever for 2-3 days.after 3 days of illness i got my platelets checked and it comes to be 163.now my fever got diminished today.i also got problem in stomach such as pain and hardness.i also feel that i am sweating.do i have dengue??please reply ### REPLY: Hello.I would like to know whether you have any bone pain, severe muscle pain, easy bruising, pain in the back of eyes, or any other issue you have forgotten to mention.the platelet count you mentioned is not very low.platelets go down to less than fifty thousands in dengue.if the fever doesn't subside even after three days, along with other symptoms, if you are in an endemic area for dengue I advise you to get dengue IGM and NS1 antigen testing to confirm diagnosis.approach your doctor for further help.hope my answer helps you if you have any more queries I would be happy to answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister has been unable to function for a month now.. We thought it was vertigo. But I m concerned it is more serious. She is very dizzy.. Can t walk at times without help. Acts as if she is drunk. Slurred speech.. Gets confused.. Can t watch TV.. Any lights make her nauseous. She can wake up and feel ok.. A little dizzy.. But by 6 at night she is vomiting.. Very dizzy.. And can t walk without help. Don t know what to do. ### REPLY: Hi there, thank you for writing. I would recommend that your sister seek immediate medical attention in an emergency room. If she is having slurred speech, confusion, and dizziness, along with persistent vomiting and an inability to walk without help, her symptoms are very concerning to me because they could be caused by an intracranial process, like a brain tumor or stroke. Since she has not gotten any better in the past month, and is not acting like her usual self, or able to participate in any of her normal activities, let alone walk, I think she needs emergent medical attention. I hope this answer has been helpful to you, wish you 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: My son was at a wrestling match yesterday and got hit in the penis.  We saw him holding it during the rest of his matches but said he was fine.  Today he is complaining of pain and keeps trying to pee but barely any urine comes out.  He also said he has pain in his shaft but no bruising or swelling.  Shaft is a little red but he is also grabbing if a lot.  Any idea what could be wrong?Thank you,Courtney ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about this problem your son has. Most likely, there has been inflammation of the penis that has obstructed the opening of the urethra. This has certainly caused obstruction that prevents him for being able to urinate freely. The urethra is a very sensitive organ that needs t be ad .  I will like that you seek for medical consultation. Also, if he had just any blood  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sex on Friday night and the next afternoon there was some tingling on my penis and a tiny flesh coloured lamp had popped up. It s next to some abrasions. I used a condom and so I m thinking it may be caused by teeth during the blow job? Or is it herpes? Please help. ### REPLY: Hi, It could be either but probably some trauma by bite. I cannot say until I examine you or see a Photograph of the lesion. I suggest you see a Surgeon or a Skin Specialist who can examine you and advice accordingly. If it is herpes or some other STD then treatment requires to be initiated at the earliest. Do not worry, it would be fine with treatment. But please get yourself examined or upload a photo of the same by asking a Specialist/ Direct query on this website. Take care, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor my name is dev and i have been habitual of masturbating from 10 years, sometimes it becomes 5 time per day, else 2 times i do that, i am 25 years old, i feel weakness but i am unable to stop it, i don t have strength in my hand and sometimes when i ejaculate, nothing comes from my penis, has my sperm finished? please help me, i am very depressed. ### REPLY: Hi, Thanks for writing in. Every adult does masturbation for pleasure and to relieve stress at your age. It must be done at most 3 to 4 times a week and not more than once daily. Since you do even 5 times a day, you are addicted to it and need to control yourself. To control masturbation addiction, I would recommend that you do not masturbate for 10 days and keep yourself busy when sexual thoughts come to your mind. Go for long walks, meet friends and start reading books or listening to music when you feel like masturbating. Avoid touching your genitals except during passing urine and toilet. Also eat healthy food and have at least 8 hours of sleep every night. Do not see pornography. If you have difficulty controlling by yourself then please consult psychiatrist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ?. My father-in-law has emphysema, very thin (125 ish),on lots of medication,recently trouble with fluid in lower legs. Low O2 blood levels, Just started full time oxygen. But my question is..Heart rate of 130 at most of the time? (Also just stopped smoking because of the O2). Is the heart rate part of the process or is it a preventable issue? ### REPLY: Hello, Thanks for writing to , I am . Let me tell you some basics to understand, blood carries oxygen and heart pumps blood to all parts of the body to supply oxygen to the farthest parts of the body. When there is low quantity of oxygen in the blood the heart has to pump more times per minute to supply same quantity of oxygen to the tissues. Yes in case of low oxygen saturation in the blood faster heart rates are normal to find in the patient. It is definitely preventable by taking measures to treat the underlying issues, that is respiratory failure in this case, if you can correct the respiratory failure and oxygen saturation of the blood goes back to normal the heart rates will get back to normal automatically. I hope this answered your question, If you have more queries I am happy to answer you. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,Age - 29, Height, 5"11, Weight - 62.. No medical historyDo you get weak if you mastrubitate? and if yes, what is it that you need to intake / eat, if you get weak...(pls guide preferably veg food)? any specific comments with the details mentioned above on height and weight ### REPLY: Hi, Sperm are regularly produced in our body along with fluids secreted from glands like prostate seminal vesicle etc. it becomes semen. So if it is produced regularly it should be discharged regularly from body by sexual intercourse and manually through masturbation otherwise it comes out during nightfall. Now masturbation does not cause weakness or defect in sexual organ (energy lost is almost similar to doing other activity in muscle contraction n relaxation). It gives pleasure during act of masturbation and later calmness which is thought as weakness.  Your height and weight are normal. So in my opinion you don't require supplementing any diet if you are taking balanced diet. Hope this will help. For any queries feel free to ask. THANKS N 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 can feel my heart skipping beats and beating really fast for no reason. I get dizzy and sometimes feel very sick to my stomach. The other night all I did was stand up, not fast I just stood up and my heart took off and gave me chest pain, I felt sick to my stomach and very dizzy. I took my blood pressure and it was 177/100. Im very concerned so what could this mean? ### REPLY: Hi Sir/Madam. Welcome to . I understand your query and concern. You possibly seem to have ventricular ectopic beats. These can manifest as skipped beats, producing a sensation of dizziness. This can sometimes lead to chest discomfort producing chest pain. The symptoms need evaluation in the form of baseline ECG and 2D echo.Additionally, 24h Holder ECG monitoring may be required. Elevated blood pressure has to be controlled in your case with suitable antihypertensive therapy.It's always advisable to keep your blood pressure under 130/80 mm of Hg. Pertaining to stomach issues, there could be an underlying element of acid reflux disease. I generally treat my patients with oral tablets of Pantoprazole. I suggest you to please see a doctor if his views are same and if you can prescribe these . Definitive management depends upon treating the underlying cardiac arrhythmia with medical management and if necessary institution of a temporary or a permanent pacemaker to counteract nocturnal hypotension. I advise you to have a cardiac work-up at the earliest. Consultation with an expert cardiologist will help. Post your further queries if any, Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor ! I am monisa and my father has undergone kidney transplant . But his creatinine level always increases. Will ragi ,barley , maize reduce creatinine levels and what foods should be taken to reduce urea levels sir ? Kindly plz answer me sir and I m waiting ### REPLY: Hi, Thanks for writing in. Diet is an important part of maintaining creatinine levels in kidney patients. Vegetable that are to be taken includes Bottle gourd/white pumpkin, cabbage, cauliflower, green peas, potatoes, carrot, spinach, french beans, brinjal / eggplant, ladyfinger, pumpkin yellow, mushroom, fenugreek leaves, capsicum, ridge gourd. Fruits which can be taken are Apple, red grapes, cranberries, blueberries, raspberries, strawberries, cherries, pineapple, pomegranate. Please give vegetables and fruits in required quantities and cooked with less oil and salt. Making it spicy should also be avoided. Please discuss daily water and fluids intake with the doctors. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ok, Randomly about once every 3 months or more I get these instances where my heart beats extremely fast and its almost as if it is difficult to breath. Im typically not doing anything energetic. This time I was just sitting on the couch watching my daughter play and it lasted about 3 minutes. Then it stopped. What do you think? ### REPLY: Hi Thereafter going through your query I understand your concern. I would like to tell you that there are many reasons of rapid heart rate associated with breathlessness like panic attack, atrial fibrillation, heart rhythm disorder, anxiety etc. But an evaluation is important because some underlying diseases can be fetal.It's recommended for you to get an ECG, Electrocardiography and a HOLDER monitoring for 48 hours done and consult a cardiologist with reports. Hope this will helping 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 iam 46 female been in hospital too weeks ago low blood levels they hospital was treating me for poss stroke had mri scan came back said no stroke iam very weak i have no strength  but sleep i have short term memory loss butm my blood levels are up and down they said iam border line die bets iam on sick leave at the moment i dont feel well at all my blood level went down to 2.7 they could not give me a reason i still have a weak leftside of my body i dont know what wrong iam usuall very active person ### REPLY: Welcome to . Complete body profile investigation is required to reach the perfect diagnosis.Otherwise, short time memory, weakness and borderline diabetes suggest Vitamin deficiency, particularly vitamin B 12. Start intro muscular vitamin B 12 injection. Your diabetes should be diagnosed properly by investigation FBS, PPBS, and GTT. Eat good nutritious, high fiber diet, start routine exercise and yoga. Consult your doctor for better medical management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 started having pain and numbness in my feet, what is causing it? I have graves disease and I also am anemic suppose to take vitamin b12 ,iron pills and vitamin d. I haven t taken any of them in a couple of months. I do take thyroid medication. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have numbness of the feet in patients with Graves disease. Well there can be many reasons for symptoms you mention in query like alcoholism, diabetes, herniated disk multiple sclerosis or sciatica. I would suggest you to keep your feet in hot water tub with Epsom salt in tub, massage with almond oil gently and do not stand for long time. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order certain test like nerve conduction test and physical examination. Doctor may recommend physical therapy prescribe anti-inflammatory. Doctor may also refer you ton endocrinologist for thyroid problem. 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: Have history of kidney stones. Had back pain in June. Saw my family physician. Urine test showed trace of blood. I went to my urologist two days ago. Urine test again showed a trace of blood during testing. The urologist wants to send me for some type of scan to see if stones are present and to see if I have bladder cancer. This scared me but I did not ask any questions. I don t smoke. I am 53. Why do you think he is making the leap from kidney stones to bladder cancer? I also take a baby aspirin every day and have done so for years. No family history of cancer. ### REPLY: Hi, I had gone through your question and understand your concerns. Well, symptoms of kinda stones and urinary dance may be very similar. You have symptoms of kidneys stones and cause of your signs are most probable benign. However, it is always good and should be ruled out cancer, for your own good. You should just do cystoscopy and this will show if you have reason to worry. I am sure that you don't, but as I said, this is just preventive measure and in your age bladder cancer may be present. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an echocardiogram, nuclear ultrasound and angiogram all within last 2 months, tests were within normal range but am still getting symptoms of chest pain/pressure, sob, mostly when walking too much or climbing stairs, and feet swell and throb after walking a short time. Why??? ### REPLY: Thanks for your question on . No need to worry about heart diseases for your symptoms as your cardiac tests are normal. Similar symptoms are also seen in bronchitis (inflammation of airways). So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid(ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have 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 doctor, This is vaidyanathan from chrompet. I am writing here for my mother. she is suffereing from Asthma for the last one year getting treatment but from the very beginning cough does not stops for her. Sheis not able to sleep at night due to heavy cough. she is using the inhaler for the past one week only. We have consulted several doctors all are giving tablets but no response. Pls give a suggestion to cure her cough. ### REPLY: Hello Vaidyanathan, Thank you for asking at . I would like to know more about your mother like - What is her age? Does she need to take any other medications regularly/frequently? Does she have any other medical conditions? Does she have any other allergies/nose symptoms/skin symptoms, etc.? Which inhalers and .  There are two types of inhalers - "reliever" types to be used on as-and-when-needed basis for asthma symptoms and "preventer" types - to be used on daily basis irrespective of symptoms.2. Were I treating her, I would suggest her to use both types of inhalers appropriately. I usually prescribe my patients' albuterol/levosalbutamol inhalers as "relievers" and budesonide-formoterol inhalers as "preventers".3. I would also suggest her spirometry with post-bronchodilator reversibility as well as allergy testing. Spirometry will exactly diagnose the kind of respiratory problem she has and also will measure her lung capacity. Allergy testing will help her to know whether she is allergic to particular substances. In such case, avoidance of the substances she is allergic to is the best strategy.3. In general, please avoid exposure to dusts, smokes, fumes and air pollution to her.4. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help her to improve her lung capacity and immunity respectively. Hope above suggestions will be helpful to her. Should you have any other concern, please feel free to ask at . Wish your mother the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My bloodsugar registered 599 so I re-checked it and now the meter will read is "HI". Should I seek medical assistance at this time or is there some way to lower my sugar until I can see my physician Monday. I have not been diagnosed with diabetes. And I am taking blood pressure and synthyroid meds. ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Blood sugar is too high. Yes, you should seek medical assistance at this time.2. Do not try to take any medications without an exact diagnosis.3. At the hospital, do get an HbA1C done for diagnosis of diabetes. Will require estimate of ketone bodies too. It could be complicated diabetes mellitus. 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 I live in canada I want to get pregnant but during my first delivery I was in india at that time I was given calcimax , alamin m forte and richar xt  know I am worried will I get this medicine in canada as I am pure vegetarian I need some supplement medicine from in canada how can I get that medicine as my first child was throgh  surgery  I need  medicine. if I get pregnant I has to go back to india to buy medicine ### REPLY: Hi, If you are yet to conceive, it's the time to take Folic acid supplements by both the partners. It avoids certain spinal problems in baby & also improves quality of Games.  The dietary supplements offered in pregnancy depend on mothers health & required supplements in that specific pregnancy. So it's not necessary, that you will need same medicines in second pregnancy also.  Please don't carry unnecessary tension. You have to consult a doctor there, after you conceive, & he will prescribe the needful(which will be available in Canada).  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 left area beloow my rib in back huurts to press on it, or if I lean over and move certain way. Also I wake up every morning with severve pain in my lower abdominal area, sides and lower back. Been goin on for months and its getting worse and more consistant. Had labs run for uti and its negitive??? Don t have an appointment to get in with doctor for another week? Thanks. Age 32,,158lbs had baby 14monthslots ago ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms can be related to a pulled muscle. I suggest doing a abdominal ultrasound for further evaluation. Meanwhile, I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using a magnesium supplement for muscle relaxation. Hope my answer was helpful. If you have further queries feel free to contact me again. 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: I am 39 4/7 weeks pregnant and everytime I eat I get a feeling in the back of my throat where I feel like I have a hairball or something in there, and I cant get it to go away. My throat also gets dry from trying to get whatever it is to come out. ### REPLY: Hello, and I hope I can help you today. The sensation of feeling something stuck in your throat is a symptom of reflux-when the food that you eat or the acid in your stomach can back up and irritate it.  This is common when you have a large belly at full term because your stomach is being pushed up towards your chest and also the hormones from the pregnancy cause the top opening of your stomach that connects to your esophagus to be looser, so food and acid can leak more easily. The best way to try to control this is to eat only small amounts at one time and to make sure you sit up for at least 2 hours after meals.  Taking antacids, which for the most part are all safe during pregnancy, can also help.  Trying to cough up what you feel in your throat will not help because there is not actually something solid coming up. These symptoms may be difficult to treat, but the good news is the symptoms will get better after you have the baby. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes for the rest of the pregnancy, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 year old son had a basic allergen profile blood test. It showed low allergy to milk and undetermined allergy to egg whites and wheat. Doc will not refer him to an allergist for further testing. He just wants us to try an elimination diet for a few weeks. His only symptoms that we noticed are a rash (keratosis pilaris) and a runny nose. The allergen profile only tests for a few things. Should we insist on seeing an allergist? ### REPLY: Hello, If symptoms of allergy like a rash or runny nose improve after eliminating egg or milk, then probably you don't need to go for further testing. More than food other allergens like pollen, dust, mites, artificial flavors in candies, chocolates, juices, etcetera, can cause allergy. If symptoms are not improving, you need to go to an immunologist. In the meantime, you may have antihistamines medicine for symptom relief. 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: Dear Sir i have a long pain in the middle of my heart for a long time, i went to man y doctors but they never said me the exact problem they give only few medicine saying that it will be all right but then i could not get heel of it,if you would show me any path in this regard it would be a very kind full to me . Thanks & Regards RAvi ### REPLY: Hello, Regarding your concern, I would explain that chest pain could be related to different possible causes: musculoskeletal pain, coronary artery disease, gastroesophageal reflux, anxiety, etc. Does deep breathing or pressure on the chest trigger the chest pain? This would be indicative of musculoskeletal pain.  Anyway, I would like to review your performed cardiac tests in order to be able to give a more professional opinion.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 65 yrs. female recently diagnosed with a possible TIA, but with unusual symptoms. Did not have the classic symptoms. That was on May 7. All during last night I had charley horse severe cramps in my left calf. Woke up feeling tingly all over, feeling shaky, severe dry mouth-absolutely no saliva. The whole body tingling and shakiness comes in waves, then goes away. I tingle from my toes to the top of my head. No vision problems, can smile if my mouth is lubricated by drinking water. No pain anywhere. The waves of tingling seem to be accompanied by slight warming sensation. Not a hot flash. I ate some cereal thinking my blood sugar was low. I am up and about now but the tingling and shakiness persist although dry mouth is not so bad. Having a little difficulty typing this from the shaky feeling in my fingers. ### REPLY: Hello, I passed carefully through your question and would explain that your symptoms are not typical of a TIA.  For this reason, I would also recommend checking thyroid hormone levels in order to exclude possible thyroid gland dysfunction and an ambulatory 24-48 hours ECG monitoring in order to exclude possible cardiac arrhythmia.  An EEG is also necessary in order to exclude possible seizures.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had gallbladder surgery Monday and ended up with a collapsed lung and blood clots to the lungs. I am on xaeltto and have been to er today and had another cat scan as I have had bad shoulder pain since last night and also had elevated bp. It is better now but I am a little short on breath and still have pain in my shoulder. My heart rate is high 104. I am not getting much help from er so what can I do for myself? ### REPLY: Hi, Following GB surgery, some complications like collapsed basal segments of right lung and shoulder pain may rarely occur. Pain may increase your blood pressure and heart rate and collapse may be causing breathlessness. I suggest you to start beep breathing exercises which will help not only your breathlessness but also your blood pressure. Cut your salt to less than 6 GMS per day. Take an anxiolytic like alprazolam and pain .  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: hello sir my kid is 4yrs old he has been treated for childhood asthama since birth now his pediatric doctor is saying to consult a chest specialist another doctor has seen him and he is saying that his toncils are bigger than normals that is why all this problems are emerging. sir what i am confused to what to do and whoom to consult now plz help me. ### REPLY: Hi... Suggestions on wheezing - 1. There are certainly alternative management therapies in allopatry now-a-days. Medicine has advanced a lot and not asthma is 100% controllable.2. Inhalers are the newest management strategies for this. If I were your pediatrician I would have suggested the use of Decor metered dose inhaler (100mcg) 2 puffs twice a day through a spacer and this is for regular use for 8 weeks. Another metered dose inhaler is Leveling and this can use as rescue therapy whenever the kid is having severe cough in spite of regular usage of Decor. The technique is very important and very crucial for the .  Regularity of medicine usage also matters a lot. So do not discontinue abruptly after you notice some improvement. The technique of administering an inhaler using a spacer has to be taught to you by your doctor and these are prescription medicines. So I suggest you consult your pediatrician for this.3. Triggers can be environmental changes/ dust/ talcum powder/ seasonal changes/ uncleaned a / c vent/ cold weather etc....we can specifically say this is the cause - unless we observe the kid closely - the best person is the parent. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I began with a dry cough that was followed with a low grade fever (got to 101 at one point)..a lot of coughing, etc. The fever has now subsided the past few days but I am having sudden onset coughing bouts and just today began coughing up very salt sputum, my nose hurts (first time) and my stomach has this awful gnawing sensation..plus I began sneezing now. Is my body expelling the flu and thus in its final phase? ### REPLY: HI, thanks for using  It is the progression of your viral illness. It can progress from a .  The symptoms can change as the illness progresses. You may want to try a bucolic. This would help to break up the mucus so that it would be expelled easier. Examples are bipolar, Robitussin, Mucomyst addition, an antihistamine and cough suppressant would also be helpful. 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: Hi, my name is Rikie. I have a lump on top of my head. It is not hurting, just sometimes it feels itchy. When I pick it, pretty easy like zit, it looks like small bundle of fat, but when I do that it causes bleeding. I can send you a picture. Please help. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  Most probably you have some Desmond cyst. You may have some skin tumor.  Please send me the picture so that I can help you further.  You should go for fine needle aspiration cytology study of lump.  Then you should take treatment accordingly.  Excision is the treatment of choice for most of the benign lump.  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. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m suffering my anger, and have got suicidal tendencies. i have a gf of 4 years, and when ever i land into any argument with some1 only she is able to calm me down, help me basically. she is like a force who calms me down. i want to know what is wrong with me?? even my parents cant help me nor control my anger. it s like in anger i don t know what i feel or do, its just an instant without conscience..... i also feel like keep hitting things to let my anger out but my gf stops me. ### REPLY: Hello......... Thanks for your query. On going through your symptoms, it appears you have pathological personality traits. The other alternative could be mild mood fluctuations refereed to as cyclothymic. Hence, I would advise you to undergo a thorough psychiatric evaluation as well as personality profiling so that above disorders can be ruled out. Effective anti-aggression agents like mood stabilizers and beta blockers are available to deal with the condition. Avoid any substances of abuse as they may worsen your state. Wish you speedy recovery. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Woman, 31, mother of one. Lower abdomen pain in right side since june on a spesific location. The pain goes away in the night, comes back in the morning. Lots of going to the toilet all the time (every fiteen minutes or half hour within two hours in the morning). Lots of gas, although i think that runs in the family. The pain is pulsating, sometimes like a knife cutting. Have seen a gynechologist, nothing wrong with ovary or anything else there. No urine infection. Sometimes tired, have had one or two coinsidences of feeling nauseas. I have handed in a hemofec- test, it was fine. Feeling very anxious about this. My mom has had cancer, my father has diabetes type 2. Can this be anything BUT cancer? Being sent to CT exray these days... Terrible wait. Thank you for the respons. ### REPLY: Do not panic with thought of cancer or diabetes. None of these seems to possible in your cases you said it is gas troubling you To be safe to get an ultrasound of whole abdomen done for gas in GIT management Stop eating oily food meat and junk food morning exercise and morning walk to be started. Antacid liquid form 3 to 4 times a day Now packed June Avoid milk Take curd it has been served that those who have anxiety or are nervous gas trouble them a lot .so some antianxiety .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 blood in my urine with pain in lower abdomen mainly where bladder is. I went in for a urinalysis and was told they couldn t see any infection. They were going to keep it for a culture to see if anything came of it. Prior to this I felt a heaviness in bladder and urgency to go to the bathroom that produced little to nothing. Over the course of the evening my urine wasn t bloody that I could see. This morning when going to the bathroom things are feeling better, (no noticeable blood and pain in bladder feels better). Would this be something that needs to be looked into further? Should I be concerned about bladder cancer if I start to feel better? What would cause this onset and then to go away? ### REPLY: Hello! Thank you for the query. Even if there were no bacteria found in your urine sample, it does not mean that there is no infection. That is why, urine culture test is a very good idea. Blood in urine (it does not have to be visible by you) can be also caused by urinary tract stone or glomerulonephritis (kidney inflammation). Urinary bladder cancer is also possible. That is why you should not neglect such symptom. If you feel better, I suggest you to have urinalysis repeated once again and see if the blood is still there. If yes, and no bacteria in culture, you should consult urologist and have cystoscopy performed. If no blood at all and abdominal pain is gone, you may wait and have urinalysis performed from time to time. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is phil i am 41 and for past 6 years i have had severe spasms every night in sleep in lower bowel and testicles with urgency for loo to urinate 4 times a night always in pain spasm lower back tubes in teicles swell like varacosele when i eat or drink certain food groups my tesicles are hard like rocks all night throughout sleep..bloated stomack very large as tight as a drum hard to breath have an erection all night..bitter taste in mouth like bleach  ear wax taste,oral thrush thrush down below sometimes intolerant to wheat soya and milk..soon as i have these stomach goes massive within 5 mins get a rash up stomach stomach stays this way for weeks sometimes,gassy and itchy and blurred eyes plud loss of memory and coordination sometimes ,dizzy depressed and anxcious have had an endiscopy however had elimenated wheat from my diet prior to this so unfortunately the result came back negative for celeac desease,spams are agony everything i eat now have problem digesting pain under ribs the spasms are unbearable whe i sleep every day now for six years and i am exausted and frustrated because doctors have not found the problem i am wondering if i have candida,thought i was celeac,i just dont know my stomach swells so large and tight it is as if you stuck a pin in it it would pop..my testicles go like rock hard during sleep which is virtually non existent everynight..i sleep for i hour or two then up in pain to toilet and so it repeats itself throughout ht night my dreams always mirror and incorporate the pain i am suffering pain down my legs and lbacksise,can you please help kind regards phil.. ### REPLY: Hi, This seems like you are having trouble with your stomach. However, I need to ask some other things as well regarding your disease.  I suggest you visit your doctor to have some other tests for Inflammatory bowel disease and H. Pylori related infections as well.  I need to see your endoscopy report as well to interpret and correlate with your history. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I am 25, I was very upset and yelling yesterday with a lot of straining and now I have pain in the center of my chest.  It is constant no matter if I stand or sit or shift positions.  I have no known history of heart problems.  I am not overweight but dont exercise much. ### REPLY: Thanks for your question on . I can understand your concern. Since your chest pain is started after straining, possibility of musculoskeletal pain is more. This pain is worsening by your stress and anxiety. So we should first control your stress and anxiety. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  For chest pain, follow these steps. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Take painkiller like ibuprofen. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 71 year old female. Today I saw a Neurologist at the University of Washington in Seattle. My MRI showed split cord abnormality. I went to see this Doctor because I m in alot of pain and I hate to increase my pain medications . He said I should see doctor that deals with sports injuries. The appt. is in the works. Also some phyicial theropy may help. He was reluctant to consider surgery because of my age. Would like your opinion. thankyou, Maryellen Person ### REPLY: Hi, Thank you for posting your query. I agree with your doctor. Split cord abnormality (diastematomyelia) is generally a congenital condition, and presents with symptoms in early childhood. So, if you have remained almost asymptomatic till now, surgery may not be needed (not considering the risks involved in a spinal cord surgery). So, I think physiotherapy is the way to go. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My nephew is in the hospital with Hepatitis C. His conditioning is worsening each day. I know there is a medication that is on the market now, but the cost is $1000 per pill. His most recent symptom is that his testicles have swollen to grapefruit size. Is this one of the symptoms of the infection spreading in his organs? ### REPLY: Greetings from . P No I don't think it is a symptom of Hepatitis C spreading to testes.  Due to severe hepatitis it damages the liver and because of the liver damage the protein production gets reduced. If the protein concentration in the blood reduces then it can cause swellings in legs or face or in testes.  I would recommend him to get Serum Albumin levels which will confirm that protein levels are low If at all it is in normal range then an ultrasound Scan of scrotum has to be done. Hope this information was useful to you. Any clarification feel free to ask. 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: The doctor said i have some kind of bacteri growing beside my tooth something like formation its a small pimple growing beside my decaying tooth on the outside layers of the chewing  gums. I was given medication and still it did not go its still there and i was not given the list of types of food i should eat because its now im google it seems like most food i hve beeen eating were causing the pain feeding my decaying tooth what should i do? They wont remove my tooth until that bacteria is gone im a foreigner staying in china i dont know what to do now ### REPLY: Hi. Can understand your concern. As per your complaint when the tooth gets deeply decayed due to infection caused by bacteria, there is formation of pus near the root tips of infected tooth and is known as a "DENTAL ABSCESS" and it creates pressure when there is no escape way and causes pain. The formation of pimple is a pus filled lesion caused due to infected tooth. Taking antibiotics and painkillers can help in reducing the infection, but it takes time for the infection to reduce to an optimum level so that the pus . There is no specific food stuffs that you can take or avoid reducing pain or protect the tooth if it is already so deeply infected. The only precaution which you can take is avoid hard food items and do not chew from the affected side to prevent flaring up of pain. You should also avoid very cold and very hot  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir,My friend has 2-3 boils/lumps below his penis, i.e, on the balls/scrotum/testicles. what is this? Is this an indication of some serious problem like std diseases or simply bacterial infection? pls advise. Is their any danger for others if they have sex with him? ### REPLY: HelloThanks for query, Lumps on the scrotal sac are mostly Sebaceous Cysts over scrotal wall. The Scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac) .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mild altimers I take rivastigmine id like to know are these good pills I have taken some otherones but they made me sick it was called donepezil could you tell me Ive gotten sick from the rivastigine ihave gotten sick the first two days but now its not that bad so how will I be maggie ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Rivastigmine is a good .  If there are no side effects, and you are tolerating it well then you may continue taking it regularly. Look for the progress of the disease and if the disease progresses further Meantime could be a good treatment choice.  Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further details, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: We cant seem to get my 3 year old Grand Daughter to eat much and she was sick a week ago but now all she seems to have is some diearah and a swollen stomach and all she will eat is yogurt and a some Gatorade and milk. she is still very active should we take her off the milk for a few days. ### REPLY: Hi... I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause . 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: So last week I started itching real bad, especially in my legs. I started noticing some bruising (and there were a lot of bruises, BIG bruises) where I scratched. I didnt think I was scratching so hard and Ive never bruised like this before whenever Ive had skin problems where I needed to scratch. Now, I found a lump in my upper thigh and its the size of a quarter. I can only notice it when I touch it and it feels like Im pressing against another bruise. However nothing has appeared on the skin which is leading me to believe its beneath the skin. Any ideas on what it could be? ### REPLY: Hi, Dear,Thanks for the query to . In My opinion-Currently-I feel you have Urticaria bruise. Cause of this -could be allergy to cosmetics / body spray/ food, or it could be worm infestation eosinophilic / or it could be due to skin disorder in itself/ . Advise-Consult a doctor who would treat it accordingly. Hope this would help to plan treatment with your doctor. Hope this will help you to take further needful steps and to treat this emergency. Wellcome for further query in this regard. Wishing you fast 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: My FNAC on right thigh swelling showes !)Smears are paucicellular 2) very few smears show fragments of adipose tissue 3) necrosis is not seen IMPRESSION: few fragments of adipose tissue only, Favour Lipomatous Lesion. Advised excision. can you advise what it means ### REPLY: Hello, Basically what they are saying is that they didn't see a lot of cells (smears are unicellular), very few smears show some fat tissue (very few smears show fragments of adipose tissue), and there are no dead cells that they see (necrosis is not seen).  The impression is that the pathologist got is that it just looks like normal fat, which means the lesion is likely a common non-cancerous growth of fat called a lipoma.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My husband is a type 11 Diabetic , he is going to have Surgey on his Torn Aorta next month, suddenly today he right leg started hurting with pain and now it feels cold ,with a small amount of whitish color , his left leg is normal , could this be a possible sign of a blood cot ...???:( ### REPLY: Hello! Welcome on ! I understand your concern and would explain that his symptoms may be related to peripheral arthropathy. An arterial thrombosis could not be excluded too. I recommend going to the ER for a careful physical examination, a Doppler ultrasound of the leg vessels and some blood lab tests (complete blood count, PCR, sedimentation rate, D-Dimmer, blood electrolytes). If an arterial blood clot is diagnoses, a vessel intervention should be performed urgently. Hope to have been helpful! Feel free to ask any other questions whenever you need! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 asthma as a child.... But i havent had any problems since i was about 7 and im 21 now.  About two weeks ago it seems like its hard to breath off and on. Like my lungs are heavy and i feel like i wanna cough to breath correctly or take in deeper breaths. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should should definitely rule out bronchitis and asthma in your case because breath, cough, chest heaviness are commonly seen with these diseases. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose asthma or bronchitis, but it will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my breast have gotten bigger and my nipples have darkened I have little spots around and on my nipples I feel slight kicks in the bottom bit of my tummy now and again but not very often I have been bleeding but I can t tell if its normal because im on the implant ive taken test after test but all negative. .. ### REPLY: Hi, Welcome to  forum.  It appears that you must be having the features of pseudocyasis. Due to anxiety, or hormonal imbalance etc. It is a false pregnancy, with all the features of pregnancy, if not attended, may lead up to the end of the pregnancy, and the false delivery.  I advise you to consult a gynecologist for diagnosis and treatment. You may need to have an M.R.I. for diagnosis.  Take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have blood, general health and resistance against infections.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was experiencing groin pain- I had massage therapy  which  aggravated it - about  a week after, I had  diverticulitis -antibiotics -  that went away  but I still have groin pain - really only bothers me very early morning if it should try to turn over in bed. During the  day   there is some aggravation from time to time but not anywhere severe as morning.I have to sleep on one side only.  Any help would be appreciated - thank you    ps  Having a colonoscopy and stomach check June  12th ### REPLY: Hello, The pain in the groin prior to massage or after - it should be due to diverticulitis as you mention. If you can understand what is diverticulitis - that will explain the cause for your present problem. Diverticulitis is the formation of pouches (diverticula) within the bowel wall, typically occurs within the large intestine, or colon, although it can occasionally occur in the small intestine.cause: Raised intraluminal colonic pressures and lack of dietary fiber. Till colonoscopies confirmation Antibiotic can be taken, along with investigations like TC, DC, ESR, He, MX, X-Ray Chest and USG abdomen. Most cases of simple, uncomplicated diverticulitis respond to conservative therapy with bowel rest and antibiotics. Surgery is not indicated for you why because, surgery is decided by the stage of the disease, the age of the patient and his or her general medical condition, as well as the severity and frequency of attacks or if the symptoms persisted after a first acute episode. I wish you a normal colonoscopies report. Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had low blood pressuse 90/70 and lower since i had my son 6.5 years ago my pulse has been high since 2001 at least thats when it was noticed while i was in hospital. cardiologist said i have a smaller than usual heart which makes my pulse higher . said it may affect me more as i get older as it puts pressure on the arteries. however i have been tired latley . always been dizzy upon standing was told to sit down when my pulse gets high if that was the case i would have spent alot of my days sitting . playing oout side with my son i had to sit down i got dizzy and nauseated eyes couldnt adjust . it happened at christmas time while i was shopping i fell into a shelf lost vision got weak n had to sit down. blood work is great no anemia levels r all good perfect health. so why is this happening . i dont want to have a heart attack ### REPLY: Hello Sir / Madam, Thanks for writing in to . Firstly, since you have been having a history of hypotension, it is advisable to consult a cardiologist for cardiac evaluation :1. ECG- to monitor the electrical events of the heart.2. Echocardiography- to monitor the mechanical events of the heart this will guide us to rule out any cardiac causes of weakness, tiredness etc. Since your blood reports are normal, If the cardiac causes are ruled out then your hormone levels may need to be checked especially the thyroid profile to rule out hormonal causes of tiredness. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What would cause a person to be so tired all the time? This person has a high red cell count of over 20. I was wondering if that could be the cause or if it might be something else. We have seen a doctor for the high red cell count, but I dont recall him being this tired in the past. ### REPLY: Hithanks for using  Increase red cell count more than 6 millions is towards polycythemia Vera. There are various causes for it like abnormality of bone marrow, genetic factor, high altitude, any tumor which is secreting erythropoietin etc. Various symptoms of it includes Headache, Dizziness, Itchiness, especially following a warm bath or shower, Redness of your skin, Shortness of breath, Breathing difficulty when you lie down, weakness in your hands, feet, arms or legs, Fatigue etc. he should consult a physician to find out the cause and further treatment. 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 Dr. Keerthi.  My husband had a traumatic head injury 20 years ago and was in a coma for 20 days.  The injury left him with a limp in his walk and memory problems.  Four years ago he had a stroke whicChatDoctorplicated his recovery.  He is now unable to walk and has severe aphasia.  The doctors are saying he has advance volumn loss in his brain.  Could it be that this advance volumn loss and age related neuronal attrition is what is complicating his recovery.  Thank you for any answer you may have. ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Question : Could it be that this advance column loss and age related neuronal attrition is what is complicating his recovery. Answer : Yes. The Volume Loss and Age Related Neuronal Attrition are the cause of slow and delayed recovery Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/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 had pain in my right side of chest, above breast but pain goes down right breast and into my right side under arm.  I have had lap banding (vbg) about 6 years ago and have kept the weight off.  I have trouble keeping food down and have been vomiting it up to relieve some of the pain.  I also have a large hernia (from the surgery), which took over 200 stitches to close.  I am just wondering if I have caused some problem to my chest or throat from all the throwing up I have done.  I do this at least once a day if not more. ### REPLY: Thanks for your question on . I can understand your concern. Since you had banding surgery possibility of spasm of lower esophageal sphincter is more likely. This sphincter plays very important role in swallowing. If this sphincter doesn't work properly, chest pain, vomiting, pain relieved by vomiting is seen. So better to consult gastroenterologist and get done upper GI (gastrointestinal) copy with manometry (pressure monitoring). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing some off balance issues, and some tingling in my legs arms and face, and a bit tired, I am seeing a physic therapist for a posture problem and he has me doing some excerise for it, but I did have this balance issue once 2 months ago, went to clinic they did blood work nothing came back and it went away, now it is back, should I be really concerned ### REPLY: Vertiginous syn .  Since you had these problems during or after physical exercise, where the head maybe has moved abruptly you should consider an ENT visit. Regarding the tingling sensation and tiredness it can be connected with different issues, like for example diet or physical activity changes, if you're smoking or not, different ages, etc. You may check the cell blood count, blood electrolytes, muscles and hepatic enzymes at first. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: After taking bath in pool 2 days before I am getting some rashes on tip of my penis and the urine hole is red and while urinating there is pain and discharge is little red and some mucus with urine, the front part appears to have some rashes.What is it how do i treat? ### REPLY: Hi, These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to . I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you good health. Kindly regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,  I have doubts concerning the means of infection of the Simplex virus 1. I have Oral Herpes and I am concerned about passing it on throught saliva when kissing someone or sharing a glass, even when the sores are gone and my skin condition is apparently fine.   Thank you. ### REPLY: Hi. Can understand your concern. As per your complaint Herpes infection can be transmitted through saliva and other body fluids. Although there may be no active infection present, but there can be virus present on the skin surface in inactive stage, and it can be transmitted by sharing glasses or personal use things like napkins, towels, glasses etc. and through kissing. Anytime the virus can re-activate and can multiply in the skin cells and cause outbreaks of sores. You need to be careful and consult a dermatologist and can get investigations like Polymerase chain reaction, virus culture and antigen-antibody reaction done to rule out the extent of infection and possible transmission. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my two year old son keeps sticking his fingers in his moutChatDoctorplaining of an itchy tongue I asked him to open up and on the back of Hus tongue there are bumps the same color as his tongue or even red is it normal or is that a sign of anything I should look out for ### REPLY: Hello, thank you for consulting with . As you are mentioning that your son is having itching sensation in tongue and there is some red color bump present in the back, it looks that your son is having oral thrush. Actually it is a common condition which occur in infants and toddlers. It occurs because of improper oral hygiene maintenance in them. In this condition a white area occurs in the mouth and tongue and when you scrape that white area below it a red itchy area is present. Better you should visit a periodontist (child dentist) to get it treated. As only medications are not the treatment. Hope it will help you. ### END