Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 brother is kidney patient n now he is on dialysis heart enlarged hepatomegaly vommiting n urea creatinine raised n very less urine n his bp is 160/100 after taking medicine twice a day i want to know can he cure frm any treatment can his kidneys improved frm frm medicine his age is 27 plz reply me as soon as possible thank you ### REPLY: Hello and welcome to . As a Urologist and transplant surgeon, i can understand your anxiety. Your brother has kidney failure, enlargement of heart and liver, with H.T. For kidney failure, hes on dialysis. A kidney biopsy is needed to know, cause of kidney failure. B.P.will be controlled with medication. The cause for omitting, may be due to any of his medical problems.He'll needs to do blood routine, creatinine,LFT, electrolytes,RBS, and U/SUB. Once his medical condition improves, he should have kidney transplant. If you've any doubts, send the reports to me, as a direct question. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, For two weeks now I have developed  reddish spots on the corner of my mouth, and slightly above my lip and  near my chin.  It does not itch, hurt nor has it blistered.  Ive used hydrocortisone cream and has helped somewhat but is still present.  What could it be? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of reddish spots in the mouth and slightly above lip and near chin which is mainly due to Recurrent Authors dermatitis which could be due to nutritional deficiencies, stress, immune dysfunction or due to hormonal imbalances. Need not worry. I would suggest you to maintain proper oral hygiene by brushing and flossing twice daily. Avoid hot, sharp and spicy foods. Condition still persist then consult dentist /oral pathologist for proper examination and treatment. Doctor may prescribe anti-inflammatory medications for 10-15 days and your symptoms will resolve. Take probiotic food/ .  Do Listerine mouthwash rinses once a day. Apply colonel and McCoppin on these spots.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 persistent  backpain for over 8 months now, I take tramadol and Cyclobenzaprine for muscle relaxer. I have done Physical Therapy, and had two epidurals to no relief. I have been tested for Spondelitis, and the only cause shown on MRI could be buldging disc, and anuluar tear. I am starting to get a feeling like im on a boat kind of light nausea, I feel as if im weak, and have a poor short term memory now. The black spot just appeared on my right palm, and not sure if Tramadol is causing the nausua or the Cyclobenzaprine. My pain is usually around 8-9 out of 10, I dont have the MRIs to show, Blood work comes up normal. ### REPLY: Hello and Welcome to , Thanks for writing to us. I understand you have back pain. These symptoms are part of lumbar disc degeneration with PIED where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don't get better with this treatment, I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms Hope this helps you. Wishing you good health... Regards.  . Orthopedic Surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Santosh, My daughter will turn 3 yrs on 16th Jan. She is just 10.4kg. She was born with 2.8kg. Though she is active and very talkative and understands everyhing and speaks fluently mother tongue, she has not gained much weight since last 2yrs. She gained hardly 2.5 kg in last 2years. She is a vegetarian but eats everything, though we feed her. I feel there is something wrong in he growth. I see acording to growth curve she should be atleast 12kg by her 3rd year. Please suggest how can she increase her weight. She looks like a 2yr oldd girl. Thanks in advance ### REPLY: Thank you for follow up. My name is .  I want to ask you how often she eats, has she stool after every meal, did you check her for worms. At the first you should do stool examination, stool culture, stool for ova and cyst, check blood test for anemia. Of house, for prophylaxis you can give zen tel syrup 1 time, then you should start to feed baby every 4 hours 4 times in a day and between give fruits to her. Give to her in the evening 4 tablespoons oatmeal with milk, in the afternoon - blended Dali 200ml +panir 100gr+a little sugar. Give to her cookies, egg every alternative day. In addition, start to give multivitamins-zincovit 1 teaspoon 1 time 2 months and digestive enzyme syrup. She is hyperactive, try to involve her indoor games and see how much she eats. In addition, she can eat boiled potato, salad, soup with mushrooms, eggs, cheese, boiled cow milk 200ml every day, then she will gain. I will wait results of your analyses then we will discuss. Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby is 6 1/2 months....he had a bit of diarrhea late Saturday and early Sunday. ..sunday evening he had a fever of 99.1 and his appetite has decreased. ..now he barely drinks his formula but takes pedialite ....his gas stinks really bad...no fever since late yesterday evening... ### REPLY: Hi.... It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been having pain in the upper right portion of my abdomen just under my rib cage. Ive had blood tests done and an ultra sound to rule out gallstones however the pain is still there. My ER doctor recommended a HIDA scan and said it may have something to do with the placement of my gallbladder. Im looking for another opinion on what it might be. I havent had any fever, have had some nausea  and vomiting. ### REPLY: Hello! Thank you for the query. Before HIDE scan gastrostomy would be a good idea. Upper right abdominal pain along with nausea and vomiting can be also caused by peptic ulcer. Such pain does not radiate to the back (gallstones pain radiates to the back). It starts after a meal. It is usually dull and does not go away after painkillers. Pancreas inflammation can also give similar to gallstones pain. Stone in bile ducts can appear in the same way as well. I suggest you to consider gastrostomy if peptic ulcer seems possible. 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: I FILL TIRED IN AFTER NOON .MY HEART BEAT IS IN THIS TIME ABOUT 65.MY PRESSURE IS NORMAL.MY AGE IS 60.ECG REPORT IS NORMAL.I ALSO FILL WEAKNESS IN THIS TIME. 15 DAYS AGO 1 EPISODE OF VETIGO FOR F1 MINUTE IS HAPPNE.MY SERUM LDL COLESTEROL IS 136mg/dl.I AM FIT IN MORNING.IN AFTERNOON WHEN I AM IN REST I FILL  SMALL PALPILATIN IN MY CHEST.MY WEIGHT IS SLOWLY LOOSING.WHAT IS MY PROBLEM AND ITS TREATMENT.PLEASE HELP ME.HIGHT IS 172.WEIGHT 59 KG. ### REPLY: Hi, You need to undergo some examinations, such as ECG, serum glucose, carotid duplex ultrasound. Only after these examinations the right strategy may be found out. Your complaints may be caused by different conditions; heart disease, diabetes mellitus and for the episode of acute dizziness narrowing and blockage of carotid arteries should be excluded by carotid duplex ultrasound. Take fearsome back if you have any further questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have a persisting infection in my pubic groin area. For the past year it comes and goes regularily and almost always is infected. I believed it to be an ingrown hair but most recently I went to the hospital because a hole appeared there and I was told it is a cyst . This keeps happening in the exact same spot and I apply warm compresses to it and blood like pus usually oozes out of it. It pains a bit as i were my pants exactly same place. Kindly suggest me what to do ### REPLY: HI, I understand your concern.  The prolonged & repeated infection indicates healing.  -low resistance - inadequate treatment/wrong choice of antibiotic - unhygienic condition.  - Uncontrolled diabetes You need investigations like-CBC, fasting & post meal blood sugar, culture & sensitivity test of the exudate from infection. Along with complete physical check up.  This would pinpoint the diagnosis & treatment plan.(best advised by a skin specialist) Apart from regular medication for prescribed period, you will have to take - tonics/nutritive diet for raising resistance.(proteins, iron, vitamins specially it. B&c)would help.  - good control of blood sugar in case you have diabetes - adequate local management in form of removal of hairs, keeping the area clean, .  Thanks. - ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY MOM JUST HAD A CT SCAN AND MRI. THEY SAY SHE HAS CANCER WRAPPED AROUND HER AEORTA, TOUCHING HER LUNG KIDNEYS AND SPREAD THRU HER BACK. THEY CANT OPERATE. WE HAD NO IDEA SHE IS 76. THEY SAY ITS THE MOST PAINFUL OF CANCERS. CAN YOU TELL ME WHAT HAPPENS NEXT. SHE IS IN CALIF. IM IN NY AND IM TRYING TO GET THERE. HOW CAN THIS HAPPEN OUT OF NO WHERE ### REPLY: It's an unfortunate situation and am sorry to say that there is nothing that can be done to completely cure it. The entire treatment will now be aimed at making her as comfortable as possible and to prolong her life. You will need to get a needle test done first to ascertain the type of tumor she has. Thereafter, she needs to be put on chemotherapy if she can tolerate. At the same time she will need to start something for her pain. This will have to start with oral painkillers and escalated as and when required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello: I am 38 years old and will be 38 at my baby s birth. My Nuchal Translucency was excellent in that the baby only had 1.4 nuchal fold and a nasal bone was identified. However, the blood test that goes along with this test was not as good and although I don t have the risks of 38 year old my risks were of a 32 year old or 1 out of 441. My doctor said that this was still a good result, and that she didn t want to do an amnio, but wanted to run a triple screen blood test. Can you please advise whether the physical markers of the nuchal scan and the nasal bone are a good indication that my baby is safe or whether the weight of the blood test makes does show that there are greater chances that the baby has down syndrome. (My results for trisomy 18/13 were very low and only had me at the risk level of a 19 year old.) Thank you, Aurora ### REPLY: Hi, Thanks for writing to . I conclude that probably you are asking whether to go for the triple screen test. All screening tests are done to come to a probable diagnosis. And only 1 or 2 tests cannot do this job, so we need sometimes more tests to be on sure side. So with that I mean its advisable to do the triple screen test. Hope this helps you. Thanks. If you have any more queries I am happy to answer them. Else, please rate this answer and close the discussion ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 take ovralg to get my periods..I have son 4.5 year old through IUI and now I want another child and I m still taking ovralg...do I nees to go through the same process again or is there any chance I can conceive naturally...will 14 th day formula apply on me as I read that first day of ur last count 14 day if you will do then can get pregnant as i get my periods through ovral g so will this work for .please assist ### REPLY: Hello.thanks for trusting the  doctors for your health related queries. I guess your concern is about.remedy for getting pregnant...right.well.there are plenty of remedies in the present world. One of them u have already tried during your first baby.right.as u told that, you are taking overall, it's given for regularization of menses. Once periods will regular, chances of getting pregnancy is increased.that's why your treating doctor prescribed u.lastly want to say that, YES.there are chances of getting pregnant with natural formula, as u know 14th day formula. It is also called fertile period(it is from 10th to 16th day of cycle) during this period chances of getting pregnant is high. Because on the 14th day ovulation occurs(follicle rupture n ovum comes out), so that we doctor advice to do coitus from 2 days before n after this 14th day, so that sperm can fertilize the ovum n pregnancy will happen. With the above discussion u can try out my suggestions-1. DON'T WORRY.RELAX, u can get pregnancy with natural methods. There is chances.2. Once your menses will regular, chances of getting pregnancy will increase spontaneously. So regularize the menses then try the 14th day formula.3. If u r in hurry then visit to nearby infertility specialist.he/she can help u out. Regards- . ) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had chronic lower back pain due to a harvesting of bone from my left hip. This bone was used in the back of my neck for fusion. I have never had back surgery. The pain is nondescript and no one seems to understand how much pain I truly am in. The only relief is when I sleep!!! I take Percocet 10-325. It slightly takes the edge off but never stops the pain completely. HELPPPPPP This procedure was done April 2009 and I am at my wit s end. ### REPLY: Hithanks for writing to ChatDoctori am really sad after listening to your problem, which occurred(rare) following the benign/harmless procedure of bone harvesting. As far as percent it's a painkiller and does its job wonderfully. But, it can not be taken regularly because of its side effect. At which place do you have pain, does it occur at hip bone or lower spine? I suspect the cause of pain could be RSD.you need to visit pain clinic for pain due to ? RED, they might help you in getting over the pain. Take care and wish 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: Hi, My brother has just had laser surgery for kidney stones under general anaesthetic & has a stent fitted for 5 - 6 weeks. He has cerebal palsy located mainly in his groin so finds it very difficult to get to the toilet quickly & get comfortable as his legs are very stiff & unbending. He now has an infection & has started with antibiotics today. He has a lot of pain at the end of his penis & is generally in a bad way. Is there anything you can suggest to alleviate his pain - he is already taking paracetamol. Is there any diet that can help him with the infection & going forward as he has been told he makes too much calcium in his body which causes these kidney stones. This is the second time he has had this operation (previously it was on his left kidney - this is his right one) & he didn t experience so much pain. The stones this time were large & took some time to laser. He has to go back for the same operation in the near future (still awaiting date) to find out if the operation worked, take out the stent & see if there are any more stones that need attacking. This means he will have to go through all this again & there is nothing I can do to help him. Any help or suggestions you can offer will be most appreciated. Kind regardsm Lita ### REPLY: HelloThanks for query. I feel very sorry for suffering from your brother who is already crippled. The pain in penis and while urinating is due to presence of stent and is common due to irritation of Trig one of the bladder in addition to foreign body reaction to stent. Normally it fades away once the stent is removed. As regards the second planned surgery in few weeks time it will not be so difficult like first surgery as Ureter is widely dilate due to stent making it very simple and easy to fragment the residual stone (if any).In the meanwhile continue giving him appropriate antibiotics and ensure he . As regards, he's getting recurrence of stone you need to get stone analysis done to know the composition of the stone so that certain dietary measures can be taken to prevent recurrence of stone. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: About a month ago the left side of my bottom lip would twitch off and on for several days. The twitching went away after about a week but this morning my lip is swollen in the same side. I havent done anything that would have caused a swollen lip. Ive been under some stress for the past two weeks. Dont know if the twitching and swelling are related. What could this be? ### REPLY: Hello, Welcome to . I understand your concern. Twitching and swallowing of lip may be an early sign of some infection or may be non-specific. If swallowing is NOT associated with pain, redness, skin lesions or tingling sensation than you need not worry and there is NOTHING to be done. It would go away on its own. If you find that there is burning pain, small blisters along with swallowing than there is possibility of herpes labials. In such a case, you should consult a dermatologist and take anti-viral medicines. There may be some inflammation of facial nerve if you experience severe pain on one side around mouth, on cheeks and just anterior to the ear. But in your case, if there is no pain, redness or blister than you need not worry about these things. Just be watchful for them and consult a doctor if any of these symptoms are there. Hope this will be helpful. 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: IYes, thank you. I had a lymph node biopsy in the crease of the groin area with two enlarged lymph nodes there. It came back as necrotizing granulomateous infection. I had a course of doxycycline and had an ultra sound which says they have decreased. My doctor I see says this needs more investigation. I also go to the pain clinic in Buffalo New York and the Dr/Owner of the clinic talked to me today and recommends I get a second opinion with an oncologist. I told him I was diagnosed with Lyme Disease in 2000 and have had all the effects from that from bad arthritis to bad headaches. I also have been battling Rosacea on my face which is severe at times. My question to him today was are all these things correlated together and that would be my question for you. I would appreciate any help you could give me. Thank you so much. ### REPLY: Hi, Welcome to . I understand your concern regarding the groin lymph nodes. Necrotizing granulators reaction indicates chronic infection of the lymph node which usually occurs in chronic diseases like tuberculosis, Lyme disease, chronic diseases of the groin and perianal regions. I suggest you get a detailed examination done by a GP nearby you to rule out chronic infections of the groin before suspecting malignancy. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been sick since early june, (Male) 34 yrs oldsymtoms started urge to urine right after i finished.when ever i would sit i would feel pressure on my bladder to pee.Doctor told me i had prostate infection, put me on antibiotics sulfate?went to uroligist, testestorone levels were really low 23d9. did not do prostate fluid test, changed urologist, this one did do prostate fluid check and said it had white blood cells. did not say how much they were. sent me on my way. got tested for gonnerea & chlamida which makes no sense i am married for 17 yrs. when i go poop & fflex to push a white discharge comes out of my penis it looks just like the fluid when he did a prostate check. also if i try to have sex my penis hurts when it gets hard & ### REPLY: HelloThanks for query. Based on the symptoms and clinical findings by a Urologist you have acute Prostatitis. Please get culture of a prostatic fluid and semen done to trace out the organisms causing this infection to help you take appropriate antibiotic as per culture report. Take anti-inflammatory medicine like Diclofenac twice daily. Prostatitis takes long time to get cured hence you will need to take medications at least for 4-6 weeks. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 experiencing painful ejaculations with a very small amount of ejaculate. It creates a uncomfortable pressjre in testicles and feels like something is obstructing the flow. I have had a vasectomy years ago and never had problem until recently. I take effexor xr daily. ### REPLY: Hello and. Your concern is understandable. At time of intercourse, sperms with some fluid, travel via tubes called was, from both the testis to the penis, and out with ejaculation. In your case, both the was have been divided and tied up years back. But, the kind of pain you're experiencing, is known in few cases. You should get a doctor to check the genitalia, and proper treatment will be advised.  You should also ask the doctor, if the Effector XR, is needed. Wish you well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Mom is a patient of Diabetics for last 10 yrs and has High blood pressure, 3 weeks back she was admitted to hospital with Severe Lung infection (neumonia) and was on ventilator for 5 days and in ICU for nearly 7 days now doctor says she would require dialysis as infection has effected her kidney, She did not had any problem prior to this , I have consulted another specialist nephro and he asked me for getting Kidney profile and Hemogram test which i did where i saw a Urea level of 23 and creatinine level of 4.6, My question is can this be due to the fact the she had infection and it effected kidney also and can this be cured or she wil need regular dialysis from know on. ### REPLY: Hi friendWelcome to  Sorry to see several problems - The best one to seek in the situation is a nephrologist - you are right in consulting one. Infection can cause all these - often leading to shock and Multi Organ failure. Ther chance for reversal are not predictable until after the infection has cleared. There is one thing that needs attention - Urea of 23 and creatinine of 4.6 ?? - this is rather unusual If it is not your typing error, it suggests skeletal muscle problem, rather than kidney!  The nephrologist will assess and assist Take tarnishing speedy recovery God bless Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My bottom right wisdom tooth is coming in. Its been two years and coming in slowly. It doesnt feel painful but I just noticed it is a bit grey and kind of transparent. My question is, should I get it removed or is it fine? And is it bad for my health if I dont get it removed? ### REPLY: Thanks for your query. I have gone through your query. The wisdom tooth is a non-functional tooth. Consult an oral physician and get a radiograph done to check the status of eruption and amount of space available in the jaw to accommodate the wisdom tooth. If the path of eruption is not ideal and available space in the jaw is less, then get the tooth removed. The abnormal way of eruption of third molar may make the brushing difficult in that region and make the wisdom tooth and second molar prone to caries. So get the tooth removed prophylactically. I hope my answer will help you. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I always feel horrible from the time i wake up till i sleep and its ruining everything in my life my friends, family and school. when I get to school I feel so horrible that I cant focus and when I get home and I try to do my homework I just stare at my book for hours... HELP!! ### REPLY: Hi dear I understand your concern. Stress and anxiety will lead to a depression. Depression has low mood with loss of interest. It can be treated with medicine like combination of SSRI and benzodiazepine. In SSRI sertraline / Escitalopram / paroxetine will help. Psychotherapy like cognitive behavior therapy is the choice. Counselling can help. Consult psychiatrist and get help. Still if you have a query then feel free to ask, 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 husband drove a big truck. He was found unresponsive with a nose bleed and drooling still in his truck and he died.. I was told my EMS that he was gone by the time they got there. They resusitated CPR, shocks, fluids, but they couldn t get his heart started. He was 59. What could have caused the bleeding from the nose and drooling? He was obese and was hypertensive, but it was controlled well. Didn t have usual heart symptoms. I just wish I had answers to what happened to him. ### REPLY: Hello! Welcome and thank you for asking on ! I am sorry about your husband. He seems to have suffered a sudden heart attack. The nose bleeding could be indicative of uncontrolled high blood pressure, probably related to the chest pain.  .  As your husband was obese and hypertensive, which are known cardio-vascular risk factors, a heart attack seems to be the most probable cause related to this clinical scenario. Hope to have clarified some of your uncertainties! Wishing 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: while back my left arm went numb for two seconds, went to my dossctor my mri saw I had a mild they have initials for it. now like I have pressure in my head area ,like a spacey feeling , and whe n I walk a slight insecure feeling starts. I have been taking e fish oil supplements for couple of years, and noticed it was 1000mg could this have anything to do with this uneasy feeling in my brain.????????? ### REPLY: Hi, And large pieces of information are missing that are needed to make good advice. First, no, Fish oil, more commonly known as cod liver oil, is usually safe in most people and is not known to cause the brain effects that you mentioned. Now, I think there is some lesion found in your brain MRI, and I would like to know the exact report or see the scan before I can comment on it. But yes, that lesion can be a cause of not only your symptom of the arm, but also the heaviness of the head and imbalance when you walk. Since the exact report is not mentioned, I will not be able to conclude what may be the cause of your symptoms. It could be anything ranging from stroke and TIA, to declination such as MS, to infections like NCC. So without the report or the scan I cannot comment on the treatment.  I have tried to make it as simple as possible. Let me know the report/scan, and I will try to help you further. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 2 year old has a white blister on the right side of his bottom lip. It s just inside his lip. I can only see it when his mouth is open. The surrounding area is red. How do I know if it s a cold sore or if he s been chewing on his lip? How can I make it better? He woke up early this morning and pointed to his lip and said, What happened? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint a white blister inside the mouth of your son that has a red surrounding area seems like an Authors ulcer or canker sore or a traumatic ulcer caused by chewing or biting the lip and does not seem like Cold sore as cold sores appear as fluid filled blisters commonly present over the lips. I would suggest you to consult a Periodontist or an Oral Physician and get evaluated and in case if it is an authors ulcer he can advise him to apply a numbing gel but to be precise to apply only over the ulcer. You can be advised to apply a steroid ointment to reduce inflammation. Vitamin B complex in syrup form can be given. Tylenol can be advised to reduced pain. Applying cold compress or ice over it can relieve. Give him soft diet, more of fluids. Avoid spicy and citrus foods. 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: My husband has a cluster of three different sized circular shapes on his upper inner thigh they are getting bigger and now two have shoen up on the other leg. All of them are darker than his skin like a bruse but not purple green. more dark pinkish brown. I think it could be the ring worm fungas. will these spread to me? ### REPLY: Hello, Thank you for posting on . It seems your husband is suffering from Tina courts and corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal .  You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: YYYY@YYYY I am wondering if I have any type of flu virus. Tuesday and Wednesday I threw up.   That is over now but since then I have had a stabbing pain in one side of my back just above my waist. Its been a consistent pain, the first day was throbbing, and now its more  Of a dull throbbing. ### REPLY: It just looks to be a case of muscle pull post violent vomiting. Back pain is common after vomiting as back acts as a support and stabilizing structure for the body and can easily get strained or injured during sudden violent movements, which sometimes may happen during vomiting or sneezing. I would recommend applying ice packs at the site of pain and some over the counter painkillers like Acetaminophen. It is unlikely to be a flu as there are no other symptoms suggestive of flu are present like cold, fever, generalized body ache. Hope this answers your question, 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 using an electronic toothbrush and I accidently hit my gum. Now I have a white pus. At first it was hurting for a week and now it doesnt hurt anymore even though the pus is still on my gum. Ive had this for about three weeks now. Should I go to the dentist to check to see if my nerves are not damaged? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have injury by electronic toothbrush don't worry this white pus discharge from gums due to Periodontal Abscess formation.  Don't worry you do warm saline gargle two - three times a day Do chlorhexidine mouthwash twice daily.  You can apply stolen gum paint on painful gums. Consult dentist for Oral prophylaxis and curettage. Hope this will help you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When I run, I have a pain on my upper back part of right leg (hamstring). I am 55, male, and try to run regularly. From recently i got this problem. I avoided running for 2 weeks but problem is still there. No pain when I walk or ride a bike. Could you help me explaining me cause of my problem and what I should to mitigate it? Thank you...Alex ### REPLY: Hello, I have studied your case and I think you need to see a neurologist or a spine surgeon. Such numbness is suggestive of nerve compression in the back or vitamin B 12 deficiencies. In such cases you need to take blood serum level of B 12 and MRI of the spine. It will tell use if there is disc herniating or not. If yes then it should be taken care of. I hope this answer will be useful for you. Let me know if there is any other followup questions. 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 can t remember a lot. My short and long term memory seem to be hosed. I can meet someone and have a converation with them, then two months later I see them and introduce myself tothem as if I have never met them. I can t recall very many things from my childhood. The events that I can remember I can count on 1 hand. I have problems remembering my children when they were small, events that I should remember because they had an impact on me. My family and friends tell me about things that happened in the past, but I have no recollection of the events at all. When I think I remember something, I question whether it is a memory or am I reecalling a story my family has told me. I take a lot of photos, but when I look at them months later I don t remember most of them and who some of the people in the photos are - even though I dined with them and had conversations with them. It s like looking at someone else s photos. I go to the movies and several months later ask mu husband to take me to see that movie. When he tells me that we saw it last month at the movie theatre, I have to have him describe parts of the movie before I can remember seeing it. And even then I don t remember all of the movie, only parts of it.. It s not like I am forgetting where I put my keys or park my car. It s more about my memories beyond 24 hours. They just seem to leave me quickly. ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms and agree that you need detailed evaluation.First, a neuropsychological testing would help us confirm the amount of memory impairment. Especially, whether it is short-term or long term or both. Also, they would test visual and verbal memory. Then, you would need to see a neurologist and undergo tests such as brain scan, vitamin B12 level and thyroid profile, to determine the cause of memory loss. I am sure you would get better with proper treatment. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I got a rhinoplasty done 3 years ago.I had a extremely flat face and a flat nose.The Resultof Rinolpasty lukd gud for few months but it got flat again except my tip where the bone taken from my rib is still there..it luks reall odd...i m thinkin of goin for a second rhinoplasty..please suggest..Will it go Flat again since my face too like Most Asians.. ### REPLY: Hi...as you have had 1st rhinoplasty done three years ago you can go for 2nd one but remember that adhesions formed as a result of 1st surgery.so due to this the 2nd surgery is always difficult but still you can go for it...as for as the flatness is concerned it is unpredictable whether the absorption of cartilage will occur or not...mostly the cartilage taken from the ribs are not absorbed so early.still unpredictable...hope my answer will help out you...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, for a week now my left eye muscle, under the inner part of my eyebrow, feels as if its been strained. Looking around rapidly causes a mild dull ache to eminate from it. This ache eventually starts to give me tension headache pain behind my temples (both sides) above my left ear, as well as on top on my head on the left side. Also sometimes causes a feeling of pressure in my ears, more the left ear than the right, like I need to equalize. The most difficult thing to explain is the actual feeling in said left eye muscle. When not straining my eye on purpose, theres no real pain, and it doesnt feel exactly like pressure.. it kind of feels like something is in the eye without any scratching pain and my eye doesnt tear up. My eyes also appear perfectly normal. Lastly, maybe twice in the week, I have felt mildly dizzy for approx 5 -10 seconds - feels as if I am slightly losing my balance. I do have what was confirmed by my neurologist to be a pineal cyst, diagnosed via MRI 3 months ago but besides that no other clinical problems with my head or eyes. Neurologist confirmed it is asymptomatic as it is not applying pressure to any surrounding structures. I also have left maxillary sinusitis, which seems pretty dormant in the MRI, and I have never had any congestion or blocked nose etc because of it. Could this be some form of ptosis? Maybe it IS the sinusitis acting up?? Or is it just a strained eye muscle? ### REPLY: Hi, First, I would like to reassure you that we are not dealing with any serious neurological disease. A normal MRI rules out most of the serious conditions. As told you, pineal cyst is incidental and is not the cause of your symptoms. As of now, it seems to be eye muscle strain. If you develop double vision or any other symptoms, you would require evaluation to exclude myasthenia graves. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For many years I have suffered from back pain. I have a tilted pelvis and have suffered from sciatic nerve pain which is now under control. While I am able to maintain my lower back issues with specific exercises, walking and sometimes anti inflame medication, for the last couple of months I have been experiencing middle back pain. It feels very tight around the rib cage area. Most pain is felt when I am lying down. ### REPLY: Dear Friend, Thanks for contacting . There are three ways pelvis can tilt. Anterior/Posterior/Lateral. Which one is yours? For all three the choice of exercise has to be different. You might not be doing the right exercise that is why your pain is getting chronic. Middle back pain could be because of bad posture, could be kyphotic. You need to check the length of pectorals major muscle, if short you need to stretch it. 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 was diagnosed with aggressive prostate cancer two years ago, and have undergone 38 radiation treatments each treatment targeting 6 locations in my lower abdomen.Also i will complete hormone injection therapy August 22nd 2014. I have rectal bleeding that is sporadic and appears to be from my hemorrhoids ### REPLY: Thanks for your question on . In my opinion you should consult surgeon and get done local examination of anus. If hemorrhoids are present than bleeding is mostly from it only. So start its treatment. But if hemorrhoids are absent than you need to get done Colonoscopy to rule out internal problem. Radiotherapy can cause ischemic ulcers in bowel lumen. And these ulcers can cause sporadic bleeding. Recurrence of tumor in gut lumen is also possible.  For this too, Colonoscopy is needed. So better to get done Colonoscopy 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: MT AUNT AGE 89 , HAS BUMPED HER LEG AND HAS A LARGE BRUSE & BLISTER, SHE HAS BAD CIRCULATION IN HER LEGS AND A HISTORY OF WATER BUILD UP AND WEEPING LEGS. WE HAVE IT WRAPPED ANTICIPATING THE BLISTER WILL BURST , WOULD THERE BE ANYTHING ELSE A DOCTOR WOULD DO? ### REPLY: Hi, Thanks for your query. From description, it seems to be soft tissue injury. Bump might be due to haematomaformation(collection of blood). You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory . I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend is 66. He has many red dots on the bottom of his right foot,  arch area,  and  the skin is peeling off on the bottom of this foot. This has gone on several weeks.   WE did soak his foot in Epsom salts.   Now he says it is getting painful to walk on.    He had polio in his other leg as a child. ### REPLY: HelloWelcomeI am have read your concern carefully. The history you have presented me with is not sufficient for me to understand what exactly happened and when it happens. Red dots as history is inconclusive of any condition. Skin peeling is a natural phenomenon, however in some cases is very significant. FOR PAIN, you can give him diclofenac sodium once daily till the pain persists and then stop its intake and apply voting spray whenever it hurts. AND I KINDLY REQUEST YOU TO PLEASE POST ANOTHER QUERY WITH MORE SPECIFIC DETAILS. We are always here for your help. TAKE CARE ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have Vulvar Cancer and just finished Chemotherapy, I also had a CT scan that showed the cancer was still growing even after the treatment, so my question is what is your opinion on holistic treatment, I was in stage 4 when I started treatment and this is the second time I ve been through this type of cancer, I am 38 years old and in good health. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  If you have stage 4 cancer then chemotherapy and radiotherapy is the treatment of choice. Surgery may not helpful in stage 4 cancer. 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 found a weird lump under my are its under the skin and its long and soft..( it feels almost like when a man pumps up his arm veins) Its not painful and I have already taken antibiotics to rule out infection...I have an appointment with a surgeon in a few days but after reading articles on the internet Im freaked out about HIV...Also the lump is toward the side of my armpit closer to my chest ### REPLY: Hi, Dear I studied your query in all it details and I understood your concerns. Cause -On the facts given from you, I would advise you to have Consultation from ER Surgeon as very confusing data from your query needs a lot more information by clinical examination. Still on whatever limited facts given from you, and with my experience My opinion is as follows-The weird lump appears to by long cystic as it is just like a pumped arm vein, more on the chest side than on the armpit side / antibiotics are not effective in reducing it-such a LUMP mostly would be -Sebaceous Cyst/ Or a Cystic aroma?USG would fix the cause of the lump. But don't worry It's definitely not cancerous, from the facts given from you. Plz hit thanks and write excellent Reviews if this would resolve your query. Plz don't worry and do Welcome for any further query in this regard to me. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My girlfriend and I had sex during her fertile days, she took levonorgestrel 0,75mg 17hrs after, and 12hrs later took the second dose, as the prescription says, what are the chances she will be pregnant? and I read that the following 5 to 10 days she may have little blood losses, its that a signal that the pills will have made their work? o its not a rule? Thanks. ### REPLY: Hi, Your girlfriend has taken Levonorgestrel well in stipulated time; hence she is well protected from the pregnancy due to this intercourse. However, please understand that this pill prevents the pregnancy from the unprotected intercourse performed 72 hours prior to the consumption of the pills.  Any intercourse performed after the consumption of the pills is not protected by the previously taken pills. Each intercourse has to be protected by pills taken within 72 hours of the intercourse. Yes, what you have read is right. Few days after the consumption of the pills, some bleeding per magnum may be experienced. Though it happens in most of the cases, some exceptions may be found. It is not an issue of concern and does not need any medical attention. Moreover, I would like to inform you about one more after effect of these pills. The period following the consumption of the pills may get delayed by few days to a week or so. So you may be prepared for it and do not get stress of such delay. I hope this resolves 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, I have noticed downward curvature to my penis when erect within the last 3 months. Achieving erections has become increasingly more difficult since then as well. I have been on antidepressants for the past three years, and have had different problems with various meds, as well as with the depression. Nonetheless, the curvature and discomfort are clearly beyond meds and depression. I believe I may have developed spongiofibrosis, and possibly urethral stricture possibly due to masturbating (although not very frequently or vigorously). I have an appointment with a urologist in two weeks. I am a total nervous wreck and feeling close to another nervous breakdown. I haven t had sex in a year and a half. Is there hope for me? ### REPLY: Degree understand your concerns went through your details. You should understand the actual. Penis curvature is natural and cannot be caused by any medicines. Due to masturbation practice and other reasons, penis generally curves a little towards left of right. That actually is a blessing because curved penis provides more friction inside vagina than straight penis. Be happy. Yu took depression tablets for depressive disorder. Depressive disorder is usually accompanied by anxiety and obsession. I doubt you are becoming more obsessive about the sexual organs and is becoming anxious. You should consult your psychiatrist to continue the treatment. Take care. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi: I had a lumbar puncture with flouroscopy Friday afternoon. Now, two days later, I have excruciating pain all over my body, especially my legs. There is also pain in right flank at diaphragm, and hurts when I breath. Upon puncturing the lumbar area, I experienced an electric strong pain in my right sciatic nerve that shot down radiating to my right foot causing my leg to kick once uncontrollably. I said oh I think you hit my sciatic nerve! When the Dr pulled back on the needle, the pain stopped, but the leg felt numb. The pain was not this bad yesterday, but now even with my very potent meds for chronic back pain, the pain is very bad. I am stuck in bed and starting to get head and neck pain too. I have some arachnoiditis in the lumbar area from four spinal surgeries at L5 - S1. The radiology Dr said my cord area is very narrow as it was very difficult to obtain CSF. The puncture was done prone for the xray and then I had to roll onto left side for collection of CSF. It was barely dripping out. It took about 30 min. to get 6 cc. Is this pain normal?? I see many people on the site talking about the needle hitting the sciatic nerve, and the xray tech said it happened a lot at the facility I went to....Is it common that the sciatic nerve is hit upon needle entry? I would appreciate any advise as it is Sunday..... everything closed but ER. ### REPLY: Hi, Your symptoms suggest that you have experienced two side effects of the lumbar puncture. Firstly, you have experienced some nerve irritation or damage during the procedure. This is likely to recover but may take a few days to show an improvement. It is a recognized occurrence during a lumbar puncture. Secondly, the head, neck and body pain that has started is also due to the puncture but is not nerve damage. It is due to leakage of CSF through the hole made by the needle and, again, is a recognized problem with a lumbar puncture. My suggestion is that you continue to take your pain meds. Lie down and rest as this may relieve the head and neck ache to some degree. Keep well 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: my sister s one year old grandson was rushed to the E.R, for a fever of 104, and a bump on his head, they don t know where the bump came from, his blood count is 4000, with bands, his temp is down to 101 now, grandma is worried, they are keeping him at the hospital over night, what could this be? ### REPLY: Band cells are slightly immature neutrophils which are supposed to fight an infection. Had you mentioned the differential count and platelet count, it would have been easier to comment on the possible cause. Since the total leukocyte count is low, there is more likelihood for a viral infection. In such a case however band cell count is generally not high. The C-reactive protein level in blood would have given a better idea about possible infection. Let me mention that viral fevers are quite common in child .  Talk to your doctor and he would be able to guide you better. It is hard to comment about the possible cause of bump on head without examining. If the platelet count is normal, there is less likelihood of it being due to bleeding. The history of trauma is also important. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 endocarditis..whenever i smoke Marijuana it Hurts alot!!!!!! i have been out of hospital for 4 weeks now and stil get chest pain..i smoke ciggerettes and that doesnt hurt, only if i smoke alot. u have Pulpatations still and am wondering if this is something i should worry about? ### REPLY: Thanks for your question on . I can understand your concern. Yes, smoking can cause chest pain and palpitations in endocarditis patients. Cigarette smoke contains many Chemicals and harmful substance. These substances can precipitate endocarditis. And this worsening endocarditis can cause chest pain and palpitations. So better not to smoke. In fact you should quit smoking permanently for better improvement in endocarditis. 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: All of my life, even as a child, Im always dripping my pants with urine..its really embarrasing and bad-smelling. Because well..its urine. I dont know what it is and Im really sick of it! Im fifteen years old already and my underwear are always getting urinated! Is this normal? Is there something wrong with my body? ### REPLY: HelloThanks for query. You have constant urine leakage since childhood keeping your inner wares soaked with urine. This suggests leakage of urine due to some congenital abnormality in Urethra or Ureter and needs to be investigated. You need to consult qualified Urologist for clinical assessment and get following basic tests done 1) Intravenous Paleography .2) Maturating Cyst Arthrogram (MCU)The further treatment will depend upon the results of these and final diagnosis. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my boyfriend has been waking up in the middle or early morning unable to breathe and starts to wheeze.  This leads to coughing and these spells go on for 5-10 minutes.  They have been going on for almost a month now and we are starting to worry.  He is a smoker, and smoke almost a pack a day..could this be something related to the smoking? ### REPLY: Thanks for your question on . I can understand your concern. Breathlessness and wheezing are commonly seen with bronchitis and asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis or asthma, it will also tell you about severity of the disease and treatment is based on severity only. He may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, he will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. 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: our 9 month old daughter has been coughing for a few days now. we called her dr. today and they told us to give her Benadryl so we did. well tonight before bed she was coughing very hard which she has don t a couple times lately. she then coughed up some clear plem. this seemed to make her fell better. she only coughted a few more times and went to bed. she woke up 3 hours later and started to cry ( which she does bout every night now mostly wanting to get into bed with us not so much as wanting a bottle) we were getting her bottle and I guess the crying triggered the coughing and she started back more than before. you can her the stuff in her throat and chest. we started to give her more Benadryl but she was coughing so much. we were sucking stuff out her nose too. we started gived her the bottle and she was coughing so much we stopped. she has went back to sleep now after only one ounce maybe of milk. what does this sound like to you? ### REPLY: Dear Sir/ Madam, Thank you for posting your query at .comic appears that the nine-month-old child is suffering from bronchitis. Child requires bucolic agents and bronchodilators, which will help in loosing of sputum and easing the cough. Along with this, if the child is febrile, I would advise you a course of antibiotics treatment, to control the infection. You can also administer the paracetamol dose (SOS, if there is fever) depending on age and weight. Saline nasal .  Apart from this, warm fluids will give soothing effect to child.  Percussion on the back: when the child stomach is empty, make it lie on your shoulder and give gentle tap. Hope with this advice your child will feel better, still if the condition worsen let pediatrician see him. Your thank-you note will be very much appreciated! With best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 6 year old 14 feb i give half calpole tab650 for fever after two days i found that some red colour rashes on her leg but next day i saw more like in thies and under waist doctor suggest alried syrup 5ml daily in a day i give 30 ml in 6day i saw rashes was finished but in 7 day my wife give cmbiflame for ear pain next day rashes again come i give again alrid to my daughter and rashes less and start stomach pain headache sweeling on legs what is the problem ### REPLY: Hi, Your daughter seems to be having intolerance or allergic response to paracetamol which is the active .  Please avoid giving her paracetamol or any such medicine which has paracetamol in it, as much as possible.  Her immune system may not be strong enough now to tolerate the medicine. Please consult her pediatrician before you give her any medicine and give the right dosage to avoid any side effects. 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 I got some hives on Easter they were red I had eaten som crap in a stuffed mushroom on accident so I figured it was that. Because im allergic to shrimp. A few days later I laid out by a pool I noticed the Hives turned brown and have not gone away.they look like little freckles everywhere. Any suggestions ? ### REPLY: Cellophane You for contacting . Allergic reaction takes few days to recover. I would suggest you following things:> Avoid factors that cause allergy.> If you have allergy then take levocetirizine one at night for 5 days> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. 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 think I may have lyme disease. I have been treated for vertigo, inner ear infection, fluid behind left ear drum, tingling and numbness in my feet and legs, severe headaches, dizziness, back pain along my spine and in back of my neck...dx as being arthritis, I feel depressed, and fatiqued, and my B-12 is very low and was my Vit. D...I have been told that low b-12 can also be a sign of Lyme Disease. I do live in the country. I have felt bad and been sick for several months, made many trips to the Dr. Still feel horrible. Thanks Gwen ### REPLY: Regardless of your symptoms, I recommend that a few lab tests should be done to confirm Lyme disease. a. Serology: screening ELISA for anti-Lyme antibody with positive titles confirmed by Western blot. b. PCR for Cordelia burgdorferiIf you have any history of tick bite, followed by erythema migrant, you can get started for treatment of Lyme disease without waiting for the serology results. Doxycycline or Amoxicillin PO for 28 days should treat Lyme disease. If arthritis persists, IV Ceftriaxone for 2 weeks is recommended. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 weak and shaky a lot, not cold nor undernourished. Also, I do not have a fever. My sugar levels seem to be good. When I reach to pick up something, sometimes I knock it over or drop it after picking it up. My sleep apnea is being treated and my c-pap machine was just updated by the doctor with the amount of pressure he recommends. The shaking had started before this change, however. ### REPLY: Hello ! I read carefully your question and understand your concern. I would like to know your age and if you have a family history for tremor. There are different causes of tremor. As far as I understand from your description, yours is an intentional tremor, which gets worse when you try to reach for the target. In a young patient I would think about a metabolic cause like hyperthyroidism. While in older patients I would think about essential tremor, a degenerative disease or a stroke. But the gradual beginning of your tremor rules out a possible stroke. A positive family history for tremor would be in favor of essential tremor diagnosis. Sleep apnea can cause tremor in the hands during the day, but it would improve with the good treatment of apnea. So I would recommend you to consult with the neurologist and have a full blood work and the thyroid function tests. A brain MRI may be helpful if the above tests result normal. Hope to have been of help! 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: Hi, i was 20wks pregnant, went for an ultrasound, they said they had seen a dark spot on the babys heart, so i went for another ultrasound after 3 weeks, within those 3 weeks i had very bad cold, coughing with flu like symptoms. so when i went finally for the ultrasound they said that the heart was not beating anymore. pliz help ### REPLY: Dear Madam, It is indeed a very sad event that has happened in your pregnancy. The fact that there are no fetal heart beats observed during ultrasonography indicate that the baby is no more viable and nothing can be done to bring it to life now. The only option left for you is to get the pregnancy terminated ASAP. Delaying termination or continuing such pregnancy has a risk of developing clotting disorder (DIC), infection, kidney failure, etc. It is very difficult to pinpoint the cause for the fetal wastage at this stage. It is likely to be due to the viral infection you had or chromosomal abnormality in the baby. You may think of getting genetic work up done for both of you. Please do not lose your heart. Next time you have opportunity and chance of having a normal baby. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 30 years old and the doctors have found a 1.8 module in my left lower lung. I have done test to check for valley fever and TB botChatDoctore back negative. Now I have to do a PET scan. I have had cancer before from an HPV and they did a hysterectomy. Should I be worried this is cancer? ### REPLY: Thanks for your question on . I can understand your concern. Since you are a uterine cancer survivor, this nodule in lung can be due to metastasis. Uterine malignancy is known to metastasize to lungs. And in initial stages, metastatic lesion looks like nodule only. So your current nodule can be due to cancer. But it is too early to say this. You need to get done CT scan every three monthly and if nodule is increasing in size then biopsy is needed to confirm malignancy. But if nodule is static or decreasing in size then no need to worry about malignancy. It might be due to benign cyst or fibrosis. So better to consult pulmonologist and discuss 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 doc, I am 55 yes pre menopausal and have had a Tkr. Now the other knee is causing pain. I am taking Throx 25 , Pantocid on empty stomach. Other medicines are Kondro OD, Absolute Woman, Fibator 5,Collaflex. Am doing physiotherapy and walking 1km every day. Due to retinal wall thinning I put SYSTANE Ultra drops. I would be grateful if you could suggest relief from knee pain. I am a professor but don t stand more than 20 min at a time. Stair climbing is a problem too. ### REPLY: Here your knee pain could be due to multiple region like vitamin D and calcium deficiency, it can be often arthritis of knee, it can be only knee cap movement disorder, or it can be combination of all above. Now what ever is the cause of knee pain I suggest you should visit an or tho and physio for proper check up and examination. Do need test like knee x-ray and MRI scanning if needed. Now plan your treatment as per the diagnosis. For minor to moderate problem doctor will suggest for physio and medication. This will help you to get pain relief. Also do regular knee strengthening exercises as per suggested by physio. For major damage in knee doctor will suggest for surgery only it can be corrective or replacement of knee joint. Again the physio has to be continued for further rehabilitation. Here I suggest one more thing avoid weight-bearing exercises like walking, stair climbing and standing for long time. And focus more on exercises. You can also do cycling as an exercise to burn calories and improve cardiac endurance. Also use hot and cold pack frequently for some more pain relief. It will be helpful for you if you follow guideline step by step. 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, for a few months I ve been gettin pain and occasionally a throbbing sensation in my upper right abdomen . On initial examination the doctor seemed quite sure that it was an aneurysm but after a scan they told me it wasn t. I still get the throbbing feeling and sometimes pain could the scan have been wrong or could it be something else? ### REPLY: Hello Victoria, Throbbing pain in the upper right side of abdomen could be due to along list of conditions. However, is your pain intermittent, do you get fever, and how's your bowels? If the doctor suspected an aneurysm-was there any pulsatile nature and a swelling? Obviosly It's hard to tell about the possibility with limited details. So I suggest you get yourself evaluated by a general surgeon the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I get tiny little fluid filed bumps on my penis that itch and looks and itches like poison oak, when I pop them they usually dry up and go away, I just get them occasionally, what can it be. Please help, thanks Greg. My email address is buzzy45@  WWW.WWWW.WW ### REPLY: HelloThanks for your query, You have not mentioned anything about your sexual activities whether you got these bumps after having an unprotected sex or otherwise. Based on the facts and description of the lesions it appears that you have Genital Herpes 2 infection. Please get swab tests of a fluid from the cysts done to confirm the diagnosis and start taking anti-viral medications like Acyclovir twice daily orally and topical anti-viral cream like Acyclovir for local application Ensure to wash your genitals with warm water twice daily and avoid sexual encounters till it gets cured completely. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 37 yr old female. I have recently been feeling a faster heart beat at night when I lay down and ususually only if I lay on my left side. Last night I woke to a sudden noise and realized my left are was numb, but I had been laying on my right side. Today at work, I felt my left are go numb again. I am overweight , but only gained the weight the last few years due to stress of job loss and divorce. I think I am too young for heart trouble, but I am a single mom and want to make sure I am ok for my son. We don t have insurance so I came here first. ### REPLY: Welcome to  As per your details following possibilities could be there- 1) Medical illness- Cardiovascular disease....yes it commonly occurs in late stages, but possibility cant be under looked as stress is a major factor contributing to heart diseases. Visit a cardiologist and get investigations like ECG, Echocardiography, CT scan head etc.2) Anxiety disorder- If all your investigations and cardiac work up is within normal limits, you could be having anxiety disorder for which consult a psychiatrist for some medication, psychotherapy and relaxation techniques. Don't worry. You will be alrightWish you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Both of my legs ache only when i am sitting down. Not as bad now but a few days ago it was really bad. Also, my thumb on my right hands moves sometimes when relaxed. I get these flutters through out my body occacciasly. This just started happening all of a sudden. ### REPLY: Hi, Thanks for your query. It seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. A few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im having some pain on my lower right side and around to my lower back side. i have had it for about a week but now its been getting more painful. i dont know if its my kidney stones bothering me or what can you help me before i go to the emergency room. ### REPLY: Dear patient you are suffering from muscular backache. Pain of kidney stones is very severe, and you will not be able to bear it for a week. I would like to advise X-ray of lumbosacral spine anteroposterior and lateral views to rule out other possibilities. Meanwhile, start tab moral 4 mg twice a day with tab attract twice a day for 5 days. If not relieved after 5 days please consult orthopedic surgeon nearby your area. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with anxiety in january which although i feel better apparently is still existent! I have had loose stools for around 6 weeks very little stomach ache, occasional period like pain in my back but nothing that causes me to take any pain relif! Had bloods done all normal but i have a deep ache in my right bicep area, i can only describe as a dull heavy ache. I am worried doc is just going to put it down to anxiety again and what if hes wrong? ### REPLY: Hi, You are already diagnosed for having anxiety problem. Multiple pain complaints in different part of body can occur in anxiety due to muscle spasm. Loose stools can occur in anxiety due to irritable bowel. If problem is prolonged or severe then, for treatment, you can visit specialist like psychiatrist or psychologist. Cognitive behavior therapy from trained therapist also help in these cases. I hope this information has been both informative and helpful for you. Wish 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 was diagnosed in Jan of this year with stage ll ductal cancer. I had a lumpectomy Feb 13. No lymph node involvement and clear margins. I had the ONCO DX test and my score was 17. I chose not to have chemo but agreed to radiation which is , I guess, protocol. It has been close to three months now and I still have not been cleared for radiation. What are my chances of survival if I do not have radiation? I am also taking Aridimex. ER PR positive Her2 neg. ### REPLY: There are a few problems in the way you are being treated. First, Ecotype DX is not for stage II breast cancer, only for stage I node negative cancer. Stage 2 patient should always get chemotherapy. Secondly, in patients who conserve the breast, radiotherapy is mandatory without which, the disease is bound to come back in the same breast. Thirdly, the radiation should be started as soon as possible after surgery and definitely within 2 months. So please start radiation asap else your disease will definitely recur. Lastly, Armies is started after radiation therapy and not before or along with. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 34 year old son has pain in the upper part of his abdomen.   He has suffered from it for a couple of years.  His stomach swells up and he says it feels like it is putting pressure on his spine and his heart.  Things like ZANTAC or mylanta help somewhat.  No one seems to know what the problem is. ### REPLY: Hi. Thanks for your query. This is very classical history. The swelling in upper abdomen with pain. The simple tests are :::X-ray of the abdomen in a Standing position when the stomach has swollen-up. If necessary-Barium studies of the stomach in head-low position and upper GI Endoscopy examination. IF this is a volumes of the stomach-the treatment is simply putting a few stitches into stomach and fixing it to the abdominal wall. If the problem is due to obstruction at the duodenum, needs a major surgery to bypass this. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have this small red spot on the back of my mouth on the bottom gum line. I had my wisdom teeth removed nearly a year ago and my mouth healed with no problems. Furthermore, I have braces and am very adamant about brushing, and I floss fluently. Not to mention, I used mouth wash every day. I have never had a cavity and my gums are pink and healthy. It is just that I poked the red spot and it bled a little and now I am worried. It was not their yesterday. It is about 1/4 cm across. Please help! ### REPLY: Thanks for your query, I have gone through your query. The red or erythematous area can be because of trauma as you told you poked that area. Or it can be a traumatic ulcer or secondary to gum infection. Nothing to be panic, consult an oral physician and get it evaluated.Meanwhile you can apply topical anesthetic like 2%lignocaine gel 3 times daily and analgesics like choline salicylate if it is a traumatic ulcer. If it is secondary to gum infection, then you can get your teeth cleaned once. Do saline gargling. I hope my answer will help you, take care. ### END