Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 5 yr old daughter fell and put her tooth through her lip (a little under her lip). She had 4 dissolvable stiches inside and 4 regular stiches outside. The stiches came out a couple weeks ago and there is a lump that has developed where the wound was. If you push on the inside, the lump gets bigger on the outside and is a white color. Should I take her back in to a dr in case it s an infection? ### REPLY: This seems a soft tissue infection or accumulated fluid side wound. If I were your doctor, I would have insisted upon you to resort to the safest non-toxic healer of Ayurveda for such problems. Herbal oil IRIMEDADI tel may be applied thrice at least in a day. Allow it to remain there for some time and spit. If it goes into throat by chance, no harm. It's not palatable. Also give little turmeric (or Hard .  Any infection, swelling, accumulation of fluid would be ad ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ok, well I have this rash that comes every year starting in the spring and goes away around sept. or oct. Its in the front of my legs under breast and medial arms...I went to a dermatologist did a biopsy and they r not clear about the results. They told me maybe syphalis?? I know that they r not correct bc I ve been married for 5yrs. And before I met my husband I have had this problem and I know this is contagious. My husband is fine and my kids r great! Why would they tell me this? They say it s not accurate but to do blood work. What do u think? ### REPLY: Hello, Thanks for the query, You might have developed fungal infection. The area of groin around breasts is very moist and is prone to develop these infections. Treatment can be with oral antifungals as well as with topical antifungals. Various antifungal powders like candid are available. These can help reduce the moisture as well as control the infection. Please don't use any steroid, it can worsen your conditionPlease meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my 4.6 yrs old has very swollen tonsils, it affects his breathing and he tends to snore very loud when sleeping. Would having his tonsils removed have any side effects later in life and could you please explain the process involved in treating this condition in small children. ### REPLY: Tonsillectomy is indicated when there is recurrent tonsillitis for more than 4 times a year or there is significant dysphagia or difficulty in breathing or gaining weight .this is a simple procedure, both tonsils are removed, you will notice after the operation that there is a gray membrane at the back of your children thought, don't panic, it's an inflammatory membrane.usually few months after the operation child . Even after tonsillectomy child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, for the past two days i have been very dizzy.  i awoke yesterday morning to find that i couldnt sit up.  everytime i did the room spun so much i had to lay back down quickly.  Throughout lastnight i kept awake as the room was doing cartwheels.  I had left ear ache on Saturday but put it down to the cold weather, then couldnt move Sunday am. Any ideas? ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). If it still persists, then you need to consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY . And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My bp is 91/47. i feel very light headed & unwell. Over the last 6 weeks it has been fluctuating as low as 76/60. I am 37 years old & female. I started to feel light headed a few months ago but was okay for a few weeks, but it is now happening daily. I was in a lot of pain 5 weeks ago and diagnosed with debris in the gall bladder. I am not in pain today but feel very light headed. ### REPLY: Hello! Thank you for asking on ! I carefully passed through your question and would explain that your symptoms are caused by low blood pressure. I would recommend performing further tests to investigate for the possible causes underlying low blood pressure: - complete blood count for anemia-thyroid hormone levels for possible thyroid dysfunction- kidney and liver function tests-blood electrolytes- cortisol and aldosterone plasma levels for possible a .  You should discuss with your doctor on the above tests. Meanwhile, I recommend increase the amount of salt you take with food and take plenty of fluids to remain 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: hi, im a 36 year old female , i recently stopped taking omerprazole for excess stomache acid ,im suffering from thinning hair and hair loss my doctor has prescribed me,tetralysal 30mg, and ketopine 2% shmpoo, also betacap scalp application. will these help my hair grow back. ### REPLY: First your doctor has to ascertain the cause of thinning hair. The two important causes in your age group are FPHL(Female pattern hair loss) and CTE(Chronic halogen effluvium). This can be easily done by a Triclosan. Also additional investigations like S ferritin level, S Thyroid functions and relevant hormonal profile may need to be done. Till then Minoxidil 2 % solution and Tab Biotin 10 mg daily may be used as non-specific adjuvants ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Im a 37yr. old female, and I have a bulge in my right groin area. During my annual physical I showed it to my Gynecologist. She said that I have an Inguinal Hernia. She sent me to a Surgeon, but he couldnt really tell if it was or wasnt a hernia. I started having pain and swelling again, so I went to see a different Surgeon. Because the swelling had went down he too could not say for sure that it was or wasnt a hernia. Ive noticed that it only swells up during certain times of the month. By the time I make an appointment & go to see the doctor; the swelling has gone down making it hard to identify. Ive had this problem for almost 2yrs. Is there anything I can do? ### REPLY: Hi. The swelling in the groin can be a Lymph node or a Hernia. Hernia is a swelling which is expansible - meaning swelling is increased on straining like during coughing and is Reducible-meaning can be pressed down on pressure. Whereas the lymph node is neither expansible nor reducible. The simple test at home and by Your Surgeon can diagnose this easily and ultrasonography can help differentiate between the both. Get operated for two reasons. The disease is gone and one gets the perfect 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: i have a sub-dermal bump directly under my tail bone i first realized its existence upon leaning on a wall when i felt it roll over my tail bone. its been a few weeks and it seems to have gotten bigger i can feel it when sitting, it doesnt hurt just a slight pressure ### REPLY: Hi. Thanks for your query and an elucidated history. The lumps are of a short duration and does not cause much pain, you say. Most probably it can be a boil only as the old ones would have been noticed long ago. Wait and watch. Consult a Doctor to get a direct examination and request for investigations or excision if he feels so. Do not keep such lumps as pending if suggested by Doctor as this is the area under constant movement and pressure. Let the lump not grow larger to cause lager problems. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, My skin is very dark near my butt and inner thighs compared to my rest of the body. I apply moisturizer on my butt. How can i get rid of this dark skin on my butt on my inner thighs? I am male/26 years old. I am going to get married in a year time and therefore you understand my problem. Since i have a year in hand can you suggest any remedy which can at least make it less darker over time. ### REPLY: HelloWelcome to . You have pigmentation over inner thighs and buttocks. I guess you don't have itching there as you didn't mention it. If itching is there I will recommend you to treat for fungal infection. It looks like you have Acanthuses Nigerians. It is usually seen in slightly overweight individuals. Weight reduction will be the best treatment in your case. You may also try a cream containing comic acid twice a day. You may continue the moisturizer, I will recommend an algebra containing moisturizer. Hope this helpedTake 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 recently started riding a bike. I havent been on one in years. The day before yesterday was the first time. Afterward I felt as though I had been punched in the stomach. My actual stomach just below my ribs. My lower abs felt fine. I found it difficult to breathe as a result.I thought maybe it was the workout and I was just sore but the pain felt internal.The pain subsided. I rode again today somewhere and shortly after (maybe 45min) the pain returned until I ate something. After riding back today, I had no issues. Then suffering from a mild heartburn hours later (which I often get) I took some alkaseltzer. Then I had yogurt with granola and some chips with mild salsa. I didnt over eat. The pain returned worse than ever about 30min later. My bowel movements have been regular.My stomach is inflamed and I am bloated with difficulty breathing. I am worried it may be a hernia. But Im wondering if a dietary change could be to blame? ### REPLY: Hello! Thank you for the query. This sounds more like a peptic ulcer. The pain usually appears after a meal. Nausea can be present and chest burning. If it is about hernia, it can be hiatus hernia (a kind of internal hernia where a part of stomach gets to the chest cavity). I suggest you to visit your doctor, have blood work and abdominal ultrasound. Gastrostomy should be next. During this test also Helicobacter Pylori infection will be verified. In case of its presence, antibiotics are necessary. In a meanwhile please avoid fatty foods, spicy foods, coffee, alcohol. 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 am 50yrs oldand  my weight is 82 kg bp is correct now a days means last 3mth i have problem in speaking during teaching so I see to doctor(ENT) and doctor advise me to voice rest because of swelling in  vocal cord and taking antibitics for 7 days it has been repaeat 4 times but not complete speech is ok when i take becosule with antibitics than i feel better pl advise me correct treatment thks( Indraj bugalia 0000) ### REPLY: Hello, Thanks for trusting . I have gone through your query and I can understand your concerns. As per your description it seems that you are having vocal nodules, This is nothing but benign(non-cancerous) swelling formed over vocal cord probably due to voice abuse like screaming or shouting. Sometimes minor throat infection also cause this. You can do the following:1. Absolute voice rest for a week.2. Avoid hot and spicy food.3. Do warm saline gargling.4. Behavioral speech therapy may be needed in some cases. You need a followup examination by your ENT surgeon to assess the progress, and further treatment may be tailored by him. Hope this help. Wishing you good health. Regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a wisdom tooth that has come through in the top left of my mouth. It is very painful as it is continuing to come through. I noticed today that it also has a black spot in the corner of the grove of my tooth. Is it likely to be a cavity? I am 25 years old ### REPLY: Hello! Thank you for posting here. Any problem with the third molar, during eruption or after eruption I suggest removal of the tooth. Third molars literally do not help in chewing food or speech. This can cause caries in the next tooth if the contacts are not proper. You already have pain during eruption. I suggest you to get an x-ray done on the tooth and get it removed. It will normally take 3 -5 days to heal. This dark spot can be caries or food lodging. A clinical examination is necessary to tell you what the black spot is. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I fell through a hole in a porch deck over two weeks ago. It bruised severely and was very painful for about a week and half.. the pain has subsided and sort of changed, and the bruising is healing. It has left a large knot on my outer mid thigh however that is soft, with a very firm lumpy area just beneath. As for the pain, it is tender to put too much weight on it, or walk quickly or suddenly. It is severely painful if touched too hard, more so around the lump than on it. My thigh from the lump down to my knee has swelled as well, and the area with the lump is numb on the skin and itchy/tender deep beneath, as well as started to be flaky, as if I have severe dry skin. I took a 5 day burst of predinisone about a week after the injury. Should I return to the dr as something more serious may be wrong, or is this typical? ### REPLY: Hi, Thanks for your query. From description, this hard lump most probably formed due to hematoma formation (collection of blood) which might get fibrosis or calcified. It will take few weeks to months to get disappear. I suggest you to consult an orthopaedician nearby for a detailed examination of swelling. You may get the X-ray of the area affected under his/her guidance.Meanwhile, give hot fomentation over it, You can take Tablet Motrin 1 tablet with food as and when required (up to 4 tablets daily). I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had 29 of 32 radiation treatments on my neck for glandular cancer (post tumor removals).  My skin is now flaky and splotchy from the radiation.  Should I exfoliate it, perhaps with a wash cloth, or let it fall off naturally?  It is quite unsightly and I continue to work in an office environment. ### REPLY: Hi, Thanks for writing in. Radiation therapy is a form of energy which is used to destroy cancer cells. Precautions are taken to target the cells affected by cancer, but normal cells also might be destroyed. It is possible that the skin cells on your neck received significant radiation and that is the reason they are becoming flaky. Please allow the flaky skin to fall off naturally. The skin is soft in the region and exfoliating might be a harsh procedure. You might wear a scarf around your neck till your skin in the neck stops flaking. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hiya I have been vomiting blood for the last few months definately not ulcer as I have had several OGDs, blood tests, xrays and scans everything else is working fine im in alot of pain and because Im allergic to alot of pain killers I get given morphine when I go to hospital. As the docs cant find anything wrong with me I think thy think im a addict hence the reason I really dont want to go to hospital again! I have been curled up on my sofa now for four days unable to move im barely eating and all I can keep down is water. I have lost 4 and a half lbs in 4 days just dont know what to do. Is billiary cirrohis (apolagies for spelling!) a possibility my aunt had it before she died? I have been vomiting just blood several times a day for thelast 2 months. I have a pain in the middle of my chest sharp pains when I breathe and general tightness when I move. The upper abdominal pain that I have is excrusiating I find it hard to walk from one room to another to go to the loo I feel constantly cold and shivery even when Im piled high with blankets. When I stand I have temporary blindness which has started getting worse to the point where every time i sit up or move even slowly my head goes dizzy and my eyes black out for up to 20 seconds. ### REPLY: Hi. Thank you for your query. Read and understood your problems. Your history suggests that you have to get admitted and investigated further as your OGD and all the tests are negative, yet you have pains, fatigue, black-outs and ll the symptoms to suggest that there is a hidden problem, and you say you are not an addict. I would suggest the following in case of vomiting blood and yet not finding the reasons. You need Angiography for the esophagus, stomach and duodenum as there is a chance to have a lesion which opens temporarily to give blood in vomit and then remain quiescent. Repeat the Endoscopy when you are bleeding may find the spot of bleeding. Once the spot is fond it can be treated with cauterization. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am having sharp pains in the middle of my back..making it hard for me to breathe...I am a 33 yr old black woman..i weight 107 lbs 5 3 tall..I have no health issues..high blood pressure concluded my last pregnancy, but I havent had any issues since then (7 years ago)..however the pain reminds me of the night I went into the hospital for the same type of pain..please help..tired of taking pain meds. ### REPLY: Hello. Thanks for writing to us. The pains in the back is likely to be due to a muscle spasm or a positional anomaly of the back muscles due to improper posture or a reduced blood calcium levels after pregnancies. Mild painkillers and rest is likely to help reduce the symptoms. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I ve been having a left side Nose Bleed for the last 2 months it happens in the morning when I wake up and last about 10 minutes. About 10 years ago I had a brain tumor remove on the left side also now I m having pain in there too. The lights are hurting me. I saw my family doctor he thought it was just a sinus cold he gave me antibiotics. I have finished them but still feel this pain in my head. Do I need to get an MRI? ### REPLY: Hi, Thank you for posting your query. Nose bleeding and headache need to be evaluated. Nose bleeding may not be related to past brain tumor or the current headache. You can consult an ENT doctor for finding out the cause of nose bleeding. For headache, you can take medications such as ibuprofen or diclofenac tablets. If the pain does not subside, you can get the MRI brain done. I hope it helps. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a MRI and the results are saying - there is a posterior broad-based bulging disc extending into the neural foramina bilaterally. This flattens the ventral thecal sac. There are severe facet degenerative changes with facet hypertrophy. Moderate to severe bilateral neural foraminal narrowing is notes. Can you please help me understand? Thanks! ### REPLY: Hello! Thank you for the question on ! The result of your MRI is indicative for chronic degenerative disc and vertebral changes. These changes can cause chronic back pain. I would recommend you to consult with the neurosurgeon if surgery is helpful. If you have chronic pain I would recommend a lot of physiotherapy. Gabapentine or Amitriptyline for some months can cause pain relief. Hope to have been helpful! Best wishes! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been fighting cancer off and on for nine years...A few months ago I learned that the cancer had spread to both lungs. I know it is one of the worst you can get..I am currently undergoing chemo therapy, should I ask for radiation tratment as well? ### REPLY: Hi Welcome to  I have gone through your query Felt concerned that your both the lungs are infected. Now I want to know since how long your 1st lung is under treatment, and what is the situation of that ? Is it partly cured ?or what ?  I want to know anxiously. Be brave and fight it out. Any way, continue your treatment for chemo therapy. Certainly ask for radiation treatment as well. As according to my experience Chemo if not followed by radiation is dangerous The germs go berserk after chemo and multiply by million folds . So in my view radiation is must. Rest, you take opinion from oncologists . Mixture of extract of Lemon, Ginger, Garlic , Manager of coconut water, Bark of Maringá (Saharan) tree, Honey all in equal quantity in a dose of 25 ml, twice a day, before meals for 31 or 41 days as per requirement. Is good healer and also preventive. Take a level t spoon of turmeric powder twice a day, in a cup of hot milk after meals, Meals should be simple nourishing and easily digestible. Take care not to have constipation.  Do Panama - Deep breathing exercises & Walk for resistance against diseases and to strengthen the vital part of the body. And many heart and cancer patients have been benefited from this mixture above regimen is to be carried on even side by side of chemo treatment Can also apply Treatment by magneto therapy , is very simple and effective treatment gives resistance against diseases, is curative as well as preventive method of treatment, having no side effects. Hope this gives reply to your query Take care. All the best & get well London hesitate to get back if you have any further query If any query get back at . Com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bile duct obstruction, (possible stone) my gall bladder was removed in 2004. I am nauseated most of the time, sometimes with vomiting, I m tired and really have to push myself to accomplish anything. I also have several other health issues. I am 68 yrs old female. My question is Is the N/V a possible result of the bile obstruction. I also have upper right pain often. ### REPLY: Dear Madams you have mentioned that there is obstruction in your CBD, I assume that you have done blood investigation and USG/CT/MRCP to diagnose cause of CBD obstruction. If you have not done any, then you should do evaluation for the same and undergo treatment as per the disease. Right side abdominal pain, nausea, vomiting can occur due to CBD obstruction. But as you have mentioned that you have other medical issues as well, I would suggest you to undergo cardiac evaluation for tiredness, which is unlikely in CBD obstruction. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, Recently I have been detected with HSV(Herpes simplex virus) which is after 1.5 years of sex.My HIV test was done 6 times in last 1.5 years which was negative.After that I have detected with HAV antibodies positive. When all tests has been done related to Hepatitis A & B.  Now Anti HBc antibody  & Hydrogen breath test came positive. We are waiting for HBV DNA TEST REPORTS. After consultation with doctor I am taking 1 VALCIVIR 500 daliy for HSV & 3 SIBOFIX 550 daily. I am suffering from loose motion from last 10 days which is not stooping after taking Lomotil twice daily also.I am taking lomotil from last 4 days. Now I dont know what should I take to stop loose motion. Please suggest what could be the reason for not stopping.If HBV DNA test comes positive then what should happens to me. What is my health situation & will I be ever cured from these deceases. Will I be a normal person or will I be patients for ever. ### REPLY: Hello, You will be cured if there is no underline conditions causing immunosuppression. If your hepatitis B test become positive, it will not imply you are ill. Other investigations will need to be carried out to established disease and find out if HSV is linked to hepatitis B. However, if you feel healthy apart from the HSV, then there is a high probability that you hepatitis will be negative. 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: hello, Im 41 yrs old, I seen a doctor about my cluster like form of red pimples around the tip of penis, and looks to be white in color around foreskin shaft..I was tested for all types of STD , Virus, an any other diease possible..the blood tests came back negative of everything..the doctor was an infectous disease doctor and he could not figure out what these were..he told me to see a dermatologist ..should i seek another opion its bothering me to no end i want to know what these red pimples are...do you have any idea..thank you ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have red pimples at the tip of your penis. These pimples could be due to inflammation of terminal part of urethra and external urinary meats secondary to acidic vaginal secretions of your female partner who is likely to have vaginal infection. Please get her examined by a qualified Gynecologist. Since you do not have STD proved on screening test you need not worry at all. You need to take broad spectrum antibiotic like Čeferin along with anti-inflammatory . Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up 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: Hello sir, My friend is suffering from blood cancer. His age is 19 . Cancer is in beginning stage. what is the chance for death ? ### REPLY: Hi and welcome to  forum. Blood cancer is a very broad terminology. There are many types of blood cancer and the survival rate will depend upon type and severity of the cancers. Nowadays many of the cancers are treatable, and we have bone marrow transplant. It is very difficult to tell that all blood cancers will lead to death or all can be cured, without examining the patient or seeing the patient blood reports and bone marrow result. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: so I had a yeast infection and I used monistat and it gave me relief but I didnt use it as directions said even tho I did use all of it I thought I had gotten rid of it but two days later it came back and ive had it for almost two months now is there a possibility I have an STD? ### REPLY: Hello, recurring yeast infection is a sign that your immunity system is weak, or probably you are taking too many sugars or antibiotics in your diet. Candida Africans, yeast, normally grow in female genital tract, and when the immunity system is weak the yeast overpopulation the genital area, becoming harmful. I would command same exams to exclude other STD, properly treatment of yeast with console 150 mg /ovule for six nights, and what is most important you have to maintain a healthy diet, and taking supplements to improve your immunity.  All the best. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My name is Robert and I have had an intense burning in my chest for the past three weeks. Not so much pain, but an incredible burn that makes me have to sit down for five minutes so it can calm down. It gets so bad that I have no more strength and scares me severely... any idea?? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, we should definitely rule out cardiac chest pain first. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes gastritis can also cause burning chest pain. So avoid hot and spicy food. Avoid stress and tension, be relaxed and calm. Take pantoprazole tablet on empty stomach twice daily. Avoid large meals, instead take frequent small meals. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear,sir i am suffering from allergy .every day flow of water from my nose(nak pradah,or nazla) from 2-3years.my treatment is continuously Patna &, muzaffarpur allopathy & hemopathy but problem is not properly sought out.nearby I am suffering from asthma.hence sir I am very hopeful for you regarding solved my problem .I am very tried. Dr.said that allrgy bornckytis,some dr said allery rainitics&some dr said sinius.pl.help me sir for better treatment and suggested best doctor at patna.thank you ### REPLY: Hello Sir, I just have gone through your problem.  Being allergic nowadays is very common problem because of decreasing immunity and increasing pollution.  First we have to work on your immune system. Problems like allergy are raised because of low immunity. SO to increase your immune level I would like to suggest you some tips:1. Add . 2. Take a good Multivitamin capsules from market which includes antioxidants too.3. Keep frozen, fried, canned or precooked foods or fruits at bay.4. Eat healthy and freshly prepared food.5. Eat fresh fruits specially citrus fruits. Citrus fruits contain vitamin C which helps in building up the immunity.6.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Ive fainted after wisdom tooth extractions, 2 extraction about two years apart and on both occasions I fainted and collapsed in the reception after the painless procedure. I need to have another tooth extracted and this one will be somewhat more complicated. Im 33 weeks pregnant. Should I wait til after the birth and is it likely that Ill faint again.Many thanks ### REPLY: HelloThanks for writing to us with your health concern. Fainting and syncope during pregnancy can be devastating for the baby. Particularly at 33 weeks, this might endanger the baby. If the tooth extraction can wait, please ask your dental surgeon if you can defer the surgery for a month or two. By the time, you would have delivered. If it is a non-emergency procedure that is being planned, it is best to let it wait until your delivery. If it is an emergency one, then it cannot obviously wait. You have to go for it with full precautions, which includes informing your obstetrician and keeping all preparations accordingly. Make sure that you are given adequate anesthesia, and all . Also, make sure proper antibiotics are administered around the procedure, so that you can be free from infection. All the betake care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,My fiance and I had sex a day after my period. I had my period on November 25th-30th and I usually have 18 days before i start my period again.. Its been 4 days now that I havent gotten my period. I was wondering if its possible that I can be pregnant and would it be to early to take a home pregnancy test? ### REPLY: Hallow Dear, Considering 5 days of bleeding and 18 clear days before you start your menses, your menstrual cycle seems to be of 23 days. Then your day of egg release (ovulation) would be 11th day of menstruation. The egg is alive for 24 hours and the sperms are active for 72 hours. Thus, day 7 to day 15 of your cycle would be fertile period for you. You had sexual intercourse on day 6 of the cycle, which is very close to the Fertile period. Therefore, possibility of conception cannot be ignored. It is barely 4 days that you have missed your period. The usual urine pregnancy tests are reliable 8-10 days after missed period; earlier the chances of false negative results are high. However, beta  tests are very specific and sensitive and can give reliable results within 2-3 days of missed period. So you may opt for beta  test. I hope you have got the guidelines to follow.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 would request you to kindly suggest.  My wife has been suffering from back pain since last 15(fifteen) years and after showing it to so many allopathic doctors, orthopaedics; she still continues to suffer.  No relief.Kindly suggest whether this can be fully cured.  Her age is 46 and she is a housewife. ### REPLY: Hi, Thanks for your query. After going through your query I came to know that your wife is suffering from chronic backache. It may be due weakness of muscles and bone. It may be related to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC SLOW RELEASE TABLETS) give relief.  Vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. She is advised to take milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I woke up with a really bad cold on Sunday and I still have it now. Yesterday morning, I went a little bit dizzy at the stop of the stairs in my house, I stepped to go down the first step but i managed to slip right down to the middle and I landed in a funny way. I had pain at the top of my back and at the sides of my neck and it seems to hurt more when I lay down and because I sleep on my left side, I m in discomfort, like a nagging pain. Even when I cough, breathe out and move my head, there s still pain there ### REPLY: Sorry you're feeling so bad as neck pain on top of a cold can be quite demoralizing. The dizziness is most probably a fall out of the cold you have and steam inhalation a thrice a day should help you. If it doesn't, I suggest a physician review where I am sure the medications like sturgeon or beta histamine would be prescribed. The neck pain seems more like a whiplash and for now bed rest and a mild painkiller like paracetamol should do the trick. A cold compress on the neck would help too. If thing don't get better in a couple of days, physical therapy maybe needed I hope you feel better soon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is  a year old and I noticed that he has a purple spot inside the gum  and the color is getting more purple, and is swollen. It looks like his tooth is underneath. He has not had any any falls and wondered what that could be?  What would you recommend other than taking him to a dentist or oral specialist. Thanks ### REPLY: Hello, Welcome Thanks for consulting  I have gone through your query, as you have small one year child, don't worry this swelling can be Eruption cyst this forms when tooth about to erupts in oral cavity. This is normal don't worry this swelling subsides when tooth erupts in oral cavity. If your child has pain in swelling then consult dentist for oral examination. Hope this will help you. Wishing him 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 am 29 female, recently My Dr has prescribed me AKT4 and with that she has askes for Lever function test. the result of LFT is Bilirubin total: 1.62. I have not felt any health problem rercently. Only when I went for some general tests in advance before family planning I came to know that I have got Microbactarial TB and this liver disorder. what should I do now. ### REPLY: Hello, Thanks for using  . I had gone through all the details posted. Many details about your current problem are missing in the question. AKT 4 is for Tuberculosis. But where is the site of infection in you. You could have told us about the entire LFT report. Only by taking a look at bilirubin which is slightly high we cannot tell anything about status of your liver. So kindly mention your total details like where is the site of infection tuberculosis and upload full LFT report. We do LFT periodically to monitor side effects of anti TB .  As if there is problem with LFT we may decide to change the medications if required 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, iam 17 years old 7 days ago i was eating something that i always eat i felt my tongue tingle and went heavy then my face dropped a little on the right side got tingles in my fingers and my arm felt a little heavy i had some blood tests done 2 came back with high inflammation done an mri scan waiting to see neurosurgeon tomorrow but only had this problem that day and only lasted for 10 minutes. My family doctor meanwhile had a look at the scans and said it all looked normal. ### REPLY: Hello ! Thank you for the question on ! I understand your concern. In my opinion the troubles you have had may be related to a seizure, a type of Epilepsy or a transient ischemic attack related to the inflammation inside the brain. It may be a tumor, a vasculitis, or a brain infection. I would recommend consulting the MRI with a euro radiologist, who has more experience in brain MRI than a family doctor. The consult with the neurosurgeon will be helpful. If a lesion is seen in MRI stereotactic biopsy or a total removal may be taken into consideration. An EEG would be helpful in case of seizures. Hope to have been helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi ive just had a mri on my lumbar and sacral it confirmed i have a small posterior disc prolapse l4/5 and facet joint hypertrophy also at l5/1 a small psterior disc bulge with a right posterolateral annular tear... its painful its red hot to touch,any ideas on how to lessen the pain and would this be connected to my knees. in both my knees theres clicking and slight crunching painful and swollen. not had any mri scans on there.... sick of the pain now ### REPLY: Hi, Thanks for your query. The general recommendations for Lumbar disc prolapse are as follows -- Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer-Take rest breaks throughout the day, but avoid sitting for long periods of time.- Avoid lifting heavy weights as it imparts more strain on your back-Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen your back pain-Use a lumbosacral back support to stabilize & strengthen the back musculature- Use analgesics like Advil or alive and muscle relaxants to relieve pain and muscle spasm, as needed. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am diabetic and am having dizziness when I get up from bed and from siting. as I get older it is getting to be  a daily thing. I go to the V A for my health care. SORRY, SORRY, SORRY! I discussed this with the doctor so he gave me meclizine. It is making me weak and causing my diabetes to go higher. I finally happen to realize it had to be this drug. Your thoughts please. ### REPLY: Hello and welcome to Ask A Doctor Service. I read your question and here is my answer. It looks like you have a postural .  From how long you have diabetes and is it well controlled? If u have diabetes from a long time and have not a good control then maybe you have developed autonomic dysfunction, one of the complication of diabetes. You need to check your b.p while lying, sitting and standing. Talk to your doctor about this and he will examine you for postural  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name s Allie. I m 16 year old and recently went to the doctors to recieve birth control . The pills prescribed to me are called Generess Fe, and the doctor gave me those because since I m petite (only 95 pounds) she thought a higher dosage would cause me nausea & Bad side effects. Since I ve started the pill about 5 days ago, it s giving me bad nausea, even though I take it before bed. When I waleup I can t even move or I feel like I ll throw up. Will this side effect end? And if so, how long will it take to go away? I really hate being sick & there s no signs of my nausea going away:( ### REPLY: Hello Allie, I am Kathy - a nutritionist- and I may be able to help you with thisNausea is a common side effect with iron supplements. There are other iron supplements that are gentler on the stomach, and you may want to discuss this with your doctor. I am assuming you are on iron because your iron is low. You can increase your iron naturally by eating high iron foods such as raises, spinach, molasses and, if you eat meat, red meat is high in iron. Eating a source of high vitamin C along with your iron will increase the amount of iron you absorb, so fruit, vegetables are naturally high in C as is vitamin C enriched juices. Iron should always be taken with food. From what it sounds like, you are not eating with it. Try taking it in the am with food (but not dairy or high fiber foods) and include a source of vitamin C with your iron supplement. Food does decrease absorption, but if the iron is making you nauseous, eat and/or ask to be switched to a gentler form of iron. In summary, take iron in am with food low in fiber and a source of vitamin C. Check with your doctor about these problems and see if there is a gentler form of iron you can take. Increase your iron in your blood naturally by including high iron foods. High iron foods should be combined with a source of vitamin C. Have a Great Day! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is Vugar. I am suffering from bad breath over two years now and my doctor had told me that i have yeast infection and sinus infection. Now my girlfriend has started having bad breath. Do you think this could be a result of contagiousness or? Can candida be contagious? Please help. I also have mucus attack and constant need to swallow. There are swollen parts in my throat too. Thanks for reading ! I will be waiting for your respond! ### REPLY: Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that, yes candida is contagious infection. But candida usually occurs in persons whose immune system is suffered like HIV, Diabetes, Prolonged antibiotic treatment. I advise that you and your girlfriend should test for HIV. You can take the fluconazole tablet for the yeast infection kindly take it under doctors guidance. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: This morning I noticed the gums immediately around one tooth, lower, is very dark, deep red. This tooth has a crown on it. This was noticed when I was flossing today. It is uncomfortable around this tooth, more of an ache actually. I cant afford dental care right now though. ### REPLY: Hello thanks for consulting at . The inflamed red gums is caused by inflammation of the gum surrounding the crown,you might need oral prophylaxis -scaling and polishing, if calculus/tartar has deposited.you also need to do gum massage with the pulp of the finger. Use chlorhexidine mouth wash if you are not allergic to it. You could also get an Iowa radiograph to check for alveolar bone loss around it. Kindly consult a periodontist for a check-up and treatment if problem persists. Hope it helps,take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a white hard bump on the bottom of my gum line. It has been there for almost a year. The size has not really grown much. I am starting to get another one right beside it. I went to my dentist who said that its fine and he did do a bit wing xray and said he didn t see anything that showed it to be abnormal. I am just a worry wart and wanted to know what you thought this hard bump could be on my gum. Thanks ### REPLY: HelloWelcome to ChatDoctorI would like to tell you that there can be various reasons for this painless growth like it can be fibrous i.e. painless growth firm in consistency due to some injury or trauma. It can be torus i.e. bony outgrowth. It can also be an abscessed tooth that will be ruled out after getting an IOP AR done because bite wing X-Ray is for interdental caries. Get it diagnosed properly & treated after consulting your dentist. Take Disregards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 little small lumps all over my body underneath the skin. They are not painful however I notice that they are spreading more than ever. I have had this for about 5 or 6 years now and it is concerning, a dermatologist told me they were calcium deposits but I am begging to differ. I had one in the center of my chest that just formed a head and began to ooz puss out of it. Help PLease!! ### REPLY: Dear friend, You have multiple small lumps all over body and one lump at your chest. As per your description both condition are different. A multiple lump all over body since 5-6 years most likely a lipoma. Multiple subcutaneous lipoma is common condition and doesn't need any treatment until few of them going to be painful. A chest swelling with pus discharge may be either simple abscess or an infected sebaceous cyst. It needs antibiotics and surgical . Thank You. Get Well Soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my grandpa was admitted for a blood pressure of 200/150 and palpitations and got treated in icu.echo shows ischaemic heart disease with mild mitral regurgitaion and regional valve abnormalities.he has been prescribed calaptin,stamlo2.5,clopilet a,monit,nebistar h,aforsance. he suddenly became disoriented this evening,spitting tablets,speech also got slurred.may i know what is happening to him ### REPLY: Thanks for your question on . I can understand your concern. Cardiac patients are prone to develop hyponatremia (low sodium) and this can cause CNS (central nervous system) symptoms like disorientation, slurred speech, not following commands etc. So get done serum sodium level and if it is less than he needs correction by giving hypertonic saline (3%). Another reason is brain hemorrhage and infarction. High blood pressure can cause spontaneous bleeding from tiny vessels of brain and this can cause hemorrhage and infarction. They can cause similar kind of CNS symptoms. So also get done MRI of brain for the diagnosis of this. 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 there, i dont seem to no what wrong with me i feel rage all the time and dont no why? i am not comphy talking to anyone face to face about this but i get all panicy when i leave my house on my own this is not normal i dont like to go to asda or anywhere as its too busy i no this is adnormal could you give me some advice to what is wrong with me please, thanks ### REPLY: Hi, From what you have mentioned, you seem to be suffering from an anxiety disorder. Complete diagnosis will need further details, but you do have elements of social anxiety which makes you uncomfortable in talking to others. Another element is agoraphobia which is leading to your avoiding going out alone or avoiding crowded places. Anger and irritability is also are part of anxiety disorder. You should consult a psychiatrist for complete evaluation and initiating treatment. You will do well with medications like sertraline or paroxetine. In addition, you should start exercising daily which will help you relax. You can also opt of behavior therapy sessions which will help you relax and be ready to face situations that you are currently avoiding. I do hope I was able to help you out with your query. 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 husband has had a primary progressive multiple sclerosis diagnosis for 7 years. I noticed awhile back that in between the lower to middle back part of his spine, there is a section that has a protruding bump that is easily felt. Is there a chance that this is a bulging disk that could be causing his neurological systems instead? ### REPLY: What you're feeling is impossible for me to say without actually examining him myself, however, my guess is that you have found a soft tissue entity which could be anything from a LIPOMA (benign fatty tumor) to nodular calcifications which can be found in normal individuals.  You would not be able to FEEL a BULGING disc in the least nor could such an entity be the reason for symptoms in the lower extremities if he has been diagnosed by a specialist as having PROGRESSIVE MULTIPLE SCLEROSIS.  Either an MRI or CT scan will reveal what the mass or bump may be.  If you'd like to discuss things further or have any test results you'd like me to look at as a Neurologist myself who treats many cases of MS then, please write me at: bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 60 year old female. I have a very enlarged lymph node directly under my right ear in my neck. A biopsy was done and came back with inflamation. My neck is sore and when I turn my head it sometimes causes numbness in my face or arms. I have flare ups with my body aching all over like I have the flu but I don t get sick. I am tired all the time. Occasionally I have muscle spasms in my feet . Also tingling in my fingers when it is cold out. ### REPLY: Welcome to . 1. Lymph nodal enlargement is seen in case of any infective / inflammation, it can be localized or systemic cause.2. As the biopsy was taken and proven as inflammatory condition - need to treat the underlying conditions.3. The tingling and numbness is due to the nerve compression caused by the enlarged lymph nodes. 4. Ultrasound will help to evaluate the nature of the lesion its extensions. 5.MRI is investigation of the choice to evaluate the nerve / chord compression. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just started taking a drug called Metoprolol for irregular heart beat (premature supraventirbular beats). 50 m/day. have been having several things happening that I think are effects of med. . 1) insomnia; 2) green-looking stools, 3) pains in my legs. Are these normal side effects? ### REPLY: Hello, Metoprolol may cause in rare cases leg pains and light color stools. Insomnia is not a well-recognized side effect of Metoprolol. Unfortunately, there is no specific treatment for the light color stools. For the leg pains, you may use paracetamol and ibuprofen and as for insomnia, you may try to use the medication in the morning rather than in the evening. If your symptoms last more than 2-3 weeks, or you are any worse you will need to let your doctor know and consider alternative treatment. I hope this answers your query. I remain at your disposal for further medical assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 5 year old grandson is anemic (currently on iron tablets), frequently gets chest colds since the time he was born, will run a high fever and get nosebleeds. He also has red puffiness under his eyes. He is a good weight, ~ 47 lbs, and has high energy but he is continually very pale What type of blood work would you recommend. I had to ask the doctor to do the lab work last time for anemia - for some reason she was hesitant to do so but the results were low iron. Thank you. ### REPLY: Hello, If your baby has very frequent cold, cough, red eyes, it could be due to allergic rhinitis. I advise you to go for allergy screening. Anemia in this age group is usually due to nutritional deficiency as iron or vitamin B12 or folic acid. Get blood test - CBC, iron profile, serum vitamins B12 level, folic acid level and review with reports, further course and treatment will depend on reports. 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: Had been woken by moderate to sever abdominal and chest pain early Friday morning. Felt it was indigestion as there was pressure in my chest and it was a bit painful taking deep breath. Felt like I needed to take a big burp. Took several asprin and was able to go back to bed for about an hour or two before waking again feeling the same pain. That condition has persisted since, but has gotten slightly better. ### REPLY: Thanks for asking your query completely understand your problem yes the symptoms look like indigestion and u can have a packet of end and some antacid tablets like gene for fast and symptomatic relief.u can use a proton pump inhibitor like pantoprazole for better relief. Aspirin will not help you else it will increase the burning sensation and distention. Its better if you take some antispasmodics like myosin tablets for pain relief. If the problem persists you can get a general physicians opinion thanks/ regards feel free to ask more questions may god bless you with 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: In my right calf I ve began to feel this sensation of my circulation being cutoff. It occurs when I stand up after sitting or laying down. I have no swelling and it s more of a feeling that my leg(halfway on my calf and down) is recovering from falling asleep. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You should go for color Doppler test.  Angiography will help you to search if any block is there or not. Then you should take treatment according to your diagnosis. 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: Swear pain and swelling in second last gum from right in lower jaw . i had an RCT for the same tooth 2 years back, and a crown was fitted there. Last month the crown got broken partially due to some reasons, But As i am posted in remote part of country due to some projects till now, and here there is no dentist available, and probably for next 2 weeks also I will not be able to see a dentist. Could you please tell me the possible reasons for the swelling and pain, and the severity of the situation and also that whether is it cancerous or not? ### REPLY: Hiswear pain and swelling in act treated tooth and dislodgement of crown points toward faulty treatment. There is no point of cancer here. So don't worry. But as you can't see a dentist for at least two weeks, go for following-cap amoxicillin 500 mg three times a day tab metronidazole 400 mg three times a day tab diclofenac+PCM+serratiopeptidase three times a dado warm saline rinses most probably there is reinfection of the concerned tooth. So re act or extraction have to be done which will be clear after oral examination and radiographic examination. Wishing you speedy recoveryWith 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: I have sharp jaw pain that shoots up into my temple and down my gums for now I have sores now on the inside my cheek . The pains come and goes.   I take Advil and it will stop the pain  and it comes as fast as it will stop. The pain that shoot up through my jaw cause an extreme headache and like I said it will stop after I take the Advil or sometimes just work threw it for a few minutes . I was looking at symptoms a d came across stomtitas ??  Ive been under extreme stress for a good while , I was real low on b12 awhile back . I recently had a lot of dental work done . ### REPLY: Hi. Can understand your concern. As per your complaint pain in jaw that radiates to temple can be most commonly due to dental infection. As you have recently undergone dental treatment any recurrence of infection in any of the tooth can lead to pain that can radiate to the temple as well as the entire jaw on the same side. It can also be due to inflammation in the gum flap above the erupting or impacted wisdom tooth due to deposition of food debris between the tooth and the gum flap leading to inflammation of the gum flap and the symptoms you explained can be apparent in case of inflamed gum flap. Ulcers can be canker sores or traumatic ulcers caused due to trauma to the mucosa during dental treatment. In case of pain in the sores you can apply numbing gels like McCoppin or Or abase gel for relief. I would suggest you to consult a dental surgeon and get evaluated clinically so that proper check up including x-ray where ever required can be done to find out the exact cause of the pain. Treatment will be decided as per the diagnosis. Hope your query is solved. If you find the answer helpful please write a positive review and click on find this answer helpful as a token of appreciation. 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: Hello sir , Thank you in advance Sir , my mother is facing a severe pain in her knees and in most of the parts and joints of her below the waist part and also in her shoulders wrist . A doctor confirmed it is as RA .She is taking the medication from a homeopathy doctor for the last one year , but after many days she is not feeling good and now she is complaining like she got pain in her back and in waist . So , could you tell me what should I do now and could you please suggest me a best doctor for this problem. Sir , I am from Hyderabad . And please email me the reply to YYYY@YYYY Thank you so much sir ### REPLY: Dear friend please take your mother to a rheumatologist and get her treated properly. Pardon me for my prejudice, but homeopathy is certainly not the solution and if someone has claimed it you have the result in front of your own eyes, there are very effective medications available in our poor branch of modern medicine called allopatry, but please give it a try. Also let me warn you at the onset that RA if confirmed cannot be cured it can be kept under check and life quality can be improved. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last week I suddenly developed high blood pressure ranging from the 190 s over 90 s. I t hought it was too much salt in my recent diet and starting drinking water and watching my salt intake. My doctor doubled my enalipril beselate to 20 mg per day, but a week later the BP is just as bad and now I am drinking water because I am always thirsty. ### REPLY: HelloThanks for posting at . Your BP is definitely high hence your doctor has doubled your enalapril dose. You have to wait for at least two weeks for the blood pressure to be under control.  .  Frequent thirst is a symptom of diabetes. Hence, please check your fasting and post lunch blood sugars. If BP remains persistently higher despite increased dose of enalapril, a renal Doppler study and a 2 d echo should be done. Also, an additional BP medication should be added in that case. Wishing 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: Hi, may I answer your health queries right now ?  Hi I am recently married before marriage i use to get harder ercetion but since my marriage the erection is not hard and i am unable to do the intercourse with my wife the ejaculation happens within minutes am i alright ### REPLY: Hello, It may be due to performance anxiety. For that you may require complete hologram, lipid profile and electrocardiogram after physician consultation. Along with that Avoid stress and strenuous activity. Take proper rest and balanced diet. Till then, you can take tablet sildenafil one hour before sexual act Hope I have answered your query... Let me know if I can assist you further. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, last week, i had sexual intercourse with my girlfriend. It was rather rough. A couple days after, i noticed there was like a small cut. Going through my day is just fine, but when i touch it, it stings a bit (which i would assume it would be because it is a cut). Should i be woried? ### REPLY: Hi, I have gone through your medical history carefully and understood your concerns. You are reporting to be having a rough sexual intercourse with your girlfriend, while noticing a small cut a couple of days after. That's not worrisome, it is due to trauma of the skin during rough sexual intercourse. I advise to:- not to have sexual intercourse until completely healed-apply reparation cream containing zinc oxide-keep a good hygiene of your genitalia Hope it was of help! .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: past few months I ve been having problems with my lips swelling my tongue swelling on different occasions different things I ve eaten also I ve had situations where like half of my upper lip or half of my lower lip or even half of my tongue not even the whole thing what s well I ve been to an allergist they found nothing I went to a dentist they found nothing I just don t know what else to do thank you very much. ### REPLY: Cellophane You for contacting . Such symptoms appear because of allergy to some specific thing. You need to observe that what particular food causes swelling after you eat. Then you need to avoid that. Meanwhile, I would suggest you following things:> 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. 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: Hi I am Mrunal from India 27 years old male having chest pain on Thursday i got ECG and it has changes i am not Hypertensive and non Diabetics my Troponin - T test was -ve but i gone through TMT where it was positive and mentioned TMT +VE FOR INDUCIBLE ISCHAEMIA what it measns??I am not alcoholic and vegiterianplease suggest me what is going to wrong with me? ### REPLY: Hello Rural, TMT positive for inducible ischemia literally means that there are ECG changes in your TMT which could suggest a coronary block of the arteries which resulted in the ECG changes. Whoch artery and how much the blockage is, I'd not known, however it may be significant. Now considering you age and the absence of any risk factors puts you at low risk for cardiac event, so that there is fair possibility that the test was false positive. Do consult your doctor and discuss the possibilities and further investigation to rule things out before jumping to conclusions. You may upload the test tracing for second opinion on our forum. 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 mouth is really sore.  Had root canal last week on top left but pain is in the front bottom along the bottom.  Dr. thought prob sinusitis and gave me shot of Rocephin and Augmentin but so far it hasnt helped.  Dont know if I should see my dentist tomorrow or give it a little more time.  Looks like pooled blood in spots along the base of the bottom gum ### REPLY: Thanks for your query, I have gone through your query. The soreness in the mouth particularly in the bottom teeth could be because of the gum infection secondary to deposits. It is not related to sinus infection. Consult an oral physician and get it diagnosed and treated by getting your teeth cleaned. You can take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). Do saline gargling. 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: Hi. ive been smoking marijuana for just over twelve years. i hardly ever stopped smoking until last week. i smoked at least four joints a day of really strong pot and i would cough until i puke . in the mornings i wouldnt be able to go for a walk without coughing until i throw up and thats without even smoking beforehand. this is still happening and its been ten days since i last smoked. should i be worried about cancers and other lung issues? i had pneumonia three times between the age of 15-18 and im wondering if this is a contributing factor. i also have a stomach ulcer from a past alcoholism but have since quit drinking so i think this is another part of my problem as for the puking. i havent been checked for asthma im too scared too find out if it is that or any disease but could you please give me an answer to all of this im really worried it wont stop. ### REPLY: Hi, Considering your long term history of marijuana smoking, you are at a high risk of suffering from COPD (Chronic Obstructive Pulmonary Disease). Smoking is also a risk factor for HERD(Castro esophageal reflux disease). You need to immediately get yourself evaluated by a Pulmonologist / Chest Physician. Investigations required are chest X-ray and pulmonary function test. Based on the evaluation you may be started on Inhalers and oral medications. Smoking cessation is the cornerstone of therapy. Unless you quit smoking for life, no medicine will benefit you. Smoking related decline in lung function never reverts to normal but after quitting smoking we can slow the decline of lung functions. Also smoking has placed you at a high risk of many diseases and lung cancer is one of them. You need to quit smoking. Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 26 yrs, age is 85kg,hight is 1.55m. My health is not so good, i feel severe palpitations,heavy pressure on my abdominal cavity ,weakness,dificult of breathing(some times),tiredness,polydepsia, and my gestational period is about 5.   Thanks ,plz give me your cohorent answer. ### REPLY: Hi, This is . Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any. 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,Ive not had intercourse in four years, Im a clean freak, in pharmaceutical sales, sold Cipro IV/PO, respect bugs!  Five weeks ago, I tried on a pair of levis in a store, I was wearing a thong (not much coverage/protection), my fault?  I developed a rash, large rash, covered my buttocks, ground, etc.  Vagina was clean/clear.  Horrible itching.  My doctor took a culture, it came back as citrobacter freundii complex, feces?  How did I contract this?  How serious is this?  Im on cipro 500 mg/BID-7-days.  I have 20 hummingbird feeders, I am exposed to their excrement every two weeks.  Did I inhale this bug or was it from trying on those levis five weeks ago?Thank you,Janet ### REPLY: HI, thanks for using  Enterobacter Freddie is spread by direct contact with persons working in a hospital environment, through ingestion of environmental sources (fecal to oral-stool to mouth) or from one person to the next. The last is the most common mode of transmission. This means that it could by ingestion of the pathogen or contact with another person who had this infection. It is unlikely related to the birds mentioned. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I was operated 2 times curettage because of a heavy continuous bleeding problem in which I was told thT NO SIGNS OF CANCER NEITHER PRECANCER HOWEVER LATELY AFTER A SECOND CURRETAGE A BIOPSY DETECTED SOME PRECANCEROUS CELLS ON WALLS OF UTERUS INWHICH IT WILL BE NEEDING A HISTEROCTOMY REMOVING UTERUS ANAD OVARIES AND CERVIX THEY ALSO THINK BEHIND UTERUS SOME CANCER MAYBE THERE CAN YOU HELP ME TO EXPLAIN WHATS GOING ON ANYWAY MAY OPERATION IS THIS MONTH ### REPLY: Precancerous lesions are seen in certain malignancy especially GAEC and oral cavity cancer. They occur before invasion occurs. Timely treatment of precancerous lesion can prevent the occurrence of cancer. Sometimes especially in areas like uterus invasive lesions are seen in other location. Hence, immediate attention is required. Once the whole thing is removed, histopathological examination of specimen will give exact 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: a female patient age 51. ca rectum, post operated case, eosinophil -9,alkaline phosph-157, pain in sacrum, swelling in right leg since 1 week, esr-30, presently on capecitabine since last 3 months ,inj zollidronic acid every 4 week. what is the cause of swelling? very poor patient. ### REPLY: Hello, Post-cancer rectum surgery the symptoms of sacrum pain, lower limb swelling is common. Continue the medicine advised post surgery and use stocking for lower limbs to avoid swelling. As there is a lack of venous return the stocking will provide good support to the muscular system to help improve .  Also, for sacrum pain, it is due to muscle weakness. I will advise doing an exercise like knee flexion-extension, ankle toe movements, bridging exercise etc. to improve the muscle physiology. As post surgery cases are advised for physiotherapy for their muscle property to be maintained I will advise doing simple exercises by which you get relief. Hope I have answered your query. Let me know if I can assist you further. Jay In ### END